回腸導管の臨床的検討

概要

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Fifty seven cases of ileal conduit urinary diversion were performed in Kyushu University during 13 years from 1963 to 1976. Wound infection was the most common complication followed by intestinal obstruction, upper urinary tract calculus, and urinary fistula. It seemed that malignant disease group had more early complications and benign disease group had more late complications. Thirty per cent of upper urinary tracts in benign disease group deteriolated on intra-venous urogram, though 9.1 per cent in malignant disease group deteriolated (p<0.05). One hundred and twenty four urines were obtained by the method of double lumen catheter for bacteriological examination. 50 per cent of urines included over 10^5 bacteria per ml. in benign disease group, though 14.3 per cent in malignant disease group (p<0.05). Correlation was noted between pre-and post-operative urogram findings and urinary tract infections. Five years survival rate of the urinary bladder cancer was 58 per cent. Radical cystectomy showed better result (82 per cent) than simple cystectomy (46 per cent).
社団法人日本泌尿器科学会の論文