{"created":"2023-06-19T11:24:13.230771+00:00","id":4901,"links":{},"metadata":{"_buckets":{"deposit":"16a80ba0-8be9-47d3-b502-91fde53fb041"},"_deposit":{"created_by":1,"id":"4901","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4901"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004901","sets":["7","7:23"]},"author_link":["15148","15153","15147","15151","15154","15152","15146","15150","15145","15155","15149"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-12-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"8","bibliographicPageEnd":"579","bibliographicPageStart":"576","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"気管支学"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景.1999年以降の光線力学的治療(PDT)症例に対し治療前の蛍光気管支鏡(PDD)を併用し,病変範囲や多発病変の確認を行ってきた.目的.中枢型早期肺癌に対するPDT時のPDD併用の有用性を検討した.対象と方法.1999年から2004年にPDTを行った12症例に,治療直前のPDDを行った(後期群).病変部の赤色蛍光範囲を観察し,レーザーの照射法を再検討して治療した.PDDを併用しなかったPDT群のCR率および再発率と比較した.強い赤色蛍光を発生する部位の気管支生検・迅速細胞診を行い,病理学的に検討した.治療後も同部位について病理学的に経過を観察した.これらの結果を1982年から1993年のPDT症例(前期群)と比較した.結果.後期群では12症例,33部位のPDTを行った.14部位でPDDの所見を参考にレーザー照射法の設定を行った.CR率は88%,再発率は12%であった.PDDを併用しなかった前期群に比べCR率は上昇し,再発率は低下した.強い赤色蛍光を呈した23部位を気管支生検した.その内の1部位で迅速細胞診を行った.生検を行った23部位中6部位が新たに扁平上皮癌と診断された.その内,迅速細胞診でも扁平上皮癌と診断された1病変と主病変の近傍であった1病変は,一期的に治療を行った.3部位は後日PDTを行い治癒を得た.1病変は経過観察中に異常細胞がみられなくなった.考察.PDT時のPDD併用により,レーザー照射法の選択や他病変の発見率が改善しPDTの治癒率が上昇することが示唆された","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2006085118","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0287-2137","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2006085118"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"583"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"367"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Nakanishi, Kyoko"},{"subitem_text_value":"Ohsaki, Yoshinobu"},{"subitem_text_value":"Kurihara, Maki"},{"subitem_text_value":"Nakao, Shoko"},{"subitem_text_value":"Toyoshima, Eri"},{"subitem_text_value":"Takahashi, Toru"},{"subitem_text_value":"Osanai, Shinobu"},{"subitem_text_value":"Nakano, Hitoshi"},{"subitem_text_value":"Kikuchi, Kenjiro"},{"subitem_text_value":"Takeyama, Kaneyoshi"},{"subitem_text_value":"Nakajima, Susumu"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中西, 京子"},{"creatorName":"ナカニシ, キョウコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15145","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"大崎, 能伸"},{"creatorName":"オオサキ, ヨシノブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15146","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"栗原, 真紀"},{"creatorName":"クリハラ, 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