放射線性膀胱炎の臨床的観察

概要

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1973～1990年の間の放射線性膀胱炎患者46例中10例は難治性出血を示し,17例は1ヵ月以上の間隔をおいて再発性出血を起した.難治性出血は尿路の局所状態の増悪,再発性出血は合併症,特に糖尿病及び高血圧の悪化,とそれぞれ関係があることが示唆されたWe experienced 46 cases of radiation cystitis between 1973 and 1990, 10 of which showed intractable bleeding and 17 recurrent bleeding. We clinically analyzed these cases to determine the factors responsible for intractable and recurrent bleeding. Intractable bleeding was suggested to related to the aggravation of the local condition of the urinary tract and recurrent bleeding with an increase of complications, especially diabetes mellitus and hypertension. In conclusion, long-term follow up of local conditions and complications is important in the prevention of intractable and recurrent bleeding of radiation cystitis.