{"created":"2023-06-19T11:23:00.653778+00:00","id":3471,"links":{},"metadata":{"_buckets":{"deposit":"f5b59179-027d-402a-88f2-27454c8c5db3"},"_deposit":{"created_by":3,"id":"3471","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3471"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003471","sets":["7","7:23"]},"author_link":["9689","9690","9691","9692","9693"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-08-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"435","bibliographicPageStart":"431","bibliographicVolumeNumber":"59","bibliographic_titles":[{"bibliographic_title":"日本大腸肛門病学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"目的:裂肛に対する用手肛門拡張術(AD)について検討した.対象:2003年1月から2005年9月の間にADを行った98例(男性52例,女性46例).方法:ジャックナイフ位,仙骨硬膜外麻酔下で肛門に左右の示指を挿入して輪状の肛門内括約筋を触知しながら前後左右に少しずつ慎重に拡張した.結果:排便痛は術前83/98例(85%)に認められたが,術後3ヵ月後には7/51例(14%)に減少した.出血も73/98例(75%)から5/51例(10%)に減少した.術後の肛門管最大静止圧(MRP)は平均17.2mmHgの有意な低下が認められた.術後1ヵ月後の肛門超音波検査では,内外肛門括約筋に異常は認められなかった.1例で術後1ヵ月時点において下痢時の軽度便失禁を認めたが便失禁症状は数日で消失した.結論:ADの合併症は極めて少ないことが示されたため保存療法に抵抗する裂肛に対するスタンダードな治療となりうる","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","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":"0047-1801","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2006288171"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1053"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1103"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kunimoto, Masao"},{"subitem_text_language":"en","subitem_text_value":"Hachiro, Yoshikazu"},{"subitem_text_language":"en","subitem_text_value":"Kusano, Masanobu"},{"subitem_text_language":"en","subitem_text_value":"Okita, Kenji"},{"subitem_text_language":"en"}]},"item_5_version_type_38":{"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":"安部, 達也","creatorNameLang":"ja"},{"creatorName":"アベ, タツヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9689","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"国本, 正雄","creatorNameLang":"ja"},{"creatorName":"クニモト, 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