小児腎炎と扁桃摘出術

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  • 井野 佐登
    名古屋保健衛生大学医学部耳鼻咽喉科学教室
  • 西村 忠郎
    名古屋保健衛生大学医学部耳鼻咽喉科学教室
  • 中西 泰夫
    名古屋保健衛生大学医学部耳鼻咽喉科学教室
  • 松永 仁毅
    名古屋保健衛生大学医学部耳鼻咽喉科学教室
  • 村嶋 克之
    名古屋保健衛生大学医学部耳鼻咽喉科学教室

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タイトル別名
  • Infantile Nephritis and Tonsillectomy
  • ショウニ ジンエン ト ヘントウ テキシュツジュツ

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In this paper, the role of tonsillectomy and the tonsillar provocation test for infantile nephritis was described.<br>Thirty-seven infantile nephritis patients who consulted our outpatient clinic of otolaryngology were studied.<br>The tonsillar provocation test was performed in 29 patients, but the test was positive in only three with changes on urinary findings. These three patients received tonsillectomy, which was effective in one and ineffective in the others.<br>In all the patients whose nephritis was aggravated after tonsillitis or fever, tonsillectomy was effective. Tonsillectomy was also effective in patients who clearly had acute tonsillitis before the onset of nephritis.<br>In many cases, the ASO level went down after tonsillectomy, and in no case was the ASO level elevated over the normal level after tonsillectomy.<br>In the post-infectious group, the patients whose ASO and/or ASK level were high at the onset of nephritis had a high tendency to heal.

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