Mendling W, Schnell J D, Spiecker R
Geburtshilfe Frauenheilkd. 1979 Dec;39(12):1017-20.
Before the beginning of radium therapy a vaginal yeast contamination of 9,7% was found of 113 patients with different genital carcinomas. However, the incidence of vaginal yeast contamination increased suddenly to 30,9% under the contac irradiation therapy with radium. The radiation effect of radium is not sufficient for a "selfsterilisation" of the radium-carrier in the case of yeast contamination. Therefore, a chemic desinfection of the radium-carriers is principly necessary. The significance of radium therapy with respect to vaginal yeast contamination is discussed and the recommendation is made that routine mycological supervision be carried out on all patients with gynaecological carcinomas and appropriate antimycotic therapy initiated where necessary.
在镭疗开始前,对113例患有不同生殖系统癌症的患者进行检查,发现阴道念珠菌感染率为9.7%。然而,在镭接触照射治疗过程中,阴道念珠菌感染率突然升至30.9%。在念珠菌污染的情况下,镭的辐射效应不足以使镭载体“自我消毒”。因此,从原则上讲,有必要对镭载体进行化学消毒。文中讨论了镭疗对于阴道念珠菌污染的意义,并建议对所有妇科癌症患者进行常规真菌学监测,必要时开展适当的抗真菌治疗。