髂内动脉结扎加尿流改道术治疗顽固性出血性放射性膀胱炎

目的 评价双侧髂内动脉结扎加尿流改道术治疗顽固性出血性放射性膀胱炎的临床效果.方法 8例患者均因盆腔肿瘤放疗后出现反复出血的放射性膀胱炎,进行双侧髂内动脉结扎加尿流改道术.结果 术后3 h,8例患者血尿明显缓解,3 d内血尿基本消失,尿频、尿急渐消失.随访6～24个月,均无严重的血尿复发.结论 双侧髂内动脉结扎加尿流改道术是一种治疗顽固性出血性放射性膀胱炎的有效方法.

Treatment of intractable and hemorrhagic irradiation cystitis with internal iliac artery ligation and urinary diversion

Objective To evaluate the therapeutic efficacy of internal iliac artery ligation combined with urinary diversion in treating the intractable and irradiation-induced hemorrhagic cystitis. Methods Internal iliac artery ligation combined with urinary diversion was performed in 8 patients with repeated radiation-induced hemorrhagic cystitis after completion of radiotherapy for pelvic malignancies. Results The hematuria was relieved significantly in 3 hours and disappeared in 3 days after the operation. Pollakisuria and urgency disappeared gradually. All patients had no severe hematuria during 6 to 24 months follow-up. Conclusion Internal iliac artery ligation combined with urinary diversion is effective for the patients with intractable and irradiation-induced hemorrhagic cystitis after radiotherapy.