放射性膀胱炎的治疗进展
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摘要
放射性膀胱炎是一种比较常见的并发症,以血尿为主要表现,严重危害患者健康。本文从病因、病理、临床表现、分度、诊断标准、治疗方法以及预防措施等多个方面总结放射性膀胱炎的治疗进展,以期为该病临床诊断和治疗水平的提高提供一定帮助。
Radiation cystitis is a common complication seriously endangering the health of the patients, and hematuria is its main manifestation. Therefore, this article discusses the progress in the treatment of radiation cystitis from aspects of etiology, pathology, clinical manifestations, grading, diagnostic criteria, treatment and preventive measures, so as to provide some help for the improvement of clinical diagnosis and treatment.
Radiation cystitis is a common complication seriously endangering the health of the patients, and hematuria is its main manifestation. Therefore, this article discusses the progress in the treatment of radiation cystitis from aspects of etiology, pathology, clinical manifestations, grading, diagnostic criteria, treatment and preventive measures, so as to provide some help for the improvement of clinical diagnosis and treatment.
引文
1 宋磊.局部晚期宫颈癌手术所致泌尿系统损伤的处理[J].中国实用妇科与产科杂志,2018,34(11):40-43.
2 Lowe B A,Stamey T A.Endoscopic topical placement of formalin soaked pledgets to control localized hemorrhage due to radistion cystitis[J].Am J Surg Pathol,2014,158(11):528-529.
3 朱虹,刘小波,王晓玲,等.高压氧舱内不同压力治疗出血性放射性膀胱炎的效果观察[J].中国当代医药,2014,21(13):150-152.
4 包娟,朱清毅,吴宏飞.放射性出血性膀胱炎的治疗[J].临床泌尿外科杂志,2013,18(5):318-319.
5 丁晓钧,陈云,杨国学.膀胱灌注透明质酸钠治疗出血性放射性膀胱炎体会[J].中国社区医师:医学专业,2010,12(15):106-106.
6 石晓婷,尚菊战.无菌透明质酸钠液膀胱灌注治疗放射性膀胱炎患者的护理[J].中国当代医药,2014,26(5):37-38.
7 Sun R,Koubaa I,Limkin E J,et al.Locally advanced cervical cancer with bladder invasion:clinical outcomes and predictive factors for vesicovaginal fistulae[J].Oncotarget,2018,9(10):9299-9310.
8 巫嘉文,余洋.高压氧综合治疗出血性放射性膀胱炎56例疗效观察[J].中华航海医学与高气压医学杂志,2016,23(4):323-325.
9 姜毅,李俊,张建玲,等.复方苦参液联合中药灌肠治疗放射性膀胱炎及肠炎疗效观察[J].中国中医药信息杂志,2016,18(10):70-71.
10 于祥征,赵光海,宓桂平,等.清热凉血汤膀胱灌注治疗放射性膀胱炎临床研究[J].中国当代医药,2017,18(3):21-22.
11 蔡经爽.出血性放射性膀胱炎有效治疗方法的探讨[J].临床和实验医学杂志,2016,5(12):1950-1950.
12 赵立,唐飞,柯朴群,等.双侧输尿管皮肤造口尿流改道联合髂内动脉结扎术治疗出血性放射性膀胱炎[J].临床外科杂志,2013,21(4):297-298.
13 司毅,张火俊,杨继金.髂内动脉栓塞术治疗放射性膀胱炎所致血尿[J].介入放射学杂志,2016,16(9):635-637.
14 陈琦,薛波新,单玉喜,等.经尿道选择性光气化术治疗出血性放射性膀胱炎[J].中国内镜杂志,2012,18(11):1201-1204.
15 李晶磊,何朝宏,任君凯,等.妊马雌酮联合钬激光及电凝术治疗女性出血性放射性膀胱炎[J].医药论坛杂志,2014,32(14):28-29.
16 Ferrer Puchol M D,Borrel Palanca A,Gil Romero J,et al.Severe hematuria is caused by radiation cystitis Selective percutaneous embolization as an alternative[J].Acta Urol Esp,2016,22(18):519-523.
17 岳俊敏,王俊勇,张昊,等.透明质酸钠膀胱灌注治疗女性间质性膀胱炎对其性功能的影响[J].临床泌尿外科杂志,2017,32(10):808-809.
18 Sanchiz F,Millá A,Artola N,et al.Prevention of radioinduced cystitis by orgotein a randomized study[J].Anticancer Res,2016,16(20):2025-2028.
19 Yousefghahari B,Alhooei S,Soleimani-Amiri M J,et al.Comparison of sensitivity and specificity of anti-CCP and anti-MCV antibodies in an Iranian coho of patients with rheumatoid arthritis[J].Caspian J Intern Med,2013,4(3):702-706.
20 Schaeffer E M.Re:Safety and Efficacy of Intravesical Alum for Intractable Hemorrhagic Cystitis:A Contemporary Evaluation[J].J Urol,2018,199(6):1377-1377.
21 Hirose Y,Yamamoto T,Misako N,et al.Injection of Dental Pulp Stem Cells Promotes Healing of Damaged Bladder Tissue in a Rat Model of Chemically Induced Cystitis[J].Cell Transplant,2016,25(3):425-436.
