{"id":9247,"date":"2016-08-20T09:26:18","date_gmt":"2016-08-20T00:26:18","guid":{"rendered":"\/sawamura\/?p=9247"},"modified":"2021-09-14T22:56:29","modified_gmt":"2021-09-14T13:56:29","slug":"lateralsuboccipital","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/surgtech\/lateralsuboccipital\/","title":{"rendered":"\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d lateral suboccipital craniotomy"},"content":{"rendered":"<ul>\n<li>\u8133\u795e\u7d4c\u5916\u79d1\u306e\u624b\u8853\u3067\u306f\u524d\u982d\u5074\u982d\u958b\u982d pterional approach \u306b\u6b21\u3050<span style=\"color: #000080;\"><strong>\u57fa\u672c\u7684\u306a\u624b\u8853<\/strong><\/span>\u3067\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u5f8c\u982d\u7aa9\u306e\u75c5\u5909\u306f\u3053\u306e\u958b\u982d\u6cd5\u3067\u307b\u3068\u3093\u3069\u624b\u8853\u3067\u304d\u308b<\/span><\/strong>\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046<\/li>\n<li>\u307e\u305f\u91cd\u8981\u306a\u3053\u3068\u306f\uff0c<span style=\"color: #000080;\"><strong>\u982d\u84cb\u5e95\u624b\u8853\u306e\u624b\u6280\u306f\u3053\u306e\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d\u306e\u5ef6\u9577<\/strong><\/span>\u3068\u8a00\u3048\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0c\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d\u3092\u6975\u3081\u308c\u3070\u982d\u84cb\u5e95\u624b\u8853\u3092\u7a76\u3081\u308b\u9053\u306b\u901a\u3058\u307e\u3059<\/li>\n<\/ul>\n<h1><span style=\"color: #000080;\"><a style=\"color: #000080;\" href=\"https:\/\/youtu.be\/LxnUlN5yvZo\">\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u30d3\u30c7\u30aa\u304c\u307f\u308c\u307e\u3059<\/a><\/span><\/h1>\n<p>\u68da\u6a4b\u90a6\u660e\u5148\u751f\u306e\u7de8\u96c6\u3067\u3059\uff0c9\u5206\u304f\u3089\u3044\u3067\u3059<\/p>\n<h5>\u4f53\u4f4d<\/h5>\n<p>\u79c1\u306f\u8107\u6795\u3092\u5165\u308c\u308b\u3060\u3051\u306e\u5358\u7d14\u306a\u5074\u81e5\u4f4d\u3067\u3057\u3066\u3044\u307e\u3059\u3002\u30d1\u30fc\u30af\u30d9\u30f3\u30c1\u306f\u9762\u5012\u306a\u306e\u3067\u5fdc\u7528\u3057\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u30d1\u30fc\u30af\u30d9\u30f3\u30c1\u3067\u4f53\u4f4d\u3092\u3068\u308b\u65bd\u8a2d\u304c\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u982d\u90e8\u306f\u56de\u65cb\u305b\u305a\u306b\u6c34\u5e73\u3068\u3057\u307e\u3059\u3002\u5927\u5207\u306a\u3053\u3068\u306f\uff0cS\u72b6\u9759\u8108\u6d1e\u306e\u4f4d\u7f6e\u3092\u5fc3\u623f\u306e\u4f4d\u7f6e\u3088\u308a\u53ef\u80fd\u306a\u9650\u308a\u6319\u3052\u308b\u3053\u3068\u3067\u3059\u3002\u3053\u308c\u3067\u9759\u8108\u51fa\u8840\u304c\u9632\u3052\u307e\u3059\u3002\u958b\u982d\u3092\u7d42\u308f\u3063\u305f\u6642\u306bS\u72b6\u9759\u8108\u6d1e\u3092\u89b3\u5bdf\u3057\u3066\uff0cS\u72b6\u9759\u8108\u6d1e\u3092\u8986\u3046\u786c\u819c\u306e\u62cd\u52d5\u304c\u898b\u3048\u308b\u304f\u3089\u3044\u306e\u982d\u4f4d\u304c\u7406\u60f3\u7684\u3067\u3059\u3002\u3053\u306e\u304f\u3089\u3044\u306e\u6319\u4e0a\u3067\u306f\u9759\u8108\u6d1e\u5185\u5727\u304c\u9670\u5727\u306b\u306a\u308b\u306e\u3067\uff0c\u7a7a\u6c17\u585e\u6813\u304c\u751f\u3058\u306a\u3044\u3088\u3046\u306b\u982d\u306e\u9ad8\u3055\u3092\u9069\u5b9c\uff0c\u30d9\u30c3\u30c9\u64cd\u4f5c\u3067\u8abf\u7bc0\u3057\u307e\u3059\u3002<\/p>\n<h5>\u76ae\u819a\u5207\u958b\u306e\u8981\u70b9\uff08\u5f8c\u982d\u795e\u7d4c\u3092\u640d\u50b7\u3057\u306a\u3044\u306e\u304c\u5927\u5207\uff09<\/h5>\n<h5>retroauricular curvilinear skin incision<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9294\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip1-300x256.jpg\" alt=\"latsuboccip1\" width=\"300\" height=\"256\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip1-300x256.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip1-550x469.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip1.jpg 616w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u80f8\u9396\u4e73\u7a81\u7b4b\uff08SCM\uff09\u3092\u524d\u65b9\u306b\u7ffb\u5c55\u3059\u308b\u305f\u3081\u306e\u76ae\u819a\u5207\u958b\u3092\u8003\u3048\u307e\u3059\u3002SCM\u306e\u8171 tendon \u306f\uff0c\u4e73\u69d8\u7a81\u8d77\u306e\u5148\u7aef\u524d\u5074\u304b\u3089\u4e73\u69d8\u7a81\u8d77\u5168\u4f53\uff0c\u5f8c\u982d\u9aa8 superior nuchal line\u306b\u4ed8\u7740\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9296\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip2-300x280.jpg\" alt=\"latsuboccip2\" width=\"300\" height=\"280\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip2-300x280.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip2-550x514.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip2.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u4e73\u69d8\u7a81\u8d77\u306e\u5f8c\u65b9\u306b\u56f3\u306e\u9752\u3044\u30e9\u30a4\u30f3\u306e\u3088\u3046\u306a\u76ae\u819a\u5207\u958b\u3092\u304a\u304d\u307e\u3059\u3002\u76f4\u7dda\u3067\u306f\u306a\u304f\u3066\u5f8c\u65b9\u51f8\u306e\u3086\u308b\u3044\u5f27\u72b6\u5207\u958b curvilinear incision \u3068\u3057\u307e\u3059\u3002\u76ee\u5b89\u3068\u3057\u3066\u306f\uff0c\u4e73\u69d8\u7a81\u8d77\u306e\u5f8c\u7e01\u304b\u3089\u4e00\u6a2a\u6307 1-1.5cm \u304f\u3089\u3044\u3067\uff0csuperior nuchal line\u3088\u308a3-4cm\u304f\u3089\u3044\u4e0a\u65b9\u304b\u3089\uff0c\u4e73\u69d8\u7a81\u8d77\u306e\u659c\u3081\u4e0b\u3042\u305f\u308a\u3067\u3059\u3002\u6a2a\u9759\u8108\u6d1e\u3092\u9732\u51fa\u3057\u305f\u3044\u5834\u5408\u306b\u306f\u4e0a\u524d\u65b9\u3078\u4f38\u3070\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9297\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip3-300x208.jpg\" alt=\"latsuboccip3\" width=\"300\" height=\"208\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip3-300x208.