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\n[blog_parts id=”24962″]<\/p>\n
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\u307e\u305f\u3001\u30b7\u30ea\u30b3\u30f3\u306f\u5316\u5b66\u7684\u306b\u5b89\u5b9a\u3057\u305f\u7d20\u6750\u3067\u3001\u4f53\u6e29\u3084\u6e7f\u6c17\u3001\u6642\u9593\u306e\u7d4c\u904e\u306b\u3088\u308b\u52a3\u5316\u304c\u8d77\u3053\u308a\u306b\u304f\u3044\u3068\u3044\u3046\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059[4]\u3002\u3053\u308c\u306f\u3001\u4e00\u5ea6\u633f\u5165\u3059\u308c\u3070\u9577\u671f\u9593\u306b\u308f\u305f\u3063\u3066\u5f62\u72b6\u3092\u7dad\u6301\u3067\u304d\u308b\u3053\u3068\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/p>\n
\u5f93\u6765\u306e\u65e2\u88fd\u54c1\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u3001\u9650\u3089\u308c\u305f\u30b5\u30a4\u30ba\u3084\u5f62\u72b6\u306e\u4e2d\u304b\u3089\u9078\u629e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u73fe\u5728\u3067\u306f\u60a3\u8005\u4e00\u4eba\u3072\u3068\u308a\u306e\u9aa8\u683c\u306b\u5408\u308f\u305b\u305f\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u30d7\u30ed\u30c6\u30fc\u30bc\u304c\u88fd\u4f5c\u53ef\u80fd\u306b\u306a\u3063\u3066\u3044\u307e\u3059[5]\u3002<\/p>\n
\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u88fd\u4f5c\u306e\u30d7\u30ed\u30bb\u30b9\u306f\u3001\u307e\u308b\u3067\u9774\u3092\u8db3\u306b\u5408\u308f\u305b\u3066\u4f5c\u308b\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u30b7\u30e5\u30fc\u30ba\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3059\u3002\u4e8b\u524d\u306bCT\u30b9\u30ad\u30e3\u30f3\u3092\u884c\u3044\u30013D\u30d7\u30ea\u30f3\u30bf\u30fc\u6280\u8853\u3092\u4f7f\u3063\u3066\u60a3\u8005\u306e\u6b63\u78ba\u306a\u9aa8\u683c\u6a21\u578b\u3092\u4f5c\u6210\u3057\u3001\u305d\u306e\u4e0a\u3067\u7406\u60f3\u7684\u306a\u5f62\u72b6\u306e\u30d7\u30ed\u30c6\u30fc\u30bc\u3092\u8a2d\u8a08\u30fb\u88fd\u4f5c\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u306e\u500b\u5225\u8a2d\u8a08\u306b\u3088\u308a\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u8f2a\u90ed\u304c\u6d6e\u304d\u51fa\u308b\u30ea\u30b9\u30af\u304c\u5927\u5e45\u306b\u8efd\u6e1b\u3055\u308c\u3001\u3088\u308a\u81ea\u7136\u3067\u7f8e\u3057\u3044\u4ed5\u4e0a\u304c\u308a\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u5de6\u53f3\u5dee\u306e\u8abf\u6574\u3084\u3001\u60a3\u8005\u306e\u5177\u4f53\u7684\u306a\u5e0c\u671b\u306b\u5fdc\u3058\u305f\u7d30\u304b\u306a\u5f62\u72b6\u8abf\u6574\u3082\u53ef\u80fd\u3067\u3059\u3002<\/p>\n
\u4e00\u90e8\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u30b7\u30ea\u30b3\u30f3\u30d7\u30ed\u30c6\u30fc\u30bc\u306b\u4ee3\u308f\u308b\u9078\u629e\u80a2\u3068\u3057\u3066\u3001\u30e1\u30bf\u30af\u30ea\u30eb\u9178\u30e1\u30c1\u30eb\uff08PMMA\uff09\u3092\u4f7f\u7528\u3057\u305f\u984d\u5f62\u6210\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059[6]\u3002<\/p>\n