22 Rogosnitzky M,Isakov I,Wlassoff W,et al.Ocular Applications of Dipyridamole:A Review of Indications and Rou tes of Administration[J].J Ocul Pharmacol Ther,2016,32(2):83-89.
23 Fyfe E M,Thompson J M,Anderson N H,et al.Maternal obesity and postpartum haemorrhage after vaginal and caesarean delivery among nulliparous women at term:a retrospective cohort study[J].Bmc Pregnancy Childbirth,2012,12(1):1-8.
24 周宁,李贵忠,满立波.双侧经皮肾造口术治疗难治性出血性放射性膀胱炎[J].临床外科杂志,2017,25(6):475-475.
2 Lowe B A,Stamey T A.Endoscopic topical placement of formalin soaked pledgets to control localized hemorrhage due to radistion cystitis[J].Am J Surg Pathol,2014,158(11):528-529.
3 朱虹,刘小波,王晓玲,等.高压氧舱内不同压力治疗出血性放射性膀胱炎的效果观察[J].中国当代医药,2014,21(13):150-152.
4 包娟,朱清毅,吴宏飞.放射性出血性膀胱炎的治疗[J].临床泌尿外科杂志,2013,18(5):318-319.
5 丁晓钧,陈云,杨国学.膀胱灌注透明质酸钠治疗出血性放射性膀胱炎体会[J].中国社区医师:医学专业,2010,12(15):106-106.
6 石晓婷,尚菊战.无菌透明质酸钠液膀胱灌注治疗放射性膀胱炎患者的护理[J].中国当代医药,2014,26(5):37-38.
7 Sun R,Koubaa I,Limkin E J,et al.Locally advanced cervical cancer with bladder invasion:clinical outcomes and predictive factors for vesicovaginal fistulae[J].Oncotarget,2018,9(10):9299-9310.
8 巫嘉文,余洋.高压氧综合治疗出血性放射性膀胱炎56例疗效观察[J].中华航海医学与高气压医学杂志,2016,23(4):323-325.
9 姜毅,李俊,张建玲,等.复方苦参液联合中药灌肠治疗放射性膀胱炎及肠炎疗效观察[J].中国中医药信息杂志,2016,18(10):70-71.
10 于祥征,赵光海,宓桂平,等.清热凉血汤膀胱灌注治疗放射性膀胱炎临床研究[J].中国当代医药,2017,18(3):21-22.
11 蔡经爽.出血性放射性膀胱炎有效治疗方法的探讨[J].临床和实验医学杂志,2016,5(12):1950-1950.
12 赵立,唐飞,柯朴群,等.双侧输尿管皮肤造口尿流改道联合髂内动脉结扎术治疗出血性放射性膀胱炎[J].临床外科杂志,2013,21(4):297-298.
13 司毅,张火俊,杨继金.髂内动脉栓塞术治疗放射性膀胱炎所致血尿[J].介入放射学杂志,2016,16(9):635-637.
14 陈琦,薛波新,单玉喜,等.经尿道选择性光气化术治疗出血性放射性膀胱炎[J].中国内镜杂志,2012,18(11):1201-1204.
15 李晶磊,何朝宏,任君凯,等.妊马雌酮联合钬激光及电凝术治疗女性出血性放射性膀胱炎[J].医药论坛杂志,2014,32(14):28-29.
16 Ferrer Puchol M D,Borrel Palanca A,Gil Romero J,et al.Severe hematuria is caused by radiation cystitis Selective percutaneous embolization as an alternative[J].Acta Urol Esp,2016,22(18):519-523.
17 岳俊敏,王俊勇,张昊,等.透明质酸钠膀胱灌注治疗女性间质性膀胱炎对其性功能的影响[J].临床泌尿外科杂志,2017,32(10):808-809.
18 Sanchiz F,Millá A,Artola N,et al.Prevention of radioinduced cystitis by orgotein a randomized study[J].Anticancer Res,2016,16(20):2025-2028.
19 Yousefghahari B,Alhooei S,Soleimani-Amiri M J,et al.Comparison of sensitivity and specificity of anti-CCP and anti-MCV antibodies in an Iranian coho of patients with rheumatoid arthritis[J].Caspian J Intern Med,2013,4(3):702-706.
20 Schaeffer E M.Re:Safety and Efficacy of Intravesical Alum for Intractable Hemorrhagic Cystitis:A Contemporary Evaluation[J].J Urol,2018,199(6):1377-1377.
21 Hirose Y,Yamamoto T,Misako N,et al.Injection of Dental Pulp Stem Cells Promotes Healing of Damaged Bladder Tissue in a Rat Model of Chemically Induced Cystitis[J].Cell Transplant,2016,25(3):425-436.
22 Rogosnitzky M,Isakov I,Wlassoff W,et al.Ocular Applications of Dipyridamole:A Review of Indications and Rou tes of Administration[J].J Ocul Pharmacol Ther,2016,32(2):83-89.
23 Fyfe E M,Thompson J M,Anderson N H,et al.Maternal obesity and postpartum haemorrhage after vaginal and caesarean delivery among nulliparous women at term:a retrospective cohort study[J].Bmc Pregnancy Childbirth,2012,12(1):1-8.
24 周宁,李贵忠,满立波.双侧经皮肾造口术治疗难治性出血性放射性膀胱炎[J].临床外科杂志,2017,25(6):475-475.