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccip3.jpg 476w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u306a\u305c\u3053\u306e\u3088\u3046\u306a\u4f4d\u7f6e\u306b\u306a\u308b\u304b\u3068\u3044\u3046\u3068\uff0c\u5f8c\u982d\u795e\u7d4c\u3068\u5927\u8033\u4ecb\u795e\u7d4c\u3092\u5207\u65ad\u3057\u306a\u3044\u305f\u3081\u3067\u3059\u3002\u9ec4\u8272\u3067\u63cf\u3044\u305f\u306e\u304c\u76ae\u795e\u7d4c\u3067\uff0c\u3053\u308c\u3092\u6a2a\u5207\u3089\u306a\u3044\u5207\u65ad\u3057\u306a\u3044\u76ae\u5207\u3092\u8a2d\u8a08\u3057\u307e\u3059\u3002\u5c0f\u5f8c\u982d\u795e\u7d4c\u3068\u5927\u5f8c\u982d\u795e\u7d4c\u306b\u306f\u304b\u306a\u308a\u306e\u30d0\u30ea\u30a8\u30fc\u30b7\u30e7\u30f3\u304c\u3042\u308a\uff0c\u592a\u3055\u3068\u4f4d\u7f6e\u306f\u3055\u307e\u3056\u307e\u3067\u3059\u3002\u80f8\u9396\u4e73\u7a81\u7b4b\u306e\u5f8c\u7e01\u306b\u6cbf\u3046\u592a\u3044\u76ae\u795e\u7d4c\u3092\u6e29\u5b58\u3057\u307e\u3059\u3002<\/p>\n<p>\u5927\u8033\u4ecb\u795e\u7d4c great auricular nerve \u306f\u8033\u4ecb\u4e0b\u7aef\u304b\u3089\u659c\u3081\u4e0b\u306b\u80f8\u9396\u4e73\u7a81\u7b4b\u306e\u4e0a\u3092\u8d70\u884c\u3057\u307e\u3059\u3002\u5f8c\u982d\u795e\u7d4c\u306f\uff0c\u5b9f\u306f\u5c0f\u5f8c\u982d\u795e\u7d4c lesser occipital nereve\u306a\u306e\u3067\u3059\u304c\uff0c\u3053\u308c\u306f\u80f8\u9396\u4e73\u7a81\u7b4b\u306e\u5f8c\u7e01\u3092\u4e0a\u884c\u3057\u307e\u3059\u3002\u5927\u8033\u4ecb\u795e\u7d4c\u3068\u5f8c\u982d\u795e\u7d4c\u306b\u306f\u304b\u306a\u308avariation\u304c\u3042\u3063\u3066\uff0c\u592a\u3044\uff11\u672c\u306e\u3082\u306e\u3082\u3042\u308c\u3070\uff0c\u3053\u306e\u4f4d\u7f6e\u3067\u591a\u6570\u306b\u5206\u679d\u3057\u3066\u3044\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002<br \/>\n\u4e21\u795e\u7d4c\u3068\u3082\u30b5\u30a4\u30ba\u306f\u3055\u307e\u3056\u307e\u3067\u3042\u308a\uff0c\u5927\u8033\u4ecb\u795e\u7d4c\u304c\uff12\u672c\u306e\u672c\u5e79\u3068\u304b\uff0c\u5c0f\u5f8c\u982d\u795e\u7d4c\u304c\u5927\u5f8c\u982d\u795e\u7d4c\u3068\u540c\u3058\u304f\u3089\u3044\u5927\u304d\u306a\u30b5\u30a4\u30ba\u3067\u5e83\u7bc4\u56f2\u3092\u652f\u914d\u3059\u308b\u3068\u304b\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5>\u9811\u75db\u3068\u3057\u3066\u306e\u5f8c\u982d\u795e\u7d4c\u75db occipital neuralgia, intractable pain<\/h5>\n<p>\u5f8c\u982d\u795e\u7d4c\u75db\u306f\uff0c\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d\u306e\u5927\u304d\u306a\u5408\u4f75\u75c7\u3068\u3044\u3048\u308b\u3082\u306e\u3067\uff0c\u983b\u5ea6\u3082\u4f4e\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u8853\u5f8c\u306e\u60a3\u8005\u3055\u3093\u304c\u3064\u3089\u3044\u3068\u8a34\u3048\u3066\u3082\uff0c\u57f7\u5200\u3057\u305f\u8133\u5916\u79d1\u533b\u306b\u81ea\u899a\u304c\u306a\u304f\uff0c\u76f8\u624b\u306b\u3055\u308c\u306a\u3044\u3053\u3068\u3082\u3057\u3070\u3057\u3070\u3067\u3059\u3002\u304b\u306a\u308a\u65e5\u5e38\u751f\u6d3b\u306e\u652f\u969c\u306b\u306a\u308a\u6570\u5e74\u4ee5\u4e0a\u3053\u306e\u5f8c\u907a\u75c7\u3067\u82e6\u3057\u3093\u3067\u3044\u308b\u60a3\u8005\u3055\u3093\u3092\u305f\u304f\u3055\u3093\u898b\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3082\u3061\u308d\u3093\u5927\u5207\u306a\u3053\u3068\u306f\uff0c\u592a\u3044\u5f8c\u982d\u795e\u7d4c\u3092\u640d\u50b7\u3057\u306a\u3044\u3053\u3068\u3067\u3059\u3002\u30e1\u30b9\u3067\u30b7\u30e3\u30fc\u30d7\u306b\u5207\u65ad\u3057\u3066\u3057\u307e\u3048\u3070\uff0c\u7121\u611f\u899a\u3068\u306a\u308a\u30b7\u30d3\u30ec\u3092\u8a34\u3048\u308b\u3060\u3051\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3072\u3069\u3044\u75db\u307f\u304c\u6b8b\u308b\u5834\u5408\u306f\uff0c\u5f8c\u982d\u795e\u7d4c\u3092\u713c\u707c\u3057\u3066\u3057\u307e\u3063\u305f\u6642\uff0c\u5f8c\u982d\u795e\u7d4c\u3092\u76ae\u4e0b\u306e\u7e2b\u5408\u7cf8\u3067\u7e1b\u3063\u305f\u6642\u3067\u3059\u3002\u9589\u982d\u76ae\u819a\u7e2b\u5408\u6642\u306b\uff0c\u76ae\u4e0b\u306b\u96a0\u308c\u3066\u3044\u308b\u5f8c\u982d\u795e\u7d4c\u3092\u7cf8\u3067\u7e1b\u3063\u3066\u3057\u307e\u3046\u3068\uff0c\u7d5e\u627c\u6027\u795e\u7d4c\u75db entrapment neuropathy \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u304c\u6700\u3082\u3072\u3069\u3044\u6162\u6027\u75bc\u75db\u306e\u539f\u56e0\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>\u7b4b\u8089\u306e\u5c55\u958b<\/h5>\n<p>\u307e\u305aSCM\u306e\u8868\u9762\u3092\u7b4b\u7e4a\u7dad\u304c\u304d\u308c\u3044\u306a\u7b4b\u72b6\u306b\u307f\u3048\u308b\u3088\u3046\u306b\u9732\u51fa\u3057\u3066\u982d\u76ae\u3092\u5265\u3044\u3067\u3044\u304d\u307e\u3059\u3002\u76ae\u5207\u304b\u3089\u5f8c\u65b9\u3078\u5411\u304b\u3046\u306e\u307f\u3067\u524d\u65b9\u306f\u5265\u304c\u3057\u307e\u305b\u3093\u3002SCM\u306e\u5f8c\u7e01\u3092\u898b\u3064\u3051\u308b\u306b\u306f\u30b3\u30c4\u304c\u3042\u308a\u307e\u3059\u3002SCM\u306e\u7b4b\u7e4a\u7dad\u306e\u8d70\u884c\u306f\u5fc5\u305a\u304d\u308c\u3044\u306b\u898b\u3048\u307e\u3059\u304b\u3089\uff0c\u3088\u304f\u89b3\u5bdf\u3057\u306a\u304c\u3089\u76ae\u819a\u3092\u7ffb\u5c55\u3057\u3066\u3044\u304f\u3068\u5f8c\u7e01\u307e\u3067\u81f3\u308a\u307e\u3059\u3002\u5f8c\u8033\u4ecb\u7b4b posterior auricular muscle \u3068\u3044\u3046\u5c0f\u3055\u306a\u7b4b\u8089\u304c\u898b\u3048\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3053\u308c\u306f\u5207\u65ad\u3057\u307e\u3059\u3002SCM\u306e\u5f8c\u7e01\u306b\u306f\u5f8c\u982d\u795e\u7d4c\u306emajor