{"id":148,"date":"2012-04-17T23:22:18","date_gmt":"2012-04-17T14:22:18","guid":{"rendered":"\/sawamura\/blog\/?p=148"},"modified":"2020-08-28T15:55:10","modified_gmt":"2020-08-28T06:55:10","slug":"rathke","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/braintumors\/rathke\/","title":{"rendered":"\u30e9\u30c8\u30b1\u306e\u3046\u80de\uff08\u56a2\u80de\uff09Rathke&#8217;s cleft cyst"},"content":{"rendered":"<div class=\"setumei\">\n<ul>\n<li>\u4e0b\u5782\u4f53\u306b\u3067\u304d\u308b\u4e2d\u306b<span style=\"color: #000080;\"><strong>\u6db2\u4f53\u304c\u305f\u307e\u3063\u3066\u3044\u308b\u888b<\/strong><\/span>\u306e\u3088\u3046\u306a\u816b\u760d\u3067\u3059<\/li>\n<li>\u5c0f\u5150\u304b\u3089\u6210\u4eba\u307e\u3067\u3044\u308d\u3044\u308d\u306a\u5e74\u9f62\u5c64\u3067<strong><span style=\"color: #ff0000;\">\u5076\u7136\u767a\u898b\u3055\u308c\u308b<\/span><\/strong>\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u75c7\u72b6\u3082\u4f55\u3082\u306a\u3044\u3082\u306e\u304c\u5727\u5012\u7684\u306b\u591a\u3044\u306e\u3067\uff0c<strong><span style=\"color: #ff0000;\">\u57fa\u672c\u7684\u306b\u306f\u6cbb\u7642\u3059\u308b\u5fc5\u8981\u304c\u306a\u3044<\/span><\/strong>\u816b\u760d\u3067\u3059<\/li>\n<li>\u307e\u308c\u306b\u5927\u304d\u306a\u56a2\u80de\u3068\u306a\u3063\u3066\u75c7\u72b6\u3092\u51fa\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong><span style=\"color: #ff0000;\">\u773c\u304c\u307f\u3065\u3089\u304f\u306a\u3063\u305f\u308a\uff08\u8996\u91ce\u969c\u5bb3\uff09<\/span>\uff0c\u304a\u3057\u3063\u3053\u304c\u305f\u304f\u3055\u3093\u51fa\u305f\u308a\uff08\u5c3f\u5d29\u75c7\uff09\uff0c\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u304c\u8db3\u308a\u306a\u304f\u306a\u3063\u305f\u308a<\/strong><\/span>\u3057\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u307e\u308c\u306b\u982d\u75db<\/strong><\/span>\u3092\u51fa\u3059\u3053\u3068\u3082\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u305f\u3081\u306b\u982d\u75db\u304c\u3042\u308b\u306e\u304b\u3069\u3046\u304b\u614e\u91cd\u306b\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"cranio\/\">\u982d\u84cb\u54bd\u982d\u816b<\/a><\/strong><\/span>\u3068\u9593\u9055\u3048\u3089\u308c\u3084\u3059\u3044\u75c5\u6c17\u3067\u3059\u304b\u3089MRI\u691c\u67fb\u3092\u304d\u3061\u3093\u3068\u307f\u308c\u308b\u533b\u5e2b\u306b\u76f8\u8ac7\u3057\u307e\u3057\u3087\u3046<\/li>\n<li><strong><span style=\"color: #ff0000;\">\u6cbb\u7642\u306f\u9f3b\u306e\u5b54\u304b\u3089\u306e\u305e\u3044\u3066\u306e\u3046\u80de\u3092\u3077\u3064\u3093\u3068\u7834\u308b<\/span><\/strong>\u7c21\u5358\u306a\u624b\u8853\u3067\u3044\u3044\u3067\u3059<\/li>\n<li>\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u306b\u3088\u308b\u9020\u888b\u8853\u3068\u3044\u3044\u307e\u3059<\/li>\n<li>\u30e9\u30c8\u30b1\u56a2\u80de\u3092\u5b8c\u5168\u306b\u624b\u8853\u3067\u3068\u308d\u3046\u3068\u3059\u308b\u3068\uff0c\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u969c\u5bb3\u3092\u51fa\u3059\u6050\u308c\u304c\u9ad8\u3044\u306e\u3067\u305d\u306e\u3088\u3046\u306a\u624b\u8853\u306f\u3057\u307e\u305b\u3093<\/li>\n<li>\u3060\u3044\u3058\u306a\u3053\u3068\u306f\uff0c<span style=\"color: #000080;\"><strong>\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u307b\u3068\u3093\u3069\u306f\u6cbb\u7642\u3092\u3059\u308b\u5fc5\u8981\u304c\u306a\u3044<\/strong><\/span>\u816b\u760d\u3060\u3068\u3044\u3046\u3053\u3068\u3067\u3059<\/li>\n<li>\u75c7\u72b6\u3082\u306a\u3044\u5c0f\u5150\u306e\u30e9\u30c8\u30b1\u56a2\u80de\u3092\u624b\u8853\u3059\u308b\u8133\u795e\u7d4c\u5916\u79d1\u306e\u5148\u751f\u304c\u3044\u307e\u3059\u304c\u3001\u79c1\u306f\u305d\u308c\u306b\u306f\u53cd\u5bfe\u306e\u7acb\u5834\u3067\u3059<\/li>\n<li>\u816b\u760d\u304c\u5927\u304d\u304f\u306a\u308b\u3068\u3044\u3046\u7406\u7531\u3067\u624b\u8853\u3092\u52e7\u3081\u3089\u308c\u305f\u6642\u306b\u306f\u614e\u91cd\u306b\u5224\u65ad\u3057\u307e\u3059<\/li>\n<li>\u7c21\u5358\u306a\u624b\u8853\u3068\u8a00\u308f\u308c\u3066\u3082\u78ba\u4fe1\u304c\u6301\u3066\u306a\u3051\u308c\u3070\u30bb\u30ab\u30f3\u30c9\u30aa\u30d4\u30cb\u30aa\u30f3\u3092\u805e\u304d\u307e\u3057\u3087\u3046<\/li>\n<li>\u307e\u308c\u306b\uff0c\u306e\u3046\u80de\u5185\u306b\u611f\u67d3\u3057\u3066\u30e9\u30c8\u30b1\u306e\u3046\u80de\u7531\u6765\u306e\u4e0b\u5782\u4f53\u708e\u3092\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<hr \/>\n<h5>MRI\u753b\u50cf\uff08T1\u4f4e\u4fe1\u53f7\u306e\u3082\u306e\uff09<\/h5>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7724\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke1.png\" alt=\"rathke1\" width=\"227\" height=\"222\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7725\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke2.png\" alt=\"rathke2\" width=\"227\" height=\"220\" \/><\/a><\/p>\n<p>\u30e9\u30c8\u30b1\u56a2\u80de\u306eMRI\u3067\u3059\u3002\u4e21\u8033\u5074\u534a\u76f2\u3068\u3044\u3046\u8996\u91ce\u306e\u969c\u5bb3\uff08\u76ee\u304c\u307f\u3065\u3089\u3044\uff09\u3067\u767a\u75c7\u3057\u305f\u5973\u6027\u306e\u3082\u306e\u3067\u3059\u3002\u5de6\u306fT2\u5f37\u8abf\u753b\u50cf\u3068\u8a00\u3044\u307e\u3059\u3002\u53f3\u306f\u30ac\u30c9\u30ea\u30cb\u30a6\u30e0\u9020\u5f71\u5264\u3092\u4f7f\u3063\u305f\u3082\u306e\u3067\u3059\u3002\u56a2\u80de\u306e\u3046\u3059\u3044\u58c1\u3060\u3051\u304c\u898b\u3048\u307e\u3059\u304c\uff0c\u4e2d\u8eab\u306f\u6db2\u4f53\u3067\u3059\u3002\u9f3b\u5b54\u304b\u3089\u5165\u3063\u3066\u56a2\u80de\u3092\u3077\u3064\u3093\u3068\u3064\u3076\u3059\u3060\u3051\u306e\u624b\u8853\u3092\u3057\u307e\u3059\u3002\u8584\u3044\u9ec4\u8272\u306e\u6c34\u306e\u3088\u3046\u306a\u6db2\u4f53\u304c\u51fa\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke3.