不定愁訴より見た腎結核の手術適応

Abstract

We report in this paper a statistical analysis for a mail survey questionnaires of 93 patients with renal tuberculosis comparing with their clinical chart. Nephrectomy was performed on 77 patients and they were divided into two groups; Active group (46) and Non-Active group (31) under following criteria. Active group consists of patients with or without sustained pyuria, but positive acid-fast bacilli cultures from renal contents. Non-Active group showed negative acid-fast bacilli cultures of operation materials. Long-term multi-drug chemotherapy was done on 16 patients with renal tuberculosis• (Chemotherapy group). We compared statistically three groups as to the degree of improvement for general psychosomatic complaints (ex. general malaise, easy fatigability, appetite etc.). The degree of improvement for Active group is most dramatic comparing to other two groups. For Non-Active group, the degree of improvement for most of improved complaints is higher than that of (Chemotherapy group). It is concluded that nephrectomy is efficient for improvement of complaints, especially for general vague complaints including psychosomatic responses even in cases with non-functioning tuberculous kidney.