Capelli-Schellpfeffer M, Gerber G S
Department of Surgery, University of Chicago, Illinois, USA.
J Urol. 1999 Sep;162(3 Pt 1):647-54. doi: 10.1097/00005392-199909010-00002.
We review the use of hyperbaric oxygen therapy in urology, and present the mechanisms of hyperoxia action in whole body hyperbaric chamber treatments, patient outcomes and patient selection criteria.
The literature on hyperbaric oxygen use in urology was reviewed.
Hyperbaric oxygen is a treatment alternative for patients with an underlying ischemic process unresponsive to conventional therapy. Specific factors which may influence patient selection of hyperbaric oxygen include cancer and absolute contraindications of active viral disease, intercurrent pneumothorax and treatment with doxorubicin or cisplatin. This technique is particularly useful in the treatment of intractable hemorrhagic cystitis secondary to pelvic radiation therapy. Further investigation of the efficacy of hyperbaric oxygen is warranted for patients with necrotizing fasciitis (Fournier's gangrene), posttraumatic ischemic injury and/or impaired wound healing.
Hyperbaric oxygen is a therapeutic alternative which complements the surgical and medical options for select patients.
我们回顾了高压氧疗法在泌尿外科中的应用，并阐述了全身高压氧舱治疗中高氧作用的机制、患者治疗效果及患者选择标准。
对泌尿外科应用高压氧的文献进行了回顾。
对于存在潜在缺血性病变且对传统治疗无反应的患者，高压氧是一种治疗选择。可能影响高压氧患者选择的特定因素包括癌症以及活动性病毒疾病、并发气胸、使用阿霉素或顺铂的绝对禁忌证。该技术在治疗盆腔放疗后继发的顽固性出血性膀胱炎方面特别有用。对于患有坏死性筋膜炎（福尼尔坏疽）、创伤后缺血性损伤和/或伤口愈合受损的患者，有必要进一步研究高压氧的疗效。
高压氧是一种治疗选择，可作为特定患者手术和药物治疗的补充。
