腎切石術における術後血尿期間の検討

概要

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The relationship between duration of gross hematuria and factors appearing to affect such duration was studied on 12 cases of nephrolithotomy utilizing one-layer interrupted suture of renal parenchyma (Dr.H.Taguchi) and the following results were obtained. 1. The average duration of gross hematuria as observed from postoperative day O to day 14 was 4.7±4.2 days. 2. No correlation was observed between the duration of postoperative gross hematuria on the one hand and the patient's age, ischemic lime and length of renal parenchymal incision. 3. Renal biopsy during surgery indicated a significantly longer duration of postoperative hematuria among patients with chronic pyelonephritis as compared with other patients. 4. Although the complication of chronic pyelonephritis did not prevent us from carrying out nephrolithotomy, it is suggested that this complication may be one of the factors prolonging duration of postoperative hematuria. Rigorous care must be taken to completely close the incision and to exactly suture the renal pelvic mucosa if postoperative hematpria in one-layer suture of renal parenchyma is to be reduced to a minimum.
社団法人日本泌尿器科学会の論文
1979-12-20