レノグラムによる尿路機能の検討

(第1報)子宮癌における上部尿路機能障碍の検討

抄録

Renal funcsion in casec of cervical carcinoma of the uterus was analyzed with RI-renogram Before treatment, the ratios of obstructive change in the findings of C. R. C. were 19.2% of the cases and 14.2% of total number of the kidneys examined (Stage O to I., 7.4% of cases, 6.1% of kidneys ; Stage II., 25.4% of cases, 20.5% of kidneys; Stage III., 46.6% of cases, 26.6% of kidneys ; Stage IV., 75.0% of cases, 50.0% of kidneys respectively). In cases with no urological changes before treatment, increased ratios of the obstructive findings were noted after total hysterectomy. And, these obstructive changes progressed gradually after additional irradiation. (1 month after operation, 58.4% of cases, 47.2% of kidneys; 2 to 3 months, 73.3% of cases, 61.7% of kidneys ; 4 to 6 months, 86.7% of cases, 70.0% of kidneys; 12 months, 72.7% of cases, 52.3% of kidneys respectively). The observations clearly demonstrated that the case; of moderately advanced obstructive changes resulted in renal failure after short period. It may be concluded that renal function of the patient of cervical carcinoma of the uterus should be checked at regular intervals during the course of treatment, and renogram is one of the most useful tool for this purpose.