branch\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u640d\u50b7\u3057\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u3057\u307e\u3059\u3002\u5f8c\u7e01\u307e\u3067\u81f3\u3063\u305f\u3089\uff0csuperior nuchal line\u306b\u4ed8\u7740\u3059\u308bSCM\u306etendon\u3092\u5f8c\u982d\u9aa8\u304b\u3089\uff0c\u92ed\u3044\u30e9\u30b9\u30d1\u3092\u7528\u3044\u3066\u304d\u308c\u3044\u306b\u5265\u304c\u3057\u307e\u3059\u3002\u9aa8\u9762\u306btendon\u7d50\u5408\u7e54\u304c\u6b8b\u3089\u306a\u3044\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u305d\u308c\u304b\u3089SCM\u3092\u524d\u65b9\u306b\u8d77\u3053\u3057\u3066\u3044\u304f\u306e\u3067\u3059\u304c\uff0c\u4e0b\u306b\u3042\u308b\u982d\u677f\u72b6\u7b4b\u3068\u306f\u7b4b\u7e4a\u7dad\u306e\u8d70\u884c\u65b9\u5411\u304c40\u5ea6\u304f\u3089\u3044\u7570\u306a\u308b\u306e\u3067SCM\u5f8c\u7e01\u304c\u8a8d\u8b58\u3067\u304d\u307e\u3059\u3002 \u982d\u677f\u72b6\u7b4b splenius capitis muscle \u3068\u306e\u9593\u306b\u306floose\u306aaleorer layer\u3057\u304b\u306a\u3044\u306e\u3067\u7c21\u5358\u306b\u7ffb\u5c55\u3067\u304d\u307e\u3059\u3002SCM\u3068\u4f53\u683c\u306e\u3088\u3044\u60a3\u8005\u3055\u3093\u3067\u306fSCM\u306e\u4e0a\u7e01\u306f\u5074\u982d\u7b4b\u306e\u5f8c\u7e01\u3068\u9023\u7d9a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9362\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea-300x254.jpg\" alt=\"mastoidarea\" width=\"300\" height=\"254\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea-300x254.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea-768x649.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea-550x465.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidarea.jpg 984w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nSCM\u3068splenius m\u306e\u91cd\u306a\u308a\u306e\u30a4\u30e1\u30fc\u30b8\u3067\u3059\u3002\u7b4b\u7dda\u7dad\u306e\u65b9\u5411\u6027\u304c\u9055\u3046\u306e\u3067\u898b\u5206\u3051\u3089\u308c\u307e\u3059\u3002\u4e21\u8005\u304c\u91cd\u306a\u308b\u4f4d\u7f6e\u304c\u3061\u3087\u3046\u3069\u958b\u982d\u3059\u308b\u90e8\u4f4d\u306b\u3042\u305f\u308a\u307e\u3059\u3002<br \/>\n\u984e\u4e8c\u8179\u7b4b\u306f\u3082\u3063\u3068\u3082\u6df1\u3044\u3068\u3053\u308d\u306b\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u982d\u677f\u72b6\u7b4b splenius m \u306f\u4e73\u69d8\u7a81\u8d77\u5f8c\u7e01\u304b\u3089\u7b2c\uff14\u9838\u690e\u306e\u68d8\u7a81\u8d77\u306b\u505c\u6b62\u3059\u308b\u5927\u304d\u306a\u7b4b\u8089\u3067\u3059\u304b\u3089\uff0c\u3053\u308c\u3082\u3066\u3044\u306d\u3044\u306b\u4e73\u69d8\u7a81\u8d77\u304b\u3089\u5265\u96e2\u3057\u307e\u3059\u3002\u7b4b\u8171 tendon\u3067\u5f37\u56fa\u306b\u304f\u3063\u3064\u3044\u3066\u3044\u307e\u3059\u304b\u3089\u92ed\u3044\u30e9\u30b9\u30d1\u3067\u8171\u3068\u9aa8\u819c\u3092\u9aa8\u304b\u3089\u7dba\u9e97\u306b\u5265\u96e2\u3059\u308b\u306e\u304c\u30b3\u30c4\u3067\u3059\u3002splenius\u306e\u8d77\u59cb\u90e8\u306e\u4e0b\u7aef\u304b\u3089\u524d\u7e01\u3092\u307f\u3066\u3044\u304f\u3068\u8033\u4e0b\u817a\u306e\u5f8c\u90e8\u304c\u9732\u51fa\u3055\u308c\u307e\u3059\u3002\u3053\u306e\u6642\u306b\u3001retromastoid emissary vein\u3092\u5207\u65ad\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u3001orfice\u306e\u3068\u3053\u308d\u3067\u6b62\u8840\u3059\u308b\u30c6\u30af\u30cb\u30c3\u30af\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u592a\u3044\u9759\u8108\u3067\u306f\u9759\u8108\u6d1e\u3092\u7834\u3063\u305f\u3088\u3046\u306a\u51fa\u8840\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u82e5\u3044\u5148\u751f\u306f\u30d3\u30c3\u30af\u30ea\u3057\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u6642\u306b\uff0c\u305d\u306e\u4e0b\u9762\u306b\u3042\u308b\u5f8c\u982d\u4e0b\u7b4b\u7fa4\uff08\u982d\u6700\u9577\u7b4b longissimus capitis\uff0c\u4e0a\u982d\u659c\u7b4b superior oblique\uff09\u306fsplenius\u3068\u306f\u5225\u3005\u306b\u3057\u306a\u3044\u3067\u4e00\u584a\u306b\u3057\u3066\u5f8c\u4e0b\u65b9\u3078\u3068\u7ffb\u5c55\u3057\u307e\u3059\u3002\u3053\u306e\u6642\u306e\u64cd\u4f5c\u306f\u3059\u3079\u3066\uff0c\u5358\u306b\u30e9\u30b9\u30d1\u3092\u4f7f\u7528\u3057\u3066\u5f8c\u982d\u9aa8\u304b\u3089\u9aa8\u819c\u3092\u5265\u304c\u3059\u3088\u3046\u306a\u64cd\u4f5c\u306e\u307f\u3067\u3059\u3002\u5f8c\u982d\u7b4b\u7fa4\u306e\u9aa8\u819c\u304c\u5265\u304c\u308c\u308c\u3070\uff0c\u5927\u5f8c\u982d\u5b54\u306e\u65b9\u5411\u306b\u306f\u8102\u80aa\u7d44\u7e54\u304c\u898b\u3048\u3066\u304d\u307e\u3059\u3002\u3053\u308c\u3067\uff0csuperior nuchal line\uff0c\u4e73\u69d8\u7a81\u8d77\u5f8c\u7e01\uff0c\u5927\u5f8c\u982d\u5b54\u306b\u8fd1\u3044\u9aa8\u9762\u304c\u9732\u51fa\u3067\u304d\u305f\u308f\u3051\u3067\uff0c\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d\u306b\u5fc5\u8981\u306a\u9aa8\u306f\u307f\u3048\u307e\u3059\u3002<\/p>\n<p>\u92ed\u3044\u30e9\u30b9\u30d1\u306f\u79c1\u304c\u4f5c\u3063\u305f\u4e21\u7aef\u30e9\u30b9\u30d1\u3068\u3057\u3066\u3001\u85e4\u7530\u533b\u79d1\u3067\u8cfc\u5165\u3067\u304d\u307e\u3059\u3002<\/p>\n<p>\u3082\u3046\u4e00\u3064\u30b3\u30c4\u304c\u3042\u308a\u307e\u3059\u3002splenius