交感神經切除術後に於ける泌尿生殖器障碍

Disturbance of Urogenital Function following Sympathectomy.

　交感神經切除術は各種疾患に對して盛に行われているが，我々の經験によると此の手術後種々の副症状を生ずる。即ち局所低血壓，心臓障碍，非手術領域の多汗症，胃腸機能の一時的障碍，ホルネル氏症候及び泌尿生殖器障碍等である。この内特に泌尿生殖器障碍に就いては未知の事が多く，最近に至り諸外國に於ても漸く注目されるに至つたが，我が國に於ては未だかゝる報告は殆んど接していない。我々は當教室に於ける經驗例に就いて泌尿生殖器障碍を調査した所かなりの障碍を知り得たのでこゝに報告する次第である。

The surgery of the sympathetic nervous sys-tem made remarkable progress in recent years. Consequently, sympathectom.y is earring out for many diseases and obtains satisfactory re-sults.

Recently, the secondary effects following sympathectomy, particularly as regards sexual function, have been discussed in foreign count-ries. While, it is a matter for regret that the investigation about the disturbance of sexual function is scarcely reported in our country. We investigated into this uro-genital function following sympathectomy about the patients who underwent sympathectomy in our surgery and obtained following results:-

In the lumbodorsal sympathectomy 109 cases (partly containing thoracolumbal cases), 9 cases, or 23.9 per cent had disturbance of micturition; 5 cases, or 4.6 per cent had disturbance of defecation; 14 cases, or 13.9 per cent had dis-turbance of erection; 15 cases, or 14.9 per cent had disturbance of ejaculation; 13 cases, or 11.9 per cent had disturbance of orgasm and 2 cases or 25 per cent had change of menses. Namaly, we found 24 cases, or 22.0 per cent of 109 cases had disturbance of uro-genital function.

On the other hand, we did the some investi-gation into 34 cases who underwent resection of carotic glands, cervical and thoracic sympathi-cus, and 4 cases, or 11 per cent had disturba-nce of uro-genital function.

As in our country sympathectomy have been chiefly carried out to spontaneous gangrene whi-ch make an attack on manhood, this distur-bance of sexual function is of great importance. So, we must be select carefully indications of this operation.