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タイトル: 嚢胞腎の進行性腎障害に対する泌尿器科的対応
その他のタイトル: Urological procedures for progressive renal dysfunction due to polycystic kidney disease
著者: 仲谷, 達也  KAKEN_name
岸本, 武利  KAKEN_name
辻野, 孝  KAKEN_name
杉村, 武嗣  KAKEN_name
大山, 哲  KAKEN_name
加藤, 禎一  KAKEN_name
東原, 英二  KAKEN_name
著者名の別形: NAKATANI, Tatsuya
KISHIMOTO, Taketoshi
TSUJINO, Takashi
SUGIMURA, Takeshi
OYAMA, Akira
KATO, Teiichi
HIGASHIHARA, Eiji
キーワード: Polycystic kidney disease
Kidney function
End-stage renal disease
Arterial embolization
発行日: Sep-2000
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 46
号: 9
開始ページ: 645
終了ページ: 650
抄録: Urological procedures for progressive renal dysfunction due to polycystic kidney disease (PKD) such as percutaneous puncture of renal cysts are merely symptomatic treatments and have little effect on renal function. At present, the two most effective methods of preventing renal dysfunction are blood pressure management and dietetic therapy, which are more effective with early initiation. Moreover, as PKD is an autosomal dominant disease, there is a high risk that family members of the patient may have asymptomatic PKD. It is essential to identify and treat such potential patients at an early stage in order to prevent progressive renal dysfunction. In place of the traditional nephrectomy, we attempted transcutaneous renal arterial embolization (TRAE) for hemorrhage into renal cysts, hematuria and obstruction of intestine due to proliferation of cysts after the introduction of hemodialysis. When TRAE was carried out on one kidney, the cysts in the other kidney proliferated and even though the renal arteries were completely embolized, it required 5 to 6 weeks for the kidney to contract. Our conclusions are TRAE is effective with no adverse reactions for PKD. These results suggest that in the future TRAE may become the preferred treatment for PKD in place of nephrectomy.
URI: http://hdl.handle.net/2433/114357
PubMed ID: 11107537
出現コレクション:Vol.46 No.9

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