{"created":"2023-06-20T15:50:37.357841+00:00","id":3475,"links":{},"metadata":{"_buckets":{"deposit":"92ef4335-e665-4850-9005-57d5c70f2633"},"_deposit":{"created_by":18,"id":"3475","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"3475"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00003475","sets":["99:64:181"]},"author_link":["39","42","108","40","8331","41","37"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"20","bibliographicPageStart":"14","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":"骨盤臓器脱は加齢に伴い発症しやすくなり，高齢化社会において増加している．生命予後には関与は少ないものの，\r\n女性のQOL を非常に損なう疾患である．従来法による手術は，再発率が高い報告（１５～５０％）があり，近年メッシュ\r\nを使用した方法が広く行われるようになっている．\r\n当科では工夫を加えながら従来法を実施しているが，術後の再発はほとんど認めず，良好な結果を残している．今回\r\n２００９年１月から２０１１年１２月までに施行した骨盤臓器脱手術１５３例について，術式の工夫を示し，合併症，再発につき検\r\n討した．腟の支持機構を３つのレベルに分類し，その破綻によっておこる病態を説明したDeLancy の分類を用い，どの\r\nレベルを修復補強するかを理論的に考えた．子宮摘出から腟断端閉鎖縫合，前腟壁形成，後腟壁形成の３段階での工夫\r\nを示す．\r\n合併症は，直腸損傷２例（１．５％），腟断端血腫２例（１．５％），一過性尿閉５例（３．３％），術後尿失禁２例（１．５％）\r\nで，輸血症例はなく，現在のところ２００９年の手術からの再発受診はない．ただ術操作が複雑で，熟練と手術時間を要す\r\nるのが課題である．","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":"名護, 可容"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"猪野, 博保"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"笠井, 可菜"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"米谷, 直人"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"牛越, 賢治郎"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"別宮, 史朗"}],"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_14-20.pdf","filesize":[{"value":"1.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf002240","url":"https://redcross.repo.nii.ac.jp/record/3475/files/trchmj1801_14-20.pdf"},"version_id":"c322a455-ae71-4d2b-badf-ff30d031bb40"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"骨盤臓器脱","subitem_subject_scheme":"Other"},{"subitem_subject":"DeLancyの分類","subitem_subject_scheme":"Other"},{"subitem_subject":"骨盤底筋群","subitem_subject_scheme":"Other"},{"subitem_subject":"腟壁形成","subitem_subject_scheme":"Other"},{"subitem_subject":"pelvic organ prolapse","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"classification of DeLancy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pelvic floor muscles","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"colporrhaphy","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":"当科における骨盤臓器脱手術の工夫","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当科における骨盤臓器脱手術の工夫"},{"subitem_title":"A Surgical Device for Pelvic Organ Prolapse（POP）Used at 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":"3475","relation_version_is_last":true,"title":["当科における骨盤臓器脱手術の工夫"],"weko_creator_id":"18","weko_shared_id":18},"updated":"2023-06-20T22:05:01.065000+00:00"}