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\u4e00\u822c\u7684\u306b\u4e0b\u80a2\u9589\u585e\u52d5\u8108\u75be\u60a3\u306b\u306f\u3001\u75c7\u72b6\u3092\uff14\u6bb5\u968e\u306b\u5206\u3051\u305fFontaine\uff08\u30d5\u30a9\u30f3\u30c6\u30a4\u30f3\uff09\u5206\u985e\u3068\u3044\u3046\u3082\u306e\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u5fc5\u305a\u3057\u3082\u3001I\u5ea6\u304b\u3089IV\u5ea6\u3078\u9032\u884c\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u6c17\u304c\u3064\u3044\u305f\u3089\u6f70\u760d\u304c\u3067\u304d\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002 \u2160\u5ea6\uff1a\u7121\u75c7\u72b6(\u3057\u3073\u308c\u30fb\u51b7\u611f) \u521d\u671f\u306b\u306f\u75c7\u72b6\u3092\u8a8d\u3081\u307e\u305b\u3093\u304c\u3001\u9577\u6642\u9593\u306e\u6b69\u884c\u306b\u4e0d\u5b89\u3092\u611f\u3058\u308b\u3088\u3046\u306b\u306a\u308c\u3070\u8981\u6ce8\u610f\u3067\u3059\u3002 \u00a0 \u2161\u5ea6\uff1a\u9593\u6b20\u6027\u8ddb\u884c \u6b69\u304f\u3068\u811a(\u7279\u306b\u3075\u304f\u3089\u306f\u304e)\u304c\u75db\u304f\u306a\u3063\u3066\u6b69\u3051\u306a\u304f\u306a\u308a\u307e\u3059\u304c\u3001\u3057\u3070\u3089\u304f\u4f11\u61a9\u3059\u308b\u3068\u307e\u305f\u6b69\u3051\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u9593\u6b20\u6027\u8ddb\u884c\uff08\u304b\u3093\u3051\u3064\u305b\u3044\u306f\u3053\u3046\uff09\u300d\u3068\u3044\u3046\u75c7\u72b6\u306b\u306a\u308a\u307e\u3059\u3002 \u00a0 \u2162\u5ea6\uff1a\u5b89\u9759\u6642\u75bc\u75db \u75c5\u5909\u304c\u9032\u884c\u3059\u308b\u3068\u3001\u4f55\u3082\u3057\u3066\u3044\u306a\u3044\u3068\u304d(\u5b89\u9759\u6642)\u3067\u3082\u75db\u307f\u3092\u751f\u3058\u308b\u72b6\u614b\u306b\u81f3\u308a\u307e\u3059\u3002 \u00a0 \u2163\u5ea6\uff1a\u6f70\u760d\u30fb\u58ca\u75bd \u3055\u3089\u306b\u9032\u884c\u3059\u308b\u3068\u3001\u8db3\u3078\u306e\u8840\u6d41\u304c\u306a\u304f\u306a\u3063\u3066\u3001\u8db3\u306b\u6cbb\u308a\u306b\u304f\u3044\u50b7(\u6f70\u760d)\u304c\u3067\u304d\u3066\u3057\u307e\u3063\u305f\u308a\u3001\u8db3\u5148\u304c\u8150\u3063\u3066\u3057\u307e\u3063\u305f\u308a(\u58ca\u6b7b)\u3001\u4e0b\u80a2\u3092\u5207\u65ad\u305b\u3056\u308b\u3092\u5f97\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002 III\u5ea6\u30fbIV\u5ea6\u306e\u3088\u3046\u306b\u75c7\u72b6\u304c\u5f37\u304f\u3001\u3055\u3089\u306b\u7d44\u7e54\u6b20\u640d\uff0c\u795e\u7d4c\u969c\u5bb3\uff0c\u611f\u67d3\u306a\u3069\u306e\u80a2\u5207\u65ad\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u5834\u5408\u306f\u5305\u62ec\u7684\u9ad8\u5ea6\u6162\u6027\u4e0b\u80a2\u865a\u8840\uff08\u307b\u3046\u304b\u3064\u3066\u304d\u3053\u3046\u3069\u307e\u3093\u305b\u3044\u304b\u3057\u304d\u3087\u3051\u3064chronic limb-threatening ischemia: CLTI\uff09\u3068\u547c\u3070\u308c\u3001\u3088\u308a\u65e9\u671f\u306e\u6cbb\u7642\u306e\u76f8\u8ac7\u304c\u5fc5\u8981\u306a\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\uff08\u4ee5\u524d\u306f\u91cd\u75c7\u4e0b\u80a2\u865a\u8840\u3000\u3058\u3085\u3046\u3057\u3087\u3046\u304b\u3057\u304d\u3087\u3051\u3064\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\uff09 