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放射性直肠炎:病理生理学与治疗策略综述

Radiation Proctitis: A Review of Pathophysiology and Treatment Strategies.

作者信息

Bhatia Mohit, Suliman Hadeel, Ahmed Rizwan, Kostadinov Danko, Singhal Tarun

机构信息

Colorectal and General Surgery, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, London, GBR.

General Surgery, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust, London, GBR.

出版信息

Cureus. 2024 Sep 30;16(9):e70581. doi: 10.7759/cureus.70581. eCollection 2024 Sep.

Abstract

Radiotherapy (RT) has become an integral part of cancer treatment worldwide; it aims to arrest the uncontrolled growth of tumor cells by using high-energy rays. Radiation proctitis is a known clinical manifestation after the RT regime for pelvic malignancies. Radiation proctitis can have a variable presentation, and there are a lot of patient-related factors that can affect the eventual outcome. In most instances, it is self-limiting; however, it can become chronic in some cases and can affect the quality of life. Many treatment options are recommended, but there has been no consensus on the treatment protocols for managing this known clinical condition. We have tried to briefly describe its pathogenesis, important factors affecting the outcome, and available treatment strategies.

摘要

放射治疗(RT)已成为全球癌症治疗不可或缺的一部分;其目的是通过使用高能射线来阻止肿瘤细胞的无节制生长。放射性直肠炎是盆腔恶性肿瘤放射治疗后的一种已知临床表现。放射性直肠炎的表现可能各不相同,有许多与患者相关的因素会影响最终结果。在大多数情况下,它是自限性的;然而,在某些情况下它可能会变成慢性的,并会影响生活质量。推荐了许多治疗方案,但对于管理这种已知临床病症的治疗方案尚未达成共识。我们试图简要描述其发病机制、影响结果的重要因素以及可用的治疗策略。

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