内镜下甲醛治疗放射性直肠炎出血的初步探讨

目的探讨电子结肠镜下局部应用4％甲醛对放射性直肠炎出血的治疗作用。方法分析2003-2006年该院收治的7例慢性放射性直肠炎出血患者的临床资料。结果7例放射性直肠炎出血患者经过内镜直视下局部应用4％甲醛后，出血明显减少，随访1个月和2个月效果满意。结论局部应用4％甲醛治疗放射性直肠炎便血短期疗效肯定，价廉，可反复进行，未发现有明显并发症，值得推广。

Local formaldehyde application for hemorrhagic radiation proctitis

[Objective] To evaluate the efficacy of local formaldehyde application in hemorrhagic radiation proctitis. [Method] All patients were treated by application of 4 percent formaldehyde to the affected rectal or sigmoid areas under colon endoscope or direct vision. [Result] The study included 7 patients. 2 prostate cancer, 1 recal cancer with local recurrence, 3 cervical cancer and 1 lung cancer with pelvic metastasis. After direct local formaldehyde application all patients' rectal bleedings were obvious descended. [Conclusion] Formaldehyde application is an effective economic and safety treatment for hemorrhagic radiation proctitis. In our opinion, therefore, formaldehyde application should be a primary alternative for severe hemorrhagic radiation proctitis.