十二指腸潰瘍に於ける前腹壁圧診点に就いて

抄録

Though the distribution of tender points on the front abdominal wall is complicated, Prof. Kudo has closely analyzed these points according to each of diseases and Kudo's tender point of duodenal ulcer (D-point) which always being existed at the front abdominal wall of the patients in the case of duodenal ulcer. The position of D-point is explained as follows: Taking the center at the navel, draw a median line over the abdominal wall and then draw a lateral line crossing it, thus divide the front abdominal wall into four angles. The position will be found on a bisector of the right upper angle by 1.5 to 2 cm distance from the navel and is easily examined in abdominal palpation. The author has examined 125 cases of thn patients and recognized 76.0% positive of it, thus the results were considered that it was not inferior to the test of Onodera's point. D-point will be found in high rate at relatively earlier stage of duodenal ulcer or the disease which has hemorrhagic focus, and it will be ceased within average 3.5 weeks by proper internal treatment. It is presumed that the position is located within a fixed sphere, but it does not conform with D-point at the lying position and it comes from the viscerosensory reflex. It also is presumed that the point is under the charge of 8 th, 9 th, 10 th, and 11 th thoracic nerves, especially of 9 th and 10 th of them. Of course the clinical value of Onodera's point will be highly evaluated for the diagnosis of the stomach-duodenal ulcer, however, it sometimes recognized in other than the cases of the stomach-duodenal ulcer.
In diagnosing those, it is considerable to add a further efficacy if taking both into continual consideration and examine with proper manupulation.