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目的:探讨经尿道电灼膀胱病变黏膜治疗女性放疗所致出血性膀胱炎的疗效,并结合文献探索治疗女性出血性膀胱炎的合适方法。方法:2004年9月~2010年9月,16例放疗所致出血性膀胱炎患者在云南省肿瘤医院接受了以下治疗:在2%的利多卡因膀胱黏膜麻醉下,经尿道将电切镜置入膀胱内,配合Ellik’s灌洗器冲洗,吸出淤积于膀胱内的血块,使膀胱腔清晰显示后,电灼膀胱黏膜上散在出血点、曲张血管、坏死灶和溃疡,甚至呈团状隆起状的新生炎性肉芽组织,小结节等。结果:16例患者,10例一次电灼后血尿症状消失,4例行第二次电灼后血尿症状消失,2例行第三次以上电灼血尿症状消失。术后配合膀胱冲洗、抗感染、止血及支持疗法,达到了满意的治疗效果。结论:在局麻下使用经尿道电切镜,电灼病变黏膜治疗放疗所致的女性出血性膀胱炎简单、方便、快捷且疗效满意。
Objective: To investigate the curative effect of transurethral electrocautery of bladder disease mucosa on female patients with hemorrhagic cystitis caused by radiotherapy, and to explore the suitable methods of treating female hemorrhagic cystitis with literature. Methods: From September 2004 to September 2010, 16 patients with hemorrhagic cystitis caused by radiotherapy received the following treatment at Yunnan Tumor Hospital: Under 2% lidocaine bladder mucosa anesthesia, the resectoscope Into the bladder, with Ellik’s lavage rinse, sucked out of the cyst deposited in the blood clots, so that the bladder after the clear show, scattered on the bladder mucosa scattered bleeding point, varicose veins, necrosis and ulcers, or even bulge-like Newborn inflammatory granulation tissue, nodules and so on. Results: In 16 patients, the symptoms of hematuria disappeared in 10 cases after one electrocautery, the symptoms of hematuria disappeared in 4 cases after the second electrocautery, and the symptoms of electrocautizing hematuria disappeared in 2 cases for the third time. With postoperative bladder irrigation, anti-infection, hemostasis and supportive therapy, to achieve a satisfactory therapeutic effect. Conclusion: Under local anesthesia, transurethral resection of the transurethral resection of the mucosa by electromyography is a simple, convenient, quick and effective method for the treatment of hemorrhagic cystitis caused by radiotherapy.