早期精准诊断 多学科综合治疗 规范随访康复——论膀胱癌全程管理  

Early precise diagnosis,multidisciplinary comprehensive treatment,standardized follow-up with rehabilitation——implement of the full course management of bladder cancer

作　　者：黄健[1] 范新祥[1] 何旺[1] Huang Jian;Fan Xinxiang;He Wang(Department of Urology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)

机构地区：[1]中山大学孙逸仙纪念医院泌尿外科,广州510120

出　　处：《中华泌尿外科杂志》2020年第8期569-572,共4页Chinese Journal of Urology

摘　　要：膀胱癌容易复发和转移,单纯外科治疗往往难以达到临床治愈的目标。我国在膀胱癌诊治取得了巨大进步的同时,也存在诊治不够规范、治疗手段过于单一和术后随访不足的问题,并且诊治水平在不同机构之间差异也比较大。我们应该大力推行以"早期精准诊断、多学科综合治疗和规范随访康复"为核心内容的覆盖全疗程、个性化的精细化管理,既要重视疾病的综合治疗,也要注重满足患者的心理需求和提高患者的生活质量,以达到"医病、医身、医心"的目标。在具体的实施路径方面,我们应该综合运用专业化的个案管理模式,更加重视多学科协作,并充分利用数据库和互联网平台来进行全程管理。Bladder cancer is prone to recurrence and metastasis,and surgical treatment alone is often difficult to achieve the goal of clinical cure.While great progress has been made in the diagnosis and treatment of bladder cancer in our country,there are also problems of insufficient standardization of treatment,limited treatment options and insufficient postoperative follow-up,and the level of diagnosis and treatment varies greatly among different institutions.We should vigorously promote the full course treatment and personalized fine management with"early accurate diagnosis,multi-disciplinary comprehensive treatment and standardized follow-up rehabilitation"as the core content.We should pay attention to both comprehensive treatment of the disease and the psychological needs of patients,and improve the quality of life of patients,to achieve the goal of"curing the disease,curing the body,and healing the mind".In terms of specific implementation paths,we should use the professional case management model,pay attention to multi-disciplinary collaboration,and make full use of the database and Internet platform to manage the entire process.

关 键 词：膀胱癌 全程管理 多学科治疗 精准治疗 

分 类 号：R737.14[医药卫生—肿瘤]