産婦人科的手術に基因する尿管瘻の治療成績

THERAPEUTIC RESULTS OF THE URETEROFISTULA DUE TO GYNECOLOGICAL AND OBSTETORICAL OPERATION

緒言

　産婦人科手術後の尿管瘻に関しては従来多数の論文があるが，本症の治療成績ことに遠隔追跡調査の成績に関する報告は予想外に少ない。今回私達は過去20年間に当教室で取り扱つた尿管瘻の治療成績と遠隔追跡調査を行なう機会を得たので以下に報告する。

52 cases or 60 ureters of ureteral fistulas caused by gynecological or obstetrical surgery, including 34 cases or 40 ureters secondary to extensive hysterectomy for uterine carcinoma, were treated at the Urological Department of Hokkaido University during the 20 years between May 1952 and December 1971. The successful rate of uretero-cysto-neostomy for ureteral fistula, not caused by uterine cancer, was 93% but the successful rate of those after extensive hysterectomy for uterine cancer was 77%.