最近10年間における腎結核患者の推移

Abstract

Renal tuberculosis experienced for past lOyears, 1959 to 1969 , was studied clinico-statistically. 1. Yearly decreasing incidence was noted. 2. There were 220 males and 174 fem a les. The fourth decade occupied 30.5 % , the fifth 27.4 %, the third 21.6 %, and the patients over 50 15.2 %. 3. The i n itial symptom most frequently seen was frequent urination due to vesical tuberculosis. 4. Right kidney was involved in 144, left in 133, and the both in 117. 5. History of extra-urinary tuberculosis was noted in 56.3 % (2 2 2/394). It comprised pleurisy (23.1 %), pulmonary (17.0 %), genital (11.4 %), bone and joint (8.6 %), and peritonitis (3.3 M. 6. Tuberculous complications in the male patients were predominantly those of the prostate and the epididymis reaching 53.6 %, followed by pulmonary and bone-joint tuberculosis. 7. Positive urinalysis was more frequent in the group which received no prev i ous chemotherapy than that received it. This was statistically significant. 8. Pyelograms of 394 cases could be classified acco r ding to Lattimer as follows : IV 210 (53.3 %), III 78 (19.8 %), II 72 (18.3 %), I 21 (5.3 %), and 0 13 (3.3 %). 9. 118 (30.0 %) were treated by chemotherapy only, and 276 (7 0 .0 %) received operative treatments. There were 167 nephrectomy, and others were partial nephrectomy, cavernotomy, nephrostomy, uretero-ureterostomy, uretero-vesicostomy, and even 18 ileocystoplasty (Scheele or Tasker).