MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN VIÊM TRỰC TRÀNG DO XẠ TRỊ

Abstract

Objective: To investigate the clinical, paraclinical, and endoscopic characteristics of radiation-induced proctitis. Subjects and methods: A cross-sectional descriptive study was conducted on 68 patients with radiation-induced proctitis who were hospitalized and treated at Hanoi Medical University Hospital and Bach Mai Hospital from July 2022 to July 2025. Results: Hematochezia was the most common presenting symptom (100%). The average hemoglobin level was 106.23 ± 22.77 g/L, with anemia mostly at a mild level (62.26%). Lesions were primarily located in the rectum and sigmoid colon. The most common lesion morphology was angiodysplasia (100%). There was a correlation between disease severity and endoscopic lesion grading using the VRS classification, with p = 0.046. Conclusion: Patients with radiation-induced proctitis are typically hospitalized with symptoms of hematochezia, and anemia is generally mild. Endoscopic lesions commonly involve both the rectum and sigmoid colon, with angiodysplasia being the predominant morphology. A correlation was found between endoscopic VRS classification and disease severity according to the SOMA-LENT scale.