M\u306e\u8d77\u59cb\u90e8\u306e\u524d\u4e0b\u7e01\u306f\uff0c\u4e73\u69d8\u7a81\u8d77\u306e\u4e0b\u7aef\u306e\u88cf\u5074\u306b\u3057\u3063\u304b\u308a\u304f\u3063\u3064\u3044\u3066\u3044\u307e\u3059\u3002\u3053\u3053\u306f\u5265\u304c\u3057\u3065\u3089\u3044\u306e\u3067\u30cf\u30b5\u30df\u3067\uff0c\u4e73\u69d8\u7a81\u8d77\u5148\u7aef\u304b\u3089\u5207\u308a\u843d\u3068\u3057\u307e\u3059\u3002\u3053\u308c\u3092\u3059\u308b\u3053\u3068\u3067\u5f8c\u982d\u9aa8\u7a79\u7abf\u90e8\u304c\u5e83\u304f\u3088\u304f\u307f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u624b\u8853\u3067\u306f\u3053\u3053\u307e\u3067\u3059\u308b\u5fc5\u8981\u306f\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u5c0f\u8133\u6a4b\u89d2\u90e8\uff0c\u5c0f\u8133\u5ef6\u9ac4\u89d2\u90e8\u75c5\u5909\u306b\u81f3\u308b\u3068\u304d\u306f\u3053\u308c\u3092\u3057\u3063\u304b\u3057\u3057\u307e\u3059\u3002\u3053\u306e\u6642\u306b\u8033\u4e0b\u817a\u306e\u5f8c\u7e01\u304c\u3067\u307e\u3059\u3002\u307e\u305f\u3053\u306e\u64cd\u4f5c\u3092\u3057\u3066\u3044\u308b\u6642\u306b\uff0c\u4e73\u69d8\u7a81\u8d77\u5148\u7aef\u306e\u4e0b\u306b\u306f\u5f8c\u982d\u52d5\u8108\u304c\u9732\u51fa\u3055\u308c\u307e\u3059\u3002\u7b4b\u8089\u306e\u8171\u3092\u5207\u65ad\u3057\u3088\u3046\u3068\u3057\u3066\u5f8c\u982d\u52d5\u8108\u3092\u5207\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u306e\u3067\uff0c\u6ce8\u610f\u3002\u3053\u306e\u64cd\u4f5c\u3092\u3057\u3066\u304a\u304f\u3068\uff0c\u786c\u819c\u5185\u306e\u64cd\u4f5c\u306e\u6642\u306b\u7b4b\u7fa4\u3067\u9855\u5fae\u93e1\u8996\u91ce\u304c\u5236\u9650\u3055\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h5>retromastoid emissary vein \u306e\u51e6\u7f6e<a href=\"https:\/\/youtu.be\/yiechbLpWxg\">\uff08\u30d3\u30c7\u30aa\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/emissarymastoid.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10138\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/emissarymastoid-200x200.png\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/emissarymastoid-200x200.png 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/emissarymastoid-144x144.png 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><br \/>\n\u3053\u306e\u9759\u8108\u306f\u8853\u524d\u306bthin-slice bone-window CT\u3067\u3088\u304f\u898b\u3066\u304a\u304d\u307e\u3059\u3002\u592a\u3055\u3082\u8d70\u884c\u3082\u500b\u4f53\u5dee\u304c\u5927\u304d\u306a\u9759\u8108\u3067\u3059\u3002\u306a\u305c\u5927\u5207\u304b\u3068\u3044\u3046\u3068\uff0cS\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u306b\u6d41\u5165\u3059\u308b\u304b\u3089\u3067\u3059\u3002\u6839\u5143\u3067\u640d\u50b7\u3059\u308b\u3068\uff0cS\u72b6\u9759\u8108\u6d1e\u3092\u88c2\u304f\u3068\u3044\u3046\u4e8b\u614b\u304c\u751f\u3058\u307e\u3059\u3002\u3067\u3082\u3053\u306e\u5c0e\u51fa\u9759\u8108\u304c\u3046\u307e\u304f\u51e6\u7406\u3067\u304d\u306a\u3044\u3068S\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u304c\u9732\u51fa\u3067\u304d\u305a\u786c\u819c\u5c55\u958b\u304c\u4e0d\u5229\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u9759\u8108\u306fSCM\u306e\u4e0b\u306b\u3042\u308b\u306e\u3067SCM\u306e\u7ffb\u5c55\u306e\u6642\u306b\u306f\u554f\u984c\u3068\u306a\u308a\u307e\u305b\u3093\u3002splenius m\u3092\u9aa8\u304b\u3089\u306f\u304c\u305d\u3046\u3068\u3059\u308b\u6642\u306b\u898b\u3048\u3066\u304d\u307e\u3059\u3002\u9aa8\u819c\u3092\u5265\u304c\u3057\u3066\u3044\u304f\u3068\u9aa8\u8868\u9762\u3067\u5207\u308c\u3066\uff0c\u51fa\u8840\u3057\u307e\u3059\u3002\u982d\u90e8\u3092\u5341\u5206\u6319\u4e0a\u3067\u304d\u3066\u3044\u308c\u3070\u3042\u307e\u308a\u51fa\u8840\u3057\u307e\u305b\u3093\u304b\u3089\uff0c\u5b54 orfice\u306e\u5468\u56f2\u306e\u7d50\u5408\u7e54\u3092\u3092\u30e9\u30b9\u30d1\u3067\u5341\u5206\u5265\u304c\u3057\u3066\u304b\u3089\u6b62\u8840\u306b\u304b\u304b\u308a\u307e\u3059\u3002\u5927\u304d\u306a\u5b54\u306e\u6642\u306b\u306f\uff0c\u5b54\u306e\u4e2d\u306b\u30b5\u30fc\u30b8\u30bb\u30eb\u3092\u4e38\u3081\u305f\u3082\u306e\u306b\u30d5\u30a3\u30d6\u30ea\u30f3\u306eA\u6db2\u3092\u3064\u3051\u3066\u8a70\u3081\u8fbc\u307f\u307e\u3059\u3002\u53ef\u80fd\u306a\u9650\u308aS\u72b6\u9759\u8108\u6d1e\u306e\u8fd1\u304f\u307e\u3067\u8a70\u3081\u8fbc\u3093\u3067\u304a\u304f\u3068\uff0c\u4e73\u69d8\u7a81\u8d77\u3092\u524a\u9664\u3057\u3066\u3044\u308b\u6642\u306b\u9aa8\u5185\u306e\u5c0e\u51fa\u9759\u8108\u3092\u30c9\u30ea\u30eb\u3067\u524a\u3063\u3066\u3082\u51fa\u8840\u3057\u307e\u305b\u3093\u306e\u3067\u3068\u3066\u3082\u4fbf\u5229\u3067\u3059\u3002\u5b54\u304c\u5c0f\u3055\u3044\u6642\u306b\u306f\u9aa8\u874b bone wax\u3092\u8a70\u3081\u307e\u3059\u3002<\/p>\n<h5>\u984e\u4e8c\u8179\u7b4b digastric muscle<\/h5>\n<p>splenius m\u3092\u5265\u96e2\u3059\u308b\u6642\u306b\u898b\u3048\u307e\u3059\u3002\u8d77\u59cb\u90e8\u304c\u5074\u982d\u9aa8\u4e73\u7a81\u5207\u75d5 mastoid groove\u306b\u306f\u307e\u308a\u8fbc\u3093\u3067\u3044\u308b\u306e\u3067\uff0c\u3061\u3087\u3063\u3068\u3060\u3051\u5265\u96e2\u3057\u3066\u304a\u304d\u307e\u3059\u3002\u9aa8\u524a\u9664\u3092\u3059\u308b\u6642\u306b\uff0cmastoid groove\u306f\u5c11\u3057\u3060\u3051\u524a\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n<h5>\u30c9\u30ea\u30eb\u306b\u3088\u308bS\u72b6\u9759\u8108\u6d1e\u5f8c\u7e01\u306e\u9732\u51fa<\/h5>\n<p>\u9759\u8108\u6d1e\u5f8c\u63f4\u306e\u4f4d\u7f6e\u3092\u3057\u3063\u304b\u308a\u628a\u63e1\u3057\u3066\uff0c\u30c9\u30ea\u30eb\u3067\u7e26\u6e9d\u3092\u6398\u308a\u307e\u3059\u3002\u9759\u8108\u6d1e\u3068\u5f8c\u982d\u4e0b\u786c\u819c\u306e\u5883\u76ee\u3092\u9732\u51fa\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u5f8c\u982d\u9aa8\u8868\u9762\u3092\u89b3\u5bdf\u3059\u308b\u6642\u306b\uff0casterion\u3068\u3044\u3046\u8a9e\u5f59\u306f\u5fd8\u308c\u305f\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u3042\u307e\u308a\u5f79\u306b\u7acb\u3061\u307e\u305b\u3093\u3002S\u72b6\u9759\u8108\u6d1e\u306e\u4f4d\u7f6e\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u3092\u7528\u3044\u3066\u3082\u3044\u3044\u306e\u3067\u3059\u304c\uff0c\u9762\u5012\u3067\u3059\u3002\u9759\u8108\u6d1e\u306e\u4f4d\u7f6e\u306f\uff0cthin-slice bone-window CT\u3067\u63a8\u6e2c\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002S\u72b6\u9759\u8108\u6d1e\u306f\u5074\u982d\u9aa8\u4e73\u7a81\u90e8\u306e\u4e0b\u306b\u3042\u308b\u3053\u3068\u3082\u3042\u308c\u3070\u4e73\u7a81\u90e8\u306b\u307b\u3068\u3093\u3069\u8986\u308f\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidpro.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9356\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidpro-300x245.jpg\" alt=\"mastoidpro\" width=\"300\" height=\"245\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidpro-300x245.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/mastoidpro.jpg 428w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u7d2b\u306e\u7dda\u3067\u793a\u3057\u305f\u3088\u3046\u306b\uff0cS\u72b6\u9759\u8108\u6d1e\u5f8c\u7e01\u306f\uff0c\u5074\u982d\u9aa8\u4e73\u7a81\u90e8 mastoid portion \u306e\u5f8c\u7e01\u306e\u30e9\u30a4\u30f3\u306b\u7d0415-20\u5ea6\u304f\u3089\u3044\u306e\u50be\u304d\u3067\u3059\u3002\u3088\u304f\u3042\u308b\u904e\u3061\u306f\uff0cS\u72b6\u9759\u8108\u6d1e\u304cmastoid process\u3068\u5e73\u884c\u306b\u8d70\u884c\u3059\u308b\u3068\u306e\u601d\u3044\u8fbc\u307f\u3067\u751f\u3058\u307e\u3059\u3002<\/p>\n<p>\u982d\u5074\u3067\u306f\u4e73\u7a81\u90e8 mastoid portion\u306e\u8868\u9762\u3092\u524a\u9664\u3057\u307e\u3059\u306e\u3067\uff0c\u4e73\u7a81\u8702\u5de2 mastoid air cells \u304c\u958b\u3044\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5c3e\u5074\u3067\u306f\u5f8c\u982d\u9aa8\u7a79\u7abf\u90e8\u3092\u524a\u9664\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>S\u72b6\u9759\u8108\u6d1e\u306e\u592a\u3055\u3068\u76db\u308a\u4e0a\u304c\u308a\u306f\u69d8\u3005\u3067\u3059\u3002\u3053\u308c\u3082bone-window CT\u3067\u8aad\u307f\u53d6\u3063\u3066\u304a\u304d\u307e\u3059\u3002\u9aa8\u89e3\u5256\u304b\u3089\u3044\u3048\u3070\uff0csigmoid groove\u306e\u5f62\u614b\u3092\u307f\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u982d\u5074\u3067\u306f15mm\u4ee5\u4e0a\u306e\u539a\u3055\u3082\u3042\u308c\u3070\uff0c\u5c3e\u5074\u3067\u306f2mm\u304f\u3089\u3044\u306e\u8584\u3044\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u307e\u305f\uff0csigmoid groove\u304c\u7acb\u3063\u3066\u3044\u308b\u3082\u306e\u3067\u306f\uff0c\u9aa8\u76ae\u8cea\u304b\u3089\u9759\u8108\u6d1e\u307e\u3067\u76f4\u3050\u306a\u306e\u3067\u6cb9\u65ad\u306f\u7981\u7269\u3067\u3059\u3002<\/p>\n<p>\u6700\u521d\u306f\u30ab\u30c3\u30c6\u30a3\u30f3\u30b0\u30d0\u30fc\uff08\u30b9\u30c6\u30a3\u30fc\u30eb\u30d0\u30fc\uff09\u306e5mm\u304f\u3089\u3044\u306e\u3082\u306e\u3092\u7528\u3044\u3066\u6d45\u3044\u9aa8\u6e9d\u3092\u6398\u3063\u3066\uff0c\u305d\u308c\u304b\u3089\u30b3\u30fc\u30b9\u30c0\u30a4\u30e4\u306e4mm, 3mm\u3067\u9759\u8108\u6d1e\u58c1\u307e\u3067\u81f3\u308a\u307e\u3059\u3002\u30b3\u30c4\u306f\uff0c\u9759\u8108\u6d1e\u306b\u8fd1\u3065\u304f\u3068\u8272\u304c\u5909\u308f\u3063\u3066\u304f\u308b\u306e\u3067\uff0c\u6b8b\u3063\u305f\u8584\u3044\u9aa8\u3092\u901a\u3057\u3066\uff0c\u9759\u8108\u6d1e\u3042\u308b\u3044\u306f\u786c\u819c\u304c\u898b\u3048\u3066\u304f\u308b\u3053\u3068\u3092\u3057\u3063\u304b\u308a\u8a8d\u8b58\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u6163\u308c\u306a\u3044\u3068\u304d\u306f\u8089\u773c\u3067\u306f\u306a\u304f\u3066\uff0c\u9855\u5fae\u93e1\u3092\u4f7f\u7528\u3059\u308b\u307b\u3046\u304c\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u9759\u8108\u6d1e\u786c\u819c\u3092\u9732\u51fa\u3057\u3066\u3082\u3044\u3044\u3057\uff0c\u30d1\u30ea\u30c3\u3068\u5272\u308c\u308b\u304f\u3089\u3044\u306e\u8584\u3044paper-thin bone\u306b\u3057\u3066\u304a\u3044\u3066\u3082\u826f\u3044\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-9360\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape-550x207.jpg\" alt=\"sigmoidshape\" width=\"550\" height=\"207\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape-550x207.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape-300x113.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape-768x289.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sigmoidshape.jpg 1378w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>\u5de6\u56f3\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3042\u308c\u3070\uff0c\u9310\u4f53\u9aa8\u5f8c\u9762\u3092\u307f\u308b\u305f\u3081\u306b\u9759\u8108\u6d1e\u3092\u307b\u3068\u3093\u3069\u9732\u51fa\u3059\u308b\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3057\uff0c\u9759\u8108\u6d1e\u640d\u50b7\u306e\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u4e2d\u56f3\u306e\u3088\u3046\u306a\u3082\u306e\u306f\u666e\u901a\u306e\u3082\u306e\u3067\u9759\u8108\u6d1e\u5f8c\u534a\u90e8\u3092\u9732\u51fa\u3057\u3066\u3081\u304f\u308a\u4e0a\u3052\u308b\u3088\u3046\u306b\u3059\u308c\u3070\uff0c\u9310\u4f53\u9aa8\u5f8c\u9762\u304c\u898b\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u53f3\u56f3\u306e\u3082\u306e\u304c\u6700\u60aa\u306e\u6761\u4ef6\u3067\u3059\u3002mastoid groove\u304c\u6df1\u304f\uff0c\u5f8c\u982d\u7aa9\u786c\u819c\u3068\u92ed\u89d2\u306b\u306a\u3063\u3066\u3044\u3066\uff0c\u304b\u3064\u5f8c\u982d\u7aa9\u306b\u5927\u304d\u304f\u304b\u3076\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u30b1\u30fc\u30b9\u3067\u4e73\u7a81\u8702\u5de3\u3092\u6df1\u304f\u524a\u308a mastoidectomy\uff0cS\u72b6\u9759\u8108\u6d1e\u3092\u5b8c\u5168\u306b\u9732\u51fa\u3057\u3066\uff0c\u53ef\u52d5\u6027\u3092\u3082\u305f\u305b\u3066\u524d\u65b9\u306b\u79fb\u884c\u3055\u305b\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u3067\u304d\u307e\u3059\u304c\uff0c\u4fb5\u8972\u304c\u5927\u304d\u304f\u306a\u308b\u306e\u3067\u3042\u307e\u308a\u304a\u52e7\u3081\u3067\u304d\u307e\u305b\u3093\u3002\u304b\u306a\u308a\u96e3\u3057\u3044\u5f8c\u982d\u7aa9\u816b\u760d\u3067\u5fc5\u9808\u306a\u5834\u5408\u306e\u307f\u306b\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-9368\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio-550x241.jpg\" alt=\"latsuboccipcaranio\" width=\"550\" height=\"241\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio-550x241.