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-7726\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke3.png\" alt=\"rathke3\" width=\"227\" height=\"228\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke3.png 227w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathke3-200x200.png 200w\" sizes=\"auto, (max-width: 227px) 100vw, 227px\" \/><\/a><br \/>\n\u624b\u8853\u5f8c\u306eMRI\u3067\u3059\u3002\u56a2\u80de\u306f\u307a\u3057\u3083\u3093\u3053\u306b\u306a\u3063\u3066\u8996\u529b\u306f\u826f\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u6b63\u5e38\u306e\u4e0b\u5782\u4f53\u306f\u6b8b\u3063\u3066\u3044\u3066\u30db\u30eb\u30e2\u30f3\u306e\u969c\u5bb3\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<hr \/>\n<h5>MRI\u753b\u50cf\uff08T1\u9ad8\u4fe1\u53f7\u306e\u3082\u306e\uff09<\/h5>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5063\" title=\"rathket1\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket1-300x293.jpg\" alt=\"\" width=\"300\" height=\"293\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket1-300x293.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket1.jpg 400w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket2col.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-5064\" title=\"rathket2col\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket2col-300x296.jpg\" alt=\"\" width=\"300\" height=\"296\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket2col-300x296.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathket2col.jpg 389w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306fT1\u5f37\u8abf\u753b\u50cf\u3067\u767d\u304f\uff08\u5de6\uff1a\u9ad8\u4fe1\u53f7\uff09\u306b\u307f\u3048\u3066\uff0cT2\u5f37\u8abf\u753b\u50cf\u3067\u9ed2\u304f\uff08\u53f3\uff1a\u4f4e\u4fe1\u53f7\uff09\u306b\u307f\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u524d\u306e\u4f8b\u3068\u306f\u304b\u306a\u308a\u9055\u3063\u305f\u5370\u8c61\u3067\u3059\u3002\u4e2d\u8eab\u306f\u4e73\u767d\u8272\u306e\u30c9\u30ed\u30c9\u30ed\u306e\u6db2\u4f53\u3067\u3059\u3002\u77e2\u5370\u306e\u3068\u3053\u308d\u306f\u8996\u795e\u7d4c\u4ea4\u53c9\uff08\u5de6\u53f3\u306e\u8996\u795e\u7d4c\u304c\u3064\u306a\u304c\u308b\u3068\u3053\u308d\uff09\u3067\uff0c\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306b\u5727\u8feb\u3055\u308c\u3066\u5f13\u5f62\u306b\u5909\u5f62\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u304f\u3089\u3044\u306e\u8996\u4ea4\u5dee\u306e\u5909\u5f62\u3067\u306f\u8996\u91ce\u969c\u5bb3\u306f\u51fa\u307e\u305b\u3093\u3057\u8996\u529b\u3082\u4f4e\u4e0b\u3057\u307e\u305b\u3093\u3002\u3067\u3059\u304b\u3089\uff0c\u624b\u8853\u3082\u4f55\u3082\u3057\u306a\u3044\u3067\u7d4c\u904e\u89b3\u5bdf\u306e\u307f\u3092\u3057\u307e\u3059\u3002\u591a\u304f\u306e\u5834\u5408\u306f\uff0c\u4f55\u3082\u6cbb\u7642\u3057\u306a\u304f\u3066\u826f\u3044\u3082\u306e\u3067\u3059\u3002\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u7121\u6cbb\u7642\u3067\u7d4c\u904e\u3092\u898b\u307e\u3057\u305f\u3002<\/p>\n<hr \/>\n<h5><span style=\"color: #000080;\"><strong>\u4e0b\u5782\u4f53\u30db\u30eb\u30e2\u30f3\u306e\u7570\u5e38\u3060\u3051\u3067\u767a\u75c7\u3059\u308b\u30e9\u30c8\u30b1\u56a2\u80de\u3082\u3042\u308a\u307e\u3059<\/strong><\/span><\/h5>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/rathke\/rathkeito.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/07\/rathke\/rathkeito.png\" alt=\"\" width=\"235\" height=\"244\" \/><\/a><br \/>\n\u3053\u306e\u60a3\u8005\u3055\u3093\u306f\u8efd\u3044\u4e0b\u5782\u4f53\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u3067\u767a\u75c7\u3057\u307e\u3057\u305f\u3002\u8776\u5f62\u9aa8\u6d1e\u306e\u4e2d\u306b\u306e\u3046\u80de\u304c\u62e1\u5927\u3057\u3066\u3044\u3066\uff0c\u4e0b\u5782\u4f53\u304c\u307a\u3063\u305f\u3093\u3053\u3067\u3059\u3002\u978d\u4e0a\u90e8\u306b\u306f\u5168\u304f\u4f38\u3073\u3066\u3044\u306a\u3044\u306e\u3067\uff0c\u8996\u795e\u7d4c\u4ea4\u53c9\u306f\u6b63\u5e38\u306b\u898b\u3048\u307e\u3059\u3002\u3053\u306e\u624b\u8853\u306f\u3068\u3066\u3082\u7c21\u5358\u3067\u3059\uff0c\u56a2\u80de\u3092\u3077\u3064\u3093\u3068\u7834\u3063\u3066\u6db2\u4f53\u3092\u6392\u51fa\u3059\u308b\u3060\u3051\u306b\u3057\u305f\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u4f55\u6545\u306a\u3089\u4e0b\u5782\u4f53\u304c\u3046\u3059\u304f\u83f2\u8584\u5316funning\u3057\u3066\u3044\u308b\u306e\u3067\u56a2\u80de\u58c1\u3092\u6458\u51fa\u3057\u3088\u3046\u3068\u3059\u308b\u3068\u524d\u8449\u6a5f\u80fd\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u304b\u3089\u3067\u3059\u3002<\/p>\n<h5><span style=\"color: #ff0000;\">\u30e9\u30c8\u30b1\u56a2\u80de\u306f\u624b\u8853\u3057\u3066\u3082\u518d\u767a\u3059\u308b\u3053\u3068\u304c\u3042\u308b<\/span><\/h5>\n<ul>\n<li>\u304a\u305d\u3089\u304f70%\u4ee5\u4e0a\u306e\u30e9\u30c8\u30b1\u56a2\u80de\u306f\u6700\u521d\u306e\u3077\u3064\u3093\u3068\u7834\u308b\u624b\u8853\u3067\u6cbb\u3063\u3066\u3057\u307e\u3063\u3066\u518d\u767a\u3057\u306a\u3044\u3067\u3059<\/li>\n<li>\u7834\u3063\u3066\u6392\u6db2\u3057\u3066\u3082\uff0c10-40%\u304f\u3089\u3044\u306e\u78ba\u7387\u3067\u307e\u305f\u306e\u3046\u80de\u306b\u6db2\u4f53\u304c\u305f\u307e\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u5fc5\u8981\u3067\u3042\u308c\u3070\uff0c\u307e\u305f\u518d\u624b\u8853\u3057\u3066\u9f3b\u306e\u5b54\u304b\u3089\u7834\u3063\u3066\u306e\u3046\u80de\u3092\u307a\u3061\u3083\u3093\u3053\u306b\u3057\u307e\u3059<\/li>\n<li>\u3067\u3082\u3057\u3064\u3053\u304f\u307e\u305f\u518d\u767a\u3057\u3066\u5927\u304d\u304f\u306a\u308b\u3082\u306e\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u60a3\u8005\u3055\u3093\u306b\u3088\u3063\u3066\u306f\uff0c\uff15\u