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\n

\u6700\u7d42\u66f4\u65b0\u65e5: 31\/01\/2019, <\/strong>\u30df\u30b2\u30eb\u30fb\u30ed\u30e8\u533b\u5e2b<\/strong><\/a>, \u767b\u9332\u756a\u53f7: 10389.<\/strong> \u8133\u795e\u7d4c\u5916\u79d1\u533b\u3001\u795e\u7d4c\u5185\u79d1\u533b<\/strong><\/p>\n

\u5b9a\u7fa9<\/strong><\/h2>\n

\u982d\u5e95\u89d2\u307e\u305f\u306fBoogaard\u89d2\u304c\u958b\u304d\u3001\u982d\u84cb\u5e95\u304c\u5e73\u5766\u306b\u306a\u308b\u9aa8\u306e\u7570\u5e38\u306e\u3053\u3068\u3092\u6241\u5e73\u982d\u84cb\u5e95\u3068\u8a00\u3044\u307e\u3059\u3002\u6b63\u5e38\u89d2\u306f115\u5ea6\u304b\u3089140\u5ea6\u3068\u3055\u308c\u3001140\u5ea6\u3092\u8d85\u3048\u305f\u5834\u5408\u3001\u6241\u5e73\u982d\u84cb\u5e95\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002\u4ed6\u306e\u57fa\u6e96\u89d2\u5ea6\u3001\u4f8b\u3048\u3070Bull\u89d2(\u901a\u5e3813\u5ea6)\u306a\u3069\u3067\u3082\u8a3a\u65ad\u304c\u53ef\u80fd\u3067\u3059\u3002\u591a\u304f\u306e\u5834\u5408\u3001\u6241\u5e73\u982d\u84cb\u5e95\u306f\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3092\u5408\u4f75\u3057\u307e\u3059\u304c\u3001\u6241\u5e73\u982d\u84cb\u5e95\u306e\u307f\u306e\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u6241\u5e73\u982d\u84cb\u5e95\u306f\u306a\u304f\u982d\u84cb\u5e95\u9665\u5165\u75c7\u306e\u307f\u306e\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n

\n

\u75c7\u72b6<\/strong><\/h2>\n

\u6241\u5e73\u982d\u84cb\u5e95\u306e\u307f\u3067\u306f\u7121\u75c7\u72b6\u3067\u3059\u304c\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3084\u4f8b\u3048\u3070\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u306a\u3069\u3092\u4f34\u3046\u5834\u5408\u306b\u306f\u75c7\u72b6\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/p>\n

\n

\u539f\u56e0<\/strong><\/h2>\n
\n

\u2013 \u5f93\u6765\u306e\u898b\u89e3<\/strong><\/p>\n

\u6241\u5e73\u982d\u84cb\u5e95\u306e\u539f\u56e0\u306f\u307e\u3060\u89e3\u660e\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n

\u2013 \u5f53\u7814\u7a76\u6240\u306e\u6cbb\u7642\u8a08\u753b\u300c\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae<\/sup>\u300d\u306b\u3088\u308b\u898b\u89e3<\/strong><\/p>\n

\u5f53\u7814\u7a76\u6240\u306e\u30ed\u30e8\u8133\u795e\u7d4c\u5916\u79d1\u533b\u306e\u898b\u89e3\u306b\u3088\u308b\u3068\u3001\u810a\u9ac4\u3068\u810a\u67f1\u5185\u306e\u4e2d\u67a2\u795e\u7d4c\u7cfb\u3068\u306e\u9593\u306b\u5148\u5929\u6027\u306e\u975e\u540c\u671f\u306e\u6210\u9577\u304c\u8d77\u3053\u308a\u3001\u6241\u5e73\u982d\u84cb\u5e95\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u7d42\u7cf8\u306b\u3088\u308b\u4ed9\u90e8\u304b\u3089\u982d\u84cb\u90e8\u306b\u304b\u3051\u3066\u306e\u7570\u5e38\u306a\u810a\u9ac4\u727d\u5f15\u304c\u3001\u982d\u84cb\u5e95\u306e\u89d2\u5ea6\u306b\u7570\u5e38\u3092\u3082\u305f\u3089\u3057\u3001\u6241\u5e73\u982d\u84cb\u5e95\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/p>\n<\/div>\n

\n

\u7d42\u7cf8\u75c5<\/strong><\/h2>\n

\u30ed\u30e8\u533b\u5e2b\u306e\u7814\u7a76\u3092\u57fa\u306b\u767a\u8868\u3055\u308c\u305f\u535a\u58eb\u8ad6\u6587(1992)\u306e\u7d50\u679c\u3001\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u810a\u67f1\u5074\u5f2f\u75c7\u3001\u6241\u5e73\u982d\u84cb\u5e95\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3001\u6b6f\u7a81\u8d77\u5f8c\u5c48\u3001\u8133\u5e79\u306e\u3088\u3058\u308c\u306a\u3069\u306e\u539f\u56e0\u4e0d\u660e\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u305f\u3082\u306e\u304c\u3001\u7d42\u7cf8\u75c5\u3068\u3044\u3046\u810a\u9ac4\u3068\u5168\u795e\u7d4c\u306b\u5bfe\u3059\u308b\u727d\u5f15\u304b\u3089\u8d77\u3053\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n

