{"id":290,"date":"2022-12-31T01:15:55","date_gmt":"2022-12-30T16:15:55","guid":{"rendered":"https:\/\/fujimakimedical.com\/?p=290"},"modified":"2023-01-21T01:58:04","modified_gmt":"2023-01-20T16:58:04","slug":"%e3%83%aa%e3%83%b3%e3%83%91%e7%af%80%e9%83%ad%e6%b8%85%e5%be%8c%e3%81%ae%e5%89%b5%e5%87%a6%e7%bd%ae%e3%81%b8%e3%81%ae%e9%99%b0%e5%9c%a7%e9%96%89%e9%8e%96%e7%99%82%e6%b3%95","status":"publish","type":"post","link":"https:\/\/fujimakimedical.com\/?p=290","title":{"rendered":"\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u5f8c\u306e\u5275\u51e6\u7f6e\u3078\u306e\u9670\u5727\u9589\u9396\u7642\u6cd5"},"content":{"rendered":"\n

\u30ea\u30f3\u30d1\u6f0f\u3001\u30ea\u30f3\u30d1\u6d6e\u816b\u306f\u975e\u5e38\u306b\u60a3\u8005\u3092\u82e6\u3057\u3081\u308b\u3082\u306e\u3067\u3042\u308a\u3001\u6cbb\u7642\u306b\u96e3\u6e0b\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05\u5f8c\u306e\u51e6\u7f6e\u306b\u9670\u5727\u9589\u9396\u7642\u6cd5\uff08NPWT)\u3092\u884c\u3063\u305f\u65b9\u304c\u5408\u4f75\u75c7\u3092\u6e1b\u3089\u3059\u53ef\u80fd\u6027\u3092\u793a\u3057\u305f\u8ad6\u6587\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u5e8f\u7ae0<\/h3>\n\n\n\n

\u814b\u7aa9\u304a\u3088\u3073\u9f20\u5f84\u90e8\u30ea\u30f3\u30d1\u7bc0\u90ed\u6e05 (LND) \u306f\u3001\u30ea\u30f3\u30d1\u6f0f\u3001\u30ea\u30f3\u30d1\u7bc0\u3001\u304a\u3088\u3073\u30ea\u30f3\u30d1\u6d6e\u816b\u306a\u3069\u306e\u3044\u304f\u3064\u304b\u306e\u5c40\u6240\u5408\u4f75\u75c7\u3092\u4f34\u3046\u8ee2\u79fb\u6027\u76ae\u819a\u816b\u760d\u3067\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u3053\u306e\u7814\u7a76\u306e\u76ee\u7684\u306f\u4e88\u9632\u63aa\u7f6e\u3068\u3057\u3066\u9069\u7528\u3055\u308c\u308b\u9670\u5727\u5275\u50b7\u7642\u6cd5 (NPWT) \u304c\u8ee2\u5e30\u3092\u6539\u5584\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u3092\u5224\u65ad\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n\n\n\n

\u6750\u6599\u304a\u3088\u3073\u65b9\u6cd5<\/h3>\n\n\n\n

\u5358\u4e00\u4e2d\u5fc3\u306e\u7814\u7a76\u306b\u306f\u30012010 \u5e74 5 \u6708\u304b\u3089 2020 \u5e74 3 \u6708\u307e\u3067\u306b\u814b\u7aa9\u307e\u305f\u306f\u9f20\u5f84\u90e8\u306e LND \u3092\u53d7\u3051\u305f\u60a3\u8005\u304c\u542b\u307e\u308c\u3001\u524d\u5411\u304d\u306b\u53ce\u96c6\u3055\u308c\u305f\u30c7\u30fc\u30bf\u306e\u9061\u53ca\u7684\u8a55\u4fa1\u304c\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u60a3\u8005\u306f\u3001\u5f93\u6765\u306e\u5275\u50b7\u30b1\u30a2 (CWC) \u3068 NPWT \u306e 2 \u3064\u306e\u30b0\u30eb\u30fc\u30d7\u306b\u5206\u3051\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u60a3\u8005\u306f Day7\u3001Day30\u3001\u304a\u3088\u3073\u8853\u5f8c 1 \u5e74\u3067\u4f53\u7cfb\u7684\u306b\u30ec\u30d3\u30e5\u30fc\u3055\u308c\u3001\u30ea\u30f3\u30d1\u6f0f\u3001\u30ea\u30f3\u30d1\u7624\u3001\u304a\u3088\u3073\u30ea\u30f3\u30d1\u6d6e\u816b\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u304c\u53ce\u96c6\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u7d50\u679c<\/h3>\n\n\n\n