56de\u76ee\u306e\u624b\u8853\uff0c\uff16\u56de\u76ee\u306e\u624b\u8853\u3092\u53d7\u3051\u305f\u304c\u307e\u305f\u8996\u91ce\u304c\u60aa\u5316\u3057\u305f\u3068\u8a34\u3048\u3066\u5916\u6765\u306b\u3053\u3089\u308c\u308b\u65b9\u3082\u3044\u307e\u3059<\/li>\n<li>\u305d\u306e\u5834\u5408\u306f\uff0c\u958b\u982d\u624b\u8853\u3068\u3044\u3063\u3066\u982d\u3092\u958b\u3051\u3066\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u58c1\u3092\u3067\u304d\u308b\u3060\u3051\u53d6\u308a\u9664\u304f\u3068\u3044\u3046\u624b\u8853\u304c\u5fc5\u8981\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3044\u305a\u308c\u306e\u6cbb\u7642\u306b\u304a\u3044\u3066\u3082\uff0c\u3067\u304d\u308c\u3070\u4e0b\u5782\u4f53\u306e\u6a5f\u80fd\u3092\u5b88\u3063\u3066\u30db\u30eb\u30e2\u30f3\u306e\u7570\u5e38\u304c\u60aa\u5316\u3057\u306a\u3044\u3088\u3046\u306b\u52aa\u529b\u3057\u307e\u3059<\/li>\n<li>\u3057\u3064\u3053\u3044\u30e9\u30c8\u30b1\u56a2\u80de\u306f\uff0c<strong><a href=\"..\/anatomys\/hypothlpituitary\/\">\u4e0b\u5782\u4f53\u67c4<\/a><\/strong>\u3068\u3044\u3046\u90e8\u5206\u304c\u98a8\u8239\u306e\u3088\u3046\u306b\u81a8\u3089\u3093\u3067\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u958b\u982d\u8853\u4e2d\u306b\u307f\u308b\u3068\uff0c\u3053\u306e\u90e8\u5206\u306f\u534a\u900f\u660e\u3067\u8584\u3044\u306e\u3046\u80de\u306e\u58c1\u3067\u3059\u304b\u3089\uff0c\u4e00\u898b\uff0c\u53d6\u3063\u3066\u3082\u5927\u4e08\u592b\u306e\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u304c\uff0c\u5b9f\u969b\u306b\u306f\u4e0b\u5782\u4f53\u67c4\u306a\u306e\u3067\u6458\u51fa\u304c\u904e\u304e\u308b\u3068\u624b\u8853\u5f8c\u306b\u5c3f\u5d29\u75c7\u3084\u4e0b\u5782\u4f53\u4e0d\u5168\u304c\u60aa\u5316\u3057\u307e\u3059\u3002\u610f\u5916\u306b\u96e3\u3057\u3044\u624b\u8853\u3067\u3059<\/li>\n<li>\u6b63\u5e38\u306e\u4e0b\u5782\u4f53\u67c4\u306f<span style=\"color: #000080;\"><strong><a href=\"\/sawamura\/blog\/surgtech\/rete-milabillis\/\">\u4e0b\u5782\u4f53\u9580\u8108 rete mirabillis<\/a><\/strong><\/span>\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u3067\u8a8d\u8b58\u3067\u304d\u307e\u3059\u304b\u3089\uff0c\u3053\u306e\u8840\u7ba1\u7db2\u306e\u3042\u308b\u90e8\u5206\u3092\u6b8b\u3059\u306e\u304c\u30b3\u30c4\u3067\u3059<\/li>\n<\/ul>\n<h5>\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306e\u624b\u8853\uff08\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853 transsphenoidal surgery)\uff08\u9020\u888b\u8853\uff1amarsupialization\uff09<\/h5>\n<ul>\n<li>\u9f3b\u306e\u7a74\u304b\u3089\u624b\u8853\u3057\u307e\u3059<\/li>\n<li>\u5185\u8996\u93e1\u3084\u9855\u5fae\u93e1\u3092\u7528\u3044\u3066\u9f3b\u8154\u304b\u3089\uff0c\u8776\u5f62\u9aa8\u6d1e\uff08\u526f\u9f3b\u8154\uff09\u3068\u3044\u3046\u3068\u3053\u308d\u3092\u901a\u3063\u3066\uff0c\u30c8\u30eb\u30b3\u978d\u5e95\u306e\u9aa8\u306b\u9054\u3057\u307e\u3059<\/li>\n<li>\u30c8\u30eb\u30b3\u978d\u5e95\u90e8\u306e\u9aa8\u3092\u5c11\u3057\u3060\u3051\u30c9\u30ea\u30eb\u3067\u524a\u3063\u3066\uff0c\u786c\u819c\u3092\u9732\u51fa\u3057\u307e\u3059<\/li>\n<li>\u3053\u3053\u304b\u3089\u304c\u30b3\u30c4\u3067\uff0c\u3042\u307e\u308a\u5927\u304d\u304f\u786c\u819c\u3092\u958b\u304d\u307e\u305b\u3093<\/li>\n<li>\u786c\u819c\u3092\u3054\u304f\u5c0f\u3055\u304f\u5207\u958b\u3059\u308b\u3068\uff0c\u5185\u90e8\u304b\u3089\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3068\u601d\u308f\u308c\u308b\u6db2\u4f53\u304c\u6d41\u51fa\u3057\u307e\u3059<\/li>\n<li>\u306e\u3046\u80de\u58c1\u3092\u307b\u3093\u306e\u3061\u3087\u3063\u3068\uff08\u8033\u57a2\u304f\u3089\u3044\u306e\u3082\u306e\uff09\u3068\u3063\u3066\uff0c\u75c5\u7406\u8a3a\u65ad\u3057\u307e\u3059<\/li>\n<li>\u4e0b\u5782\u4f53\u524d\u8449\u306e\u4f4d\u7f6e\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\u786c\u819c\u5207\u958b\u3092\u30c8\u30eb\u30b3\u978d\u5e95\u90e8\u306b\u5c11\u3057\u5e83\u3052\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306b\u978d\u7d50\u7bc0\u306e\u80cc\u9762\u306e\u304f\u3082\u819c\u3092\u7834\u3089\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u3057\u307e\u3059<\/li>\n<li>\u304f\u3082\u819c\u3068\u7834\u3063\u3066\u751f\u3058\u308b\u9ac4\u6db2\u6f0f\u306f\uff0c\u4fee\u5fa9\u304c\u9762\u5012\u306a\u624b\u8853\u5408\u4f75\u75c7\u3067\uff0c\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306e\u518d\u767a\u306e\u78ba\u7387\u3082\u5897\u3048\u3066\u3057\u307e\u3044\u307e\u3059<\/li>\n<li>\u305d\u308c\u3067\u304a\u3057\u307e\u3044\u3067\uff0c\u7834\u3063\u305f\u786c\u819c\u3084\u978d\u5e95\u3092\u4fee\u5fa9\u306a\u3069\u3057\u306a\u3044\u3067\uff0c\u307b\u3063\u305f\u3089\u304b\u3057\u3067\u7d42\u4e86\u3057\u307e\u3059<\/li>\n<li>\u3053\u306e\u624b\u8853\u3067\u3042\u308c\u3070\uff0c\u9ac4\u6db2\u306f\u3082\u308c\u307e\u305b\u3093\u3057\uff0c\u4e0b\u5782\u4f53\u969c\u5bb3\u3082\u3067\u307e\u305b\u3093<\/li>\n<li>\u306e\u3046\u80de\u306f\u6f70\u308c\u3066\uff0c\u8996\u91ce\u306f\u6539\u5584\u3057\u307e\u3059<\/li>\n<li>30\u5206\u304f\u3089\u3044\u3067\u6e08\u3080\u7c21\u5358\u306a\u624b\u8853\u3067\u3059\u3057\uff0c\u60a3\u8005\u3055\u3093\u306f\u6570\u65e5\u3067\u9000\u9662\u3067\u304d\u307e\u3059<\/li>\n<li>\u3053\u306e\u624b\u8853\u3067\u518d\u767a\u3057\u306a\u3044\u3053\u3068\u3082\u591a\u3044\u306e\u3067\u3059<\/li>\n<\/ul>\n<\/div>\n<h5>\u624b\u8853\u65b9\u6cd5 MC (mucosa coupling) method<\/h5>\n<p><span class=\"highlight\">Kino H, Akutsu H, et al.: Endoscopic<\/span> <span class=\"highlight\">endonasal<\/span> <span class=\"highlight\">cyst<\/span> <span class=\"highlight\">fenestration<\/span> into the <span class=\"highlight\">sphenoid sinus<\/span> using the mucosa coupling method for symptomatic Rathke&#8217;s cleft <span class=\"highlight\">cyst<\/span>: a novel method for maintaining <span class=\"highlight\">cyst<\/span>drainage to prevent recurrence. <span role=\"menubar\">J Neurosurg.