\u7d42\u7cf8\u75c5\u306b\u304a\u3044\u3066\u3001\u5168\u795e\u7d4c\u7cfb\u306b\u304b\u304b\u308b\u727d\u5f15\u306f\u3059\u3079\u3066\u306e\u30d2\u30c8\u80da\u3067\u8d77\u3053\u3063\u3066\u304a\u308a\u3001\u7a0b\u5ea6\u306e\u5dee\u306f\u3042\u3063\u3066\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u304a\u308a\u3001\u305d\u306e\u7a0b\u5ea6\u3084\u5f62\u306f\u69d8\u3005\u3067\u3059\u3002\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3001\u8133\u5c0f\u8840\u7ba1\u75c5\u3001\u690e\u9593\u95a2\u7bc0\u75c7\u3001\u30d0\u30fc\u30b9\u30c8\u30e9\u30c3\u30d7\u75c5\u3001\u7dda\u7dad\u7b4b\u75db\u75c7\u3001\u6162\u6027\u75b2\u52b4\u3001\u591c\u5c3f\u75c7\u3001\u5c3f\u5931\u7981\u3001\u4e0b\u534a\u8eab\u306e\u7b4b\u529b\u4f4e\u4e0b\u306a\u3069\u306e\u539f\u56e0\u3082\u7d42\u7cf8\u75c5\u306b\u4ed8\u968f\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u7d42\u7cf8\u75c5\u306e\u6b63\u78ba\u306a\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u8853\u5f8c\u306e\u7d4c\u904e\u89b3\u5bdf\u306a\u3069\u3092\u660e\u78ba\u306b\u3059\u308b\u305f\u3081\u3001\u72ec\u81ea\u306e\u6cbb\u7642\u8a08\u753b\u300c\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae<\/sup><\/strong><\/a>\u300d\u3092\u7acb\u6848\u3057\u307e\u3057\u305f\u3002<\/p>\n

\n

\u982d\u90e8\u306eCT\u691c\u67fb<\/strong><\/h2>\n

\u901a\u5e38\u3001\u6241\u5e73\u982d\u84cb\u5e95\u306e\u8a3a\u65ad\u306b\u306f\u982d\u90e8\u306eCT\u691c\u67fb\u304c\u884c\u308f\u308c\u307e\u3059\u3002\u8133\u90e8\u307e\u305f\u306f\u982d\u90e8\u306eMRI\u691c\u67fb\u3067\u3082\u6241\u5e73\u982d\u84cb\u5e95\u306e\u8a3a\u65ad\u306f\u3067\u304d\u307e\u3059\u304c\u3001\u4e00\u5ea6\u8a3a\u65ad\u540d\u304c\u3064\u3044\u3066\u304b\u3089\u306fCT\u691c\u67fb\u3092\u901a\u3057\u3066\u7d4c\u904e\u89b3\u5bdf\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n

\"\"<\/div>\n

\u56f31. CT\u691c\u67fb\u4e0a\u3067\u306e\u6241\u5e73\u982d\u84cb\u5e95<\/em><\/p>\n

\"\"<\/div>\n

\u56f32. MRI\u691c\u67fb\u4e0a\u3067\u306e\u6241\u5e73\u982d\u84cb\u5e95<\/em><\/p>\n

\n

\u30ea\u30b9\u30af\u8981\u56e0<\/strong><\/h2>\n

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\n

\u5408\u4f75\u75c7<\/strong><\/h2>\n

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\n

\u6cbb\u7642\u6cd5<\/strong><\/h2>\n

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\u4f8b\u3048\u3070\u3001\u6241\u5e73\u982d\u84cb\u5e95\u304c\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u3001\u5927\u5f8c\u982d\u5b54\u6e1b\u5727\u8853\u304c\u884c\u308f\u308c\u3001\u6241\u5e73\u982d\u84cb\u5e95\u306e\u307b\u304b\u306b\u982d\u84cb\u5e95\u9665\u5165\u75c7\u304c\u898b\u3089\u308c\u308b\u5834\u5408\u306f \u6b6f\u7a81\u8d77\u5207\u9664\u8853\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n

