ＩｇＡ腎症へん摘例の１０年予後
書誌事項
- タイトル別名
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- Long-term renal prognosis of IgA nephropathy after tonsillectomy
抄録
A retrospective case-control study of 71 patients with IgA nephropathy was performed to evaluate the long-term prognostic effect of tonsillectomy. Forty-one patients (19 males and 22 females) received tonsillectomies (Group A) and 30 patients (13 males and 17 females) did not (Group B). These patients were followed up for more than 10 years after renal biopsy. The average age at the initial renal biopsy was29.78 years old in Group A, and 33.0 years in Group B. The average period from renal biopsy to tonsillectomy in Group A was 15.07 months. The average follow-up period was 13 years and 3 months in Group A, and 12 years and 7 months in Group B. The glomerular injuries proved by renal biopsy were more extensive in Group A than in Group B. Renal prognosis after a 10-year follow-up was compared in these two groups.<BR>The clinical remission rate was 24.4% in Group A and 13.3% in Group B, the stable renal function rate was 82.9% in Group A and 70.0% in Group B, and the renal survival rate was 95.1% in Group A and 73.3% in Group B. The renal survival rate in Group A was significantly higher than that in Group B (P<0.05). Althogh renal pathology based on renal biopsy was useful to predict the long-term effect of tonsillectomy in IgA nephropathy patients, past history of tonsillitis, local findings of palatine tonsil, and results of tonsillar provocation tests were not. Our results show that tonsillectomy for IgA nephropathy is of great value clinically, especially for renal survival after long-term follow-up.
収録刊行物
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- 口腔・咽頭科
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口腔・咽頭科 15 (3), 335-344, 2003
日本口腔・咽頭科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679402054784
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- NII論文ID
- 130004061131
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- ISSN
- 18844316
- 09175105
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可