中国中西医结合外科杂志Issue(3)：224-226,3.DOI:10.3969/j.issn.1007-6948.2015.03.004
经尿道膀胱内电灼止血及透明质酸钠膀胱灌注治疗放射性膀胱炎出血的临床研究
Intraurethraland Intracystal Electrocoagulation and Sodium Hyaluronate Intravesical Instillation in Treatment of Hemorrhagic Radiation Cystitis
摘要
Abstract
Objective To study clinical effect of electrocoagulation and sodium hyaluronate intravesical in⁃stillation in the treatment of hemorrhagic radiation cystitis. Methods Sixty patients with acute hemorrhage of bladder radiotherapy after surgery were randomly divided into 3 groups, 20 cases in each group; the conservative treatment group, transurethral resection of intra-bladder electrocoagulation+hyperbaric oxygen treatment group and electrocoagulation+sodium hyaluronate bladder reperfusion group. Urethral syndrome symptom score was used on the score sheet and related symptoms in patients with curative effect of the patients after treatment were observed. Results The total efficiency of transurethral hemostatic+sodium hyaluronate intravesical therapy of hemorrhagic radiation cystitis was 95%, significantly higher than those of the conservative treatment group (70%) and transurethral resection of the bladder in hemostatic+hyperbaric oxygen treatment group (80%), with statisti⁃cal significant difference, P<0.05;and transurethral hemostatic+sodium hyaluronate intravesical therapy of hem⁃orrhagic radiation cystitis FUSS scores were significantly higher than those in the conservative treatment group and transurethral resection of the bladder in hemostatic+hyperbaric oxygen treatment group, with statistically sig⁃nificant differences, P<0.05. And the use of transurethral resection of the bladder within the electrocoagulation and sodium hyaluronate intravesical therapy, patients in daytime and nighttime urination, urination urgency and urge incontinence were significantly better than those before treatment, with statistically significant differences, P<0.05. Conclusions Transurethral electrocoagulation+sodium hyaluronate intravesical therapy for hemor⁃rhagic radiation cystitis is a simple effective and practical operation, worthy for clinical promotion.关键词
出血放射性膀胱炎/经尿道电凝/透明质酸钠/介入治疗Key words
Hemorrhagic radiation cystitis/electrocoagulation/sodium hyaluronate/intravesical therapy分类
医药卫生引用本文复制引用
李强,王大亚..经尿道膀胱内电灼止血及透明质酸钠膀胱灌注治疗放射性膀胱炎出血的临床研究[J].中国中西医结合外科杂志,2015,(3):224-226,3.基金项目
2013年温州市科技局科研基金资助项目立项 （）
