尿路性器結核17例の臨床的検討

Abstract

1995年までの9年間の新患外来患者16363人のうち尿路性器結核患者は17例, 0.10%を占めていた.50歳代が6例, 40歳代, 60歳代が5例であり, 30歳代は1例であった.初診時, 膀胱症状(頻尿, 排尿痛など)を主訴とするものが9例であった.尿路性器外結核の既往歴は5例にあった.尿中結核は培養で17例全例に, 染色で15例に認めた.病巣部位は右腎6例, 左腎9例, 両側腎2例, 膀胱3例, 右, 左, 両側精巣上体それぞれ1例であった.全例に標準3剤化学療法を行い, 腎摘除術を5例に, 陰嚢内容摘除術を2例に施行した

Between 1987 and 1995, 17 patients with genitourinary tuberculosis were treated at Iwate Prefectural Central Hospital. The incidence of newly diagnosed genitourinary tuberculosis was 17 out of 16, 363 outpatients (0.1%) during the 9-year period. Twelve patients had urinary tuberculosis and genital as well as urinary organs were affected in 5. Six (35%) patients presented in their fifties and 5 (29%) each in their forties and sixties. Nine (53%) patients had irritative voiding symptoms as the chief complaint. Only 29% had a known history of extra-genitourinaty tuberculosis. In addition to the standard multidrug chemotherapy, nephrectomy was performed in 5 patients and orchiectomy in 2 with epididymal tuberculosis. The incidence of tuberculosis has recently increased in many parts of our country and more attention should be paid to genitourinary tuberculosis.