{"created":"2023-06-19T11:21:55.854028+00:00","id":2208,"links":{},"metadata":{"_buckets":{"deposit":"f42b861a-e84c-451d-bb10-bd5f6c8ba164"},"_deposit":{"created_by":3,"id":"2208","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2208"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00002208","sets":["7","7:23"]},"author_link":["6669","6670","6671","6672"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"107","bibliographicPageStart":"103","bibliographicVolumeNumber":"50","bibliographic_titles":[{"bibliographic_title":"北海道外科雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"1993年6月から2004年3月までに手術を施行した腹部大動脈瘤症例のうち,退院後6ヵ月以上を経過した95症例を対象に,遠隔期成績を後方視的に検討した.待機手術88例,破裂による緊急手術7例で,平均観察期間は47.7±27.7ヵ月,1例は追跡不能であった.術後遠隔期に,下肢ASO進展:6例,末梢吻合部瘤:3例,胸部大動脈瘤:2例,内腸骨動脈瘤:2例,虚血性心疾患:2例,イレウス:2例,胸腹部大動脈瘤:1 例,脳梗塞:1例を認めた.遠隔期死亡は19例で,癌死:6例,心血管疾患:3例,腎不全:4例,肺炎:3例,脳梗塞例:1例等であった.5年心血管事故回避率は80.3%,術後累積5年生存率は70.7%で,術後遠隔期に腹部大動脈瘤手術関連による死亡はなかった.心血管事故回避率ではASO合併群が有意に不良であり,遠隔期死亡の約30%が癌死であった.以上,これらのことからも,悪性腫瘍の発生や動脈硬化性疾患進行等を踏まえた術後のfollow upが重要であると示唆された.","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-7509","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2006129841"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"794"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kimura, Fumiaki"},{"subitem_text_language":"en","subitem_text_value":"Izumi, Yuichi"},{"subitem_text_language":"en","subitem_text_value":"Magishi, Katsuaki"},{"subitem_text_language":"en","subitem_text_value":"Ishikawa, Noriyuki"},{"subitem_text_language":"en"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"木村, 文昭","creatorNameLang":"ja"},{"creatorName":"キムラ, フミアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"和泉, 裕一","creatorNameLang":"ja"},{"creatorName":"イズミ, ユウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"眞岸, 克明"},{"creatorName":"マギシ, カツアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石川, 訓行","creatorNameLang":"ja"},{"creatorName":"イシカワ, ノリユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"3040.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3040.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/2208/files/3040.pdf"},"version_id":"3d90ca26-f780-42d6-bb89-0bd1f0cf353f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹部大動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"遠隔成績","subitem_subject_scheme":"Other"},{"subitem_subject":"遠隔期合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"虚血性心疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"閉塞性動脈硬化症","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"}]},"item_title":"腹部大動脈瘤手術後の遠隔期成績","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹部大動脈瘤手術後の遠隔期成績","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-06-09"},"publish_date":"2010-06-09","publish_status":"0","recid":"2208","relation_version_is_last":true,"title":["腹部大動脈瘤手術後の遠隔期成績"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-04-25T08:08:20.731238+00:00"}