Akiyama A, Ohkubo Y, Takashima R, Furugen N, Tochimoto M, Tsuchiya A
Department of Urology, Tokyo Medical College Kasumigaura Hospital.
Nihon Hinyokika Gakkai Zasshi. 1994 Aug;85(8):1269-72. doi: 10.5980/jpnjurol1989.85.1269.
Hemorrhagic cystitis resulting from radiation to pelvic visceral malignant lesions often might be incurable and there have been established no definitive treatment. We experienced 2 cases with radiation-induced severe hemorrhagic cystitis refractory to conventional therapy. The treatment with hyperbaric oxygen to control hematuria was performed and obtained successful results. Gross hematuria was disappeared and cystoscopic figure was remarkably improved. No remarkable side-effect was observed in both patient. This experience suggested that hyperbaric oxygen could be considered the primary treatment for patient with radiation-induced hemorrhagic cystitis instead of usual treatment.
盆腔内脏器恶性病变放疗导致的出血性膀胱炎通常难以治愈,且尚无明确的治疗方法。我们遇到2例放疗引起的严重出血性膀胱炎,对传统治疗无效。采用高压氧治疗以控制血尿,取得了成功。肉眼血尿消失,膀胱镜检查结果明显改善。两名患者均未观察到明显的副作用。这一经验表明,对于放疗引起的出血性膀胱炎患者,高压氧可被视为主要治疗方法,而非常规治疗。