| 金玉珂,吴镇凤,刘丽波,张海英,梁硕,陈大伟,董丽华,鲁学军.放射性膀胱疾病的临床观察[J].中华放射医学与防护杂志,2004,24(1):40-42 |
| 放射性膀胱疾病的临床观察 |
| Clinical observation of radiation urinary bladder disease |
| 投稿时间：2003-04-30 |
| DOI： |
| 中文关键词: 放射性膀胱疾病 膀胱炎 发病率 剂量 诊断 治疗 |
| 英文关键词:Radiation urinary bladder disease Cystitis Incidence Dose Diagnosis Therapy |
| 基金项目:全国卫生标准基金资助项目(1998) |
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| 中文摘要: |
| 目的 探讨盆腔放疗时引起放射性膀胱疾病的临床特点、诊断、治疗措施并结合文献资料进行讨论,为规范放射性膀胱疾病的诊断提供依据。方法 采用临床病例分析方法。结果 宫颈癌放疗时放射性膀胱疾病发生率大约在0.8%～2.96%,平均2.14%。放射性膀胱疾病可分为急性放射性膀胱炎、慢性放射性膀胱炎和放射性膀胱瘘3型。临床上最多见的是慢性放射性膀胱炎,其临床主要表现为无痛性肉眼血尿,又分为轻、重两度。诊断时应有明确的射线接触史,并超过剂量阈值,出现典型的临床特征。结论 笔者全面分析了放射性膀胱疾病的临床特点、分型、诊断依据等可提供作为拟订诊断标准的参考。 |
| 英文摘要: |
| Objective Clinical characteristic,diagnosis and treatment of radiation urinary bladder disease induced by radiation therapy for cancers in the pelvis were inquired into for providing diagnostic basis. Methods Statistical analysis for the clinical cases was carried out. Results The incidence of radiation bladder diseases induced by radiation therapy of cervix cancer are about 0.8%-2.96%,with an average of 2.14%.Radiation bladder disease is divided into acute radiation cystitis,chronic radiation cystitis and radiation vesical fistula.Chronic radiation cystitis is seen most often in the clinic and its main clinical symptom is painless macroscopic hematuria,which is again subdivided into slight and severe degrees.Diagnosis should include history of exposure to radiation,which dose exceed the dose threshold,and typical clinical characteristics. Conclusion The characteristics,types and diagnostic basis of radiation urinary bladder disease analyzed in this study can provide the reference for drawing up diagnostic standard. |
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