{"created":"2023-06-20T15:48:30.790282+00:00","id":3030,"links":{},"metadata":{"_buckets":{"deposit":"83b8cc35-bad7-4606-925e-0ea8b0890399"},"_deposit":{"created_by":4,"id":"3030","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3030"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003030","sets":["1:12:59"]},"author_link":["9010","9011","9012","9013"],"control_number":"3030","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"91","bibliographicPageStart":"87","bibliographicVolumeNumber":"6","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Shizuoka Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"子宮筋腫の代表的な症状として過多月経、月経困難症、下腹部腫瘤感、圧迫症状などが挙げられるが、 部位や大きさで異なる。今回、子宮筋腫による尿管圧迫を起こし、腎後性腎不全を来した症例を経験したため報告する。\n症例：27歳、未経妊、会社員。健康診断にて骨盤内腫瘤を指摘され当院紹介受診となった。MRI にて体部後壁に 12㎝ の漿膜下筋腫、子宮底部に 7㎝ の漿膜下筋腫を指摘された。月経困難症があったが貧血はなく、低用量エストロゲン・プロゲスチン配合剤（以下：LEP）内服後、GnRHアゴニスト投与とし腹腔鏡補助下子宮筋腫核出術を予定した。LEP内服開始から5か月目に両側下腿浮腫が出現。血液検査にて 血中クレアチニン値が 1.81㎎ /dl と高値 であり、両側水腎症と診断され た。子宮筋腫による尿管圧迫に伴う腎後性腎不全が疑われた。腎機能が増悪しないことを確認しながらLEP休薬期間を設け、腹腔鏡補助下筋腫核出術を施行した。手術時間は2時間30分、出血量は 734g 、検体は 1009g であった。術後両側尿管ステントを挿入された。術後経過は良好であり、術後4日目に退院となった。腎機能、水腎症は徐々に改善し、術後7週目には両側尿管ステントは抜去となった。腹腔鏡補助下子宮筋腫核出術により、従来の開腹術と比較しより非侵襲的に治療を行うことが可能であった。","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_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2017342604","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-1914","subitem_source_identifier_type":"EISSN"}]},"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"川西, 智子","creatorNameLang":"ja"},{"creatorName":"KAWANISHI, Tomoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9010","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"望月, 亜矢子","creatorNameLang":"ja"},{"creatorName":"MOCHIZUKI, Ayako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9011","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"飯田, 智子","creatorNameLang":"ja"},{"creatorName":"IIDA, Tomoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9012","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"平井, 強","creatorNameLang":"ja"},{"creatorName":"HIRAI, Tsuyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9013","nameIdentifierScheme":"WEKO"}]}]},"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-6-1-87.pdf","filesize":[{"value":"701.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog-6-1-87.pdf","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3030/files/jsog-6-1-87.pdf"},"version_id":"9561896f-6f8a-4b70-a730-e7ecd0f89644"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"leiomyoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"laparoscopically-assisted myomectomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"LEP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"renal impairment","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Hydronephrosis","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":"子宮筋腫による尿管圧迫に伴う腎後性腎不全を来たし腹腔鏡補助下筋腫核出術後に改善した1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"子宮筋腫による尿管圧迫に伴う腎後性腎不全を来たし腹腔鏡補助下筋腫核出術後に改善した1例","subitem_title_language":"ja"},{"subitem_title":"Uterine leiomyoma caused renal impairment was treated by laparoscopically-assisted myomectomy","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["59"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-04-27"},"publish_date":"2017-04-27","publish_status":"0","recid":"3030","relation_version_is_last":true,"title":["子宮筋腫による尿管圧迫に伴う腎後性腎不全を来たし腹腔鏡補助下筋腫核出術後に改善した1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-07-30T05:01:54.199090+00:00"}