\u30e1\u30bf\u30af\u30ea\u30eb\u9178\u30e1\u30c1\u30eb\u306f\u3001\u3082\u3068\u3082\u3068\u8133\u795e\u7d4c\u5916\u79d1\u3067\u982d\u84cb\u9aa8\u6b20\u640d\u306e\u4fee\u5fa9\u306b\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u533b\u7642\u6750\u6599\u3067\u3059\u3002\u6db2\u4f53\u72b6\u3067\u6ce8\u5165\u3057\u3001\u4f53\u5185\u3067\u5f90\u3005\u306b\u786c\u5316\u3059\u308b\u305f\u3081\u3001\u624b\u8853\u4e2d\u306b\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u5f62\u72b6\u3092\u8abf\u6574\u3067\u304d\u308b\u3068\u3044\u3046\u5927\u304d\u306a\u5229\u70b9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u3053\u308c\u306f\u3001\u9676\u82b8\u3067\u7c98\u571f\u3092\u5f62\u4f5c\u308b\u3088\u3046\u306b\u3001\u624b\u8853\u4e2d\u306b\u7406\u60f3\u7684\u306a\u5f62\u72b6\u3092\u4f5c\u308a\u4e0a\u3052\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u6280\u8853\u3067\u3059\u3002\u786c\u5316\u5f8c\u306f\u9aa8\u3068\u307b\u307c\u540c\u3058\u786c\u3055\u306b\u306a\u308b\u305f\u3081\u3001\u975e\u5e38\u306b\u81ea\u7136\u306a\u89e6\u611f\u304c\u5f97\u3089\u308c\u307e\u3059\u3002<\/p>\n
\u305f\u3060\u3057\u3001\u3053\u306e\u6cbb\u7642\u6cd5\u306f\u9ad8\u5ea6\u306a\u6280\u8853\u3068\u7d4c\u9a13\u3092\u8981\u3059\u308b\u305f\u3081\u3001\u9650\u3089\u308c\u305f\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306e\u307f\u5b9f\u65bd\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u4fee\u6b63\u304c\u56f0\u96e3\u3067\u3042\u308b\u3068\u3044\u3046\u5074\u9762\u3082\u3042\u308b\u305f\u3081\u3001\u614e\u91cd\u306a\u691c\u8a0e\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n
\u30d7\u30ed\u30c6\u30fc\u30bc\u633f\u5165\u624b\u8853\u304c\u3069\u306e\u3088\u3046\u306b\u884c\u308f\u308c\u308b\u306e\u304b\u3001\u5b9f\u969b\u306e\u6d41\u308c\u3092\u8a73\u3057\u304f\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n
\u624b\u8853\u306f\u8a73\u7d30\u306a\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304b\u3089\u59cb\u307e\u308a\u307e\u3059\u3002\u533b\u5e2b\u306f\u3001\u3042\u306a\u305f\u306e\u304a\u3067\u3053\u306e\u73fe\u72b6\u3092\u8a73\u3057\u304f\u8a3a\u5bdf\u3057\u3001\u9aa8\u683c\u306e\u7279\u5fb4\u3001\u76ae\u819a\u306e\u539a\u3055\u3001\u7b4b\u8089\u306e\u72b6\u614b\u306a\u3069\u3092\u7dcf\u5408\u7684\u306b\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n
\u591a\u304f\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u624b\u8853\u524d\u306b\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u3092\u4f7f\u7528\u3057\u305f\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3044\u307e\u3059[7]\u3002\u3053\u308c\u306f\u3001\u5b9f\u969b\u306e\u624b\u8853\u7d50\u679c\u3092\u4e8b\u524d\u306b\u4f53\u9a13\u3067\u304d\u308b\u8cb4\u91cd\u306a\u6a5f\u4f1a\u3067\u3059\u3002\u77ed\u671f\u9593\u3067\u5438\u53ce\u3055\u308c\u308b\u7279\u6b8a\u306a\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u3092\u6ce8\u5165\u3057\u3001\u7406\u60f3\u3068\u3059\u308b\u9ad8\u3055\u3084\u5f62\u72b6\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3067\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u30c7\u30b6\u30a4\u30f3\u3092\u6c7a\u5b9a\u3057\u307e\u3059\u3002<\/p>\n
\u3053\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u306b\u3088\u308a\u3001\u300c\u601d\u3063\u3066\u3044\u305f\u306e\u3068\u9055\u3063\u305f\u300d\u3068\u3044\u3046\u30ea\u30b9\u30af\u3092\u5927\u5e45\u306b\u8efd\u6e1b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n
