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タイトル: | 大量放射線治療後に生じた高度萎縮膀胱に胃利用膀胱拡大術を行った1例 |
その他のタイトル: | Gastrocystoplasty for severely contracted bladder following high dose pelvic irradiation: a case report |
著者: | 安士, 正裕 村石, 修 湯澤, 政行 小林, 裕 徳江, 章彦 |
著者名の別形: | YASHI, Masahiro MURAISHI, Osamu YUZAWA, Masayuki KOBAYASHI, Yutaka TOKUE, Akihiko |
キーワード: | Radiation Contracted bladder Gastrocystoplasty |
発行日: | Aug-1998 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 44 |
号: | 8 |
開始ページ: | 603 |
終了ページ: | 606 |
抄録: | A 24-year-old female who had received hysterectomy and adnexectomy of bilateral appendages for yolk sac tumor at the age of 12 years, followed by repeated surgery and pelvic irradiation over a total of 100 Gy for relapse of tumor, suffered from a severely contracted bladder and renal dysfunction of serum creatinine level over 2.0 mg/dl. The diagnosis was radiation-induced contracted bladder with renal dysfunction due to vesicoureteral reflux. Since the small intestine was not considered suitable after high dose irradiation, the stomach was used to reconstruct the bladder. The vesical pressure, which was 70 cmH2O at the capacity of 30 ml, was decreased to 22 cmH2O at the capacity of 100 ml, 5 weeks after surgery. The renal function was stable with a serum creatinine level below 1.4 mg/dl and the bladder capacity was 200 ml, 15 months after surgery. This method using the stomach was considered valuable for bladder reconstruction after large dose pelvic irradiation. |
URI: | http://hdl.handle.net/2433/116229 |
PubMed ID: | 9783200 |
出現コレクション: | Vol.44 No.8 |
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