{"created":"2024-08-09T01:01:07.983102+00:00","id":2000530,"links":{},"metadata":{"_buckets":{"deposit":"a4652891-8555-430d-8fab-06637939870c"},"_deposit":{"created_by":50,"id":"2000530","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000530"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000530","sets":["2:1720746067615:1722583163086"]},"author_link":["4103","4357","673","3078","372"],"control_number":"2000530","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"50","bibliographicPageStart":"45","bibliographicVolumeNumber":"23","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":"Accessory and cavitated uterine masses（ACUM）は2010年にAciénらが提唱した疾患で、ミュラー管異常に起因すると考えられる若年女性の子宮内の嚢胞性腫瘤である。ACUMは子宮内腔とは交通性のない副腔内に正常子宮内膜と同様に月経周期に連動して機能する子宮内膜組織を有する腫瘤で、円靱帯の子宮付着部近傍の子宮筋層内から広間膜内にかけて腫大するのが特徴的な所見である。激しい月経困難症状や慢性骨盤痛が主訴であることが多く、低用量エストロゲン・プロゲスチン配合薬（low dose estrogen-progestin: LEP）や低用量経口避妊薬（oral contraceptive: OC）などを服用しても激しい月経痛が改善しなかったり、NSAIDsが無効の慢性骨盤痛に悩まされたりすることから、若年であっても手術摘出が著効する例が多い。我々は、子宮筋層内の小さなACUMの腹腔鏡下摘出に際して、術中に腫瘤同定が困難であることが予測されたが、術中経腟超音波検査による腫瘤マーキングを行うことで低侵襲手術が遂行でき、慢性骨盤痛が改善した症例を経験したので報告する。","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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pelvic pain:CPP","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"accessory and cavitated uterine masses(ACUM)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"juvenile  cystic adenomyoma(JCA)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cystic adenomyoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cystic adenomyosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"laparoscopic surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"minimum invasive surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ultrasonography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"intraoperative ultrasound","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":"術中経腟超音波検査ガイド下にマーキングを行い腹腔鏡下に摘出したaccessory and cavitated uterine masses（ACUM）の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"術中経腟超音波検査ガイド下にマーキングを行い腹腔鏡下に摘出したaccessory and cavitated uterine masses（ACUM）の一例","subitem_title_language":"ja"},{"subitem_title":"Sonographic guided laparoscopic excision of accessory cavitated uterine mass(ACUM)","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"50","path":["1722583163086"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-08-09"},"publish_date":"2024-08-09","publish_status":"0","recid":"2000530","relation_version_is_last":true,"title":["術中経腟超音波検査ガイド下にマーキングを行い腹腔鏡下に摘出したaccessory and cavitated uterine masses（ACUM）の一例"],"weko_creator_id":"50","weko_shared_id":-1},"updated":"2024-09-26T02:57:44.864954+00:00"}