<\/span> 2019<br \/>\n\u7b51\u6ce2\u5927\u5b66\u304b\u3089\u306e\u5831\u544a\u3067\u3059\u3002\u65e7\u6765\u306e\u306e\u3046\u80de\u58c1\u3092\u3054\u304f\u4e00\u90e8\u3092\u5207\u9664\u3059\u308b\uff08\u9020\u888b\u8853\uff1amarsupialization\uff09\u306b\u6539\u826f\u3092\u52a0\u3048\u305f\u3082\u306e\u3067\u3059\u3002\u30e9\u30c8\u30b1\u306e\u3046\u80de\u4e0a\u76ae\u3068\u8776\u5f62\u9aa8\u6d1e\u7c98\u819c\u3092\u65ad\u7aef\u63a5\u5408\u3057\u3066\uff0c\u4e00\u3064\u306e\u306e\u3046\u80de\u3068\u3057\u3066\u5f62\u6210\u3055\u305b\u3066\uff0c\u30e9\u30c8\u30b1\u306e\u3046\u80de\u5185\u5bb9\u7269\u3092\u6301\u7d9a\u7684\u306b\u8776\u5f62\u9aa8\u6d1e\u5185\u306b\u6392\u6db2\u3055\u305b\u3066\uff0c\u518d\u8caf\u7559\u3092\u9632\u3050\u3068\u3044\u3046\u5de5\u592b (MC\u6cd5\uff09\u3067\u3059\u5f93\u6765\u306e\u958b\u7a93\u8853\uff08\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3092\u7834\u3063\u3066\u5ec3\u6db2\u3059\u308b\uff09\u3067\u306f\uff0c21\u4eba\u306e\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u3067\uff19\u4eba(42%)\u3067\u306e\u3046\u80de\u5185\u5bb9\u6db2\u306e\u518d\u8caf\u7559\u304c\u3042\u308a\uff0c2\u4eba\u3067\u518d\u624b\u8853\u304c\u5fc5\u8981\u3067\u3057\u305f\u3002\u3057\u304b\u3057\uff0cMC\u6cd5\u3067\u306f\u518d\u8caf\u7559\u304c\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u5185\u5206\u6ccc\u969c\u5bb3\u306a\u3069\u306e\u5408\u4f75\u75c7\u306e\u5897\u52a0\u306f\u306a\u304b\u3063\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u30e9\u30c8\u30b1\u306e\u3046\u80de\u58c1\u4e0a\u76ae\u3068\u8776\u5f62\u9aa8\u6d1e\u7c98\u819c\u4e0a\u76ae\u306f\uff0c\u54bd\u982d\u7c98\u819c\u8d77\u6e90\u306e\u540c\u3058\u4e0a\u76ae\u306a\u306e\u3067\u89aa\u548c\u6027\u304c\u9ad8\u304f\uff0c\u5408\u308f\u305b\u308b\u3060\u3051\u3067\u7c21\u5358\u306b\u63a5\u5408\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u3044\u3046\u7406\u8ad6\u304b\u3089\u751f\u307e\u308c\u305f\u65b9\u6cd5\u3067\u3059\u3002\u7c98\u819c\u3092\u63a5\u5408\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3068\u8776\u5f62\u9aa8\u6d1e\u3092\u5358\u4e00\u8154\u3068\u3059\u308b\u306e\u3067\u3059\u3002\u30b3\u30c4\u306f\uff0c\u4f59\u5206\u306a\u8776\u5f62\u9aa8\u6d1e\u7c98\u819c\u3092\u30e9\u30c8\u30b1\u306e\u3046\u80de\u5185\u306b\u62bc\u3057\u8fbc\u307e\u306a\u3044\u3053\u3068\u3060\u305d\u3046\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u958b\u982d\u624b\u8853\u3067\u5b8c\u5168\u6458\u51fa\u3059\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059<\/h5>\n<\/div>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7834\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn4-295x300.jpg\" alt=\"rathkesn4\" width=\"295\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn4-295x300.jpg 295w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn4-550x559.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn4.jpg 567w\" sizes=\"auto, (max-width: 295px) 100vw, 295px\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7835\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn5-297x300.jpg\" alt=\"rathkesn5\" width=\"297\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn5-297x300.jpg 297w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn5-550x555.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn5.jpg 567w\" sizes=\"auto, (max-width: 297px) 100vw, 297px\" \/><\/a><\/p>\n<p>11\u969b\u306e\u5c0f\u5150\u3067\u3059\u3002\u30c8\u30eb\u30b3\u978d\u304c\u62e1\u5927\u3057\u3066\u3044\u307e\u3059\u3002\u4e0b\u5782\u4f53\u67c4\u304c\u4f38\u3073\u3066\u3044\u307e\u3059\u304c\u4e0b\u5782\u4f53\u306f\u6b63\u5e38\u3067\uff0c\u978d\u4e0a\u90e8\u306b\u306e\u3046\u80de\u304c\u3042\u308a\u307e\u3059\u3002\u901a\u5e38\u306e\u30e9\u30c8\u30b1\u306e\u3046\u80de\u304c\u4e0b\u5782\u4f53\u4e2d\u9593\u8449\u304b\u3089\u767a\u751f\u3059\u308b\u306e\u3067\uff0c\u978d\u9694\u819c\u4e0b\u816b\u760d\u306b\u306a\u308a\u307e\u3059\u304c\uff0c\u3053\u308c\u306f\u978d\u9694\u819c\u306e\u4e0a\u306b\u3042\u308b\u816b\u760d\uff08\u978d\u4e0a\u90e8\u816b\u760d\uff09\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002\u7121\u75c7\u72b6\u306a\u306e\u3067\u7d4c\u904e\u3092\u898b\u3066\u3082\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u306e\u30bf\u30a4\u30d7\u306f\u304a\u305d\u3089\u304f\u5e74\u4f59\u306e\u7d4c\u904e\u3067\u5897\u5927\u50be\u5411\u3092\u305f\u3069\u308a\uff0c\u307e\u3060\u4f4e\u5e74\u9f62\u306a\u306e\u3067\u3044\u305a\u308c\u624b\u8853\u6cbb\u7642\u3068\u306a\u308a\u307e\u3059\u3002\u7d4c\u9f3b\u624b\u8853\u3067\u306e\u3046\u80de\u3092\u3064\u3076\u3059\u3053\u3068\u3082\u3067\u304d\u308b\u306e\u3067\u3059\u304c\uff0c\u518d\u767a\u306e\u78ba\u7387\u306f\u9ad8\u3044\u3067\u3057\u3087\u3046\u3002\u5f93\u3063\u3066\uff0c\u6839\u6cbb\u3092\u3081\u3056\u3059\u958b\u982d\u624b\u8853\u3067\uff0c\u306e\u3046\u80de\u58c1\u5168\u6458\u51fa\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7841\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn11-200x200.jpg\" alt=\"rathkesn1\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn62.