肛門括約筋内緒腸瘻を併用せる直腸膀胱術 : III術後急性腎盂腎炎について

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Forty-one patients with rectal bladder combined with intrasphincteric perineal colostomy have been reviewed in an attempt to know how many of them suffered from postoperative acute pyelonephritis and to discuss the possible causes of this lesion. The symptom appeared in 34.1% of the cases within one month after the operation. In the period from the 1st month to 12th month after the operation, the cases which occurred in a sporadic way (the symptom appeared once or twice) amounted to 27.0%, the cases which occurred frequently (the symptom appeared more than 3 times) were 18.9%. In the period after the 12th month following the operation, the cases with sporadic symptom were at the rate of 22.2% and the cases with frequent symptom at 14.8%. Analysis was conducted on the possible causes of the crisis, including the age of patients, history of preoperative acute pyelonephritis, postoperative findings of the upper urinary tract, reflux at the site of urtero-intestinal anastomosis, etc. It was emphasized that the intestinoureteral reflux is related to the occurrence of the acute pyelonephritis in the period within 12 months, and that, in the period after the 12th month, postoperative condition of the upper urinary tract has an important role on the occurrence of acute pyelonephritis. It was pointed out that the urine from the rectal bladder often contained white blood cells even when the patient appeared in good condition. Therefore, careful observation was required thereafter.
社団法人日本泌尿器科学会の論文

肛門括約筋内緒腸瘻を併用せる直腸膀胱術 : III術後急性腎盂腎炎について

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