\u9ebb\u9154\u3068\u6e96\u5099<\/strong> \u624b\u8853\u306f\u5c40\u6240\u9ebb\u9154\u307e\u305f\u306f\u9759\u8108\u9ebb\u9154\u4e0b\u3067\u884c\u308f\u308c\u307e\u3059[8]\u3002\u9759\u8108\u9ebb\u9154\u306e\u5834\u5408\u3001\u7720\u3063\u305f\u72b6\u614b\u3067\u624b\u8853\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u305f\u3081\u3001\u624b\u8853\u3078\u306e\u4e0d\u5b89\u304c\u5f37\u3044\u65b9\u306b\u3082\u9069\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n \u5207\u958b\u3068\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong> \u9aea\u306e\u751f\u3048\u969b\u304b\u3089\u7d042-3cm\u4e0a\u306e\u4f4d\u7f6e\u3067\u3001\u9aea\u306e\u6bdb\u306b\u96a0\u308c\u308b\u90e8\u5206\u30923-4cm\u7a0b\u5ea6\u5207\u958b\u3057\u307e\u3059\u3002\u3053\u306e\u4f4d\u7f6e\u3092\u9078\u3076\u3053\u3068\u3067\u3001\u624b\u8853\u5f8c\u306e\u50b7\u8de1\u304c\u76ee\u7acb\u3061\u306b\u304f\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n \u5207\u958b\u90e8\u4f4d\u306e\u9078\u629e\u306f\u3001\u307e\u308b\u3067\u6d0b\u670d\u306e\u7e2b\u3044\u76ee\u3092\u76ee\u7acb\u305f\u306a\u3044\u5834\u6240\u306b\u914d\u7f6e\u3059\u308b\u3088\u3046\u306a\u8003\u3048\u65b9\u3067\u3059\u3002\u9069\u5207\u306b\u884c\u308f\u308c\u308c\u3070\u3001\u9aea\u306e\u6bdb\u3067\u5b8c\u5168\u306b\u96a0\u308c\u308b\u305f\u3081\u3001\u65e5\u5e38\u751f\u6d3b\u3067\u50b7\u8de1\u3092\u6c17\u306b\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n \u9aa8\u819c\u4e0b\u306e\u5265\u96e2<\/strong> \u5207\u958b\u5f8c\u3001\u524d\u982d\u9aa8\u306e\u8868\u9762\u3092\u8986\u3046\u9aa8\u819c\u3068\u3044\u3046\u8584\u3044\u819c\u306e\u4e0b\u3092\u4e01\u5be7\u306b\u5265\u96e2\u3057\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u3092\u633f\u5165\u3059\u308b\u305f\u3081\u306e\u30b9\u30da\u30fc\u30b9\u3092\u4f5c\u308a\u307e\u3059\u3002\u3053\u306e\u4f5c\u696d\u306f\u3001\u307e\u308b\u3067\u7d75\u753b\u306e\u984d\u7e01\u3092\u58c1\u304b\u3089\u5916\u3059\u3068\u304d\u306b\u3001\u58c1\u7d19\u3092\u50b7\u3064\u3051\u306a\u3044\u3088\u3046\u614e\u91cd\u306b\u4f5c\u696d\u3059\u308b\u306e\u3068\u4f3c\u3066\u3044\u307e\u3059\u3002<\/p>\n \u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u633f\u5165\u3068\u8abf\u6574<\/strong> \u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u5834\u5408\u3001\u4e8b\u524d\u306b\u88fd\u4f5c\u3055\u308c\u305f\u30d7\u30ed\u30c6\u30fc\u30bc\u3092\u633f\u5165\u3057\u3001\u4f4d\u7f6e\u3084\u89d2\u5ea6\u3092\u8abf\u6574\u3057\u307e\u3059\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u67d4\u8edf\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u5c0f\u3055\u306a\u5207\u958b\u5275\u304b\u3089\u3067\u3082\u633f\u5165\u53ef\u80fd\u3067\u3059\u3002<\/p>\n \u633f\u5165\u5f8c\u306f\u3001\u5de6\u53f3\u306e\u5bfe\u79f0\u6027\u3084\u5168\u4f53\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u78ba\u8a8d\u3057\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u5fae\u8abf\u6574\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n \u56fa\u5b9a\u3068\u7e2b\u5408<\/strong> \u30d7\u30ed\u30c6\u30fc\u30bc\u304c\u9069\u5207\u306a\u4f4d\u7f6e\u306b\u914d\u7f6e\u3055\u308c\u305f\u3089\u3001\u30c1\u30bf\u30f3\u88fd\u306e\u5c0f\u3055\u306a\u30b9\u30af\u30ea\u30e5\u30fc\u3067\u9aa8\u306b\u56fa\u5b9a\u3057\u307e\u3059[9]\u3002\u3053\u308c\u306b\u3088\u308a\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u305a\u308c\u3084\u56de\u8ee2\u3092\u9632\u3050\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n \u6700\u5f8c\u306b\u3001\u5207\u958b\u90e8\u4f4d\u3092\u4e01\u5be7\u306b\u7e2b\u5408\u3057\u3001\u9069\u5207\u306a\u30c9\u30ec\u30c3\u30b7\u30f3\u30b0\u3092\u884c\u3044\u307e\u3059\u3002\u624b\u8853\u6642\u9593\u306f\u901a\u5e3860-90\u5206\u7a0b\u5ea6\u3067\u3059\u3002<\/p>\n immediate post-operative