TOP \u3069\u3093\u306a\u4eba\u304c\u306a\u308a\u3084\u3059\u3044\u3067\u3059\u304b\uff1f \u30bf\u30d0\u30b3\u3092\u5438\u3046\u4eba\u3001\u7cd6\u5c3f\u75c5\u304c\u3042\u308b\u4eba\u3001\u814e\u81d3\u304c\u60aa\u304f\u900f\u6790\u3092\u53d7\u3051\u3066\u3044\u308b\u4eba\u306f\u3001\u9589\u585e\u6027\u52d5\u8108\u786c\u5316\u75c7\u306b\u306a\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002 \u3069\u3046\u3084\u3063\u3066\u8a3a\u65ad\u3067\u304d\u307e\u3059\u304b\uff1f \u554f\u8a3a\u30fb\u8996\u8a3a\u30fb\u89e6\u8a3a \u5b9f\u969b\u306b\u304a\u8a71\u3057\u3092\u805e\u3044\u3066\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306a\u6c17\u306b\u306a\u308b\u75c7\u72b6\u304c\u306a\u3044\u304b\u78ba\u8a8d\u3057\u307e\u3059\u3002\u76ae\u819a\u306e\u8272\u3092\u898b\u305f\u308a\u3001\u8db3\u306e\u8108\u62cd\u3092\u89e6\u3063\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u52d5\u8108\u786c\u5316\u306e\u9032\u884c\u5177\u5408\u304c\u3042\u308b\u7a0b\u5ea6\u308f\u304b\u308a\u307e\u3059\u3002 \u00a0 \u6a5f\u80fd\u691c\u67fb\uff1aABI\u306a\u3069 ABI\u306fAnkle brachial pressure index\u306e\u7565\u8a9e\u306b\u306a\u308a\u307e\u3059\u3002\u8db3\u306e\u8840\u5727\u3068\u8155\u306e\u8840\u5727\u3092\u540c\u6642\u306b\u6e2c\u308a\u3001\u8155\u306e\u8840\u5727\u306b\u6bd4\u3079\u3066\u8db3\u306e\u8840\u5727\u304c\u3069\u306e\u7a0b\u5ea6\u304b\u3092\u8abf\u3079\u308b\u691c\u67fb\u306b\u306a\u308a\u307e\u3059\u3002ABI\u304c\u6975\u7aef\u306b\u4f4e\u3044\uff080.9\u4ee5\u4e0b\uff09\u3082\u3057\u304f\u306f\u6975\u7aef\u306b\u9ad8\u3044\uff08\uff1e1.4\uff09\u306e\u5834\u5408\u3001\u8db3\u306e\u8840\u6d41\u304c\u60aa\u304f\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u7591\u308f\u308c\u307e\u3059\u3002\u3054\u75c5\u72b6\u306b\u3088\u308a\u3001\u3055\u3089\u306b\u6307\u306e\u8840\u5727\uff08\u8db3\u8dbe\u8840\u5727\uff08toe pressure: TP\uff09\uff09\u3084\u76ae\u819a\u3078\u306e\u8840\u6d41\u306e\u7a0b\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u691c\u67fb\uff08\u76ae\u819a\u704c\u6d41\u5727\uff08SPP\uff09\uff09\u3092\u884c\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002 \u00a0 \u753b\u50cf\u691c\u67fb\uff1a\u8d85\u97f3\u6ce2\u30fbCT\u30fbMRI\u30fb\u8840\u7ba1\u9020\u5f71\u691c\u67fb\u306a\u3069 \u5b9f\u969b\u306b\u3069\u306e\u8840\u7ba1\u304c\u60aa\u3044\u306e\u304b\u3001\u3069\u306e\u7a0b\u5ea6\u306e\u7bc4\u56f2\u3067\u3069\u306e\u304f\u3089\u3044\u9032\u884c\u3057\u3066\u3044\u308b\u306e\u304b\u3092\u78ba\u304b\u3081\u308b\u305f\u3081\u306b\u8d85\u97f3\u6ce2\u30fbCT\u30fbMRI\u691c\u67fb\u306a\u3069\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3055\u3089\u306b\u6b63\u78ba\u306b\u77e5\u308b\u5fc5\u8981\u304c\u3042\u308b\u5834\u5408\u306b\u306f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u7528\u3044\u3066\u8db3\u306e\u8840\u7ba1\u306b\u9020\u5f71\u5264\u3092\u6ce8\u5c04\u3057\u3066\u30ec\u30f3\u30c8\u30b2\u30f3\u64ae\u5f71\u3059\u308b (\u8840\u7ba1\u9020\u5f71) \u691c\u67fb\u3092\u884c\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002 TOP \u3069\u3046\u3084\u3063\u3066\u6cbb\u7642\u3057\u307e\u3059\u304b\uff1f \u5927\u304d\u304f\u5206\u3051\u3066\u3001\u5185\u79d1\u7684\u6cbb\u7642\u30fb\u5916\u79d1\u7684\u6cbb\u7642\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u5305\u62ec\u7684\u9ad8\u5ea6\u6162\u6027\u4e0b\u80a2\u865a\u8840\uff08CLTI\uff09\u306e\u5834\u5408\u306f\u3001\u611f\u67d3\u75c7\u79d1\u30fb\u76ae\u819a\u79d1\u30fb\u5f62\u6210\u5916\u79d1\u306a\u3069\u591a\u304f\u306e\u4ed6\u306e\u8a3a\u7642\u79d1\u3068\u6cbb\u7642\u65b9\u91dd\u3092\u76f8\u8ac7\u3057\u306a\u304c\u3089\u60a3\u8005\u3055\u3093\u3054\u3068\u306b\u3042\u3063\u305f\u500b\u5225\u6027\u306e\u9ad8\u3044\u6cbb\u7642\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002 \u5185\u79d1\u7684\u6cbb\u7642 \u4fdd\u5b58\u7684\u6cbb\u7642\uff08\u85ac\u7269\u7642\u6cd5\u30fb\u904b\u52d5\u7642\u6cd5\uff09 \u6297\u8840\u5c0f\u677f\u85ac\uff08\u8840\u3092\u30b5\u30e9\u30b5\u30e9\u306b\u3059\u308b\u85ac\uff09\u3084\u30b9\u30bf\u30c1\u30f3\uff08\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3092\u4e0b\u3052\u308b\u85ac\uff09\u306a\u3069\u52d5\u8108\u786c\u5316\u306e\u9032\u884c\u3092\u9632\u3050\u85ac\u3084\u3001\u8840\u7ba1\u62e1\u5f35\u85ac\u3092\u7528\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059 \u307e\u305f\u3001\u904b\u52d5\u7642\u6cd5\u306f\u8ddb\u884c\u3092\u751f\u3058\u308b\u5f37\u5ea6\u3067\u6b69\u884c\u3057\u3001\u75db\u307f\u304c\u4e2d\u7b49\u5ea6\u306b\u306a\u308c\u3070\u4f11\u3080\u3053\u3068\u3092\u7e70\u308a\u8fd4\u3057\u30011\u56de30\uff5e60\u5206\u9593\u884c\u3044\u3001\u90313\u56de\u5c11\u306a\u304f\u3068\u30823\u30f5\u6708\u9593\u884c\u3046\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u00a0 \u30ab\u30c6\u30fc\u30c6\u30eb\u3067\u306e\u8840\u884c\u518d\u5efa\u8853\uff08EVT endovascular therapy \/endovascular treatment \u8840\u7ba1\u5185\u6cbb\u7642\uff09 \u5fc3\u81d3\u306e\u8840\u7ba1\u3068\u540c\u3058\u304f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u3067\u72ed\u304f\u306a\u3063\u305f\u8840\u7ba1\u3092\u30d0\u30eb\u30fc\u30f3\u30fb\u98a8\u8239\u3067\u5e83\u3052\u305f\u308a\u3001\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3057\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u30b9\u30c6\u30f3\u30c8\u3084\u30d0\u30eb\u30fc\u30f3\u3067\u306e\u6cbb\u7642\u306f\u8840\u7ba1\u306e\u6027\u72b6\u3084\u5f62\u614b\u306b\u3088\u3063\u3066\u5c02\u9580\u5bb6\u3067\u5224\u65ad\u3057\u3066\u9078\u629e\u3057\u307e\u3059\u3002 \u5916\u79d1\u7684\u6cbb\u7642 [&hellip;]","thumbnail_url":"https:\/\/cardiovascularcenter.luke.ac.jp\/wpdata\/wp-content\/uploads\/2023\/02\/DSC_7671-Edit-1024x683.jpg"}