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7839\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn62-200x200.jpg\" alt=\"rathkesn6\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7840\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkesn7-200x200.jpg\" alt=\"rathkesn7\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u524d\u982d\u5074\u982d\u958b\u982d pterional approach\u3067\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u767a\u751f\u6bcd\u5730\u306f\u4e0b\u5782\u4f53\u67c4\u524d\u9762\u3067\u3057\u305f\u304c\u5b8c\u5168\u6458\u51fa\u3057\u307e\u3057\u305f\u3002\u8853\u5f8c\u306b\u4e0b\u5782\u4f53\u6a5f\u80fd\u306f\u6b63\u5e38\u306b\u4fdd\u305f\u308c\u3066\u3044\u307e\u3059\u3002\u75c5\u7406\u6240\u898b\u306f\u4e00\u5c64\u306e\u4e0a\u76ae\u7d30\u80de\u3067\u306e\u3046\u80de\u58c1\u304c\u69cb\u6210\u3055\u308c\u308b\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002\u3053\u308c\u3092\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3068\u547c\u3076\u304b\u3069\u3046\u304b\u8b70\u8ad6\u306e\u3042\u308b\u3068\u3053\u308d\u3067\uff0c\u304a\u305d\u3089\u304f\u6b63\u78ba\u306b\u306f\u5185\u80da\u8449\u306e\u3046\u80de endodermal cyst\u3068\u8a3a\u65ad\u3057\u307e\u3059\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u30c8\u30eb\u30b3\u978d\u9ec4\u8272\u8089\u82bd\u816b\u3068\u306e\u4e2d\u9593\u578b<\/h5>\n<p>\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306f\uff0c\u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u3067\u3082\u982d\u84cb\u54bd\u982d\u816b\u3068\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b\u3068\u9451\u5225\u3067\u304d\u306a\u3044\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\uff13\u8005\u306b\u306f\u79fb\u884c\u5f62\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u5b58\u5728\u3059\u308b\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u8853\u524d\u8a3a\u65ad\u306b\u3082\u3068\u3066\u3082\u8ff7\u3044\u307e\u3059\u3057\uff0c\u5b66\u8853\u8ad6\u6587\u3067\u3082\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306e\u8ad6\u6587\u306e\u4e2d\u306b\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b\u304c\u6df7\u3056\u3063\u3066\u66f8\u304b\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathokedowble.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2156\" title=\"rathokeT1Gd.psd\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathokedowble.jpg\" alt=\"\" width=\"600\" height=\"288\" \/><\/a><\/p>\n<p>\u3053\u306e\u753b\u50cf\u306f\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u304c\u4e0a\u6607 (51ng\/ml) \u3057\u3066\u751f\u7406\u4e0d\u9806\u306b\u306a\u3063\u305f20\u4ee3\u5973\u6027\u306e\u3082\u306e\u3067\u3059\u3002\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u7523\u751f\u816b\u760d\u306b\u306f\u898b\u3048\u307e\u305b\u3093\u3002\u5de6\u306e\u753b\u50cf\u3067\u306f\u56a2\u75b1\u304c\uff12\u3064\u898b\u3089\u308c\u307e\u3059\u3002\u53f3\u306e\u753b\u50cf\u3067\u306f\uff0c\u4e0a\u306e\u56a2\u75b1\u306b\u6db2\u9762 fluid-fluid level\u304c\u898b\u3089\u308c\u3066\uff0c\u816b\u760d\u5185\u306e\u51fa\u8840\u304c\u3042\u3063\u305f\u3088\u3046\u306b\u3082\u307f\u3048\u307e\u3059\u3002\u624b\u8853\u5f8c\u306e\u75c5\u7406\u8a3a\u65ad\u306f\u4e21\u65b9\u5171\u306b\u30e9\u30c8\u30b1\u306e\u3046\u80de\u3067\u3057\u305f\u3002\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u5024\u306f\u6b63\u5e38\u306b\u623b\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkepath1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2158\" title=\"rathkepath\" src=\"\/sawamura\/blog\/wp-content\/uploads\/2012\/04\/rathkepath1.jpg\" alt=\"\" width=\"600\" height=\"278\" \/><\/a><\/p>\n<p>\u3067\u3082\u624b\u8853\u4e2d\u306e\u6240\u898b\u3067\u306f\uff0c\u4e0a\u65b9\u306e\u3082\u306e\u306f\u9ec4\u8272\u8089\u82bd\u816b\u306e\u3088\u3046\u3067\uff0c\u306e\u3046\u80de\u5185\u7528\u6db2\u306f\u982d\u84cb\u54bd\u982d\u816b\u306e\u3088\u3046\u306b\u5ec3\u6db2\u7528\u306e\u30c9\u30ed\u30c3\u3068\u3057\u305f\u6697\u7dd1\u8910\u8272\u306e\u3082\u306e\u3067\uff0c\u3055\u3089\u306b\u30ad\u30e9\u30ad\u30e9\u5149\u308b\u30b3\u30ec\u30b9\u30c6\u30ea\u30f3\u306e\u7d50\u6676\u304c\u305f\u304f\u3055\u3093\u51fa\u3066\u304d\u307e\u3057\u305f\u3002\u4e0b\u306e\u56a2\u75b1\u306f\u9ec4\u8910\u8272\u306e\u901a\u5e38\u306e\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306e\u5185\u5bb9\u6db2\u3067\u3057\u305f\u3002\u4e21\u65b9\u3068\u3082\u306b\u4e0b\u5782\u4f53\u306e\u6b63\u5e38\u817a\u7d44\u7e54\u3068\u306f\u533a\u5225\u304c\u3064\u304b\u306a\u3044\u7e4a\u7dad\u5316\u3057\u305f\u58c1\u304c\u3042\u3063\u3066\uff0c\u5371\u3046\u304f\u4e0b\u5782\u4f53\u6a5f\u80fd\u640d\u50b7\u3092\u751f\u3058\u308b\u3068\u3053\u308d\u3067\u3057\u305f\u304c\u96e3\u3092\u907f\u3051\u307e\u3057\u305f\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306a\u816b\u760d\u3067\u306f\u4e0b\u5782\u4f53\u6a5f\u80fd\u969c\u5bb3\u3092\u62db\u3044\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0c\u56a2\u75b1\u3092\u7834\u308b\u3060\u3051\u306b\u3068\u3069\u3081\u3066\u58c1\u3068\u306a\u3063\u3066\u3044\u308b\u7d44\u7e54\u3092\u7a4d\u6975\u7684\u306b\u6458\u51fa\u3057\u306a\u3044\u65b9\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3082\u306a\u304f\u982d\u84cb\u54bd\u982d\u816b\u3067\u3082\u306a\u304f\uff0c\u708e\u75c7\u6027\u7d44\u7e54\u3042\u308b\u3044\u306f\u8089\u82bd\u816b\u69d8\u306b\u898b\u3048\u305f\u3089\u5207\u9664\u3092\u4e2d\u65ad\u3059\u308b\u3053\u3068\u304c\u809d\u8981\u3067\u3059\u3002<\/p>\n<h3><a href=\"\/sawamura\/blog\/pediattumor\/cysticlesion\/\"><span style=\"color: #000080;\"><strong>\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306b\u4f3c\u305f\uff0c<\/strong>\u5185\u80da\u8449\u306e\u3046\u80de\uff0c\u30b3\u30ed\u30a4\u30c9\u306e\u3046\u80de\uff0c\u795e\u7d4c\u8178\u306e\u3046\u80de\u306f\u5225\u306a\u30da\u30fc\u30b8\u306b\u3042\u308b\u306e\u3067\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/span><\/a><\/h3>\n<hr \/>\n<h4>\u6587\u732e<\/h4>\n<h5>\u6c17\u306b\u306a\u308b\u8ad6\u6587\uff08\u6a29\u5a01\u306e\u3042\u308b\u96d1\u8a8c\u306e\u3075\u3057\u304e\u306a\u8ad6\u6587\uff09<\/h5>\n<p>Aho CJ, et al.: Surgical outocmes in 118 patients with Rathke cleft cysts. J Neurosurg 102: 