{"created":"2023-06-20T15:48:50.810002+00:00","id":3375,"links":{},"metadata":{"_buckets":{"deposit":"903bbeb9-f7ab-44ea-963d-b9f999218d4b"},"_deposit":{"created_by":4,"id":"3375","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3375"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003375","sets":["1:12:68"]},"author_link":["9862","9863","9864","9865","9866","9867","9868","9869","9870"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"27","bibliographicPageStart":"18","bibliographicVolumeNumber":"8","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":"胎盤残留は胎盤娩出の遅延として診断され、その多くはplacenta accreta spectrum (PAS) disordersが関与していると推察される。PAS disordersの管理法は、完全待機、子宮温存胎盤摘出、外科的子宮摘出の3種類に分類でき、その選択は妊孕性温存の希望や出血量、感染に依存する。当院で近年経験した搬送症例を含めた胎盤残留8症例について検討した。\n8症例のうち経過観察後に胎盤娩出を試行して娩出した症例が2例、一部遺残させたまま経過観察した症例が2例、子宮摘出をした症例が1例、経過観察中に感染を生じた症例が3例であった。分娩後数時間以内の胎盤用手剥離は大量出血の症例がみられた。10日以内の待機後に超音波ドプラー法にて胎盤の著明な血流減少を認めた時に胎盤摘出を試行することで総出血量の減少・比較的早期の退院・重篤な感染症発症の予防を同時に実現できる可能性が推察された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Placental retention is diagnosed on the basis of delayed delivery of the placenta. We suspect that most cases of true placental retention are associated with placenta accreta spectrum (PAS) disorders. Management of PAS disorders can be classified into 3 types, namely complete conservative “leaving the placenta in situ” approach, uterine conservative placenta extirpation, and surgical approach (hysterectomy). The choice of the management type depends on the patient’s wish for fertility preservation, volume of bleeding, and presence of infection. We report 8 cases of placental retention or PAS disorders which we experienced recently. We have 2 cases whose placenta was delivered by placenta extirpation after follow-up observation, 2 cases that were followed for remains of partial placenta, a case with hysterectomy and 3 cases were found infected during follow-up observation. The cases with manual removal of placenta within several hours after delivery suffered massive bleeding. From the results of 8 cases in the present study, we found that placenta extirpation significantly decreased placental blood flow on ultrasonic Doppler, if performed within 10 days of conservative management might result in earlier discharge and prevent serious infection.","subitem_description_language":"en","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":"2019336792","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":"山本, 小百合","creatorNameLang":"ja"},{"creatorName":"YAMAMOTO, Sayuri","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9862","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小阪, 謙三","creatorNameLang":"ja"},{"creatorName":"KOSAKA, Kenzo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9863","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"小嶋, 一司","creatorNameLang":"ja"},{"creatorName":"KOJIMA, Kazushi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9864","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"笹ヶ迫, 奈々代","creatorNameLang":"ja"},{"creatorName":"SASAGASAKO, Nanayo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9865","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"露木, 大地","creatorNameLang":"ja"},{"creatorName":"TSUYUKI, Daichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9866","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"河合, 恵理","creatorNameLang":"ja"},{"creatorName":"KAWAI, Eri","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9867","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川村, 温子","creatorNameLang":"ja"},{"creatorName":"KAWAMURA, Atsuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9868","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山西, 恵","creatorNameLang":"ja"},{"creatorName":"YAMANISHI, Megumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9869","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山西, 優紀夫","creatorNameLang":"ja"},{"creatorName":"YAMANISHI, Yukio","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"9870","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":"2019-03-26"}],"displaytype":"detail","filename":"jsog_8_1_18.pdf","filesize":[{"value":"499.9 kB"}],"format":"application/pdf","licensefree":"fulltext","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_8_1_18","url":"https://hama-med.repo.nii.ac.jp/record/3375/files/jsog_8_1_18.pdf"},"version_id":"59805408-59eb-4e16-addc-3da68d933299"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"placenta accreta","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"retention","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"placenta","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"retained placenta","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"PAS disorders","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":"Placenta accreta spectrum (PAS) disordersが示唆された胎盤残留 8症例の検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Placenta accreta spectrum (PAS) disordersが示唆された胎盤残留 8症例の検討","subitem_title_language":"ja"},{"subitem_title":"Analysis of eight cases of retention of the placenta suggestive of placenta accreta spectrum (PAS) disorders","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["68"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-03-26"},"publish_date":"2019-03-26","publish_status":"0","recid":"3375","relation_version_is_last":true,"title":["Placenta accreta spectrum (PAS) disordersが示唆された胎盤残留 8症例の検討"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-08-01T03:00:34.386085+00:00"}