肿瘤多学科专家会诊实践与体会  

With the experience of cancer multidisciplinary expert consultation practice

作　　者：褚德勤[1] 王华[1] 赵俊芳[1] 宗丙丙 CHU Deqin WANG Hua ZHAO Junfang ZONG Bingbing(Shanxi Provincial Cancer Hospital ,Taiyuan 030001, China)

机构地区：[1]山西省肿瘤医院,山西太原030001

出　　处：《临床医药实践》2017年第7期557-559,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨多学科团队会诊对恶性肿瘤诊断与合理治疗的价值。方法:统计分析2010年10月—2014年10月144例多学科会诊患者的性别、年龄、会诊原因、会诊后的转归、随访及治疗效果。结果:多学科会诊的主要原因为诊断不明确占40.3%(58/144),诊断明确疗效不佳占32.6%(47/144),病情危重占16.7%(24/144),病情复杂有并发症占10.4%(15/144)。转归:会诊后继续住院治疗占60.4%(87/144),门诊治疗占26.4%(38/144),回原就诊医院治疗占8.3%(12/144),建议住院治疗占4.9%(7/144)。随访:失访情况出现最多,占45.1%(65/144),死亡占26.4%(38/144),病情好转占24.3%(35/144),恢复一般占4.2%(6/144)。结论:肿瘤患者实行多学科会诊可协助诊断,确定治疗方案,指导危重患者和病情复杂且有并发症患者的治疗,提高医疗水平,需加强随访。Objective ： To explore the value of muhidisciplinary team consultation on the diagnosis and rational treatment of malignant tumor. Methods：To analyze the gender, age, consultation reasons, post- consultation outcome, follow- up and treat- ment effect of 144 cases with multidisciplinary consultation from October 2010 to October 2014. Resuhs：The main reason for multidisciplinary consultation：undefined diagnosis accounted for 40.3 % （58/144）, clear diagnosis and poor efficacy accounted for 32.6% （47/144）, critically ill accounted for 16.7% （24/144）, complex disease with complications accounted for 10.4% （15/144）. Outcome ：continued hospitalization after consultation accounted for 60.4% （87/144）, 2. outpatient treatment accounted for 26.4% （ 38/144）, back to the original treatment hospital accounted for （ 12/144 ） 8.3 % , recommendation hospi- talization accounted for 4.9% （7/144）. Follow - up ： lost accounted for up to 45.1% occurs （65/144）, deaths accounted for 26.4% （ 38/144）, condition improved accounted for 24.3 % （ 35/144）, general accounted for 4.2% （6/144）. Conclusion ： The implementation of muhidisciplinary cancer patient consultation to resolve the diagnosis, treatment issues, to guide the complexi- ty of the disease and complications in the treatment of patients＇ critically ill, interdisciplinary collaboration, and enhance the level of medical care, strengthen the follow - up.

关 键 词：肿瘤 多学科团队 会诊 

分 类 号：R47[医药卫生—护理学]