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タイトル: 高齢女性における膀胱炎による膀胱タンポナーデの増加とその背景因子に関する検討
その他のタイトル: An Increase in Cases of Bladder Tamponade Due to Cystitis Among Elderly Women and Clinical Background Factors
著者: 土橋, 一成  KAKEN_name
牧野, 雄樹  KAKEN_name
江村, 正博  KAKEN_name
木田, 和貴  KAKEN_name
清水, 洋祐  KAKEN_name
金丸, 聰淳  KAKEN_name
井口, 亮  KAKEN_name
野口, 哲哉  KAKEN_name
佐々木, 美晴  KAKEN_name
伊藤, 哲之  KAKEN_name
著者名の別形: Tsuchihashi, Kazunari
Makino, Yuki
Emura, Masahiro
Kida, Kazutaka
Shimizu, Yosuke
Kanamaru, Sojun
Iguchi, Ryo
Noguchi, Tetsuya
Sasaki , Miharu
Ito, Noriyuki
キーワード: Bladder tamponade
Complicated cystitis
Elderly female patients
Nursing home residents
Antithrombotics
発行日: 30-Sep-2017
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 63
号: 9
開始ページ: 363
終了ページ: 369
抄録: Bladder tamponade is thought to be caused mainly by bladder cancer or radiation cystitis. However, in women, it may often be caused by cystitis in clinical settings. This has not been noted in previous reports of bladder tamponade in Japan. Thus, we retrospectively analyzed the clinical features of 83 male and 41 female patients with bladder tamponade. Seventy-four patients were treated at Nishi-Kobe Medical Center between April 2005 and March 2015, and 50 were treated at Shizuoka City Shizuoka Hospital between November 2008 and March 2015. The patients'median age was 80 years. The cause of bladder tamponade was urological malignancies in 33 of the 83 male patients (40%), benign prostatic hyperplasia in 20 of the 83 male patients (24%), and cystitis in 33 of the 41 female patients (80%). Compared with the men, the women with bladder tamponade were significantly older and the proportion of patients with cerebrovascular disease, diabetes, and dementia was higher. In addition, more women were nursing home residents, with a higher rate of voiding with diapers and antithrombotic use than men. Causative strains of cystitis were diverse, and some were antibiotic resistant. Most of the cases of bladder tamponade in the women occurred in the elderly and were caused by cystitis. In an aging society, increases in the incidences of chronic, complicated cystitis due to impaired independent micturition, dysuria, and systemic diseases such as diabetes, and increased use of antithrombotic drugs may contribute to bladder tamponade in women.
著作権等: 許諾条件により本文は2018/10/01に公開
DOI: 10.14989/ActaUrolJap_63_9_363
URI: http://hdl.handle.net/2433/227507
PubMed ID: 28992666
出現コレクション:Vol.63 No.9

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