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio-300x131.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio-768x336.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/latsuboccipcaranio.jpg 1181w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>\u9ad8\u3055\u306f\u6a2a\u9759\u8108\u6d1e transverse sinus\u306e\u4e00\u90e8\u304c\u9732\u51fa\u3059\u308b\u3068\u3053\u308d\u307e\u3067\u3067\u3059\u3002\u6a2a\u9759\u8108\u6d1e\u306f\u4e08\u592b\u306a\u9759\u8108\u6d1e\u306a\u306e\u3067\u3042\u307e\u308a\u6c17\u306b\u3057\u306a\u3044\u3067\uff0c\u5927\u304d\u304f\u9732\u51fa\u3057\u3066\u3082\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u6a2a\u9759\u8108\u6d1e\u3068S\u72b6\u9759\u8108\u6d1e\u3092\u9732\u51fa\u3057\u3066\u786c\u819c\u3092\u7ffb\u5c55\u3059\u308b\u3053\u3068\u3067\uff0c\u9310\u4f53\u9aa8\u7e01 petrous ridge\u306e\u8996\u91ce\u304c\u5341\u5206\u306b\u5f97\u3089\u308c\u307e\u3059\u3002<\/p>\n<h5>\u4e73\u69d8\u7a81\u8d77\u306e\u524a\u9664\u3068\u4e73\u7a81\u8702\u5de3\u306e\u958b\u653e<\/h5>\n<p>\u5c11\u3057\u3060\u3051air cell\u304c\u958b\u653e\u3055\u308c\u305f\u3068\u304d\u306b\u306f\u9aa8\u874b bone wax\u3067\u3057\u3063\u304b\u308a\u57cb\u3081\u307e\u3059\u3002\u305d\u308c\u3067\u9ac4\u6db2\u30ed\u30a6\u306f\u751f\u3058\u307e\u305b\u3093\u3002\u5927\u304d\u304fatrium\u304c\u958b\u653e\u3055\u308c\u305f\u5834\u5408\u3082\u554f\u984c\u306a\u3044\u3067\u3057\u3087\u3046\u3002\u9ac4\u6db2\u6f0f\u304c\u9632\u3052\u308c\u3070\u3044\u3044\u306e\u3067\u3059\u3002\u3069\u3046\u3059\u308b\u304b\u3068\u3044\u3046\u3068\u3001\u786c\u819c\u7e2b\u5408\u3068\u9ac4\u6db2\u9589\u9396\u3092\u3057\u3063\u304b\u308a\u3057\u3059\u308c\u3070\u3044\u3044\u306e\u3067\u3059\u3002\u307e\u305f\u3001\u4eba\u5de5\u786c\u819c\u3092\u4f7f\u7528\u3057\u306a\u3044\u3067\u786c\u819c\u7e2b\u5408\u3092\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u786c\u819c\u5207\u958b\u3092\u3059\u308b\u3068\u304d\u306b\u5f8c\u982d\u7aa9\u786c\u819c\u3092\u713c\u304d\u7e2e\u3081\u306a\u3044\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002\u786c\u819c\u5207\u958b\u306e\u6642\u306b\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u786c\u819c\u3092\u6b62\u8840\u3057\u306a\u3044\u3002\u713c\u304f\u3068\u786c\u819c\u304c\u53ce\u7e2e\u3057\u3066\u9589\u9396\u3059\u308b\u3068\u304d\u306b\u7e2b\u5408\u304c\u3057\u3063\u304b\u308a\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u786c\u819c\u5207\u958b\u306e\u6280\u8853\u304c\u3001\u4e73\u7a81\u8702\u5de3\u304b\u3089\u306e\u9ac4\u6db2\u6f0f\u9632\u6b62\u306e\u57fa\u672c\u3068\u306a\u3063\u3066\u3044\u308b\u306e\u3067\u3059\u3002<\/p>\n<h5>\u786c\u819c\u5265\u96e2<\/h5>\n<p>S\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u3092\u9732\u51fa\u3057\u305f\u6642\u306b\u3067\u304d\u305f\u9aa8\u6e9d\u304b\u3089\uff0c\u7d30\u3044\u786c\u819c\u5265\u5b50\u3092\u4f7f\u7528\u3059\u308c\u3070\u786c\u819c\u306f\u5265\u96e2\u3067\u304d\u307e\u3059\u300250\u4ee3\u4ee5\u964d\u304f\u3089\u3044\u306e\u5e74\u9f62\u3067\u306f\u786c\u819c\u3068\u5f8c\u982d\u7a79\u7abf\u90e8\u306e\u9aa8\u304c\u7652\u7740\u3057\u3066\u3044\u307e\u3059\u304b\u3089\u7121\u7406\u306f\u3057\u307e\u305b\u3093\u3002\u7652\u7740\u304c\u5f37\u3044\u5834\u5408\u306b\u306f\uff0c\u7a79\u7abf\u90e8\u306b\u4e00\u3064\u30d0\u30eb\u30db\u30fc\u30eb\u3092\u8ffd\u52a0\u3057\u3066\u5341\u5206\u306b\u5265\u96e2\u3057\u307e\u3059\u3002<\/p>\n<p>\u5f8c\u982d\u7aa9\u306b\u5927\u304d\u306a\u816b\u760d\u304c\u3042\u308b\u6642\u3084\u6c34\u982d\u75c7\u304c\u3042\u308b\u6642\u306b\u306f\uff0c\u8133\u8868\u5727\u8feb\u306b\u3088\u308a\u786c\u819c\u5265\u96e2\u6642\u306b\u5c0f\u8133\u8868\u9762\u306e\u632b\u6ec5\u3084\u786c\u819c\u4e0b\u8840\u816b\u3092\u751f\u3058\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u3057\u307e\u3059\u3002<\/p>\n<h5>\u5f8c\u982d\u4e0b\u958b\u982d<\/h5>\n<p>\u4e0a\u56f3\u306b\u3042\u308b\u3088\u3046\u306b\u6a2a\u9759\u8108\u6d1e\u3092\u5341\u5206\u306b\u9732\u51fa\u3067\u304d\u308b\u3088\u3046\u306b\u9ad8\u3055\u3092\u8003\u3048\u306a\u304c\u3089\uff0c\u30af\u30e9\u30cb\u30aa\u30c8\u30fc\u30e0\u3067\u9aa8\u5207\u308a\u3057\u307e\u3059\u3002\u4e00\u6c17\u306b\u3044\u3051\u307e\u3059\u304c\uff0c\u9014\u4e2d\u3067\u6b62\u3081\u3066\u5c3e\u5074\u306eS\u72b6\u9759\u8108\u6d1e\u4e0b\u7aef\u304b\u3089\u306e\u9aa8\u5207\u308a\u3082\u52a0\u3048\u308b\u3068\u786c\u819c\u640d\u50b7\u306e\u4e8b\u6545\u304c\u5c11\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<h5>\u958b\u982d\u306e\u5fae\u8abf\u6574<\/h5>\n<p>\u306a\u304b\u306a\u304b\u8a08\u753b\u3069\u304a\u308a\u306e\u958b\u982d\u306f\u3067\u304d\u307e\u305b\u3093\u3002S\u4e0a\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u304c\u51fa\u3066\u3044\u306a\u304b\u3063\u305f\u3089\uff0c\u30b3\u30fc\u30b9\u30c0\u30a4\u30e4 3mm\u30d0\u30fc\u3067\u6b8b\u3063\u305f\u4e73\u69d8\u7a81\u8d77\u3092\u3055\u3089\u306b\u524a\u9664\u3057\u3066\u9732\u51fa\u3057\u307e\u3059\u3002\u6a2a\u9759\u8108\u6d1e\u304c\u9732\u51fa\u3067\u304d\u3066\u3044\u306a\u3044\u5834\u5408\u3082\u540c\u69d8\u3067\u3059\u3002\u7279\u306b\uff0cS\u72b6\u9759\u8108\u6d1e\u3068\u6a2a\u9759\u8108\u6d1e\u306e\u79fb\u884c\u90e8\u306f\u5341\u5206\u306b\u51fa\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u3053\u304b\u3089\u9310\u4f53\u9aa8\u7e01\uff0c\u9310\u4f53\u9759\u8108\u3092\u307f\u308b\u91cd\u8981\u306a\u8996\u91ce\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>\u786c\u819c\u5207\u958b<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/duralincision1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9370\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/duralincision1-300x257.jpg\" alt=\"duralincision1\" width=\"300\" height=\"257\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/duralincision1-300x257.