{"created":"2023-06-19T10:43:44.875054+00:00","id":4046,"links":{},"metadata":{"_buckets":{"deposit":"f7167bf8-e14a-4d03-8da4-d533022d80ff"},"_deposit":{"created_by":11,"id":"4046","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4046"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004046","sets":["30:66:216"]},"author_link":["564","7912","795","565","8226","798","802","6784","791","8764"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-08","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"12","bibliographicPageStart":"9","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"滋賀県産科婦人科雑誌"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"OKADA, Natsumi"}],"nameIdentifiers":[{"nameIdentifier":"8764","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"TOKORO, Shinsuke"}],"nameIdentifiers":[{"nameIdentifier":"7912","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20613475","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20613475"}]},{"creatorNames":[{"creatorName":"SUZUKI, Kounosuke"}],"nameIdentifiers":[{"nameIdentifier":"8226","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"YAMADA, Kazutaka"}],"nameIdentifiers":[{"nameIdentifier":"6784","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"30770234","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=30770234"}]},{"creatorNames":[{"creatorName":"HAYASHI, Kaori"}],"nameIdentifiers":[{"nameIdentifier":"795","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"70569251","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=70569251"}]},{"creatorNames":[{"creatorName":"ONO, Tetsuo"}],"nameIdentifiers":[{"nameIdentifier":"791","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"0000-0002-6566-943X","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-6566-943X"}]},{"creatorNames":[{"creatorName":"TSUJI, Shunichiro"}],"nameIdentifiers":[{"nameIdentifier":"798","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"30601546","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=30601546"},{"nameIdentifier":"0000-0003-3945-6817","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0003-3945-6817"}]},{"creatorNames":[{"creatorName":"KIMURA, Fuminori"}],"nameIdentifiers":[{"nameIdentifier":"802","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"90322148","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90322148"},{"nameIdentifier":"0000-0002-9840-4227","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-9840-4227"}]},{"creatorNames":[{"creatorName":"TAKAHASHI, Kentaro"}],"nameIdentifiers":[{"nameIdentifier":"565","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20163256","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20163256"},{"nameIdentifier":"0000-0001-5420-0356","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0001-5420-0356"}]},{"creatorNames":[{"creatorName":"MURAKAMI, Takashi"}],"nameIdentifiers":[{"nameIdentifier":"564","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20240666","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20240666"},{"nameIdentifier":"0000-0002-0250-0856","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-0250-0856"}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":" 子宮筋腫は年齢と共に有病率が増加する。それ故、近年における晩婚化や出産年齢の高齢化に伴い、子宮筋腫合併妊娠も増加傾向にある。比較的大きな子宮筋腫が子宮下部にある場合、経腟分娩困難と判断され帝王切開が選択される症例も少なくないと考えられる。\n 子宮筋腫の位置及び大きさと経腟分娩の可否について検討するため、当院の外来にて経腟分娩困難となる可能性があると判断された子宮筋腫合併妊娠で、妊娠後期に核磁気共鳴画像法(Magnetic Resonance Imaging:以下MRI)が撮影された6症例に対して後方視的に検討した。6症例中5症例で経腟分娩が可能であったが、子宮体下部後壁に長径90mmの子宮筋腫を認めた1例は、妊娠41週で予定日超過のため誘発を開始したが、分娩停止のため帝王切開による分娩となった。帝王切開の1例を他の5例と比較すると、年齢、妊娠週数、子宮筋腫の大きさに特記すべき差異を認めないが、子宮筋腫の位置がほぼ正中で、かつ子宮筋腫の下端が内子宮口よりも低位であるとの特徴を認めた。逆に、長径70〜120mmの子宮下部筋腫が存在してもその位置が正中から偏心している場合や、位置が正中でも下端が内子宮口よりも高位であれば、経腟分娩が可能であった。","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"滋賀医科大学産科学婦人科学講座"}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"滋賀県産科婦人科医会の許可を得て掲載"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2185-4580","subitem_source_identifier_type":"ISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12430250","subitem_source_identifier_type":"NCID"}]},"item_4_version_type_15":{"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":"岡田, 奈津実"}],"nameIdentifiers":[{"nameIdentifier":"8764","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"所, 伸介"}],"nameIdentifiers":[{"nameIdentifier":"7912","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20613475","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20613475"}]},{"creatorNames":[{"creatorName":"鈴木, 幸之助"}],"nameIdentifiers":[{"nameIdentifier":"8226","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山田, 一貴"}],"nameIdentifiers":[{"nameIdentifier":"6784","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"30770234","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=30770234"}]},{"creatorNames":[{"creatorName":"林, 香里"}],"nameIdentifiers":[{"nameIdentifier":"795","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"70569251","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=70569251"}]},{"creatorNames":[{"creatorName":"小野, 哲男"}],"nameIdentifiers":[{"nameIdentifier":"791","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"0000-0002-6566-943X","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-6566-943X"}]},{"creatorNames":[{"creatorName":"辻, 俊一郎"}],"nameIdentifiers":[{"nameIdentifier":"798","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"30601546","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=30601546"},{"nameIdentifier":"0000-0003-3945-6817","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0003-3945-6817"}]},{"creatorNames":[{"creatorName":"木村, 文則"}],"nameIdentifiers":[{"nameIdentifier":"802","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"90322148","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=90322148"},{"nameIdentifier":"0000-0002-9840-4227","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-9840-4227"}]},{"creatorNames":[{"creatorName":"高橋, 健太郎"}],"nameIdentifiers":[{"nameIdentifier":"565","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20163256","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20163256"},{"nameIdentifier":"0000-0001-5420-0356","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0001-5420-0356"}]},{"creatorNames":[{"creatorName":"村上, 節"}],"nameIdentifiers":[{"nameIdentifier":"564","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"20240666","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://kaken.nii.ac.jp/ja/search/?qm=20240666"},{"nameIdentifier":"0000-0002-0250-0856","nameIdentifierScheme":"ORCID","nameIdentifierURI":"https://orcid.org/0000-0002-0250-0856"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-11-26"}],"displaytype":"detail","filename":"okada001.pdf","filesize":[{"value":"3.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"okada001","url":"https://shiga-med.repo.nii.ac.jp/record/4046/files/okada001.pdf"},"version_id":"16ef7bc7-1be8-4ecf-b52d-ecbc867a6631"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"子宮筋腫合併妊妊娠","subitem_subject_scheme":"Other"},{"subitem_subject":"経睦分娩","subitem_subject_scheme":"Other"},{"subitem_subject":"内子宮口","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院の子宮下部筋腫合併妊娠における分娩転帰について","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院の子宮下部筋腫合併妊娠における分娩転帰について"}]},"item_type_id":"4","owner":"11","path":["216"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-11-26"},"publish_date":"2021-11-26","publish_status":"0","recid":"4046","relation_version_is_last":true,"title":["当院の子宮下部筋腫合併妊娠における分娩転帰について"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:20:30.683080+00:00"}