189-1993, 2005<br \/>\n\u30e9\u30c8\u30b1\u306e\u3046\u80de\u306e118\u4eba\u306e\u60a3\u8005\u3055\u3093\u3092\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u3067\u6cbb\u7642\u3057\u305f\u7d50\u679c\u3067\u3059\u3002\u5b8c\u5168\u6458\u51fa\u304c114\u4f8b(97%)\u3067\u3057\u305f\u3002\u8996\u529b\u8996\u91ce\u969c\u5bb3\u304c\u3042\u3063\u305f58\u4eba\u306e\u3046\u3061\u306e57\u4eba(98%)\u3067\u75c7\u72b6\u306e\u6539\u5584\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u6027\u817a\u6a5f\u80fd\u4f4e\u4e0b\uff08\u6027\u30db\u30eb\u30e2\u30f3\u306e\u5206\u6ccc\u4f4e\u4e0b\uff09\u304c\u3042\u3063\u305f62\u4eba\u306e\u3046\u3061\u306711\u4eba(18%)\u306b\u6539\u5584\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002\u6210\u9577\u30db\u30eb\u30e2\u30f3\u5206\u6ccc\u4f4e\u4e0b\u304c\u3042\u3063\u305f78\u4eba\u306e\u3046\u3061\u306714\u4eba(18%)\u306b\u6539\u5584\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002\u526f\u814e\u76ae\u8cea\u30db\u30eb\u30e2\u30f3\u4f4e\u4e0b\u304c\u3042\u3063\u305f7\u4eba\u306e\u3046\u3061\u30671\u4eba(14%)\u306b\u6539\u5584\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002\u624b\u8853\u5f8c\u306e\u5408\u4f75\u75c7\u3068\u3057\u3066\u5c3f\u5d29\u75c7\u304c\u51fa\u305f\u60a3\u8005\u3055\u3093\u306f22\u4eba(19%)\u3067\u3057\u305f\u3002\uff15\u5e74\u304f\u3089\u3044\u306e\u89b3\u5bdf\u671f\u9593\u3067\uff0c118\u4eba\u4e2d\u306e21\u4eba(18%)\u306b\u518d\u767a\u304c\u3042\u308a\uff0c12\u4eba\u306f\u518d\u624b\u8853\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u518d\u767a\u306e\u539f\u56e0\u3068\u3057\u3066\u7591\u308f\u308c\u305f\u3082\u306e\u306b\uff0c\u30c8\u30eb\u30b3\u978d\u3092\u9589\u3058\u308b\u6642\u306b\u8102\u80aa\u3084\u7b4b\u8089\u7247\u3092\u4f7f\u3063\u305f\u3053\u3068\u3068\uff0c\u75c5\u7406\u3067squamous metaplasia\uff08\u982d\u84cb\u54bd\u982d\u816b\u3092\u7591\u308f\u305b\u308b\u6240\u898b\uff09\u304c\u3042\u3063\u305f\u3053\u3068\u3068\u66f8\u304b\u308c\u3066\u3044\u307e\u3059\u3002\u306e\u3046\u80de\u58c1\u306e\u5207\u9664\u7387\u3068\u518d\u767a\u7387\u306b\u306f\u95a2\u9023\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3061\u306a\u307f\u306b\uff0c\u4f55\u3082\u3057\u306a\u3044\u3067\u7d4c\u904e\u89b3\u5bdf\u3057\u305f61\u4eba\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\uff0c42\u4eba\u3067\u5927\u304d\u304f\u306a\u308b\u3053\u3068\u3082\u306a\u304f\u7d4c\u904e\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n<span style=\"color: #000080;\"><strong>\u89e3\u8aac<\/strong><\/span>\uff1a\u3053\u306e\u8ad6\u6587\u3067\u7591\u554f\uff08\u610f\u5916\uff09\u306a\u3068\u3053\u308d\u306f\uff0c\u5b8c\u5168\u5207\u9664\u7387\u304c\u3068\u3066\u3082\u9ad8\u3044\u3053\u3068\u3067\u3059\u3002\u5b9f\u969b\u306b\uff0c\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u8584\u3044\u58c1\u306f\u4e0b\u5782\u4f53\u3092\u50b7\u3064\u3051\u306a\u3044\u3067\u305d\u308c\u307b\u3069\u5bb9\u6613\u306b\u5b8c\u5168\u306b\u6458\u51fa\u3067\u304d\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u70b9\u304b\u3089\uff0c\u8853\u5f8c\u5408\u4f75\u75c7\u3068\u3057\u3066\u306e\u5c3f\u5d29\u75c7\u306e\u767a\u751f\u7387\u304c\u9ad8\u3044\u3082\u306e\u3068\u63a8\u6e2c\u3055\u308c\u307e\u3059\u3002\u306e\u3046\u80de\u306e\u58c1\u306e\u6458\u51fa\u7387\u3068\u518d\u767a\u7387\u306b\u306f\u95a2\u4fc2\u306a\u3044\u3068\u3082\u66f8\u304b\u308c\u3066\u3044\u3066\u3061\u3087\u3063\u3068\u77db\u76fe\u3057\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u5c3f\u5d29\u75c7\u3092\u51fa\u3055\u306a\u3044\u3088\u3046\u306b\u306e\u3046\u80de\u306e\u58c1\u306e\u90e8\u5206\u6458\u51fa\u3092\u8a66\u307f\u308c\u3070\uff0c\u307e\u305f\u9006\u306b\u518d\u767a\u7387\u306f\u9ad8\u304f\u306a\u308b\u3053\u3068\u304c\u4e88\u60f3\u3055\u308c\u307e\u3059\u3002\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u521d\u56de\u624b\u8853\u3067\u306f\u7121\u7406\u3092\u3057\u306a\u3044\u307b\u3046\u304c\u3044\u3044\u3088\u3046\u306b\u601d\u3044\u307e\u3059\u3002<\/p>\n<\/div>\n<div class=\"article-citation\">\n<div class=\"article-source\"><\/div>\n<h4>\u7121\u6c34\u30a2\u30eb\u30b3\u30fc\u30eb\u51e6\u7f6e\u306f\u3042\u307e\u308a\u52b9\u679c\u304c\u306a\u3044<\/h4>\n<\/div>\n<p class=\"heading-title\"><span class=\"authors-list-item \">Lillehei KO:\u00a0<\/span>Transsphenoidal resection of 82 Rathke cleft cysts: limited value of alcohol cauterization in reducing recurrence rates. J Neurosurg 2011<br \/>\n82\u4f8b\u306e\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u6210\u7e3e\u3067\u3059\u300262\u4f8b\u3067\u8853\u4e2d\u306b\u30a2\u30eb\u30b3\u30fc\u30eb\u6ef4\u4e0b alcohol instillation, alcohol cauterization \u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u51e6\u7f6e\u3055\u308c\u305f\u7fa4\u306712.9%\u306e\u518d\u767a\u7387\uff0c\u4f7f\u7528\u3055\u308c\u306a\u304b\u3063\u305f\u4f8b\u3067\u306f0%\u3067\u3042\u3063\u305f\u305d\u3046\u3067\u3059\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u51e6\u7f6e\u306e\u6709\u52b9\u6027\u306f\u5426\u5b9a\u7684\u3067\u3042\u308b\u3068\u306e\u7d50\u8ad6\u3067\u3059\u3002<\/p>\n<div class=\"setumei\">\n<hr \/>\n<h2><span style=\"color: #000080;\">\u3053\u3053\u304b\u3089\u4e0b\u306f\u5c02\u9580\u7684\u306a\u8a18\u8ff0<\/span><\/h2>\n<h5>\u75be\u60a3\u6982\u5ff5<\/h5>\n<p>Rathke&#8217;s pouch\u306f\u80ce\u751f\u65e9\u671f\u306b\u9589\u9396\u3059\u308b\u3082\u306e\u3067\u3059\u304c\uff0c\u4e0b\u5782\u4f53\u306epars distalis\u3068pars nervosa\u306e\u9593\u306b\u907a\u6b8b\u3057\u3066\uff0c\u751f\u5f8c\u3082\u6b8b\u5b58\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u304c\uff0c\u4e0b\u5782\u4f53\u524d\u8449\u3068\u5f8c\u8449\u306e\u9593\u306e interbolbar cleft\u00a0\u3067\u5897\u5927\u3059\u308b\u3082\u306e\u3092Rathke&#8217;s