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新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究
https://doi.org/10.24517/00055858
https://doi.org/10.24517/00055858ee79f69c-8fd7-4585-a8cc-5637686e8fb8
名前 / ファイル | ライセンス | アクション |
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ME-PR-KITAGAWA-H-kaken 2018-5p.pdf (517.5 kB)
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Item type | 報告書 / Research Paper(1) | |||||
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公開日 | 2019-10-18 | |||||
タイトル | ||||||
タイトル | 新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Study for preoperative prediction of clinical relevant postoperative pancreatic fistula for safty early removal of drains | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_18ws | |||||
資源タイプ | research report | |||||
ID登録 | ||||||
ID登録 | 10.24517/00055858 | |||||
ID登録タイプ | JaLC | |||||
著者別表示 |
Kitagawa, Hirohisa
× Kitagawa, Hirohisa |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域医学系 | |||||
書誌情報 |
平成29(2017)年度 科学研究費補助金 基盤研究(C) 研究成果報告書 en : 2017 Fiscal Year Final Research Report 巻 2014-04-01 - 2018-03-31, p. 5p., 発行日 2018-05-20 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 膵頭十二指腸切除術後のドレーン早期抜去後に、ドレーン再挿入や再手術が必要となる症例は他の合併症併発リスクも高く長期入院となる。術前に臨床的に問題となる膵液瘻(CR-POPF)高危険群を客観的に予測することを目的とし、手術関連因子、CT・MRIから得られる因子、更に組織学的な膵線維化面積率、脂肪化面積率も検討した。その結果、有意な術前判定可能な高危険因子は、「CT値比(膵実質/脊柱起立筋)・後期相<1.295」(オッズ比4.23倍)、「膵実質径/主膵管径(CT axial)≧6.70」(3.77倍)であった。CR-POPD高危険群を慎重に扱うことで、早期抜去をより安全に行いうる。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Reposition of drains or reoperation after early removal of drains in patients with pancrearic head resection is harmful and stressful for both patients and surgeons. The aim of this study is to clarify objective predictive parameters of clinical relevant postoperative pancreatic fistula (CR-POPF) preoperatively. We investigated high risk factors for CR-POPF in surgical factors, morphologic and imaging factors from CT or MRI and proportion of fibrous tissue and adipose tissue at cut margin of the pancreas. Histological fibrous ratio of pancreas, morphologic ratio of [width of the pancreas] / [diameter of main pancreatic duct] by CT axial imaging and CT value ratio of [pancreatic parenchyma] / [erector spinae muscles] in late phase are statistically significant factors. Latter two factors are preoperative predictive factors. Careful management of drain for high risk group makes early removal of drains safer. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 研究課題/領域番号:26462057, 研究期間(年度):2014-04-01 - 2018-03-31 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 出典:研究課題「新規MDCT撮像法、MRIによる、膵手術後膵液瘻発生高リスク群予測に関する研究」課題番号26462057 (KAKEN:科学研究費助成事業データベース(国立情報学研究所)) (https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/)を加工して作成 |
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著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/search/?qm=80272970 | |||||
関連名称 | https://kaken.nii.ac.jp/search/?qm=80272970 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-26462057/ | |||||
関連名称 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-26462057/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/ | |||||
関連名称 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-26462057/26462057seika/ |