Kharchenko V P, Kaprin A D, Meskikh A V
Vopr Onkol. 2007;53(4):445-7.
Patients receiving radical surgery or combined radiotherapy suffer from such grave postoperative urological complications as radiation-related cystitis, urinary bladder dysfunction, "shrunken" bladder, fistula, chronic renal failure, ureteral stricture and sexual disorders which affect the quality of life. Changes in function of the urinary tracts in patients with endometrial and cervical carcinoma were followed throughout the course of combined treatment. Complex examination comprised urological history, ureteral features, urinalysis, blood count, ultrasound, combined urodynamic study, nephroscintigraphy combined with excretory urography, and cystoscopy, when required. Due to all those measures, complication rates decreased while the quality of life improved.
接受根治性手术或联合放疗的患者会出现严重的术后泌尿系统并发症,如放射性膀胱炎、膀胱功能障碍、“挛缩”膀胱、瘘管、慢性肾衰竭、输尿管狭窄和性功能障碍,这些都会影响生活质量。在子宫内膜癌和宫颈癌患者的联合治疗过程中,对其尿路功能变化进行了全程跟踪。综合检查包括泌尿科病史、输尿管特征、尿液分析、血常规、超声、联合尿动力学研究、肾闪烁显像结合排泄性尿路造影,必要时进行膀胱镜检查。由于采取了所有这些措施,并发症发生率降低,生活质量得到改善。