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[膀胱癌的术后护理]

[After-care of bladder carcinoma].

作者信息

Retz M, Lehmann J, Wullich B, Stöckle M

机构信息

Klinik und Poliklinik für Urologie und Kinderurologie der Universitätskliniken des Saarlandes, 66421 Homburg/Saar.

出版信息

Urologe A. 2001 Nov;40(6):480-4. doi: 10.1007/s001200170012.

Abstract

The present article offers an introduction to the aftercare of patients with carcinoma of the urinary bladder. These recommendations are based on the guidelines of the German Association of Urology and the European Association of Urology. Aftercare always depends on the risk of recurrence and progression of the primary tumor and the extent of the therapy applied. Thus, after transurethral resection of a superficial carcinoma of the urinary bladder, aftercare focuses on follow-up cystoscopy. Radical cystectomy of the muscle-invading and locally advanced carcinoma should be followed by extensive examinations, including computed tomography of the pelvis and the abdomen. In addition, the various forms of urinary diversion after cystectomy with its specific late complications should be included in the aftercare. Moreover, the psychological significance of the follow-up examinations should not be neglected.

摘要

本文介绍了膀胱癌患者的术后护理。这些建议基于德国泌尿外科学会和欧洲泌尿外科学会的指南。术后护理始终取决于原发肿瘤复发和进展的风险以及所采用治疗的范围。因此,经尿道膀胱浅表癌切除术后,术后护理重点在于随访膀胱镜检查。肌肉浸润性和局部晚期癌的根治性膀胱切除术后应进行广泛检查,包括骨盆和腹部的计算机断层扫描。此外,膀胱切除术后各种形式的尿流改道及其特定的晚期并发症应纳入术后护理。此外,随访检查的心理意义也不应被忽视。

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