period\uff08\u8853\u76f4\u5f8c\uff09<\/strong> \u624b\u8853\u76f4\u5f8c\u306f\u3001\u9ebb\u9154\u304c\u899a\u3081\u308b\u307e\u3067\u5b89\u9759\u306b\u3057\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002\u75db\u307f\u306f\u4e00\u822c\u7684\u306b\u8efd\u5ea6\u3067\u3001\u51e6\u65b9\u3055\u308c\u308b\u93ae\u75db\u5264\u3067\u5341\u5206\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u53ef\u80fd\u3067\u3059\u3002<\/p>\n 1-2\u9031\u9593<\/strong> \u3053\u306e\u671f\u9593\u306f\u816b\u308c\u304c\u6700\u3082\u5f37\u3044\u6642\u671f\u3067\u3059\u3002\u816b\u308c\u306f\u91cd\u529b\u306e\u5f71\u97ff\u3067\u5f90\u3005\u306b\u4e0b\u964d\u3057\u3001\u76ee\u306e\u5468\u308a\u306b\u3082\u53ca\u3076\u3053\u3068\u304c\u3042\u308a\u307e\u3059[10]\u3002\u3053\u308c\u306f\u6b63\u5e38\u306a\u53cd\u5fdc\u3067\u3001\u51b7\u5374\u3084\u982d\u90e8\u6319\u4e0a\u306b\u3088\u308a\u8efd\u6e1b\u3067\u304d\u307e\u3059\u3002<\/p>\n 1-3\u30f6\u6708<\/strong> \u816b\u308c\u304c\u5f90\u3005\u306b\u5f15\u304d\u3001\u6700\u7d42\u7684\u306a\u4ed5\u4e0a\u304c\u308a\u306b\u8fd1\u3065\u3044\u3066\u3044\u304d\u307e\u3059\u3002\u3053\u306e\u671f\u9593\u4e2d\u306f\u3001\u6fc0\u3057\u3044\u904b\u52d5\u3084\u982d\u90e8\u3078\u306e\u5f37\u3044\u523a\u6fc0\u3092\u907f\u3051\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n 3\u30f6\u6708\u4ee5\u964d<\/strong> \u307b\u307c\u6700\u7d42\u7684\u306a\u4ed5\u4e0a\u304c\u308a\u304c\u5b8c\u6210\u3057\u307e\u3059\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u5468\u56f2\u306e\u7d44\u7e54\u304c\u5b89\u5b9a\u3057\u3001\u81ea\u7136\u306a\u72b6\u614b\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n \u304a\u3067\u3053\u306e\u51f9\u307f\u6cbb\u7642\u306b\u306f\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u4ee5\u5916\u306b\u3082\u8907\u6570\u306e\u9078\u629e\u80a2\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u308c\u305e\u308c\u306e\u7279\u5fb4\u3092\u8a73\u3057\u304f\u6bd4\u8f03\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n \u52b9\u679c\u306e\u6301\u7d9a\u671f\u9593<\/strong> \u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u306f\u4f53\u5185\u3067\u5f90\u3005\u306b\u5206\u89e3\u3055\u308c\u308b\u305f\u3081\u3001\u52b9\u679c\u306f\u901a\u5e381-2\u5e74\u7a0b\u5ea6\u3067\u3059[11]\u3002\u4e00\u65b9\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u4e00\u5ea6\u633f\u5165\u3059\u308c\u3070\u534a\u6c38\u4e45\u7684\u306a\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n \u9577\u671f\u7684\u306a\u30b3\u30b9\u30c8\u3092\u8003\u3048\u308b\u3068\u3001\u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u30925\u5e74\u9593\u7d99\u7d9a\u3057\u305f\u5834\u5408\u306e\u7dcf\u8cbb\u7528\u306f\u3001\u30d7\u30ed\u30c6\u30fc\u30bc1\u56de\u306e\u8cbb\u7528\u3092\u4e0a\u56de\u308b\u3053\u3068\u304c\u591a\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n \u65bd\u8853\u306e\u624b\u8efd\u3055<\/strong> \u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u6ce8\u5165\u306f\u6ce8\u5c04\u306e\u307f\u3067\u5b8c\u4e86\u3057\u3001\u30c0\u30a6\u30f3\u30bf\u30a4\u30e0\u3082\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u5916\u79d1\u624b\u8853\u3092\u8981\u3057\u30011-2\u9031\u9593\u7a0b\u5ea6\u306e\u30c0\u30a6\u30f3\u30bf\u30a4\u30e0\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n \u52b9\u679c\u306e\u53ef\u9006\u6027<\/strong> \u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u306f\u5206\u89e3\u9175\u7d20\u306b\u3088\u308a\u9664\u53bb\u53ef\u80fd\u3067\u3059\u304c\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u306e\u9664\u53bb\u306b\u306f\u518d\u624b\u8853\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n \u5b89\u5168\u6027\u306e\u30ea\u30b9\u30af<\/strong> \u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u6ce8\u5165\u3067\u306f\u3001\u304a\u3067\u3053\u306e\u8840\u7ba1\u304c\u8c4a\u5bcc\u306a\u305f\u3081\u3001\u8840\u7ba1\u585e\u6813\u306e\u30ea\u30b9\u30af\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059[12]\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u3067\u306f\u3001\u611f\u67d3\u3084\u4f4d\u7f6e\u7570\u5e38\u306a\u3069\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n \u6750\u6599\u306e\u9055\u3044<\/strong> \u8102\u80aa\u6ce8\u5165\u3067\u306f\u81ea\u5206\u306e\u8102\u80aa\u3092\u4f7f\u7528\u3059\u308b\u305f\u3081\u3001\u30a2\u30ec\u30eb\u30ae\u30fc\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u305b\u3093[13]\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u4eba\u5de5\u6750\u6599\u3067\u3059\u304c\u3001\u533b\u7642\u7528\u30b7\u30ea\u30b3\u30f3\u306e\u5b89\u5168\u6027\u306f\u5341\u5206\u306b\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n \u52b9\u679c\u306e\u4e88\u6e2c\u53ef\u80fd\u6027<\/strong> \u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u633f\u5165\u3057\u305f\u5206\u3060\u3051\u78ba\u5b9f\u306b\u52b9\u679c\u304c\u5f97\u3089\u308c\u307e\u3059\u3002\u8102\u80aa\u6ce8\u5165\u3067\u306f\u3001\u5b9a\u7740\u7387\u304c50-70%\u7a0b\u5ea6\u3067\u500b\u4eba\u5dee\u304c\u3042\u308a\u3001\u52b9\u679c\u304c\u4e88\u6e2c\u3057\u306b\u304f\u3044\u3068\u3044\u3046\u5074\u9762\u304c\u3042\u308a\u307e\u3059[14]\u3002<\/p>\n \u4ed5\u4e0a\u304c\u308a\u306e\u8cea\u611f<\/strong> \u8102\u80aa\u6ce8\u5165\u306f\u975e\u5e38\u306b\u81ea\u7136\u306a\u4ed5\u4e0a\u304c\u308a\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u3082\u9069\u5207\u306b\u633f\u5165\u3055\u308c\u308c\u3070\u81ea\u7136\u3067\u3059\u304c\u3001\u76ae\u819a\u306e\u8584\u3044\u65b9\u3067\u306f\u8f2a\u90ed\u3092\u611f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n \u8ffd\u52a0\u6cbb\u7642\u306e\u5fc5\u8981\u6027<\/strong> \u8102\u80aa\u6ce8\u5165\u3067\u306f\u3001\u7406\u60f3\u7684\u306a\u7d50\u679c\u3092\u5f97\u308b\u305f\u3081\u306b\u8907\u6570\u56de\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u57fa\u672c\u7684\u306b1\u56de\u306e\u624b\u8853\u3067\u5b8c\u4e86\u3057\u307e\u3059\u3002<\/p>\n \u6750\u6599\u306e\u7279\u6027<\/strong> \u9aa8\u30bb\u30e1\u30f3\u30c8\u306f\u9aa8\u306b\u8fd1\u3044\u6210\u5206\u306e\u305f\u3081\u3001\u751f\u4f53\u9069\u5408\u6027\u304c\u975e\u5e38\u306b\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059[15]\u3002\u786c\u5316\u5f8c\u306f\u9aa8\u3068\u4e00\u4f53\u5316\u3057\u3001\u975e\u5e38\u306b\u81ea\u7136\u306a\u72b6\u614b\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n \u624b\u8853\u306e\u898f\u6a21<\/strong> \u9aa8\u30bb\u30e1\u30f3\u30c8\u624b\u8853\u306f\u3001\u51a0\u72b6\u5207\u958b\u3068\u3044\u3046\u5927\u304d\u306a\u5207\u958b\u3092\u8981\u3057\u3001\u5168\u8eab\u9ebb\u9154\u304c\u5fc5\u8981\u3067\u3059\u3002\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u5c0f\u5207\u958b\u3067\u5c40\u6240\u9ebb\u9154\u307e\u305f\u306f\u9759\u8108\u9ebb\u9154\u3067\u53ef\u80fd\u3067\u3059\u3002<\/p>\n \u8cbb\u7528\u306e\u9055\u3044<\/strong> \u9aa8\u30bb\u30e1\u30f3\u30c8\u624b\u8853\u306f\u3001\u6280\u8853\u7684\u96e3\u6613\u5ea6\u3068\u6750\u6599\u8cbb\u306e\u95a2\u4fc2\u3067\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u3088\u308a\u3082\u9ad8\u984d\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n \u4fee\u6b63\u306e\u53ef\u80fd\u6027<\/strong> \u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u9664\u53bb\u3084\u4ea4\u63db\u304c\u6bd4\u8f03\u7684\u5bb9\u6613\u3067\u3059\u304c\u3001\u9aa8\u30bb\u30e1\u30f3\u30c8\u306f\u4e00\u5ea6\u65bd\u8853\u3059\u308b\u3068\u4fee\u6b63\u304c\u56f0\u96e3\u3067\u3059\u3002<\/p>\n \u30d7\u30ed\u30c6\u30fc\u30bc\u633f\u5165\u306e\u8cbb\u7528\u306b\u3064\u3044\u3066\u3001\u8a73\u3057\u304f\u5206\u6790\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n \u57fa\u672c\u624b\u8853\u8cbb\u7528\uff1a30-50\u4e07\u5186<\/strong> \u3053\u308c\u306b\u306f\u3001\u624b\u8853\u6280\u8853\u6599\u3001\u30d7\u30ed\u30c6\u30fc\u30bc\u4ee3\u3001\u57fa\u672c\u7684\u306a\u8a2d\u5099\u4f7f\u7528\u6599\u304c\u542b\u307e\u308c\u307e\u3059\u3002\u30af\u30ea\u30cb\u30c3\u30af\u306e\u7acb\u5730\u3084\u533b\u5e2b\u306e\u7d4c\u9a13\u306b\u3088\u308a\u4fa1\u683c\u5dee\u304c\u3042\u308a\u307e\u3059[16]\u3002<\/p>\n \u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u52a0\u5de5\u8cbb\uff1a10-20\u4e07\u5186<\/strong> \u65e2\u88fd\u54c1\u30d7\u30ed\u30c6\u30fc\u30bc\u3067\u306f\u306a\u304f\u3001\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u30d7\u30ed\u30c6\u30fc\u30bc\u3092\u9078\u629e\u3059\u308b\u5834\u5408\u306e\u8ffd\u52a0\u8cbb\u7528\u3067\u3059\u3002CT\u30b9\u30ad\u30e3\u30f3\u30013D\u30e2\u30c7\u30ea\u30f3\u30b0\u3001\u7279\u5225\u88fd\u4f5c\u8cbb\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/p>\n \u9ebb\u9154\u8cbb\u7528\uff1a3-8\u4e07\u5186<\/strong> \u5c40\u6240\u9ebb\u9154\u306f\u6bd4\u8f03\u7684\u5b89\u4fa1\u3067\u3059\u304c\u3001\u9759\u8108\u9ebb\u9154\u3084\u5168\u8eab\u9ebb\u9154\u3092\u9078\u629e\u3059\u308b\u5834\u5408\u306f\u8cbb\u7528\u304c\u4e0a\u304c\u308a\u307e\u3059\u3002<\/p>\n \u8853\u5f8c\u30b1\u30a2\u8cbb\u7528\uff1a2-5\u4e07\u5186<\/strong> \u5b9a\u671f\u691c\u8a3a\u3001\u85ac\u5264\u8cbb\u3001\u7dca\u6025\u6642\u5bfe\u5fdc\u306a\u3069\u306e\u8cbb\u7528\u3067\u3059\u3002\u591a\u304f\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u57fa\u672c\u6599\u91d1\u306b\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n \u7dcf\u984d\u306e\u76f8\u5834<\/strong> \u6a19\u6e96\u7684\u306a\u30d7\u30ed\u30c6\u30fc\u30bc\u633f\u5165\u306e\u7dcf\u984d\u306f\u300135-75\u4e07\u5186\u7a0b\u5ea6\u304c\u76f8\u5834\u3067\u3059\u3002\u6709\u540d\u30af\u30ea\u30cb\u30c3\u30af\u3084\u90fd\u5fc3\u90e8\u3067\u306f\u3001\u3088\u308a\u9ad8\u984d\u306b\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n \u30d2\u30a2\u30eb\u30ed\u30f3\u9178\u306e\u5834\u5408<\/strong> 1\u56de\u3042\u305f\u308a10-25\u4e07\u5186\u3067\u30011.5-2\u5e74\u3054\u3068\u306e\u7d99\u7d9a\u304c\u5fc5\u8981\u3067\u3059\u30025\u5e74\u9593\u306750-125\u4e07\u5186\u300110\u5e74\u9593\u3067\u306f100-250\u4e07\u5186\u7a0b\u5ea6\u306e\u8cbb\u7528\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n \u8102\u80aa\u6ce8\u5165\u306e\u5834\u5408<\/strong> 1\u56de\u3042\u305f\u308a30-50\u4e07\u5186\u3067\u3059\u304c\u3001\u6e80\u8db3\u306e\u3044\u304f\u7d50\u679c\u3092\u5f97\u308b\u305f\u3081\u306b2-3\u56de\u306e\u65bd\u8853\u304c\u5fc5\u8981\u306a\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u7dcf\u984d60-150\u4e07\u5186\u7a0b\u5ea6\u3092\u898b\u8fbc\u3080\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n \u9aa8\u30bb\u30e1\u30f3\u30c8\u306e\u5834\u5408<\/strong> 1\u56de\u3042\u305f\u308a80-200\u4e07\u5186\u7a0b\u5ea6\u3068\u9ad8\u984d\u3067\u3059\u304c\u3001\u534a\u6c38\u4e45\u7684\u306a\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n 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\u5e84\u5185\u30d7\u30e9\u30a4\u30d9\u30fc\u30c8\u30af\u30ea\u30cb\u30c3\u30af\uff08\u533b\u7642\u6cd5\u4eba\u4e38\u5ca1\u533b\u9662\u30b0\u30eb\u30fc\u30d7\uff09\u3067\u306f\u7f8e\u5bb9\u533b\u7642\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305a\u306f\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304b\u3089\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n \u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04:<\/strong> 0234-25-3217<\/a> [1] Farkas LG, Katic MJ, Forrest CR. International anthropometric study of facial morphology in various ethnic groups\/races. J Craniofac Surg. 2005;16(4):615-46.<\/p>\n [2] Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg. 2007;120(5):1367-76.<\/p>\n [3] Brody GS. On the safety of breast implants. Plast Reconstr Surg. 1997;100(5):1314-21.<\/p>\n [4] Peters W, Smith D, Lugowski S, et al. Calcification properties of saline-filled breast implant shells. Plast Reconstr Surg. 2001;107(2):356-63.<\/p>\n [5] Ciocca L, Mazzoni S, Fantini M, et al. CAD\/CAM guided secondary mandibular reconstruction of a discontinuity defect after ablative cancer surgery. J Craniomaxillofac Surg. 2012;40(8):e511-5.<\/p>\n [6] Yamada K, Yoshimura M, Hirata H, et al. Clinical application of polymethyl methacrylate for skull defects. J Clin Neurosci. 2007;14(11):1040-4.<\/p>\n [7] Klein JA. The tumescent technique for liposuction surgery. Am J Cosmetic Surg. 1987;4(4):263-7.<\/p>\n [8] Rohrich RJ, Gunter JP, Friedman RM. Nasal tip blood supply: an anatomic study validating the safety of the transcolumellar incision. Plast Reconstr Surg. 1995;95(5):795-9.<\/p>\n [9] Yaremchuk MJ. Facial skeletal reconstruction using porous polyethylene implants. Plast Reconstr Surg. 2003;111(6):1818-27.<\/p>\n [10] Baker TJ, Gordon HL, Mosienko P. Rhytidectomy in males. Plast Reconstr Surg. 1977;60(4):514-21.<\/p>\n [11] Monheit GD, Coleman KM. Hyaluronic acid fillers. Dermatol Ther. 2006;19(3):141-50.<\/p>\n [12] Beleznay K, Carruthers JD, Humphrey S, et al. Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg. 2015;41(10):1097-117.<\/p>\n [13] Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg. 1997;24(2):347-67.<\/p>\n [14] Yoshimura K, Suga H, Eto H. Adipose-derived stem\/progenitor cells: roles in adipose tissue remodeling and potential use for soft tissue augmentation. Regen Med. 2009;4(2):265-73.<\/p>\n [15] Friedman CD, Costantino PD, Takagi S, et al. BoneSource hydroxyapatite cement: a novel biomaterial for craniofacial skeletal tissue engineering and reconstruction. J Biomed Mater Res. 1998;43(4):428-32.<\/p>\n [16] American Society of Plastic Surgeons. 2022 Plastic Surgery Statistics Report. ASPS National Clearinghouse of Plastic Surgery Procedural Statistics. 2023.<\/p>\n [17] Phillips BT, Bishawi M, Dagum AB, et al. A systematic review of infection rates and associated factors in alloplastic breast reconstruction. Ann Plast Surg. 2014;72(5):S104-9.<\/p>\n [18] Sorensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy. Ann Surg. 2012;255(6):1069-79.