北陸地方における尿路性器結核の統計的観察

Abstract

A clinico-statistical observation on genitourinary tuberculosis was made based on 10 years experience, 1960-1969, at the 17 urological clinics in Hokuriku Area. The results obtained were as follows: (1) The total outpatients were 97, 568, and 2, 166 (2.2 %) were patients with genitourinary tuberculosis. Yearly decreasing incidence was observed on both urinary and genital tuberculosis. (2) The highest incidence was found in the third decade. Number of male patients was 1, 488 (68.7 %), and that of female was 678 (31.3 %). (3) Bladder symptom was the most frequent chief complaint (48.6 % in 529 cases). On the other hand, asymptomatic cases have increased recently. (4) During the years 1960-64, 20.7 % of 174 patients visited a urological clinic within one month after onset of symptoms, and 30.9 % of 221 during 1965-69. (5) Among 444 cases, 8.8 % knew some tuberculosis in their family members. Among 448 cases, 32.8 % had history of extra-genitourinary tuberculosis. (6) Incidence of proteinuria, hematuria, and tuberculous bacilluria had decreased recently. On the other hand, pyuria was found constantly in high frequency. (7) The typical cystoscopic findings such as tubercles and ulcers were not so frequently found recently. During the years 1965-69, one-third of 230 patients had normal cystoscopic findings. (8) Classification of pyelogram according to Lattimer was done on 392 cases, and the results were as follows: IV 244 (62.2 %), II 50 (12.8 %), III 49 (12.5 %), I 35 (8.9 %) and 014 (3.6%). (9) Follow-up study was performed on 54 nephrectomized cases over 5 years, and 46 (85 %) of them were quite healthy. There were no patients who died of the disease.