{"id":284,"date":"2019-12-03T10:54:34","date_gmt":"2019-12-03T01:54:34","guid":{"rendered":"https:\/\/mdf.or.jp\/tokyo-spine-clinic\/?post_type=ope&#038;p=284"},"modified":"2025-04-05T12:03:26","modified_gmt":"2025-04-05T03:03:26","slug":"peld","status":"publish","type":"ope","link":"https:\/\/mdf.or.jp\/tokyo-spine-clinic\/ope\/peld\/","title":{"rendered":"\u5185\u8996\u93e1\u4e0b\u810a\u690e\u624b\u8853\uff08UBE\u30fbFESS)"},"content":{"rendered":"<h2>\u30d0\u30a4\u30dd\u30fc\u30bf\u30eb\u5185\u8996\u93e1\u624b\u8853\uff08UBE\uff09<\/h2>\n<p>UBE\uff08Unilateral Biportal Endoscopy \uff09\u306f\u6700\u65b0\u306e\u810a\u690e\u5185\u8996\u93e1\u624b\u8853\u3067\u60a3\u8005\u69d8\u306b\u3082\u3055\u307e\u3056\u307e\u306a\u5229\u70b9\u304c\u3042\u308b\u3053\u3068\u304b\u3089\u6d77\u5916\u3092\u4e2d\u5fc3\u306b\u8fd1\u5e74\u65e5\u672c\u3067\u3082\u975e\u5e38\u306b\u30cb\u30fc\u30ba\u304c\u9ad8\u307e\u3063\u3066\u3044\u308b\u624b\u8853\u65b9\u6cd5\u3067\u3059\u3002<br \/>\n\u5f93\u524d\u3088\u308a\u884c\u308f\u308c\u3066\u3044\u308bMED\u3084FESS\u306a\u3069\u306e\u5f93\u6765\u306e\u5185\u8996\u93e1\u4e0b\u624b\u8853\u3068\u5927\u304d\u304f\u7570\u306a\u308b\u70b9\u306f\u3001\u5668\u5177\u306e\u633f\u5165\u5f84\u304c\u5c0f\u3055\u304f\uff08\uff13\uff5e\uff14mm\uff09\u8853\u5f8c\u306e\u50b7\u304c\u76ee\u7acb\u3061\u306b\u304f2\u304b\u6240\u5207\u958b\u3092\u884c\u30462\u5b54\u5f0f\uff08\u30d0\u30a4\u30dd\u30fc\u30bf\u30eb\uff09\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<br \/>\n\u30ab\u30e1\u30e9\u3092\u633f\u5165\u3059\u308b\u5b54\u3068\u3001\u624b\u8853\u6a5f\u5668\u3092\u633f\u5165\u3059\u308b\u5b54\u3092\u5225\u3005\u306b\u8a2d\u7f6e\u3057\u307e\u3059\u3002<br \/>\n2\u5b54\u5f0f\u306b\u3059\u308b\u3053\u3068\u3067\u3001\u624b\u8853\u306e\u64cd\u4f5c\u6027\u304c\u5897\u3059\u3053\u3068\u3068\u826f\u597d\u306a\u8996\u91ce\u3092\u5f97\u3089\u308c\u308b\u305f\u3081\u9aa8\u5207\u9664\u3092\u884c\u3046\u3088\u3046\u306a\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306e\u9664\u5727\u8853\u306b\u9069\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u810a\u690e\u56fa\u5b9a\u8853\u306b\u969b\u3057\u3066\u3082\u5185\u8996\u93e1\u4e0b\u3067\u78ba\u8a8d\u3057\u306a\u304c\u3089\u884c\u3046\u3053\u3068\u304c\u53ef\u80fd\u3067\u975e\u5e38\u306b\u5b89\u5168\u6027\u306e\u9ad8\u3044\u624b\u8853\u3092\u5b9f\u73fe\u3057\u307e\u3059\u3002<\/p>\n<h5><strong>\u9069\u5fdc\u75be\u60a3<\/strong><\/h5>\n<ul>\n<li>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7<\/li>\n<li>\u8170\u90e8\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3000\u7b49<\/li>\n<\/ul>\n<p><strong>\u8853\u5f0f<\/strong><br \/>\n\u4ef0\u5411\u3051\u306e\u72b6\u614b\u3067\u5168\u8eab\u9ebb\u9154\u3092\u5c0e\u5165\u3057\u307e\u3059\u3002\u3046\u3064\u4f0f\u305b\uff08\u4f0f\u81e5\u4f4d\uff09\u306e\u4f53\u4f4d\u3092\u3068\u308a\u624b\u8853\u304c\u958b\u59cb\u3055\u308c\u307e\u3059\u30023\uff5e4mm\u7a0b\u5ea62\u304b\u6240\u306e\u76ae\u819a\u3092\u5207\u958b\u3057\u307e\u3059\u3002<br \/>\n\u5207\u958b\u3057\u305f\u5c0f\u3055\u306a\u7a74\u306b\u30ec\u30f3\u30c8\u30b2\u30f3\u900f\u8996\u5316\u53ca\u3073\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u4e0b\u306b\u3066\u3001\u4e00\u65b9\u306e\u5b54\u3088\u308a\u5185\u8996\u93e1\u3092\u633f\u5165\u3057\u3082\u3046\u4e00\u65b9\u306e\u5b54\u9257\u5b50\u3084\u3078\u30c9\u30ea\u30eb\u306a\u3069\u306e\u624b\u8853\u5668\u5177\u3092\u633f\u5165\u3057\u3066\u624b\u8853\u3092\u884c\u3044\u307e\u3059\u3002<br \/>\n\u5185\u8996\u93e1\u306e\u5b54\u3088\u308a\u751f\u7406\u98df\u5869\u6c34\u3092\u6ce8\u5165\u3059\u308b\u3053\u3068\u3067\u624b\u8853\u8996\u91ce\u3092\u78ba\u4fdd\u3057\u307e\u3059\u3002\u7b4b\u8089\u3084\u976d\u5e2f\u3092\u5206\u3051\u3066\u795e\u7d4c\u3092\u5727\u8feb\u3057\u3066\u3044\u308b\u75c5\u5909\u3078\u5230\u9054\u9aa8\u3088\u524a\u3063\u305f\u308a\u3001\u30d8\u30eb\u30cb\u30a2\u3092\u9664\u53bb\u3057\u305f\u308a\u3059\u308b\u64cd\u4f5c\u3092\u884c\u3044\u307e\u3059\u3002\u5727\u8feb\u75c5\u5909\u304c\u53d6\u308a\u9664\u304b\u308c\u305f\u3053\u3068\u3092\u78ba\u8a8d\u3057\u76ae\u819a\u7e2b\u5408\u3057\u7d42\u4e86\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2144\" src=\"https:\/\/mdf.or.jp\/wp-content\/uploads\/2025\/04\/ube_05.jpg\" alt=\"\" width=\"186\" height=\"238\" \/><\/p>\n<p><strong>\u8853\u5f8c\u7d4c\u904e<\/strong><br \/>\n\u624b\u8853\u65e5\u306e\u7fcc\u65e5\u3082\u3057\u304f\u306f2\u65e5\u5f8c\u306b\u306f\u9000\u9662\u3068\u306a\u308a\u307e\u3059\u30021\u9031\u9593\u7a0b\u5ea6\u3067\u8efd\u4f5c\u696d\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u5b8c\u5168\u5185\u8996\u93e1\u810a\u690e\u624b\u8853\uff08FESS\uff09<\/h2>\n<p>\u672c\u6765\u690e\u4ef6\u677f\u30d8\u30eb\u30cb\u30a2\u306e\u624b\u8853\u306f5\uff5e6mm\u76ae\u819a\u3092\u5207\u958b\u3057\u3066\u7b4b\u8089\u3092\u3088\u3051\u60a3\u90e8\u307e\u3067\u5230\u9054\u3059\u308b\u5207\u958b\u6cd5\u304c\u4e3b\u306a\u624b\u8853\u3067\u3059\u304cFESS\u306f\u5916\u5f847-8mm\u306