「上部尿路通過障碍腎の電子顕微鏡学的研究」 : 第2編 臨床例水腎症における糸球体の変化について
スポンサーリンク
概要
- 論文の詳細を見る
Thirty-five kidneys with upper urinary tract obstruction due to various causes were studied electron-microscopically. Biopsy was made on the kidney cortex and the changes ofglomerulus were studied. The results are summarized as follows : 1) Changes in glomerular epithelial cells : Proliferation was observed in many of congenital origins and a change of the pedicles was much related to proteinuria. Changes in glomerular endothelial cells were very little. Changes in the capillary basement membrane : Thickening was accompanied by winding in many cases, the thickest being 1.4 μ. (I defined thickness over 4000 A as thickening.) The glomerulus with severe hyaline degeneration light-microscopically was observed electron-microscopically to retain the form of the basement membrane. Changes in mesangium : Proliferations of various degrees were observed in thirty three cases. Changes in Bowman's capsule : Thickening above the grade (++) was observed in thirteen cases and the thickest was 6 μ. (I defined thickness over 10000 A as thickening.) 2) Changes related to the cause of upper urinary tract obstruction : Severe changes were observed in the retrocaval ureter, infiltration of carcinoma uteri and renal stone. 3) Changes related to the site of upper urinary tract obstruction : The nearer to kidney pelvis obstruction was, so severe as the changes were. 4) Changes related to proteinuria : Many changes of glomerular epithelial cells, especially of the pidicles and capillary basement membrane were observed in the cases of proteinuria. 5) Changes related to hypertension (above max. B.P. 150 mmHg) : Thickening of glomerular capillary basement membrane was observed and membrane-like material was produced. 6) Changes related to infections of the urinary tract : Changes were severe in the cases which were accompanied by or had undergone infections of the urinary tract. Proliferation of the mesangium and thickening of the basement membrane and Bowman's capsule were observed. 7) Changes related to renal function : Changes were found to correspond with the findings of I.V.P. In the cases of severe renal dysfunction, proliferation of the mesangium, thickening of the basement membrane and proliferation of the endothelial cells were observed. 8) Some of other special observations by electron-microscopy are also reported.
- 社団法人日本泌尿器科学会の論文
- 1968-11-20
著者
関連論文
- 後腹膜腫瘍を疑わせた大腸腰筋内腫瘍(Granular cell myoblcsstoma)の1例 : : 第35回東部連合地方会
- 過去10年間における副腎疾患の手術経験
- 尿道上裂の2例 : 予後追跡症例及び最近経験した手術症例 : 第41回東部連合地方会
- 外傷に起因すると思われる石灰化を伴つた腎周囲嚢腫の2例 : 第321回東京地方会
- 腎血管筋脂肪腫の3例
- ラジオアイソトープレノグラムによる各種尿路通過障害の経過観察
- 小児睾丸腫瘍の1例 : 第315回東京地方会
- 「上部尿路通過障碍腎の電子顕微鏡学的研究」 : 第2編 臨床例水腎症における糸球体の変化について
- 「上部尿路通過障碍腎の電子顕微鏡学的研究」 : 第1編: 実験的水腎における糸球体の変化について
- 発育不全腎の4例 : 第31回東部連合地方会
- 水腎症の電子顕微鏡学的研究 : 第3報 : 臨床例における糸球体の変化 : 第54回総会
- 尿路結石症の統計的観察 : 第54回総会
- Vesico-capsular prostatectomy
- Conray, Angio-conrayの使用経験 : 第54回総会
- 婦人科手術時尿管結紮による無尿症治験 : 第30回東部連合地方会
- 腹部大動脈瘤による仮性無尿の1例 : 第30回東部連合地方会
- 小児腎腫瘍症例 : 第29回東部連合地方会
- 睾丸腫瘍症例 : 第29回東部連合地方会
- 両側性睾丸腫瘍の1例 : 第292回東京地方会
- 結石を合併せる女子尿道憩室の3例(第27回東部連合地方会,学会抄録)
- イ)腎腫瘍 ロ)尿管腫瘍 ハ)睾丸廻轉症 : 第22囘東部連合地方會 (第225回東京地方会) : 症例報告 : 一般演説
- 泌尿器科的形成外科の経験
- ***奇形を伴う両側腎奇形の1例 (腟欠損, 左骨盤腎, 右発育不全腎) : 第276回東京地方会
- 自然破裂を来せる小児腎腫瘍(第27回東部連合地方会,学会抄録)