{"created":"2024-07-30T07:46:53.064238+00:00","id":2000487,"links":{},"metadata":{"_buckets":{"deposit":"f3ec8141-0413-46e8-ab3b-056b560d7f36"},"_deposit":{"created_by":50,"id":"2000487","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000487"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000487","sets":["2:1720746067615:1722231022621"]},"author_link":["4329","4330","1564","751","4318","1615","4331"],"control_number":"2000487","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"37","bibliographicPageStart":"33","bibliographicVolumeNumber":"19","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"排卵誘発剤の副作用の一つである卵巣過剰刺激症候群（ovarian hyperstimulation syndrome : OHSS）は、時に卵巣腫大に伴う卵巣茎捻転を呈する。妊娠症例では16%にOHSSに伴う卵巣茎捻転が発症するとされており、発症時期によっては妊娠継続の可否に関わる。我々は、妊娠6週にOHSSによる右卵巣茎捻転に対して右付属器切除術を施行し、生児を得た一例を経験したので報告する。症例は31歳、1経妊1経産。15歳時に左卵巣腫瘍茎捻転に対して左付属器切除術の既往があった。前医でhCG-hMG療法後人工授精によって妊娠が成立した。妊娠6週に激しい下腹部痛を主訴に同院を受診し、経腟超音波検査で8cmに腫大した右卵巣の茎捻転が強く疑われた。同日、当科で緊急手術を施行した。10cmに腫大した右卵巣は540度捻転し、黒色に変色していた。捻転解除後に時間をおいても色調の改善を認めなかったため、右付属器切除術を施行した。右卵巣の病理組織では出血壊死を呈していた。術直後より黄体ホルモンを補充し、既往帝切後妊娠の適応で妊娠37週3日に選択的帝王切開術を施行して2788gの男児を娩出した。妊娠成立後にOHSSによる卵巣茎捻転のため卵巣摘出した場合、ホルモン補充の必要性については一定の見解は得られていない。本症例は妊娠中に卵巣機能が完全に欠落してしまったが、ホルモン補充を施行することで妊娠継続することができた。少なくとも黄体ホルモン産生の主座が黄体にある期間はホルモン補充が必要であると考える。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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pregnancy.","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722231022621"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-07-30"},"publish_date":"2024-07-30","publish_status":"0","recid":"2000487","relation_version_is_last":true,"title":["妊娠初期の手術によって卵巣欠落状態となったが、ホルモン補充を施行して生児を得た一例"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-26T02:09:10.011079+00:00"}