一例晚期辐射诱导的肠炎与肠溶液引起的肠皮囊
Kiyoe Takai1, Tetsu Yamamoto1, Takahito Taniura1
1Department of Digestive and General Surgery, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Surgical case reports
|February 2, 2026
概括
放射治疗可以改善癌症的存活率,但可能导致严重的晚期并发症. 这个案例突出了辐射诱导的肠炎导致肠石,肠道阻塞和,需要手术干预.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 辐射医学 辐射医学
背景情况:
- 对于盆腔癌的放射治疗改善了生存率,但增加了辐射引起的并发症.
- 晚期辐射诱导性肠炎可以显著损害生活质量.
- 肠石是辐射引起的肠损伤的一个罕见但严重的并发症.
研究的目的:
- 报告晚期辐射诱导肠炎的病例,并由肠石,肠道阻塞和皮内囊复杂化.
- 强调考虑不可逆转的晚期辐射效应的重要性.
- 强调需要在接受盆腔放射治疗的患者进行密集的随访.
主要方法:
- 一名患有膀癌的70岁女性接受了放射治疗.
- 患者患有肠道阻塞,后来患有与肠杆菌相关的皮内囊.
- 由于耐火性症状,进行了手术,包括肠切除.
主要成果:
- 组织病理学检查证实了辐射损伤,包括纤维化,血管阻塞,小性缩和色素透.
- 该患者因辐射诱导肠炎引起的并发症需要进行两次手术治疗.
- 尽管进行了大规模的肠切除,导致短肠综合征,但该患者在手术后三年没有出现阻塞或严重营养不良的复发.
结论:
- 晚期辐射诱导性肠炎是一种不可逆转和渐进的疾病,必须考虑.
- 早期发现和治疗辐射引起的胃肠道并发症至关重要.
- 密集的随访是必要的,以防止在接受盆腔放射治疗的患者的严重后果.
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