{"created":"2024-08-07T00:48:09.639939+00:00","id":2000520,"links":{},"metadata":{"_buckets":{"deposit":"619c38e4-52b2-4999-8a2f-82c422e6a4df"},"_deposit":{"created_by":50,"id":"2000520","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000520"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000520","sets":["2:1720746067615:1722583161239"]},"author_link":["4329","4350","4348","1564","751","4349","4331"],"control_number":"2000520","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"14","bibliographicPageStart":"11","bibliographicVolumeNumber":"22","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology : official journal of the Kagawa Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"一過性大腿骨頭萎縮症は壮年期男性や妊娠後期女性に好発する股関節痛を主症状とする疾患である。通常は数か月の経過で自然に軽快するが、骨折や骨頭壊死を併発し重篤な転帰をたどるものもある。今回、妊娠後期に発症した一過性大腿骨頭萎縮症の一例を経験したので報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"症例は32歳初産婦。妊娠前よりBMI29の肥満を認め、2型糖尿病に対するインスリン加療中に人工授精で妊娠に至った。妊娠25週頃に右股関節の運動時痛が出現、妊娠34週には左股関節痛も認めるようになり独歩困難となった。妊娠35週6日に施行した単純MRIで両側大腿骨頭から頚部にかけてT1強調画像で低信号、T2強調画像で高信号を呈する骨髄浮腫所見を認め、一過性大腿骨頭萎縮症と診断した。DXA（dual energy X-ray absorptiometry）法により測定した大腿骨頚部頸部の骨密度値より骨折リスクは低いと判断し、妊娠38週まで妊娠を継続して分娩誘発による経膣分娩トライアルを行う方針とした。安静および免荷による保存的加療を行いつつ妊娠を継続、妊娠38週2日より硬膜外麻酔を併用した分娩誘発を開始したが、陣痛にともなう疼痛の増強を十分にコントロールできず、妊娠38週4日に緊急帝王切開を施行した。産褥3日目より床上での下肢筋力強化訓練を開始し、産褥9日目より荷重を開始、松葉杖歩行が可能となった産褥18日に自宅退院となった。産褥1か月には独歩可能となり、MRI所見の正常化も確認された。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"本症例の経験から、一過性大腿骨頭萎縮症における骨折リスクを評価する方法としてDXA法が有用である可能性が示唆された。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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hip","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pregnancy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"DXA(dual energy X-ray absorptiometry)","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":"妊娠中に発症した一過性大腿骨頭萎縮症におけるDXA法の有用性","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"妊娠中に発症した一過性大腿骨頭萎縮症におけるDXA法の有用性","subitem_title_language":"ja"},{"subitem_title":"Usefulness of dual energy X-ray absorptiometry in transient osteoporosis of the hip during pregnancy","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722583161239"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-08-07"},"publish_date":"2024-08-07","publish_status":"0","recid":"2000520","relation_version_is_last":true,"title":["妊娠中に発症した一過性大腿骨頭萎縮症におけるDXA法の有用性"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-26T02:52:49.063397+00:00"}