Pomer S, Karcher G, Fensterer M
Z Urol Nephrol. 1983;76(2):57-64.
Our experience with the urinary diversion especially the end cutaneous ureterostomy with or without contralateral nephrectomy as the last resort option to control the otherwise intractable life threatening bladder post-irrediation hemorrhage is the subject of this study. Among our patients who have undergone various forms of conservative treatment for severe hemorrhagic cystitis following radiotherapy, 17 had to be treated surgically. Of the 17 who underwent urinary diversion 15 responded favourably and 12 were completely free of bleeding. 3 experienced temporary symptomatic relief. It was the underlying disease however, that determined finally the fate of these patients.
我们在尿流改道方面的经验，尤其是将有或没有对侧肾切除术的末端皮肤输尿管造口术作为控制放疗后难治性威胁生命的膀胱出血的最后手段，是本研究的主题。在我们对放疗后严重出血性膀胱炎进行各种保守治疗的患者中，有17例必须接受手术治疗。在接受尿流改道的17例患者中，15例反应良好，12例完全止血。3例有短暂的症状缓解。然而，最终决定这些患者命运的是基础疾病。
