{"created":"2024-07-04T04:55:07.873393+00:00","id":2000412,"links":{},"metadata":{"_buckets":{"deposit":"d1de0150-1ff6-4e94-b5e2-c7d59f45f524"},"_deposit":{"created_by":11,"id":"2000412","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000412"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000412","sets":["2:48:1720057121489"]},"author_link":["4242","4246","4250","4241","4252","1475","4249","4247","4251","4245","4243","4244","4248"],"control_number":"2000412","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2000-11","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"I","bibliographicPageEnd":"26","bibliographicPageStart":"23","bibliographicVolumeNumber":"2","bibliographic_titles":[{"bibliographic_title":"日本産科婦人科学会香川地方部会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"双胎妊娠における周産期予後に対する不妊治療の影響を検討した。対象は1997年1月から2000年2月までの3年2ヶ月間に聖隷浜松病院総合周産期母子医療センターで妊娠初期より管理した双胎妊娠例108例である。それらを自然妊娠群（50例）、一般不妊治療群（38例）、高度不妊治療群（20例）の3群に分類しその患者背最を比較した後、膜性を2絨毛膜2羊膜性双胎（DD-twin : dichorionic diamniotic twins）に限定して3群を比較検討した。検討項目は分娩週数・新生児体重・児体重差・Apgar score・奇形率・周産期死亡率である。結果は、双胎全体では不妊治療群は自然妊娠群に比較し母体年齢が高く、初産婦の割合が莉かった。膜性は自然妊娠群に有意に1絨毛膜2羊膜性双胎（MD-twin; monoch orionic diarnniotic twins）が多く、入院期間は、自然妊娠群の方が長い傾向がみられた。頚管縫縮術の施行率に差はなかった。症例をDD-twinに限定し（自然妊娠群20例、一般不妊治療群35例、甜度不妊治療群20例）検討したところ、分娩週数・新生児児体重・児体重差・Apgar score・奇形率・周産期死亡率などの検討したいずれの項目に関しても各群間に有意差を認めず、双胎妊娠に関して不妊治療の有無は周産期予後に影響を与えなかった。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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