{"created":"2023-06-19T11:23:00.791881+00:00","id":3474,"links":{},"metadata":{"_buckets":{"deposit":"09e53810-5240-483b-9eb0-369dbe0d0e94"},"_deposit":{"created_by":3,"id":"3474","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3474"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00003474","sets":["7","7:23"]},"author_link":["9700","9701","9702"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-05-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"269","bibliographicPageStart":"265","bibliographicVolumeNumber":"63","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:直腸脱に対する会陰術式の1つであるGant-三輪-Thiersch法は,再発率が高く術後出血や直腸穿孔,Thiersch材料の感染や排便困難などの合併症が少なからず報告されている.今回Gant-三輪法の代わりにALTA治療を行い,Thiersch材料には伸縮性ポリエステルテープを用いた「ALTA-Thiersch法」を行った.対象:2005年10月から2009年5月に同法を行った完全直腸脱13例.方法:脱出直腸の口側から粘膜下層に少量ずつALTAを注入し,肛門の前後に小切開をおき,テープを肛門管外周に環状に通して両端の紐を結紮した.結果:手術時間は平均38分,合併症は便秘5例,肛門痛,蕁麻疹,創感染,発熱が各1例.全例で直腸脱は改善したが,3例で怒責時の粘膜脱出が残存した.結語:ALTA-Thiersch法は安全・簡便に施行でき,脱出の還納効果も十分に期待できる.","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":"2010194197"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"1084"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2949"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Hachiro, Yoshikazu"},{"subitem_text_language":"en","subitem_text_value":"Kunimoto, Masao"},{"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":"9700","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鉢呂, 芳一","creatorNameLang":"ja"},{"creatorName":"ハチロ, ヨシカズ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9701","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"國本, 正雄","creatorNameLang":"ja"},{"creatorName":"クニモト, マサオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"9702","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":"2021-07-06"}],"displaytype":"detail","filename":"3994.pdf","filesize":[{"value":"4.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"3994.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/3474/files/3994.pdf"},"version_id":"f0c61946-7416-4da3-a238-4d2a327ac1a4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"直腸脱","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Gant-三輪-Thiersch","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"ALTA","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":"硬化療法剤ALTAと伸縮性ポリエステルテープを用いた直腸脱手術","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"硬化療法剤ALTAと伸縮性ポリエステルテープを用いた直腸脱手術","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2011-09-15"},"publish_date":"2011-09-15","publish_status":"0","recid":"3474","relation_version_is_last":true,"title":["硬化療法剤ALTAと伸縮性ポリエステルテープを用いた直腸脱手術"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:02:50.244147+00:00"}