Nechiporenko N A, Strotskiĭ A V
Urol Nefrol (Mosk). 1991 May-Jun(3):28-33.
A question of the principles and methods of medical prophylactic survey in patients with bladder cancer who have undergone cystectomy with subsequent ureterosigmoid anastomosis and ureterocutaneostomy is not currently developed. On a basis of 79 follow-ups of patients with bladder cancer after cystectomy, a procedure of prophylactic survey in the setting of regional oncologic dispensary and district polyclinic was worked out. It is stressed that it is necessary to follow up the patients for a possible relapse and metastasis development as well as complications of the upper urinary tract and kidneys and metabolic shifts (acidosis, dyselectrolytemia). From this viewpoint we propose a scope of essential examinations during the medical prophylactic survey. Our results of the patients follow-ups after cystectomy are also given. Recommendations for the patients working ability estimation are proposed and it is noted that the estimation is to be carried out on a strictly individual basis because the patient's rehabilitation depends on many factors. But the main principles of such patients' working ability estimation are submitted in schemes of a working ability examination. They depend on the stage of the process and on the method of urine drainage after cystectomy.
对于接受膀胱切除术后行输尿管乙状结肠吻合术及输尿管皮肤造口术的膀胱癌患者，目前尚未形成医学预防性检查的原则和方法问题。基于对79例膀胱癌患者膀胱切除术后的随访，制定了在地区肿瘤防治所和地区综合诊所进行预防性检查的程序。强调有必要对患者进行随访，以观察是否可能出现复发和转移，以及上尿路和肾脏的并发症及代谢变化（酸中毒、电解质紊乱）。从这个角度出发，我们提出了医学预防性检查期间的基本检查范围。还给出了我们对膀胱切除术后患者随访的结果。提出了对患者工作能力评估的建议，并指出评估应严格基于个体情况进行，因为患者的康复取决于许多因素。但此类患者工作能力评估的主要原则在工作能力检查方案中列出。它们取决于疾病进程的阶段以及膀胱切除术后的尿液引流方法。