<\/p>\n [19] Rohrich RJ, Ghavami A. The role of hyaluronic acid fillers (Restylane) in facial cosmetic surgery: review and technical considerations. Plast Reconstr Surg. 2007;120(6 Suppl):41S-54S.<\/p>\n [20] Krutmann J, Bouloc A, Sore G, et al. The skin aging exposome. J Dermatol Sci. 2017;85(3):152-61.<\/p>\n \u93e1\u306b\u6620\u308b\u81ea\u5206\u306e\u6a2a\u9854\u3092\u898b\u3066\u3001\u300c\u306a\u3093\u3060\u304b\u5e73\u5766\u3067\u7acb\u4f53\u611f\u304c\u306a\u3044\u2026\u300d\u3068\u611f\u3058\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304b\uff1f\u7279\u306b\u3001\u5199\u771f\u3092\u64ae\u3089\u308c\u305f\u3068\u304d\u306b\u6b63\u9762\u306f\u826f\u3044\u306e\u306b\u6a2a\u9854\u306b\u81ea\u4fe1\u304c\u6301\u3066\u306a\u3044\u3001\u524d\u9aea\u3092\u4e0a\u3052\u308b\u2026<\/p>\n","protected":false},"author":1,"featured_media":25138,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,19],"tags":[],"class_list":["post-25101","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-odeko","category-treatment"],"_links":{"self":[{"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/posts\/25101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/comments?post=25101"}],"version-history":[{"count":4,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/posts\/25101\/revisions"}],"predecessor-version":[{"id":25865,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/posts\/25101\/revisions\/25865"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/media\/25138"}],"wp:attachment":[{"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/media?parent=25101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/categories?post=25101"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/maruoka.or.jp\/tft\/wp-json\/wp\/v2\/tags?post=25101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\u8853\u5f8c\u306e\u7d4c\u904e\u3068\u7ba1\u7406<\/h3>\n
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\u4e00\u822c\u7684\u306a\u30ea\u30b9\u30af\u3068\u305d\u306e\u5bfe\u7b56<\/h3>\n
\u9577\u671f\u7684\u306a\u30ea\u30b9\u30af\u3078\u306e\u5bfe\u5fdc<\/h3>\n
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\u6cbb\u7642\u6210\u529f\u306e\u305f\u3081\u306e\u5b9f\u8df5\u7684\u30a2\u30c9\u30d0\u30a4\u30b9<\/h2>\n
\u6cbb\u7642\u524d\u306e\u6e96\u5099<\/h3>\n
\n
\n
\u6cbb\u7642\u5f8c\u306e\u30b1\u30a2<\/h3>\n
\n
\n
\n
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\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306b\u57fa\u3065\u304f\u9078\u629e<\/h3>\n
\n
\n
\n
\u89e3\u5256\u5b66\u7684\u6761\u4ef6\u306b\u3088\u308b\u9078\u629e<\/h3>\n
\n
\n
\n
\u5fc3\u7406\u7684\u6e96\u5099\u5ea6\u306b\u3088\u308b\u9078\u629e<\/h3>\n
\n
\n
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\u5e74\u9f62\u3092\u91cd\u306d\u308b\u3053\u3068\u3078\u306e\u5bfe\u5fdc<\/h3>\n
\u6280\u8853\u306e\u9032\u6b69\u3078\u306e\u671f\u5f85<\/h3>\n
\u7dcf\u5408\u7684\u306a\u7f8e\u5bb9\u30a2\u30d7\u30ed\u30fc\u30c1<\/h3>\n
\u307e\u3068\u3081\uff1a\u8ce2\u3044\u9078\u629e\u306e\u305f\u3081\u306b<\/h2>\n
\n
\n
\n\u304a\u3067\u3053\u306e\u51f9\u307f\u306b\u30d7\u30ed\u30c6\u30fc\u30bc\u306f\u672c\u5f53\u306b\u5b89\u5168\u306e\u3054\u76f8\u8ac7\u30fb\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u4e88\u7d04<\/h3>\n
\nLINE\u4e88\u7d04:<\/strong> \u53cb\u3060\u3061\u8ffd\u52a0\u3057\u3066\u3054\u4e88\u7d04<\/a><\/p>\n<\/div>\n\u53c2\u8003\u6587\u732e<\/h2>\n
\n[blog_parts id=”24962″]<\/p>\n","protected":false},"excerpt":{"rendered":"