Hienert G, Latal D
Urologische Universitätsklinik Wien.
Z Urol Nephrol. 1989 Aug;82(8):429-31.
In a period of 11 years (1977-1988) 111 patients were recorded after tumor nephrectomy because renal cell carcinoma in a computer-assisted follow-up program. The controls were performed in the first postoperative year every thirds months, from the 2nd to the 5th year 6-monthly and yearly after the 5th year including complete blood count, erythrocyte sedimentation rate, serum creatinine, electrolytes, blood glucose, liver enzymes, ultrasonography (kidney, renal lodge, liver, retroperitoneum) and chest roentgenogram, but 6-monthly also computerized tomography and bone scan. The drop-out rate was 18.2% (20/110). In the other 90 patients a recurrent disease was found in 16.7% (15/90) and 5.6% (5/90) have been treated operatively. Currently, all patients survive after recurrent operation. Therefore, these results may support a computer-assisted follow-up in tumor patients with increasing compliance and efficacy.
在11年期间（1977 - 1988年），在一个计算机辅助随访项目中，记录了111例因肾细胞癌行肿瘤肾切除术后的患者。术后第一年每三个月进行一次复查，第2至5年每六个月复查一次，5年后每年复查一次，检查项目包括全血细胞计数、红细胞沉降率、血清肌酐、电解质、血糖、肝酶、超声检查（肾脏、肾窝、肝脏、腹膜后）和胸部X线片，此外，每六个月还进行计算机断层扫描和骨扫描。失访率为18.2%（20/110）。在其余90例患者中，16.7%（15/90）发现复发性疾病，5.6%（5/90）接受了手术治疗。目前，所有患者在复发手术后均存活。因此，这些结果可能支持对肿瘤患者进行计算机辅助随访，其依从性和效果不断提高。
