腹部静脈結石および尿路結石に関する研究 : 統計的検討

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概要

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• Concerning the abdominal phlebolith and urolithasis, the following were clarified by our statistical investigations of 2,027 patients who had undergone roentgenographic checks of abdomen or urinary tract twice or more. 1. The frequencies of abdominal phlebolith and urolithiasis were 19.3% and 13.0% respectively. 2. An "aged phenomenon'' which means a higher frequency of occurrence as age advances was noted with abdominal phlebolith, while urolithiasis was noted more often in those patients who were in their 20s and 30s. 3. No difference was seen between the sexes in terms of prevalence of abdominal phlebolith, whereas caluculi of the urinary tract was obviously more frequent in male patients than in female patients. 4. Multiple occurrences were noted more frequently in the cases with abdominal phlebolith, whereas single occurrences were more often with urolithiasis. 5. In 77.4% of the cases with phlebolith the caliculi were as small as from 0.1x0.1-to 0.3x0.3 cm and in 75.6% their shapes were round. In contrast, in the cases of urolithiasis, the sizes were as small as above in 45%, of moderate sizes of 0.4x0.4-0.6x0.6 cm in 25%, and in 30% they were larger than 0.7 cm . Their shapes were round in 36.1%, and in remaining 26.4% and 37.5% they were nearly round ones and ellipse or irregular, respectively, without showing such a trend with the phlebolith which was mostly small and round. 6. The regions of their frequent occurrences (distributions) were schematically illustrated with specific coordinates, in which the decreasing order of density of distribution was noted of phlebolith in pelvic laum, renal and upper ureter calculi, ureter stone in pelvic laum, phlebolith on pelvic bone, upper abdominal phlebolith, and urinary tract calculi on pelvic bone. A trend that phleboliths were distributed on the lateral side of the way of urinary tracts was noted if a comparison was made between the pelvic phlebolith and pelvic urolithiasis.

• 社団法人日本泌尿器科学会の論文

著者

• 菅間 正気

  日本医科大学泌尿器科学教室

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