尿路性器結核の臨床的観察

Abstract

最近8年間に経験した尿路性器結核30症例について臨床統計的に観察を行った.1)尿路性器結核患者数の外来新患数に対する比率は8年間の年平均0.23%であった.2)男女比は2:1であり, 平均年齢は43.7歳であった.また, 結核の既往は50%に存在した.3)尿中結核菌の検出率は塗沫では30例中21例であり, 培養では30例中24例と高かった.4)検出された結核菌の抗結核薬に対する薬剤耐性検査では, SM, INAH, PAS, KMに対して耐性検査陽性となる率は低く, RFP, EBなどに対して高い傾向が見られた

A clinical observation was made on 30 cases of urogenital tuberculosis diagnosed and treated at the urological department of our Hospital between January, 1976 and December, 1984. Furthermore, 20 of them were examined for drug resistance and investigated for this tendency. They accounted for 0.23% of the outpatients. Male to female ratio was 2 to 1, but on urological tuberculosis this ratio was even. The average age was 43.7 and 50% of the patients who had a history of tuberculosis. Mycobacterium tuberculosis could be detected in 24 of the 30 cases (80%) and 18 of the 21 cases (85.4%) of urological tuberculosis. Drug resistance was examined in 20 patients. The resistant ratio of M. tuberculosis against primary drugs such as SM, PAS, INAH was low and a high resistant ratio was observed on secondary drugs such as EB, RFP, TH. These clinical observations are reported and herein discussed.