Pomeroy B D, Keim L W, Taylor R J
Department of Surgery, University of Nebraska Medical Center, Omaha, USA.
J Urol. 1998 May;159(5):1630-2. doi: 10.1097/00005392-199805000-00059.
We present our experience with preoperatively administered hyperbaric oxygen therapy to patients who have sustained significant therapeutic radiation induced soft tissue injuries and subsequently undergo planned abdominal intervention/surgery.
From February 1993 to May 1997, 5 patients with a history of complications following therapeutic radiation were prospectively treated with hyperbaric oxygen before a planned abdominal operation.
All patients had uneventful hospital courses. An additional procedure was eventually necessary in 2 patients but with fewer radiation related problems following hyperbaric oxygenation.
Hyperbaric oxygenation may improve postoperative outcomes when given before planned open operations in patients with previous therapeutic pelvic irradiation and a history of radiation related complications.
我们介绍了对遭受严重治疗性放射所致软组织损伤并随后接受计划性腹部干预/手术的患者术前给予高压氧治疗的经验。
1993年2月至1997年5月,对5例有治疗性放射后并发症病史的患者在计划性腹部手术前进行了前瞻性高压氧治疗。
所有患者住院过程均顺利。2例患者最终需要额外的手术,但高压氧治疗后与放射相关的问题较少。
对于既往有盆腔治疗性放射及放射相关并发症病史的患者,在计划性开放手术前给予高压氧治疗可能会改善术后结局。