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\u6241\u5e73\u982d\u84cb\u5e95\u304c\u3001\u982d\u84cb\u5e95\u9665\u5165\u75c7\u3084\u30a2\u30fc\u30ce\u30eb\u30c9\u30fb\u30ad\u30a2\u30eaI\u578b\u75c7\u5019\u7fa4\u306a\u3069\u306e\u810a\u9ac4\u727d\u5f15\u304c\u539f\u56e0\u3068\u306a\u3063\u3066\u8d77\u3053\u3063\u3066\u3044\u308b\u75c5\u6c17\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u5834\u5408\u3001\u5f53\u7814\u7a76\u6240\u72ec\u81ea\u306e\u6cbb\u7642\u8a08\u753b\u300c\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae<\/sup>\u300d\u306b\u5f93\u3063\u3066\u3001\u7d42\u7cf8\u5207\u65ad\u624b\u8853\u3092\u53d7\u3051\u308b\u3053\u3068\u3092\u63d0\u6848\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\n

\u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae<\/sup>\u9069\u7528\u3067\u306e\u7d42\u7cf8\u5207\u65ad\u624b\u8853<\/strong><\/h2>\n
\n
\n
\n

\u30e1\u30ea\u30c3\u30c8<\/strong><\/h3>\n

1. \u6241\u5e73\u982d\u84cb\u5e95\u306e\u539f\u56e0\u3092\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n

2. \u8eab\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u3044\u4f4e\u4fb5\u8972\u6cbb\u7642\u306e\u305f\u3081\u3001\u624b\u8853\u6642\u9593\u306f\u7d0445\u5206\u3001\u77ed\u671f\u5165\u9662\u3001\u5c40\u6240\u9ebb\u9154\u3001\u8853\u5f8c\u306e\u5236\u9650\u306a\u3057\u3002\u96c6\u4e2d\u6cbb\u7642\u5ba4\uff08ICU\uff09\u3078\u306e\u5165\u9662\u306a\u3057\u3002\u8f38\u8840\u306a\u3057\u3002<\/p>\n

3. \u7d42\u7cf8\u30b7\u30b9\u30c6\u30e0\u00ae\u9069\u7528\u3067\u306e\u7d42\u7cf8\u5207\u65ad\u624b\u8853(1500\u540d\u4ee5\u4e0a\u306e\u60a3\u8005\u3055\u3093\u306b\u9069\u7528)\u306b\u304a\u3051\u308b\u5f8c\u907a\u75c7\u304a\u3088\u3073\u6b7b\u4ea1\u7387\u306f0\uff05\u3002<\/p>\n

4. \u75c7\u72b6\u306e\u6539\u5584\u3068\u6241\u5e73\u982d\u84cb\u5e95\u306b\u95a2\u9023\u3059\u308b\u75c5\u6c17\u306e\u9032\u884c\u3092\u963b\u6b62\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002<\/p>\n<\/div>\n<\/div>\n<\/div>\n

\u7d42\u7cf8\u5207\u65ad\u624b\u8853\u306b\u3088\u3063\u3066\u3001\u7d42\u7cf8\u304c\u3082\u305f\u3089\u3057\u3066\u3044\u305f\u810a\u9ac4\u5168\u4f53\u3078\u306e\u7dca\u5f35\u72b6\u614b\u3092\u53d6\u308a\u9664\u304d\u3001\u810a\u67f1\u306e\u5f2f\u66f2\u3092\u52a9\u9577\u3057\u3066\u3044\u305f\u5727\u529b\u3082\u53d6\u308a\u9664\u304f\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/p>\n

\n

\u53c2\u8003\u6587\u732e<\/strong><\/h2>\n
    \n
  1. Dr. Miguel B. Royo Salvador (1996), Platibasia<\/strong>, impresi\u00f3n basilar, retroceso odontoideo y kinking del tronco cerebral, etiolog\u00eda com\u00fan con la siringomielia<\/strong>, escoliosis<\/strong> y malformaci\u00f3n de Arnold-Chiari<\/strong> idiop\u00e1ticas (PDF).<\/a> REV NEUROL (Barc); 24 (134): 1241-1250<\/li>\n
  2. Dr. Miguel B. Royo Salvador (1997), Nuevo tratamiento quir\u00fargico para la siringomielia<\/strong>, la escoliosis<\/strong>, la malformaci\u00f3n de Arnold-Chiari<\/strong>, el kinking del tronco cerebral, el retroceso odontoideo, la impresi\u00f3n basilar y la platibasia idiop\u00e1ticas (PDF).<\/a> REV NEUROL; 25 (140): 523-530<\/li>\n
  3. M. B. Royo-Salvador (2014), \u201cFilum System\u00ae<\/sup> Bibliography\u201d (PDF).<\/a><\/li>\n
  4. M. B. Royo-Salvador (2014), \u201cFilum System\u00ae<\/sup> Gu\u00eda Breve\u201d.<\/a><\/li>\n<\/ol>\n

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