cleft cyst (Rathke&#8217;s cyst \u30e9\u30c8\u30b1\u56a2\u80de\u3068\u7565\u3059\u308b)\u3068\u547c\u3073\u307e\u3059\u3002\u5256\u691c\u3067\u306f\u8089\u773c\u7684\u306b\u78ba\u8a8d\u3067\u304d\u308b\u3082\u306e\u3067\u3082\uff15\u5206\u306e\uff11\u4f8b(20%)\u3068\u9ad8\u983b\u5ea6\u306b\u767a\u898b\u3055\u308c\u307e\u3059\u304c\uff0c\u591a\u304f\u306f\u975e\u5e38\u306b\u5c0f\u3055\u306a\u3082\u306e\u3067\u7121\u75c7\u5019\u306b\u7d4c\u904e\u3057\u307e\u3059\u3002\u56a2\u80de\u306f\u4e00\u5c64\u306e\u5186\u67f1\u4e0a\u76ae\u3067\u56f2\u307e\u308c\uff0c\u5185\u90e8\u306b\u9ec4\u8910\u8272\u306e\u6db2\uff0c\u6642\u306b\u306f\u7c98\u6db2\uff08\u30b3\u30ed\u30a4\u30c9\u69d8\u56fa\u5f62\u5185\u5bb9\u7269\uff09\u3092\u542b\u307f\u307e\u3059\u3002\u767d\u6fc1\u7c98\u6027\u306e\u81bf\u760d\u306e\u3088\u3046\u306b\u898b\u3048\u308b\u6db2\u4f53\u3084\u8840\u816b\u3092\u542b\u3080\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<br \/>\nMRI\u3067\u5076\u7136\uff0c\u5c0f\u3055\u306a\u306e\u3046\u80de\u304c\u524d\u8449\u3068\u5f8c\u8449\u306e\u9593\u306b\u898b\u3064\u304b\u308b\u3053\u3068\u306f\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u3053\u308c\u306f\u8449\u9593\u306e\u3046\u80de interlober cyst\u3068\u8a3a\u65ad\u3057\u307e\u3059\u3002\u307e\u305f\uff0c\u982d\u84cb\u54bd\u982d\u816b\u3084\u30e9\u30c8\u30b1\u56a2\u80de\u306b\u985e\u4f3c\u3057\u305f\u753b\u50cf\u6240\u898b\u3092\u5448\u3057\u3066\uff0c\u5185\u5bb9\u7269\u306b\u7c97\u5927\u306a\u30b3\u30ec\u30b9\u30c6\u30ea\u30f3\u7d50\u6676\u3068\u708e\u75c7\u6027\u8089\u82bd\u816b\u7d44\u7e54\u3092\u542b\u3080\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b xanthogranuloma of the sellar region \u3067\u3042\u308a\u30e9\u30c8\u30b1\u56a2\u80de\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h5>\u8a3a\u65ad<\/h5>\n<p>\u5e74\u9f62\u5c64\u306f\u5c0f\u5150\u304b\u3089\u6210\u4eba\u3092\u542b\u307f\uff0c\u5076\u7136\u767a\u898b\u3055\u308c\u308b\u7121\u75c7\u5019\u306e\u3082\u306e\u304c\u5727\u5012\u7684\u306b\u591a\u3044\u3067\u3059\u3002\u7a00\u306b\u5927\u304d\u306a\u56a2\u80de\u3068\u306a\u308a\u75c7\u5019\u6027\u3068\u306a\u308a\u307e\u3059\u3002\u75c7\u5019\u6027\u30e9\u30c8\u30b1\u56a2\u80de\u306f\uff0c\u4e0b\u5782\u4f53\u67c4\u306e\u524d\u65b9\u3067\u8996\u795e\u7d4c\u4ea4\u53c9\u3092\u4e0b\u5f8c\u65b9\u304b\u3089\u5727\u8feb\u3057\u3066\u4e21\u8033\u5074\u534a\u76f2\u3092\u751f\u3058\u307e\u3059\u3002\u4e0b\u5782\u4f53\u304c\u83f2\u8584\u5316\u3057\u3066\u524d\u8449\u4e0d\u5168\u3092\u751f\u3058\u305f\u308a\uff0c\u3042\u308b\u3044\u306f\u5f8c\u8449\u3068\u4e0b\u5782\u4f53\u67c4\u3092\u5727\u6392\u3057\u3066\u5c3f\u5d29\u75c7\u3092\u5408\u4f75\u3059\u308b\u3053\u3068\u3082\u307e\u308c\u306b\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u4ed6\u306e\u968f\u4f34\u6240\u898b\u3068\u3057\u3066\u306f\uff0c\u982d\u75db\u3084\u9ad8\u30d7\u30ed\u30e9\u30af\u30c1\u30f3\u8840\u75c7\uff08\u7121\u6708\u7d4c\uff09\u304c\u591a\u3044\u3067\u3059\u3002\u7b2c\uff13\u8133\u5ba4\u5185\u306b\u4f38\u5c55\u3057\u3066\u6c34\u982d\u75c7\u3092\u751f\u3058\u305f\u308a\uff0c\u56a2\u80de\u5185\u6eb6\u6db2\u304c\u9ac4\u8154\u5185\u306b\u3082\u308c\u3066\u7121\u83cc\u6027\u9ac4\u819c\u708e\u3092\u8d77\u3053\u3057\u305f\u308a\uff0c\u56a2\u80de\u5185\u306b\u611f\u67d3\u3057\u305f\u5831\u544a\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>MRI\u3067\u753b\u50cf\u8a3a\u65ad\u3057\u307e\u3059\u3002\u5186\u5f62\u3042\u308b\u3044\u306f\u6955\u5186\u5f62\u306e\u56a2\u80de\u3067\uff0c\u30c8\u30eb\u30b3\u978d\u5185\u9650\u5c40\u3042\u308b\u3044\u306f\u30c8\u30eb\u30b3\u978d\u4e0a\u90e8\u306b\u4f38\u5c55\u3057\u307e\u3059\u3002\u6975\u3081\u3066\u7a00\u306b\uff0c\u978d\u4e0a\u90e8\u306e\u307f\u306b\u4f4d\u7f6e\u3057\u3066\u4e0b\u5782\u4f53\u67c4\u306b\u4ed8\u7740\u3057\u3066\u5b58\u5728\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5883\u754c\u660e\u77ad\u306a\u5358\u623f\u6027\u56a2\u80de\u3067\u77f3\u7070\u5316\u3092\u542b\u307e\u306a\u3044\uff0c\u5747\u4e00\u306a\u4fe1\u53f7\u5f37\u5ea6\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u5178\u578b\u7684\u306a\u6240\u898b\u3067\u3059\u3002\u4fe1\u53f7\u5f37\u5ea6\u306f\u56a2\u80de\u5185\u5bb9\u7269\u306b\u3088\u3063\u3066\u7570\u306a\u308a\uff0c\u69d8\u3005\u306a\u69d8\u76f8\u3092\u5448\u3057\u3066\u4e00\u5b9a\u3057\u307e\u305b\u3093\u3002<\/p>\n<p>\u753b\u50cf\u4e0a\u306e\u9451\u5225\u8a3a\u65ad\u306f\uff0c\u982d\u84cb\u54bd\u982d\u816b\uff0c\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b\u3068\u56a2\u80de\u6027\u975e\u6a5f\u80fd\u6027\u4e0b\u5782\u4f53\u817a\u816b\u3067\u3059\u3002\u4e0b\u5782\u4f53\u817a\u816b\u3068\u30e9\u30c8\u30b1\u56a2\u80de\u304c\u5076\u7136\u5408\u4f75\u3059\u308b\u3053\u3068\u306f\u307e\u308c\u3067\u306a\u304f\u3066\uff0c\u624b\u8853\u5f8c\u306e\u7d44\u7e54\u6240\u898b\u3067\u521d\u3081\u3066\u660e\u3089\u304b\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3044\u305a\u308c\u306b\u305b\u3088\u56a2\u80de\u58c1\u304c\u8584\u304f\u5185\u5bb9\u7269\u304c\u5747\u4e00\u3067\u3042\u308b\u3053\u3068\u304c\u30e9\u30c8\u30b1\u56a2\u80de\u3092\u7591\u3046\u3082\u3063\u3068\u3082\u5927\u304d\u306a\u6839\u62e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>\u6cbb\u7642<\/h5>\n<p>\u7121\u75c7\u5019\u6027\u30e9\u30c8\u30b1\u56a2\u80de\u306f\u6570\u591a\u304f\u767a\u898b\u3055\u308c\u307e\u3059\u3002\u5076\u7136\u767a\u898b\u3055\u308c\u305f\u3082\u306e\u306f\uff0c15 mm\u7a0b\u5ea6\u306e\u3042\u308b\u7a0b\u5ea6\u76ee\u7acb\u3064\u3088\u3046\u306a\u5927\u304d\u3055\u3067\u3042\u3063\u3066\u3082\uff0c\u4f55\u3082\u305b\u305a\u306b\u7d4c\u904e\u89b3\u5bdf\u3057\u307e\u3059\u3002\u75c7\u5019\u6027\u3068\u306a\u3063\u305f\u3082\u306e\u3060\u3051\u304c\u6cbb\u7642\u306e\u5bfe\u8c61\u3068\u306a\u308a\uff0c\u9006\u306b\u7121\u75c7\u5019\u6027\u30e9\u30c8\u30b1\u56a2\u80de\u3092\u624b\u8853\u3057\u3066\u306f\u306a\u308a\u307e\u305b\u3093\u3002<br \/>\n\u30e9\u30c8\u30b1\u56a2\u80de\u306e\u85ac\u7269\u6cbb\u7642\u306f\u306a\u3044\u306e\u3067\uff0c\u7d4c\u8776\u5f62\u9aa8\u6d1e\u624b\u8853\u306b\u3088\u3063\u3066\u56a2\u80de\u958b\u653e\u3092\u884c\u3044\uff0c\u5185\u5bb9\u7269\u3092\u6392\u51fa\u9664\u53bb\u3059\u308b\u306e\u307f\u306b\u6b62\u3081\u307e\u3059\u3002\u304b\u3064\u3066\u306f\uff0c\u30e9\u30c8\u30b1\u306e\u3046\u80de\u58c1\u5168\u4f53\u306b\u4e0a\u76ae\u7d30\u80de\u304c\u5b58\u5728\u3059\u308b\u306e\u3067\u5168\u6458\u51fa\u3057\u306a\u3051\u308c\u3070\u518d\u71c3\u3059\u308b\u3068\u306e\u610f\u898b\u3082\u3042\u308a\u307e\u3057\u305f\u3002\u4e0b\u5782\u4f53\u524d\u8449\u7d44\u7e54\u306f\u640d\u50b7\u3057\u306a\u3044\u3088\u3046\u306b\u3054\u304f\u4e00\u90e8\u3092\u5207\u9664\u3057\u307e\u3059\uff08\u9020\u888b\u8853\uff1amarsupialization\uff09\u3002\u3053\u306e\u624b\u8853\u624b\u6280\u306e\u307f\u3067\u6cbb\u7652\u3059\u308b\u3053\u3068\u304c\u591a\u304f\uff0c\u75c7\u72b6\u304c\u518d\u71c3\u3059\u308b\u3053\u3068\u306f\u591a\u304f\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u624b\u8853\u306b\u3088\u3063\u3066\u5207\u9664\u3067\u304d\u308b\u56a2\u80de\u58c1\u306f\u3054\u304f\u308f\u305a\u304b\u306a\u91cf\u3067\u3042\u308b\u306e\u3067\uff0c\u8853\u5f8c\u306e\u75c5\u7406\u7d44\u7e54\u8a3a\u65ad\u306b\u82e6\u616e\u3059\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3002\u5185\u5bb9\u7269\u306b\u30b3\u30ec\u30b9\u30c6\u30ea\u30f3\u7d50\u6676\u304c\u591a\u304f\u542b\u307e\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u708e\u75c7\u6027\u7d50\u5408\u7d44\u7e54\u304c\u8a8d\u3081\u3089\u308c\u308c\u3070\uff0c\u30c8\u30eb\u30b3\u978d\u90e8\u9ec4\u8272\u8089\u82bd\u816b xanthogranuloma of the sellar region \u3067\u3059\u304c\uff0c\u3053\u308c\u3082\u5168\u6458\u51fa\u3057\u306a\u3044\u3067\u624b\u8853\u3092\u7d42\u4e86\u3057\u305f\u65b9\u304c\u826f\u3044\u3082\u306e\u3067\u3059\u3002<\/p>\n<p>\u6642\u306b\u306f\uff0c\u56a2\u80de\u304c\u518d\u5897\u5927\u3057\u3066\u75c7\u72b6\u304c\u51fa\u307e\u3059\u304c\uff0c\u3053\u308c\u3082\u540c\u69d8\u306a\u624b\u6280\u3067\u518d\u624b\u8853\u3057\u307e\u3059\u3002\u7a00\u306b\uff0c\u4f55\u5ea6\u3082\u518d\u767a\u3092\u304f\u308a\u8fd4\u3059\u5834\u5408\u306f\uff0c\u958b\u982d\u624b\u8853\u3067\u56a2\u80de\u58c1\u3092\u5927\u304d\u304f\u5207\u9664\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u56a2\u80de\u58c1\u306e\u5168\u6458\u51fa\u306f\u6b8b\u5b58\u3059\u308b\u4e0b\u5782\u4f53\u6a5f\u80fd\u306b\u5927\u304d\u306a\u969c\u5bb3\u3092\u4e0e\u3048\u308b\u306e\u3067\u884c\u3044\u307e\u305b\u3093\u3002<\/p>\n<h5>\u4e88\u5f8c<\/h5>\n<p>\u7121\u75c7\u5019\u6027\u306e\u3082\u306e\u306e\u4e88\u5f8c\u306f\u826f\u597d\u3067\u3042\u308a\uff0c\u5897\u5927\u3057\u3066\u75c7\u5019\u6027\u56a2\u80de\u306b\u306a\u308b\u3053\u3068\u306f\u7a00\u3067\u3059\u3002\u624b\u8853\u3067\u8996\u529b\u8996\u91ce\u969c\u5bb3\u306f\u6539\u5584\u3057\u307e\u3059\u3002\u4e0b\u5782\u4f53\u6a5f\u80fd\u4e0d\u5168\u306f\u624b\u8853\u3067\u56de\u5fa9\u3057\u306a\u3044\u3053\u3068\u304c\u3042\u308b\u306e\u3067\uff0c\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<h4>\u6587\u732e<\/h4>\n<ul>\n<li>Kim JE, Kim JH, Kim OL, et al. : Surgical treatment of symptomatic Rathke cleft cysts: clinical features and results with special attention to recurrence. J Neurosurg 100: 33-40, 2004<\/li>\n<li><span class=\"highlight\">Kino H, Akutsu H, et al.: Endoscopic<\/span> <span class=\"highlight\">endonasal<\/span> <span class=\"highlight\">cyst<\/span> <span class=\"highlight\">fenestration<\/span> into the <span class=\"highlight\">sphenoid sinus<\/span> using the mucosa coupling method for symptomatic Rathke&#8217;s cleft <span class=\"highlight\">cyst<\/span>: a novel method for maintaining <span class=\"highlight\">cyst<\/span>drainage to prevent recurrence. <span role=\"menubar\">J Neurosurg.<\/span> 2019<\/li>\n<\/ul>\n<\/div>\n<div class=\"setumei\">\n<ul>\n<li>Naylor MF, Scheithauer BW, Forbes GS, et al. : Rathke cleft cyst: CT, MR, and pathology of 23 cases. J Comput Assist Tomogr 19: 853-859, 1995<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u4e0b\u5782\u4f53\u306b\u3067\u304d\u308b\u4e2d\u306b\u6db2\u4f53\u304c\u305f\u307e\u3063\u3066\u3044\u308b\u888b\u306e\u3088\u3046\u306a\u816b\u760d\u3067\u3059 \u5c0f\u5150\u304b\u3089\u6210\u4eba\u307e\u3067\u3044\u308d\u3044\u308d\u306a\u5e74\u9f62\u5c64\u3067\u5076\u7136\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059 \u75c7\u72b6\u3082\u4f55\u3082\u306a\u3044\u3082\u306e\u304c\u5727\u5012\u7684\u306b\u591a\u3044\u306e\u3067\uff0c\u57fa\u672c\u7684\u306b\u306f\u6cbb\u7642\u3059\u308b\u5fc5\u8981\u304c\u306a\u3044\u816b\u760d\u3067\u3059 \u307e\u308c\u306b\u5927\u304d\u306a\u56a2\u80de\u3068\u306a\u3063\u3066 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-148","post","type-post","status-publish","format-standard","hentry","category-braintumors"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/comments?post=148"}],"version-history":[{"count":38,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/148\/revisions"}],"predecessor-version":[{"id":16148,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/posts\/148\/revisions\/16148"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/media?parent=148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/categories?post=148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/blog\/wp-json\/wp\/v2\/tags?post=148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}