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本文报告出血性放射性膀胱炎９例，临床表现主要为血尿和（或）膀胱刺激症状。它是下腹部病变经放射治疗的一种并非少见的，但难以处理的并发症。根据病史，结合膀胱镜检查，必要时经膀胱活检来明确诊断。保守治疗一般难以奏效，向膀胱内灌注４～１０％的福尔马林溶液可以取得较为理想的效果。对严重出血形成膀胱内血块较多者，可行膀胱切开清除血块＋缝扎或电凝止血，必要时行双侧髂内动脉结扎术。
This article reports 9 cases of hemorrhagic radiation cystitis, the main clinical manifestations of hematuria and (or) bladder irritation. It is a rare, but intractable complication of radiotherapy for lower abdominal lesions. According to medical history, combined with cystoscopy, if necessary, by bladder biopsy to confirm the diagnosis. Conservative treatment generally difficult to work, to the bladder perfusion 4 ~ 10% formalin solution can achieve more satisfactory results. Serious bleeding in the formation of more intracapsular blood clots, feasible bladder incision removal of blood clots + suture or coagulation, if necessary, bilateral ligation of the internal iliac artery.