最近10年間の尿路性器結核の統計

Abstract

1972年より10年間に横浜市立大学医学部の泌尿器科外来を受診した.尿路性器結核の新患92症例の検討をおこなった.尿路性器結核の新患数の総新患数に占める割合は減少傾向であり, 後半5年間では0.4%未満であった.患者の平均年齢は42.8歳であり, 10年以上前の報告に比べると高齢化を示した.結核性既往を有する者は41%であり, 全体の54%に当たる患者が膀胱症状を主訴にしていた.結核菌は87%の症例に証明された.腎摘除術は尿路結核患者の45%に施行されており, 無機能腎と著明な水腎症が主たる対象となっていた.化学療法はPAS・INH・RFPの組み合わせがもっとも多く58例, ついでSM・PAS・INHの46例であった

Altogether, 92 patients were diagnosed as having genitourinary tuberculosis, and were treated at our clinic from 1972 to 1981. These patients form the basis for our statistical study. The incidence of genitourinary tuberculosis among our new outpatients showed a tendency to decrease and was less than 0.4% during the last five years. The mean age of the genitourinary tuberculosis patients was 42.8, rather higher than ten years ago. Of these, 41% had a history of tuberculosis and 54% chiefly complained of bladder-related symptoms. Tubercle bacilli were detected in 87% of the patients. About 45% of the patients with urinary tuberculosis underwent nephrectomy, which was indicated principally in cases of non-functioning kidneys and severe hydronephrosis. A combination of PAS, INH, and RFP was used most often and was administered in 58 cases. Used second most often was a combination of SM, PAS, and INH (administered in 46 cases).