腎嚢胞内感染治療の検討

概要

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4例の嚢胞内感染症を経験した.これら4症例は,最大の嚢胞直径がレ線写真で5 cm以上であった.これら症例のレ線写真と治療結果を比較検討し,嚢胞直径が6 cm以上のもの,すなわち,腎影の突出や腎盂腎杯の変形が著明に認められる嚢胞内感染症は,化学療法より手術療法を選択すべきと考えたA case of infected simple renal cyst and three cases of infected polycystic kidney have been treated during the 6 years from July, 1976 to June, 1982. One of the 3 cases of polycystic kidney, was operated. The other 2 cases were treated with antibiotics. The largest cyst in the present studies appeared to be more than 5 cm in diameter on the X-ray films. To define the limits to chemotherapy of the infected cyst, the relationship between the effect of chemotherapy and the size of the cyst was evaluated from clinical prognosis. From these results, it is strongly suggested that surgical treatment rather than chemotherapy is the best treatment for cysts which are more than 6 cm in diameter or in cases of marked protrusion of the kidney and significant deformation of renal calyces.