{"created":"2023-06-19T11:23:27.593474+00:00","id":4000,"links":{},"metadata":{"_buckets":{"deposit":"708c0160-53b4-429c-951e-350b89e30285"},"_deposit":{"created_by":3,"id":"4000","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4000"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004000","sets":["7","7:23"]},"author_link":["12054","12055","12056","12057","12058","12059"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"85","bibliographicPageStart":"83","bibliographicVolumeNumber":"20","bibliographic_titles":[{"bibliographic_title":"日本小児泌尿器科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"膀胱外反症の根治手術の際に使用した非吸収性テープにより発生した再発性尿道肉芽腫の男児例につき報告する。2004年10月体外受精・胚移植による妊娠後37週2020gで出生。出生時に膀胱外反症と診断され、生後6日目に他院にて膀胱尿道閉鎖術が施行されたが、尿道組織に余裕がなく、外尿道口は陰茎陰嚢部に位置し、尿道下裂の状態となった。同時に整形外科医により離開した恥骨結合の修復が施行された。その後当院を通院し始めるが、術後1年過ぎより外尿道口から腫瘤の出現を認め、出血を起こすため内視鏡的に切除した。膀胱頸部12時方向に茎があり、病理組織学的には炎症性肉芽組織であった。初回切除から22ヵ月の間に3回の再発があり、経尿道的また経膀胱瘻的に腫瘍を再切除した。4回目の経膀胱瘻的切除の際、切除した腫瘤の根部に白色の繊維性物質を認めた。膀胱外反症の手術時、離開した恥骨結合はダクロンテープを両側閉鎖孔に通して引き寄せることで修復されており、ダクロンテープが異物となって発生した尿道肉芽腫と診断した。2009年3月、恥骨部の皮膚を正中切開し、恥骨結合下縁で結び目のあるダクロンテープを確認後、ダクロンテープを切断して摘出した。尿道前壁がやや欠損する形となったため、周囲組織をあわせて前壁を閉じた。その後尿道肉芽腫の再発は認めていない。尿路に近接する部位に非吸収糸やテープを用いると、異物反応が惹起されることが再確認された。膀胱外反症に付随する恥骨結合の離開に対しては、太い吸収糸を用いて左右恥骨の結節縫合を行うなど、術式に留意すべきである。","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":"1341-0784","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2011324279"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"784"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"291"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Watanabe, Masaki"},{"subitem_text_language":"en","subitem_text_value":"Kita, Masafumi"},{"subitem_text_language":"en","subitem_text_value":"Kato, Yuji"},{"subitem_text_language":"en","subitem_text_value":"Matsumoto, Seiji"},{"subitem_text_language":"en","subitem_text_value":"Kakizaki, Hidehiro"},{"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":"和田, 直樹","creatorNameLang":"ja"},{"creatorName":"ワダ, ナオキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12054","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"渡邊, 成樹","creatorNameLang":"ja"},{"creatorName":"ワタナベ, マサキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12055","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"北, 雅史","creatorNameLang":"ja"},{"creatorName":"キタ, マサフミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12056","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 祐司","creatorNameLang":"ja"},{"creatorName":"カトウ, ユウジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12057","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松本, 成史","creatorNameLang":"ja"},{"creatorName":"マツモト, セイジ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12058","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"柿崎, 秀宏","creatorNameLang":"ja"},{"creatorName":"カキザキ, ヒデヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"12059","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":"4745.pdf","filesize":[{"value":"2.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"4745.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4000/files/4745.pdf"},"version_id":"c11fe566-129c-4b28-8acf-a48f2e89aad5"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"膀胱外反症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"尿道","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"肉芽腫","subitem_subject_language":"ja","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":"膀胱外反症術後に生じた再発性尿道肉芽腫の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"膀胱外反症術後に生じた再発性尿道肉芽腫の1例","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-08-13"},"publish_date":"2012-08-13","publish_status":"0","recid":"4000","relation_version_is_last":true,"title":["膀胱外反症術後に生じた再発性尿道肉芽腫の1例"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:03:21.987156+00:00"}