腎瘻術および尿管瘻術の臨床的観察

概要

論文の詳細を見る
The present authors made clinical studies on nephrostomy (122 cases including 38 cases of temporary nephrostomy) and cutaneous ureterostomy (33 cases), which had been carried out for the last 10 years (1958 to 1967) in our department, from the standpoints of complication, prognosis and rehabilitation. The results obtained were as follows: 1. According to the findings obtained by the histological sections of the kidney at autopsyor of there moved kidney, by renal arteriograms before and after the operation in clinical cases and by microangiograms of canine kidney under going nephrostomy, the injury of the kidney due to the insertion of nephrostomy tube was insignificant. 2. In both operations, the catheters used as the conduits were an important factor in the pathogenesis of urinary infection occurring after the operation. However, a proper position of nephrostomy tube for good drainage of urine was obtained with relative ease, and in this case the urinary infection was reduced to a minor problem. Whereas, in cutaneous ureterostomy, the disappearance of ureteral peristalsis following the operation, which was demonstrated with electro-ureterography and urometry, could produce the state of poor drainage of urine.3.A disadvantage of nephrostomy was, in a high incidence, to note pyrexia caused by the exchange of nephrostomy tube, While, in cutaneous ureterostomy, the development of the ureteral dysfunction and urinary infection was a serious drawback as a cause bringing about renal failure to a greater extent than that in nephrostomy.
社団法人日本泌尿器科学会の論文

腎瘻術および尿管瘻術の臨床的観察

スポンサーリンク

概要

著者

関連論文

スポンサーリンク