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乳糜尿症の淋巴管造影について : I.乳糜尿症のリンパ管造影所見


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タイトル: 乳糜尿症の淋巴管造影について : I.乳糜尿症のリンパ管造影所見
その他のタイトル: Lymphangiography in Cases of Chyluria : I. Findings of Lymphangiography and its Clinical Evaluation
著者: 村上, 文也 / 石崎, 驍 / 原田, 尚紀 / 白石, 篤与 / 中島, 康雄 / 牟田, 直矢 / 山口, 恵三 / 赤嶺, 達生 / 今岡, 誠 / 牧野, 芳大 / 木下, 善之
著者(別表記) : Murakami, Fumiya / Ishizaki, Takeshi / Harada, Takanori / Shiraishi, Atsuyoshi / Nakajima, Yasuo / Muta, Naoya / Yamaguchi, Keizo / Akamine, Tatsuo / Imaoka, Makoto / Makino, Yoshihiro / Kinoshita, Yoshiyuki
発行日: 1972年 3月20日
出版者: 長崎大学熱帯医学研究所 / Institute of Tropical Medicine, Nagasaki University
引用: 熱帯医学 Tropical medicine 14(1). p18-25, 1972
抄録: Part 1 We have been studying the pathophysiological aspects of chyluria. In this part of the present paper, we have reported the findings of lymphangiography (LAG) in chyluria as follows: 1) Lymphangiography was done by Kinmonth's method. Popiodole was used as the contrast medium. 2) Thirty-eight cases were classified into three groups by the periods between the onset and the application of LAG. Group A, under one years duration: Group C, three years or longer duration: Group B, the rest. Group A included 14 cases: Group B, 9 cases: Group C, 15 cases. Cases were fewer among the young generation and frequent among the middle-aged or old over 40 years of ages. 3) Lymph-backflow was demonstrated in all but two cases, in which the failure to visualize the change was most probably due to technical problems (94.7%). This backflow was almost specific for chyluria because only one case with a retroperitoneal tumor showed the backflow out of 240 cases with other diseases than chyluria. The backflow was observed to start from the Truncus lumbaris and to run up to the kidney. Chyle-reflux from the Cisterna chyli was not detected radiologically. 4) The abnormal changes of Truncus lumbaris were found in all cases of chyluria irrespective of patients' past histories. The changes of lymph-vessels at this region appeared to be indispensable for and take a major role in the pathogenesis of chyluria. 5) Changes of pelvic lymph-vessels were severer in the cases of long duration. These seemed to be secondary changes than primary ones. 6) Distinct occlusion or stenosis of the thoracic duct was never found: It gave no evidence of obstruction of the lymphatic passage through the duct. 7) Based on the above-mentioned results, the pathogenetic mechanism of chyluria was discussed.
URI: http://hdl.handle.net/10069/4108
ISSN: 03855643
資料タイプ: Departmental Bulletin Paper
出現コレクション:第14巻 第1号

引用URI : http://hdl.handle.net/10069/4108

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