{"created":"2023-06-20T15:48:03.213077+00:00","id":2566,"links":{},"metadata":{"_buckets":{"deposit":"a92122e6-3a1d-4c82-b828-a5d2a740cc5c"},"_deposit":{"created_by":4,"id":"2566","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2566"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00002566","sets":["1:12:55"]},"author_link":["7590","7591","7592","7593"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of monozygotic dichorionic diamniotic (DD) twin pregnancy after single blastocyst transfer","subitem_alternative_title_language":"en"}]},"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"21","bibliographicPageStart":"16","bibliographicVolumeNumber":"2","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"単一胚盤胞移植 (Single Blastocyst Transfer、以下SBT)後にも双胎が発生することはよく知られているが、通常は一絨毛膜二羊膜性(MD)双胎である。今回我々は、SBT後に超音波診断で二絨毛膜二羊膜性(DD)双胎と診断し、出生後に遺伝子解析を行い、一卵性のDD双胎と証明した症例を経験したので報告する。症例は39歳0経妊0経産。男性不妊のため、前医でGardner分類4BBの胚盤胞1個を移植して妊娠成立し、当院へ紹介となった。妊娠7週の初診時に経腟超音波検査でDD双胎と診断した。妊娠30週より切迫早産のため入院管理となり、32週に妊娠高血圧症候群を発症、33週1日に高位破水し、34週0日に羊水混濁が出現したため、帝王切開術で児を娩出した。児は両児ともに男児で1828gと1990g、先天異常は認めなかった。胎盤は融合していたが、絨毛膜・羊膜ともに2枚ずつに分かれ、病理学的にもDD双胎と診断した。両親のインフォームド・コンセントを得て、遺伝子解析による卵性診断を行った結果、両児間の遺伝子型は全て一致し、一卵性であると証明された。 最近はSBT後にDD双胎が成立した報告が散見されており、これらはHatching 進行中の胚の分離に関連している可能性が示唆されている。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_32":{"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":"堀越, 義正","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"水野, 薫子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"米澤, 真澄","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"俵, 史子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"jsog_2_1_3.pdf","filesize":[{"value":"2.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_2_1_3.pdf","url":"https://hama-med.repo.nii.ac.jp/record/2566/files/jsog_2_1_3.pdf"},"version_id":"edfe39ad-c528-44d1-9059-c7fdf0a21a70"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"monozygotic DD twin","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"single blastocyst transfer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"zygosity assisted reproductive technology","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"単一胚盤胞移植後に成立した一卵性二絨毛膜二羊膜性双胎の1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"単一胚盤胞移植後に成立した一卵性二絨毛膜二羊膜性双胎の1 例","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["55"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-12-15"},"publish_date":"2014-12-15","publish_status":"0","recid":"2566","relation_version_is_last":true,"title":["単一胚盤胞移植後に成立した一卵性二絨毛膜二羊膜性双胎の1 例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:41:09.506544+00:00"}