e\u5185\u8996\u93e1\u3092\u30d8\u30eb\u30cb\u30a2\u306e\u90e8\u4f4d\u306b\u5165\u308c\u3066\u3001\u751f\u7406\u98df\u5869\u6c34\u3067\u6f45\u6d41\u3057\u306a\u304c\u3089\u3001\u7d30\u3044\u9257\u5b50\u3084\u30e9\u30b8\u30aa\u6ce2\u30d0\u30a4\u30dd\u30fc\u30e9\u306a\u3069\u306e\u5668\u5177\u3092\u7528\u3044\u3066\u30d8\u30eb\u30cb\u30a2\u3092\u53d6\u308a\u9664\u304f\u65b9\u6cd5\u3067\u3001\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u624b\u8853\u306e\u4e2d\u3067\u306f\u3001\u73fe\u6642\u70b9\u306b\u304a\u3051\u308b\u6700\u5c11\u4fb5\u8972\u306e\u624b\u8853\u6cd5\u3068\u8a00\u3048\u307e\u3059\u3002<br \/>\n\u50b7\u306e\u5927\u304d\u3055\u306f7mm \u7a0b\u5ea6\u3067\u3001\u30d8\u30eb\u30cb\u30a2\u306e\u51fa\u3066\u3044\u308b\u5834\u6240\u3001\u5927\u304d\u3055\u306a\u3069\u304b\u3089\u3001\u5185\u8996\u93e1\u3092\u5165\u308c\u308b\u4f4d\u7f6e\u3092\u6c7a\u3081\u307e\u3059\u3002<\/p>\n<p><strong>\u9069\u5fdc\u75be\u60a3<\/strong><\/p>\n<ul>\n<li>\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7<\/li>\n<li>\u8170\u90e8\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3000\u7b49<\/li>\n<\/ul>\n<p><strong>\u8853\u5f0f<\/strong><br \/>\n\u4ef0\u5411\u3051\u306e\u72b6\u614b\u3067\u5168\u8eab\u9ebb\u9154\u3092\u5c0e\u5165\u3057\u307e\u3059\u3002\u3046\u3064\u4f0f\u305b\uff08\u4f0f\u81e5\u4f4d\uff09\u306e\u4f53\u4f4d\u3092\u3068\u308a\u624b\u8853\u304c\u958b\u59cb\u3055\u308c\u307e\u3059\u30027-8mm\u7a0b\u76ae\u819a\u3092\u5207\u958b\u3057\u307e\u3059\u3002<br \/>\n\u5207\u958b\u3057\u305f\u5c0f\u3055\u306a\u7a74\u306b\u30ec\u30f3\u30c8\u30b2\u30f3\u900f\u8996\u5316\u306b\u3066\u3001\u30aa\u30d7\u30c1\u30e5\u30ec\u30fc\u30bf\u3068\u3088\u3070\u308c\u308b\u7ba1\u3092\u633f\u5165\u3057\u305d\u306e\u7ba1\u306b\u5185\u8996\u93e1\u304c\u5165\u308b\u7ba1\u3092\u8a2d\u7f6e\u3057\u307e\u3059\u3002\u5185\u8996\u93e1\u3084\u5c02\u7528\u306e\u624b\u8853\u5668\u5177\u3092\u633f\u5165\u3057\u3001\u751f\u7406\u98df\u5869\u6c34\u3092\u6ce8\u5165\u3059\u308b\u3053\u3068\u3067\u624b\u8853\u8996\u91ce\u3092\u78ba\u4fdd\u3057\u307e\u3059\u3002\u7b4b\u8089\u3084\u976d\u5e2f\u3092\u5206\u3051\u3066\u795e\u7d4c\u3092\u5727\u8feb\u3057\u3066\u3044\u308b\u30d8\u30eb\u30cb\u30a2\u306b\u5230\u9054\u3057\u307e\u3059\u3002<br \/>\n\u305d\u3053\u3067\u5185\u8996\u93e1\u7528\u306e\u9257\u5b50\u3092\u4f7f\u3063\u3066\u30d8\u30eb\u30cb\u30a2\u3092\u53d6\u308a\u9664\u304d\u307e\u3059\u3002 \u30d8\u30eb\u30cb\u30a2\u306e\u6458\u51fa\u304c\u5b8c\u4e86\u5f8c\u7ba1\u3092\u629c\u3044\u3066\u76ae\u819a\u7e2b\u5408\u3057\u7d42\u4e86\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2145\" src=\"https:\/\/mdf.or.jp\/wp-content\/uploads\/2025\/04\/dr198_img08.gif\" alt=\"\" width=\"191\" height=\"204\" \/><\/p>\n<p>\u8853\u5f8c\u7d4c\u904e<br \/>\n\u624b\u8853\u65e5\u306e\u7fcc\u65e5\u3082\u3057\u304f\u306f2\u65e5\u5f8c\u306b\u306f\u9000\u9662\u3068\u306a\u308a\u307e\u3059\u30021\u9031\u9593\u7a0b\u5ea6\u3067\u8efd\u4f5c\u696d\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>UBE\u3068FESS\u306e\u9055\u3044<\/h2>\n<p>&nbsp;<\/p>\n<table border=\"3\">\n<tbody>\n<tr>\n<td>\u6bd4\u8f03\u9805\u76ee<\/td>\n<td>UBE<\/td>\n<td>FESS<\/td>\n<\/tr>\n<tr>\n<td>\u5207\u958b\u306e\u6570\u3068\u5927\u304d\u3055<\/td>\n<td>2\u304b\u6240\uff08\u54044\uff5e5mm\uff09<\/td>\n<td>1\u304b\u6240\uff08\u7d047\uff5e8mm\uff09<\/td>\n<\/tr>\n<tr>\n<td>\u64cd\u4f5c\u306e\u3057\u3084\u3059\u3055<\/td>\n<td>\u9ad8\u3044\uff08\u8907\u96d1\u306a\u51e6\u7f6e\u304c\u53ef\u80fd\uff09<\/td>\n<td>\u3084\u3084\u5236\u9650\u3042\u308a<\/td>\n<\/tr>\n<tr>\n<td>\u624b\u8853\u306e\u8996\u91ce<\/td>\n<td>\u5e83\u3044\uff08\u9855\u5fae\u93e1\u306b\u8fd1\u3044\uff09<\/td>\n<td>\u3084\u3084\u72ed\u3044\uff08\u30c8\u30f3\u30cd\u30eb\u72b6\uff09<\/td>\n<\/tr>\n<tr>\n<td>\u5bfe\u5fdc\u3067\u304d\u308b\u75be\u60a3<\/td>\n<td>\u30d8\u30eb\u30cb\u30a2\u30fb\u72ed\u7a84\u75c7\u30fb\u3059\u3079\u308a\u75c7<\/td>\n<td>\u30d8\u30eb\u30cb\u30a2\u30fb\u8efd\u5ea6\u306e\u72ed\u7a84\u75c7<\/td>\n<\/tr>\n<tr>\n<td>\u8eab\u4f53\u3078\u306e\u8ca0\u62c5<\/td>\n<td>\u5c11\u306a\u3044\u304cFESS\u3088\u308a\u3084\u3084\u5927\u304d\u3044<\/td>\n<td>\u975e\u5e38\u306b\u5c11\u306a\u3044\uff08\u6700\u5c0f\u4fb5\u8972\uff09<\/td>\n<\/tr>\n<tr>\n<td>\u56de\u5fa9\u306e\u65e9\u3055<\/td>\n<td>\u65e9\u3044<\/td>\n<td>\u975e\u5e38\u306b\u65e9\u3044<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>\u624b\u8853\u306e\u50b7<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h5><strong>\u3069\u3061\u3089\u3092\u624b\u8853\u3092\u9078\u3079\u3070\u3044\u3044\uff1f<\/strong><\/h5>\n<ul>\n<li>\u30d8\u30eb\u30cb\u30a2\u3060\u3051\u3092\u53d6\u308a\u9664\u304d\u305f\u3044\u65b9 \u2192 FESS<\/li>\n<li>\u72ed\u7a84\u75c7\u3084\u3059\u3079\u308a\u75c7\u306a\u3069\u8907\u96d1\u306a\u75c5\u6c17\u304c\u3042\u308b\u65b9 \u2192 UBE<\/li>\n<li>\u6700\u5c0f\u9650\u306e\u8ca0\u62c5\u3067\u56de\u5fa9\u3092\u65e9\u3081\u305f\u3044\u65b9 \u2192 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