{"id":12312,"date":"2025-01-08T14:39:08","date_gmt":"2025-01-08T05:39:08","guid":{"rendered":"https:\/\/www.heartlife.or.jp\/asunaro\/?p=12312"},"modified":"2025-01-08T14:39:57","modified_gmt":"2025-01-08T05:39:57","slug":"post-12312","status":"publish","type":"post","link":"https:\/\/www.heartlife.or.jp\/asunaro\/asunaro-no-120\/12312\/","title":{"rendered":"\u8eab\u8fd1\u306a\u4e73\u304c\u3093\uff5e\u65e9\u671f\u767a\u898b  \u30d6\u30ec\u30b9\u30c8\u30fb\u30a2\u30a6\u30a7\u30a2\u30cd\u30b9\u3068\u6cbb\u7642\u306e\u9032\u6b69\uff5e"},"content":{"rendered":"\n<h2 id=\"outline__1\" 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class=\"wp-image-12318\"\/><\/figure>\n\n\n\n<p><br>\u4e73\u304c\u3093\u691c\u8a3a\u306f\u30de\u30f3\u30e2\u30b0\u30e9\u30d5\u30a3\u3092\u57fa\u672c\u3068\u3057\u3066\u300140\u4ee3\u3078\u306e\u4e73\u623f\u8d85\u97f3\u6ce2\u4f75\u7528\u306e\u6709\u7528\u6027\u304c\u65e5\u672c\u304b\u3089\u767a\u4fe1\u3055\u308c\u3001\u3088\u308a\u7cbe\u5ea6\u9ad8\u304f\u4e73\u304c\u3093\u3092\u767a\u898b\u3067\u304d\u308b\u69d8\u306b\u306f\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u4e0a\u8a18\u306e\u69d8\u306b\u4e00\u756a\u691c\u8a3a\u3092\u53d7\u3051\u3066\u9802\u304d\u305f\u3044\u5e74\u9f62\u3067\u306f\u6642\u9593\u3092\u3068\u308c\u306a\u3044\u65b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u6b27\u7c73\u306b\u6bd4\u3079\u82e5\u5e74\u767a\u75c7\u3082\u591a\u3044\u50be\u5411\u304b\u3089\u300140\u6b73\u672a\u6e80\u306e\u691c\u8a3a\u306e\u9069\u5fdc\u5e74\u9f62\u3067\u306a\u3044\u65b9\u306e\u4e0d\u5b89\u3082\u8003\u616e\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u6c7a\u3057\u3066\u691c\u8a3a\u306e\u4ee3\u7528\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u65e9\u671f\u767a\u898b\u306e\u5927\u4e8b\u306a\u7fd2\u6163\u3068\u3057\u3066\u8fd1\u5e74\u300c\u30d6\u30ec\u30b9\u30c8\u30fb\u30a2\u30a6\u30a7\u30a2\u30cd\u30b9\u300d\u304c\u63d0\u5531\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u666e\u6bb5\u306e\u4e73\u623f\u306e\u72b6\u614b\u3092\u77e5\u308b\u300d\u300c\u5909\u5316\u306b\u6c17\u3092\u4ed8\u3051\u308b\u300d\u300c\u5909\u5316\u306b\u6c17\u3065\u3044\u305f\u3089\u533b\u5e2b\u306b\u76f8\u8ac7\u300d\u300c\u4e73\u304c\u3093\u691c\u8a3a\u3092\u53d7\u3051\u308b\u300d\u306b\u3088\u308a\u3001\u4e73\u623f\u306e\u7570\u5e38\u3092\u3054\u81ea\u5206\u3067\u6c17\u4ed8\u3053\u3046\u3068\u3059\u308b\u3082\u306e\u3067\u3001\u3069\u306e\u5e74\u9f62\u3067\u3082\u3054\u81ea\u5206\u306e\u8eab\u4f53\u3092\u5927\u4e8b\u306b\u3059\u308b\u7fd2\u6163\u306e\uff11\u3064\u3068\u3057\u3066\u5e83\u304c\u3063\u3066\u3044\u304f\u3053\u3068\u3092\u671f\u5f85\u3057\u307e\u3059\uff08\u56f3\uff13\uff09\u3002<\/p>\n\n\n\n<figure 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class=\"wp-image-12313\"\/><\/figure>\n\n\n\n<p>\u7279\u306b\u300c\u518d\u767a\u304c\u6016\u3044\u304b\u3089\u5ff5\u306e\u305f\u3081\u5b9f\u65bd\u300d\u306e\u50be\u5411\u304c\u3042\u3063\u305f\u30db\u30eb\u30e2\u30f3\u611f\u53d7\u6027\u4e73\u304c\u3093\u3078\u306e\u6297\u304c\u3093\u5264\uff08\u6bba\u7d30\u80de\u6027\u5316\u5b66\u7642\u6cd5\uff09\u306e\u4e0a\u4e57\u305b\u52b9\u679c\u306f\u3001\u4fdd\u967a\u9069\u5fdc\u3068\u306a\u3063\u305f\u591a\u907a\u4f1d\u5b50\u691c\u67fb\u306b\u3066\u81e8\u5e8a\u7684\u306b\u5fc5\u8981\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u305f60%\u7a0b\u306e\u60a3\u8005\u3055\u3093\u304c\u4e0d\u8981\u306b\u8ee2\u3058\u308b\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002HER\uff12\uff08\u30cf\u30fc\u30c4\u30fc\uff09\u967d\u6027\u65e9\u671f\u4e73\u304c\u3093\u3067\u306f\