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\n
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\n

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\n
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\n

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\n
\u6b6f\u5217\u77ef\u6b63\u3067\u5c0f\u9854\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u30b1\u30fc\u30b9\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3059\u304b\uff1f<\/div>\n
\n

\u30a8\u30e9\u304c\u5f35\u3063\u3066\u3044\u308b\u5834\u5408\u3001\u51fa\u3063\u6b6f\u3084\u516b\u91cd\u6b6f\u306e\u5834\u5408\u306b\u5c0f\u9854\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002\u30a8\u30e9\u5f35\u308a\u304c\u54ac\u7b4b\u306e\u767a\u9054\u306b\u3088\u308b\u3082\u306e\u3067\u3042\u308c\u3070\u3001\u565b\u307f\u5408\u308f\u305b\u304c\u6574\u3044\u30d0\u30e9\u30f3\u30b9\u3088\u304f\u565b\u3081\u308b\u3088\u3046\u306b\u306a\u308b\u3053\u3068\u3067\u54ac\u7b4b\u306e\u767a\u9054\u304c\u6291\u5236\u3055\u308c\u3001\u51fa\u3063\u6b6f\u3084\u516b\u91cd\u6b6f\u306e\u77ef\u6b63\u306b\u3088\u3063\u3066\u30d5\u30a7\u30a4\u30b9\u30e9\u30a4\u30f3\u304c\u6574\u3046\u3053\u3068\u304c\u5c0f\u9854\u52b9\u679c\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n<\/div>\n<\/div>\n

\u307e\u3068\u3081<\/h2>\n

\u6b6f\u5217\u77ef\u6b63\u306f\u76f4\u63a5\u7684\u306b\u5c0f\u9854\u3092\u76ee\u6307\u3059\u6cbb\u7642\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u6b6f\u4e26\u3073\u3084\u565b\u307f\u5408\u308f\u305b\u306e\u6539\u5584\u304c\u3001\u9854\u306e\u30d0\u30e9\u30f3\u30b9\u3084\u8f2a\u90ed\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u7279\u306b\u30a8\u30e9\u5f35\u308a\u306e\u539f\u56e0\u304c\u54ac\u7b4b\u306e\u767a\u9054\u306b\u3042\u308b\u5834\u5408\u3084\u3001\u51fa\u3063\u6b6f\u3084\u516b\u91cd\u6b6f\u3092\u6cbb\u7642\u3059\u308b\u3053\u3068\u3067\u30d5\u30a7\u30a4\u30b9\u30e9\u30a4\u30f3\u304c\u6574\u3044\u3001\u5c0f\u9854\u306b\u898b\u3048\u308b\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u3057\u304b\u3057\u3001\u3053\u308c\u306f\u3042\u304f\u307e\u3067\u500b\u4eba\u5dee\u304c\u3042\u308a\u3001\u5168\u3066\u306e\u4eba\u306b\u5f53\u3066\u306f\u307e\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u7406\u89e3\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002\u6b6f\u5217\u77ef\u6b63\u3092\u691c\u8a0e\u3059\u308b\u969b\u306f\u3001\u5c0f\u9854\u52b9\u679c\u3092\u671f\u5f85\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6b6f\u4e26\u3073\u3084\u565b\u307f\u5408\u308f\u305b\u306e\u5065\u5eb7\u9762\u3082\u91cd\u8996\u3057\u3066\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n

\n

\u6b6f\u5217\u77ef\u6b63\u6cbb\u7642\u304c\u9854\u306e\u5916\u89b3\u3001\u7279\u306b\u5c0f\u9854\u52b9\u679c\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u306b\u3064\u3044\u3066\u306e\u660e\u78ba\u306a\u8a3c\u62e0\u306f\u9650\u3089\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u4e00\u90e8\u306e\u7814\u7a76\u3067\u306f\u9854\u306e\u7f8e\u7684\u5916\u89b3\u306b\u5bfe\u3059\u308b\u6b6f\u5217\u77ef\u6b63\u306e\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u5f71\u97ff\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4f8b\u3048\u3070\u3001Surgery First Approach (SFA) \u306f\u3001\u307e\u305a\u9854\u306e\u7f8e\u7684\u5916\u89b3\uff08\u304a\u3088\u3073\u9aa8\u683c\u306e\u4e0d\u6574\u5408\uff09\u3092\u6cbb\u7642\u3057\u3001\u305d\u306e\u5f8c\u3067\u54ac\u5408\u3092\u6cbb\u7642\u3059\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3042\u308a\u3001\u9854\u306e\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\u901f\u3084\u304b\u306b\u6539\u5584\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059\u3002SFA\u306f\u3001\u9854\u306e\u7f8e\u7684\u5916\u89b3\u3092\u60a3\u8005\u306e\u4e3b\u306a\u4e0d\u6e80\u3068\u3057\u3066\u8fc5\u901f\u306b\u89e3\u6c7a\u3059\u308b\u3053\u3068\u3067\u3001\u77ef\u6b63\u6cbb\u7642\u5f8c\u306e\u9854\u306e\u5916\u89b3\u3092\u6539\u5584\u3057\u3001\u7dcf\u6cbb\u7642\u671f\u9593\u3092\u5927\u5e45\u306b\u77ed\u7e2e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3010Y. Shah et al., 2017<\/a>\u3011<\/p>\n

\u4e00\u65b9\u3067\u3001\u6b6f\u5217\u77ef\u6b63\u6cbb\u7642\u3092\u53d7\u3051\u308b\u5c0f\u5150\/\u9752\u5c11\u5e74\u60a3\u8005\u306b\u304a\u3051\u308b\u6cbb\u7642\u3092\u6c42\u3081\u308b\u7406\u7531\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u307e\u3059\u304c\u3001\u89aa\u306e\u5f71\u97ff\u304c\u3053\u306e\u30d7\u30ed\u30bb\u30b9\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u3092\u6c42\u3081\u308b\u4e3b\u306a\u8981\u56e0\u3068\u3057\u3066\u3001\u6b6f\u306e\u7f8e\u7684\u5916\u89b3\u3068\u9854\u306e\u5916\u89b3\u304c\u6319\u3052\u3089\u308c\u3066\u304a\u308a\u3001\u3053\u308c\u3089\u306f\u6b6f\u5217\u77ef\u6b63\u6cbb\u7642\u306e\u6210\u529f\u306b\u304a\u3044\u3066\u80af\u5b9a\u7684\u306a\u8981\u56e0\u3068\u3057\u3066\u8a8d\u8b58\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3010Ricardina Nobre & D. Pozza, 2023<\/a>\u3011<\/p>\n

\u3053\u308c\u3089\u306e\u7814\u7a76\u7d50\u679c\u304b\u3089\u3001\u6b6f\u5217\u77ef\u6b63\u6cbb\u7642\u304c\u9854\u306e\u5916\u89b3\u3001\u7279\u306b\u5c0f\u9854\u52b9\u679c\u306b\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u306f\u3042\u308b\u3082\u306e\u306e\u3001\u305d\u306e\u52b9\u679c\u306f\u500b\u4eba\u306e\u7279\u6027\u3084\u6cbb\u7642\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u5927\u304d\u304f\u4f9d\u5b58\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u5c0f\u9854\u52b9\u679c\u3092\u671f\u5f85\u3057\u3066\u6b6f\u5217\u77ef\u6b63\u6cbb\u7642\u3092\u53d7\u3051\u308b\u5834\u5408\u306b\u306f\u3001\u77ef\u6b63\u6b6f\u79d1\u533b\u3068\u306e\u5341\u5206\u306a\u76f8\u8ac7\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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