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/duralincision1.jpg 511w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u786c\u819c\u306f\u5de6\u306e\u3088\u3046\u306a\u5207\u958b\u7dda\u304c\u5178\u578b\u7684\u306a\u3082\u306e\u3067\u3059\u3002\u9759\u8108\u6d1e\u306b\u5207\u308a\u5165\u308b\u304f\u3089\u3044\u30ae\u30ea\u30ae\u30ea\u307e\u3067\u5207\u958b\u3057\u307e\u3059\u3002<br \/>\n\u7279\u306b\uff0cS\u72b6\u9759\u8108\u6d1e\u3068\u6a2a\u9759\u8108\u6d1e\u306e\u66f2\u304c\u308a\u89d2\u306e\u3068\u3053\u308d\u306f\u6df1\u304f\u5207\u308a\u5165\u308a\u307e\u3059\u3002<br \/>\n\u9759\u8108\u6d1e\u304c\u8fd1\u3065\u304f\u3068\uff0c\u786c\u819c\u304c\u539a\u304f\u306a\u3063\u3066\u304d\u3066\uff12\u5c64\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u308c\u3092\u3057\u3063\u304b\u308a\uff0c\u8a8d\u8b58\u3067\u304d\u308b\u3068\u3053\u308d\u307e\u3067\u65ac\u308a\u8fbc\u307f\u307e\u3059\u3002<br \/>\n\u8aa4\u3063\u3066\u9759\u8108\u6d1e\u58c1\u3092\u5207\u3063\u3066\u51fa\u8840\u3057\u3066\u3082\u5927\u4e08\u592b\uff0c\u7e2b\u5408\u3059\u308c\u3070\u7c21\u5358\u306b\u6b62\u8840\u3067\u304d\u307e\u3059\u3002<\/p>\n<h5>\u9759\u8108\u6d1e\u3092\u8aa4\u3063\u3066\u5207\u3063\u305f\u3068\u304d\uff0c\u610f\u56f3\u7684\u306b\u5207\u958b\u3057\u305f\u3068\u304d<\/h5>\n<p>\u9759\u8108\u6d1e\u3092\u5207\u3063\u3066\u3057\u307e\u3063\u3066\u51fa\u8840\u304c\u751f\u3066\u3082\uff0c\u3042\u308f\u3066\u306a\u3044\uff0c\u8efd\u304f\u6291\u3048\u308c\u3070\u6b62\u307e\u308a\u307e\u3059\u3002\u51fa\u8840\u91cf\u304c\u591a\u3044\u6642\u306b\u306f\u30d9\u30c3\u30c9\u64cd\u4f5c\u3067\u982d\u90e8\u3092\u6319\u4e0a\u3057\u3066\u8abf\u7bc0\u3057\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9382\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture1-200x200.jpg\" alt=\"sinussuture1\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9383\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture3-200x200.jpg\" alt=\"sinussuture3\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture3-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture3-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9384\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture2-200x200.jpg\" alt=\"sinussuture2\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u614c\u3066\u3066\u30b5\u30fc\u30b8\u30bb\u30eb\u3084\u30bc\u30eb\u30d5\u30a9\u30fc\u30e0\u306a\u3069\u3092\u5f53\u3066\u306a\u3044\uff0c\u5165\u308c\u306a\u3044\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002\u51fa\u8840\u304c\u591a\u3044\u3068\u304d\u306b\u306f\u30b3\u30c3\u30c8\u30f3\u306a\u3069\u3067\u62bc\u3055\u3048\u306a\u304c\u3089\uff0c\u7e2b\u5408\u7cf8\u3092\u7528\u610f\u3057\u307e\u3059\u30024-0\u306e\u30ca\u30a4\u30ed\u30f3\u306a\u3069\u3067\u56f3\u306e\u3088\u3046\u306b\u7e2b\u5408\u3057\u307e\u3059\u3002\uff11\u91dd\u3067\u7e2b\u5408\u3067\u304d\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9386\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4-200x200.jpg\" alt=\"sinussuture4\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4-298x300.jpg 298w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4-550x554.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture4-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9387\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5-200x200.jpg\" alt=\"sinussuture5\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5-300x298.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5-550x546.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/sinussuture5-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u4e0a\u8a18\u306e\u7e2b\u5408\u3067\u306f\u9759\u8108\u6d1e\u306f\u9589\u9396\u3067\u304d\u308b\u306e\u3067\u3059\u304c\u786c\u819c\u304c\u9589\u3058\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u5207\u3063\u305f\u90e8\u5206\u306e\u786c\u819c\u3092\u958b\u3044\u305f\u307e\u307e\u7e2b\u5408\u6b62\u8840\u3059\u308b\u6642\u306b\u306f\uff0c\u4e0a\u56f3\u306e\u3088\u3046\u306b\uff12\u91dd\u4f7f\u3063\u3066\u7e2b\u5408\u3057\u307e\u3059\u3002\u3053\u306e\u624b\u6cd5\u3092\u7528\u3044\u308b\u3068\uff0c\u9759\u8108\u6d1e\u306e\u4e00\u90e8\u3092\u786c\u819c\u3068\u7ffb\u5c55\u3067\u304d\u3066\uff0c\u786c\u819c\u5c55\u958b\u304c\u5e83\u304f\u306a\u3063\u3066\u6df1\u90e8\u306e\u8996\u91ce\u304c\u958b\u3051\u307e\u3059\u3002\u9759\u8108\u6d1e\u306e\u4e00\u90e8\u3092\u610f\u56f3\u7684\u306b\u3072\u3063\u304f\u308a\u8fd4\u3059\u3068\u304d\u3082\uff0c\u3053\u306e\u9759\u8108\u6d1e\u5207\u958b\u3068\u7e2b\u5408\u3092\u884c\u3044\u307e\u3059\u3002\u51fa\u8840\u3059\u308b\u306e\u3067\u3061\u3087\u3063\u3068\u6016\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c(^_^;)\u3000\u6163\u308c\u308c\u3070\u306a\u3093\u3068\u3044\u3046\