\u5408\u8a08 109 \u56de\u306e\u814b\u7aa9\u304a\u3088\u3073\u9f20\u5f84\u90e8\u306e LND \u304c\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

NPWT \u306f 68 LND \u306b\u9069\u7528\u3055\u308c\u3001CWC \u306f 41 LND \u306b\u9069\u7528\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u5909\u6570\u3001\u7cd6\u5c3f\u75c5\u3001\u55ab\u7159\u3001\u6027\u5225\u3001\u95a2\u9023\u3059\u308b\u6cbb\u7642\u6cd5\u304a\u3088\u3073\u539f\u767a\u75c5\u5909 (\u9ed2\u8272\u816b\u3001\u6241\u5e73\u4e0a\u76ae\u764c\u3001\u307e\u305f\u306f\u30e1\u30eb\u30b1\u30eb\u816b\u760d) \u306f\u3001\u4e21\u7fa4\u3067\u985e\u4f3c\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u5206\u6790\u306b\u3088\u308a\u30012 \u3064\u306e\u30b0\u30eb\u30fc\u30d7\u9593\u3067\u6700\u521d\u306e 1 \u304b\u6708\u306e\u7622\u75d5\u306e\u7652\u5408\u7387\u306b\u6709\u610f\u5dee\u304c\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f ( D1 \u3068 D7 \u306e\u9593\u3067p=0.045<\/em>\u3001D8 \u3068 D30 \u306e\u9593\u3067p=0.011<\/em> )<\/p>\n\n\n\n

\u30ea\u30f3\u30d1\u6f0f\u306e\u5b58\u5728 (D8 \u3068 D30 \u306e\u9593\u3067p=0.000<\/em> ) D1 \u3068 D7; D8 \u3068 D30 \u306e\u9593\u3067p=0.002 )\u3002<\/em><\/p>\n\n\n\n

\u30ea\u30f3\u30d1\u6d6e\u816b\u306e\u767a\u751f\u7387\u306f\u3001NPWT \u30b0\u30eb\u30fc\u30d7\u3068 CWC \u30b0\u30eb\u30fc\u30d7\u3067\u6709\u610f\u306b\u6e1b\u5c11\u3057\u307e\u3057\u305f ( D8 \u3068 D30 \u306e\u9593\u3067p=0.000<\/em>\u3001D31 \u3068 1 \u5e74\u306e\u9593\u3067p=0.034 )\u3002<\/em><\/p>\n\n\n\n

\u7d50\u8ad6<\/h3>\n\n\n\n

NPWT \u306f\u3001\u30ea\u30f3\u30d1\u7bc0\u8ee2\u79fb\u6027\u76ae\u819a\u816b\u760d\u306e\u7ba1\u7406\u306b\u304a\u3044\u3066LND \u5f8c\u306e\u6700\u521d\u306e 1 \u5e74\u9593\u306b\u5c40\u6240\u5408\u4f75\u75c7 (\u7622\u75d5\u7652\u5408\u3001\u30ea\u30f3\u30d1\u6f0f\u3001\u304a\u3088\u3073\u30ea\u30f3\u30d1\u6d6e\u816b) \u3092\u8efd\u6e1b\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

<\/p>\n\n\n\n

\u5f15\u7528\u6587\u732e<\/p>\n\n\n\n

Poirier, Antoine, et al. “Does Preventive Negative Pressure Wound Therapy (NPWT) reduce local complications following Lymph Node Dissection (LND) in the management of metastatic skin tumors?.” Journal of Plastic, Reconstructive & Aesthetic Surgery<\/em> 75.12 (2022): 4403-4409.<\/p>\n","protected":false},"excerpt":{"rendered":"

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