{"created":"2023-06-20T15:50:37.316311+00:00","id":3474,"links":{},"metadata":{"_buckets":{"deposit":"51d54216-27ca-488d-b6d9-6ab8ed08ff78"},"_deposit":{"created_by":18,"id":"3474","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3474"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003474","sets":["99:64:181"]},"author_link":["8329","72","78","77","80","79","8330","67","124","73","68","69"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"13","bibliographicPageStart":"10","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"近年結核の罹患率が低下しているが,非結核性抗酸菌症(NTM)は逆に増加傾向にある.又,この疾患はかつての結核同様に手術療法が選択できる.その基準は抗生剤治療を行っても空洞病変が遺残し限局している症例に適応される.当院でNTM と診断したのは2008年~2012年の5年間で26例であった.このうち8例に手術を行い6例に完全鏡視下手術を行った.女性は全例術前気管支洗浄で診断し術前後に半年以上の治療を行った.空洞を有する2例はNTM 治療後に再発し手術を行ったため,続く2例は空洞病変が残存したためガイドラインどおりに休薬せずに手術を行い現在経過良好である.男性は3例中2例が肺癌との鑑別が困難で,完全鏡視下に肺部分切除を行い術後投薬せずに経過観察中であるが再発は認めていない.散布影のない限局空洞症例は部分切除のみで対処できる可能性がある.以上より空洞病変を有する症例は進展する前に積極的に鏡視下手術を行うべきである.","subitem_description_type":"Abstract"}]},"item_10002_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"徳島赤十字病院"}]},"item_10002_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"徳島赤十字病院"}],"subitem_relation_type_id":{}}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-9878","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松岡, 裕"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"木村, 秀"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"石倉, 久嗣"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"増田, 有理"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藏本, 俊輔"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"松本, 大資"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"富林, 敦司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"湯浅, 康弘"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"川中, 妙子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"沖津, 宏"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"阪田, 章聖"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2013-05-11"}],"displaytype":"simple","filename":"trchmj1801_10-13.pdf","filesize":[{"value":"275.6 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002239","url":"https://redcross.repo.nii.ac.jp/record/3474/files/trchmj1801_10-13.pdf"},"version_id":"183daa39-b7d9-499e-b92b-d1772fc52acb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"非結核性抗酸菌症(NTM)","subitem_subject_scheme":"Other"},{"subitem_subject":"完全鏡視下手術","subitem_subject_scheme":"Other"},{"subitem_subject":"空洞","subitem_subject_scheme":"Other"},{"subitem_subject":"気管支洗浄","subitem_subject_scheme":"Other"},{"subitem_subject":"non-tuberculous mycobacterium(NTM)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pure VATS, cavity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"bronchial lavage","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院での肺非結核性抗酸菌症の外科治療","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院での肺非結核性抗酸菌症の外科治療"},{"subitem_title":"Surgical Treatment of Non-tuberculous Mycobacterial Lung Disease in our Hospital","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"18","path":["181"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-05-11"},"publish_date":"2013-05-11","publish_status":"0","recid":"3474","relation_version_is_last":true,"title":["当院での肺非結核性抗酸菌症の外科治療"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:05:00.323077+00:00"}