자궁경부암의 방사선치료 후유증으로 인한 血便의 임상경과 보고 2례

Abstract

Purpose: Radiotherapy is an irreplaceable method of cervical cancer treatment, but it has several complications, especially acute or chronic gastrointestinal complications. In the case of severe hematochezia, western medical therapy is usually ineffective. The purpose of this study is to report the effect of oriental treatment for hematochezia after radiotherapy of the cervical cancer. Methods: We observed and treated two patients, 78-year-old female and 39-year-old female, who had hematochezia after radiotherapy of the cervical cancer. In oriental medicine, spleen and stomach are the origin of the acquired constitution and the spleen controls blood within the vessels(脾統血). We regarded the cause of these cases as insufficiency of spleen and stomach(脾胃虛弱). So, the patients were treated by combination therapy of acupuncture, moxibustion and herbal medicine to invigorate the spleen and stomach to benefit Qi(健脾胃益氣). Result: After oriental treatment of acupuncture, moxibustion and herbal medicine to invigorate the spleen and stomach to benefit Qi(健脾胃益氣), hematochezia was decreased and additionally general weakness and anorexia were improved. Conclusion: It is expected to increase demand of oriental treatment under the circumstance of insufficient western treatment for gastrointestinal or genitournary complications after radiotherapy of the cervical cancer. And many researches and case studies will be needed about complications after radiotherapy of the cervical cancer.