婦人科的泌尿器疾患 : 和歌山赤十字病院泌尿器科における最近4年間の治療経験

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1) 1979年4月より1983年3月までに,和歌山赤十字病院泌尿器科で経験した婦人科的泌尿器疾患症例67例を集計した.このうち41例は入院症例であり,この間の延べ女性入院患者総数308例の15.3%にあたる.これらの症例に施行された手術件数は33件であり,女性手術件数205件の16.1%を占めた.2)婦人科的泌尿器疾患の内訳は,術後尿管通過障害が10例,尿管瘻が8例,膀胱腟瘻が7例,尿路への腫瘍浸潤が11例,放射線性膀胱炎が14例,神経因性膀胱が16例,およびその他が1例であったFrom April 1979 to March 1983, sixty seven patients with gynecological urologic disease were experienced at our department. Forty one of them were inpatients, i.e., 15.3% of the total number of female in patients admitted during the same period. Thirty three urologic operations were performed on them which corresponded to 16.1% of the total operations on female patients. Ten of these patients had ureteral obstruction following gynecological operation, 8 had ureteral fistula, 7 had vesicovaginal fistula, 11 had tumor invasion to urinary tract, 14 had radiation cystitis, 16 had neurogenic bladder dysfunction, and 1 had other complication. The treatment of these patients and the results are summarized and discussed.