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093(^o^)\u30ce<\/p>\n<p>\u7279\u306b\uff0c\u6a2a\u9759\u8108\u6d1e\u304b\u3089S\u72b6\u9759\u8108\u6d1e\u66f2\u304c\u308a\u89d2\u3067\u3053\u306e\u65b9\u6cd5\u3092\u7528\u3044\u308b\u3068\uff0c\u5916\u5074\u5f8c\u982d\u4e0b\u958b\u982d\u3067\u306e\u9310\u4f53\u9aa8\u7e01\u3078\u306e\u8996\u91ce\u306e\u5c55\u958b\u304c\u826f\u304f\u306a\u308a\uff0c\u9310\u4f53\u9759\u8108\uff0c\u4e09\u53c9\u795e\u7d4c\uff0c\u4e2d\u8133\u5074\u9762\u304c\u3088\u304f\u898b\u3048\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u610f\u56f3\u7684\u306b\u9759\u8108\u6d1e\u3092\u5c11\u3057\u5207\u65ad\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3082\u3057\u307e\u3059\u3002\u3067\u3082\u307b\u3093\u306e1mm\u304b2mm\u304f\u3089\u3044\u3067\u3059\u304c\uff0c\u305d\u308c\u3067\u3082\u304b\u306a\u308a\u9055\u3044\u307e\u3059\u3002<\/p>\n<h5>\u9ac4\u6db2\u306e\u6392\u51fa<\/h5>\n<p>\u5b9f\u306f\uff0c\u9ac4\u6db2\u306e\u6392\u51fa\u306f\u786c\u819c\u5207\u958b\u306e\u524d\u306b\u3057\u307e\u3059\u3002\u3068\u3044\u3063\u3066\u3082\u7406\u89e3\u3057\u3066\u3044\u305f\u3060\u3051\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\uff0c\u3053\u306e\u624b\u6cd5\u3092\u4f7f\u3046\u8133\u5916\u79d1\u533b\u306f\u591a\u3044\u3067\u3059\u3002\u786c\u819c\u5207\u958b\u306e\u7b2c\u4e00\u5203\u76ee\u3067\uff0c\u786c\u819c\u4e00\u7dd2\u306b\u76f4\u4e0b\u306e\u30af\u30e2\u819c\u3092\u5207\u308b\u306e\u3067\u3059\u3002\u305d\u3046\u3059\u308b\u3068\uff0c\u5c0f\u8133\u8868\u9762\u306e\u8133\u6e9d\u304b\u3089\u308f\u305a\u304b\u306a\u91cf\u306e\u9ac4\u6db2\u304c\u6f0f\u51fa\u3057\u307e\u3059\u3002\u3053\u306e\u308f\u305a\u304b\u306a\u6f0f\u51fa\u3067\u6570ml\u306e\u9ac4\u6db2\u304c\u5f15\u3051\u308c\u3070\uff0c\u305d\u308c\u3060\u3051\u3067\u3082\u982d\u84cb\u5185\u5727\u306f\u304b\u306a\u308a\u4f4e\u4e0b\u3057\u307e\u3059\u3002<\/p>\n<p>\u305d\u308c\u304b\u3089\uff0cS\u72b6\u9759\u8108\u6d1e\u306e\u4e0b\u7aef\u306b\u5411\u304b\u3063\u3066\u786c\u819c\u5207\u958b\u3092\u3057\u307e\u3059\u3002\u3053\u306e\u6642\u70b9\u3067\uff0c\u786c\u819c\u4e0b\u306b\u8133\u30d8\u30e9\u3092\u633f\u5165\u3057\u3066\u5c0f\u8133\u3092\u9664\u3051\u306a\u304c\u3089\uff0c\u5c0f\u8133\u5ef6\u9ac4\u89d2\u69fd\u306e\u65b9\u5411\u306b\u5438\u5f15\u7ba1\u3092\u633f\u5165\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u5438\u5f15\u7ba1\u3092\u5dee\u3057\u5165\u308c\u308b\u65b9\u5411\u306b\u95a2\u3057\u3066\u306f\u8981\u9818\u304c\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u8868\u73fe\u3059\u308b\u3053\u3068\u306f\u96e3\u3057\u3044\u3067\u3059\u3002\u5927\u5f8c\u982d\u5b54\u65b9\u5411\u306b\u5411\u304b\u3063\u3066\u3044\u304f\u3068\u3044\u3046\u306e\u304c\u30b3\u30c4\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>\u5c0f\u8133\u5ef6\u9ac4\u89d2\u69fd\u306e\u30af\u30e2\u819c\u3092\u7834\u3089\u306a\u3044\u3068\u5927\u91cf\u306e\u9ac4\u6db2\u306f\u5f15\u3051\u306a\u3044\u306e\u3067\u3059\u304c\uff0c\u30b3\u30c4\u304c\u3042\u308a\u307e\u3059\u3002\u9ac4\u6db2\u304c\u307b\u3093\u306e\u5c11\u3057\u6d41\u308c\u51fa\u3066\u304f\u308b\u306a\u3089\uff0c\u305d\u3053\u30671\u5206\u4ee5\u4e0a\u305a\u3063\u3068\u5f85\u3061\u307e\u3059\u3002\u5f90\u3005\u306b\u5c0f\u8133\u8868\u9762\u5727\u304c\u4e0b\u304c\u3063\u3066\u304d\u307e\u3059\u3002\u305d\u3053\u3067\uff0c\u8133\u69fd\u30af\u30e2\u819c\u304c\u898b\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u304b\u3089\uff0c\u30af\u30e2\u819c\u3092\u7d30\u3044\u5438\u5f15\u7ba1\u306e\u5148\u3067\u5f3e\u3044\u3066\u3084\u308c\u3070\uff0c\u30af\u30e2\u819c\u304c\u7834\u308c\u3066\u4e00\u6c17\u306b\u9ac4\u6db2\u304c\u6d41\u51fa\u3057\u307e\u3059\u3002<\/p>\n<h5>\u786c\u819c\u306e\u727d\u5f15\u5c55\u958b<\/h5>\n<p>\u786c\u819c\u306e\u7ffb\u5c55\u306f\u9650\u754c\u307e\u3067\u884c\u3044\u307e\u3059\u3002\u4e2d\u9014\u534a\u7aef\u306a\u3086\u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href=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/kai8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9423\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/kai8-300x225.jpg\" alt=\"kai8\" width=\"300\" height=\"225\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/kai8-300x225.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2016\/08\/kai8.jpg 320w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u8133\u795e\u7d4c\u5916\u79d1\u306e\u624b\u8853\u3067\u306f\u524d\u982d\u5074\u982d\u958b\u982d pterional approach \u306b\u6b21\u3050\u57fa\u672c\u7684\u306a\u624b\u8853\u3067\u3059 \u5f8c\u982d\u7aa9\u306e\u75c5\u5909\u306f\u3053\u306e\u958b\u982d\u6cd5\u3067\u307b\u3068\u3093\u3069\u624b\u8853\u3067\u304d\u308b\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046 \u307e\u305f\u91cd\u8981\u306a\u3053\u3068\u306f\uff0c\u982d\u84cb\u5e95\u624b\u8853\u306e\u624b\u6280\u306f\u3053\u306e\u5916\u5074\u5f8c\u982d [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-9247","post","type-post","status-publish","format-standard","hentry","category-surgtech"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/9247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=9247"}],"version-history":[{"count":35,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/9247\/revisions"}],"predecessor-version":[{"id":18242,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/9247\/revisions\/18242"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=9247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=9247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=9247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}