北陸地方における尿路結核の現況

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タイトル別名
  • RECENT TREND OF URINARY TUBERCULOSIS IN THE HOKURIKU AREA
  • ホクリク チホウ ニ オケル ニョウロ ケッカク ノ ゲンキョウ

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This report is compiled from a study of 226 patients with urinary tuberculosis treated at the 18 urological clinics in the Hokuriku Area during the 6-year-period from 1970 to 1975.<br>The results obtained were as follows:<br>1) The incidence of urinary tuberculosis in urological outpatients has slightly decreased yearly.<br>2) The incidence as to age has gradually changed and shifted towards the population aged over 41, especially 41-50 years of age.<br>Sex ratio (male to female) was 1:0.78.<br>3) The patients with bladder symptom have decreased and asymptomatic cases have increased gradually. However bladder symptom was still the most frequent chief complaint (45.6%).<br>4) The right kidney was involved in 95 cases, the left in 95 cases and the both in 34 cases.<br>5) The patients with negative urinalysis have gradually increased.<br>6) Tuberculous bacilli in urine were detected at rates of 28.8 and 62.0% by microscopic and cultural examinations respectively.<br>7) Two hundred cases were classified into 5 groups according to the roentgenographic classification by J. K. Lattimer, the decreasing order of frequency being group 4 (55.5%), 1 (15.5%), 2 (13.0%), 3 (10.5%), 0 (5.5%).<br>8) The typical cystoscopic findings of the patients complicated with tuberculous cystitis were not so frequent.<br>9) There were only 5 cases with renal failure with BUN over 40mg/dl.<br>10) There were 53 cases (30.3%) with accelerated ESR over 41mm (1 hour).<br>11) Tuberculin skin test was positive in 20 of 24 cases tested (83.3%).<br>12) The majority (66.4%) of chemotherapeutic regimens used were the combination of streptomycin, PAS and isoniazid.<br>13) Nephrectomy has been done for 131 cases in addition to chemotherapy.<br>14) Eight cases died for this period because of 2 renal failure, each heart failure, acute pneumonia, cerebral infarct, carcinoma of rectum and 2 unknown causes.

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