u4f75\u7528\u6297\u304c\u3093\u5264\u3092\uff11\u7a2e\u985e\u6e1b\u3057\u3066\u3082\u540c\u7b49\u306e\u52b9\u679c\u3068\u306a\u308a\u60a3\u8005\u3055\u3093\u306f\u968f\u5206\u697d\u306b\u6cbb\u7642\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u9006\u306b\u9ad8\u60aa\u6027\u5ea6\u30c8\u30ea\u30d7\u30eb\u30cd\u30ac\u30c6\u30a3\u30d6\u4e73\u304c\u3093\u3078\u306f\u514d\u75ab\u30c1\u30a7\u30c3\u30af\u30dd\u30a4\u30f3\u30c8\u963b\u5bb3\u5264\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u660e\u3089\u304b\u306a\u6cbb\u7642\u52b9\u679c\u306e\u5411\u4e0a\u304c\u5f97\u3089\u308c\u308b\u3053\u3068\u306b\u3001\u3042\u308b\u3044\u306f\u8853\u524d\u85ac\u7269\u7642\u6cd5\u3092\u3057\u3066\u6cbb\u7642\u52b9\u679c\u304c\u5341\u5206\u3067\u306a\u3044\u5834\u5408\u3001\u3082\u3046\uff11\u3064\u306e\u6cbb\u7642\u3092\u8ffd\u52a0\u3059\u308b\u3053\u3068\u3067\u66f4\u306b30\uff5e50%\u518d\u767a\u304c\u6e1b\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u540c\u6642\u306b\u526f\u4f5c\u7528\u3092\u6291\u3048\u308b\u6cbb\u7642\u306e\u9032\u6b69\u3082\u8457\u3057\u304f\u3001\u5614\u5410\u306e\u306a\u3044\u6cbb\u7642\u304c\u5927\u591a\u6570\u3068\u306a\u308a\u3001\u767d\u8840\u7403\u3092\u5897\u3084\u3059\u85ac\u306e\u4f75\u7528\u3067\u6cbb\u7642\u4e2d\u306e\u91cd\u75c7\u611f\u67d3\u75c7\u3082\u6fc0\u6e1b\u3057\u3066\u3044\u307e\u3059\u3002<br>\u6b8b\u5ff5\u306a\u304c\u3089\u9032\u884c\u518d\u767a\u3055\u308c\u305f\u65b9\u3078\u306e\u85ac\u7269\u7642\u6cd5\u3082\u65e5\u3005\u9032\u6b69\u3057\u3066\u304a\u308a\u3001\u6297\u304c\u3093\u5264\u30fb\u30db\u30eb\u30e2\u30f3\u5264\u306b\u5206\u5b50\u6a19\u7684\u85ac\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u30675\u5e74\u4ee5\u4e0a\u306e\u751f\u5b58\u671f\u9593\u3082\u65e5\u5e38\u7684\u306b\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u66f4\u306b\u306f10%\u7a0b\u5ea6\u306e\u65b9\u304c\u816b\u760d\u304c\u5b58\u5728\u3057\u306a\u3044\u3042\u308b\u7a2e\u306e\u5bdb\u89e3\u72b6\u614b\u306b\u306a\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u6642\u4ee3\u3068\u306a\u308a\u307e\u3057\u305f\u3002<br>\u307e\u305fACP\uff08\u30a2\u30c9\u30d0\u30f3\u30b9\u30b1\u30a2\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff09\u3084SDM\uff08\u30b7\u30a7\u30a2\u30fc\u30c9\u30c7\u30a3\u30b7\u30b8\u30e7\u30f3\u30e1\u30fc\u30ad\u30f3\u30b0\uff09\u3068\u3044\u3063\u305f\u3001\u6cbb\u7642\u4e2d\u3082\u60a3\u8005\u3055\u3093\u4e2d\u5fc3\u3067\u500b\u3005\u306e\u4fa1\u5024\u89b3\u3092\u512a\u5148\u3057\u305f\u6cbb\u7642\u3092\u9032\u3081\u308b\u8003\u3048\u65b9\u3082\u4e73\u304c\u3093\u3067\u306f\u3044\u3061\u65e9\u304f\u6d78\u900f\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u65b9\u3089\u3057\u304f\u751f\u304d\u308b\u3053\u3068\u3092\u652f\u3048\u3066\u3044\u304f\u3053\u3068\u304c\u6211\u3005\u306e\u672c\u671b\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 id=\"outline__5\" class=\"wp-block-heading\">\u3055\u3044\u3054\u306b<\/h2>\n\n\n\n<p>\u5c0f\u8077\u306f30\u5e74\u306e\u4e73\u304c\u3093\u8a3a\u7642\u7d4c\u9a13\u3092\u3082\u3063\u30662024\u5e749\u6708\u306b\u30cf\u30fc\u30c8\u30e9\u30a4\u30d5\u75c5\u9662\u4e73\u817a\u5916\u79d1\u30bb\u30f3\u30bf\u30fc\u306b\u7740\u4efb\u3057\u307e\u3057\u305f\u3002\u5e78\u3044\u306b\u3082\u30b9\u30bf\u30c3\u30d5\u306e\u6e29\u304b\u304f\u5354\u529b\u7684\u306a\u30b5\u30dd\u30fc\u30c8\u3067\u3001\u8a3a\u65ad\u304b\u3089\u624b\u8853\u3001\u85ac\u7269\u7642\u6cd5\u307e\u3067\u30b9\u30e0\u30fc\u30ba\u306a\u8a3a\u7642\u4f53\u5236\u304c\u78ba\u7acb\u3055\u308c\u3001Suture 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