{"created":"2023-07-27T06:58:29.038157+00:00","id":57008,"links":{},"metadata":{"_buckets":{"deposit":"3d738a79-d1bf-4223-9806-74bfb4a7d617"},"_deposit":{"created_by":18,"id":"57008","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"57008"},"status":"published"},"_oai":{"id":"oai:kanazawa-u.repo.nii.ac.jp:00057008","sets":["1132:1133:1134"]},"author_link":["101052","70820","99630","20150","101054","99631","99629","99628","101053","21766","85273","99627","72008","101051"],"item_4_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2005-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"803","bibliographicPageStart":"798","bibliographicVolumeNumber":"7","bibliographic_titles":[{"bibliographic_title":"日本褥瘡学会誌"},{"bibliographic_title":"Japanese journal of pressure ulcer","bibliographic_titleLang":"en"}]}]},"item_4_creator_33":{"attribute_name":"著者別表示","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Huang, Fang"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakatani, Toshio"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"Sanada, Hiromi"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"Konya, Chizuko"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"Suzuki, Sadamu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sato, Aya"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Mawaki, Ayana"}],"nameIdentifiers":[{}]}]},"item_4_description_21":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"ポケットを有する褥瘡が治癒しがたいことを被蓋部の組織像から検討した. 外科治療の目的で切除されたポケットを有する褥瘡のポケット被蓋部13組織を, 肉眼的, 組織学的方法で研究した. 肉眼的所見：皮膚はポケット開口部で白く浸軟し, 表皮が開口部より内表面の一部を覆い停止していた. 断面では, 線維化した白い結合組織がみられた. 組織学的所見：表皮は基部から開口部に向かって厚さを増し, 表皮索または突起と真皮乳頭は互いに咬み合い, 伸展が停止した表皮は棍棒状または舌状形態を呈していた. 表皮下では, 正常な膠原線維束はみられず, 線維性瘢痕を呈し, 炎症細胞が少数みられた. 内表面は炎症細胞を含むさまざまな厚さのフィブリン様膜に覆われていた. 3組織の開口部にのみ炎症性肉芽組織が観察された. これらの結果は, ポケット被蓋部内表面を覆うフィブリン様膜と瘢痕組織が表皮の再生と肉芽組織の増殖を阻害し, 被蓋部と創底部の接着を妨げている可能性を示唆している.","subitem_description_type":"Abstract"},{"subitem_description":"This study macroscopically and microscopically examined the wound roof from thirteen pressure ulcers that were surgically excised. Based on these findings, we discussed the cause of intractability of pressure ulcers with undermining. The skin covering the wound roof was white and macerated at the wound orifice area. The epidermis covered part of the inner surface of the wound roof. White fibrosis was observed under the epidermis at the cutting plane of the roof. The epidermis became increasingly thicker from the base area of the roof to the wound orifice area, and interdigitated with the dermis. The edge of the extending epidermis showed a club-like or tongue-like shape. Under the epidermis, there was no normal collagen bundle, but there was collagenous scar tissue. Moreover, a few inflammatory cells and blood vessels were present in the scar. The inner surface of the wound roof was lined with various thicknesses of fibrinoid tissue including inflammatory cells. Inflammatory granulation tissue was observed in the wound orifice area in only 3 of 13 tissue specimens, indicaing that fibrinoid tissue over the inner surface of the roof and scar of the roof could impede the development of granulation tissue and extension of the epidermis.","subitem_description_type":"Abstract"}]},"item_4_description_22":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"日本褥瘡学会の許可を得て登録_2021.9.22","subitem_description_type":"Other"}]},"item_4_description_5":{"attribute_name":"提供者所属","attribute_value_mlt":[{"subitem_description":"金沢大学医薬保健研究域保健学系","subitem_description_type":"Other"}]},"item_4_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.24517/00063282","subitem_identifier_reg_type":"JaLC"}]},"item_4_publisher_17":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本褥瘡学会 Japanese Society of pressure ulcer"}]},"item_4_relation_28":{"attribute_name":"関連URI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"https://www.medicalonline.jp/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.medicalonline.jp/","subitem_relation_type_select":"URI"}},{"subitem_relation_name":[{"subitem_relation_name_text":"http://www.jspu.org/"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://www.jspu.org/","subitem_relation_type_select":"URI"}}]},"item_4_rights_23":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"Copyright © 日本褥瘡学会 Japanese Society of pressure ulcer"}]},"item_4_source_id_11":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA11575804","subitem_source_identifier_type":"NCID"}]},"item_4_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-0417","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_25":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"黄, 芳"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中谷, 壽男"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"真田, 弘美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"紺家, 千津子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鈴木, 定"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐藤, 文"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"間脇, 彩奈"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-27"}],"displaytype":"detail","filename":"ME-PR-NAKATANI-T-798.pdf","filesize":[{"value":"553.0 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"ME-PR-NAKATANI-T-798.pdf","url":"https://kanazawa-u.repo.nii.ac.jp/record/57008/files/ME-PR-NAKATANI-T-798.pdf"},"version_id":"e75cb5ef-f8cf-43f2-8277-01e85d35a662"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ポケットを有する褥瘡のポケット被蓋部の組織学的研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ポケットを有する褥瘡のポケット被蓋部の組織学的研究"},{"subitem_title":"Histological study on the wound roof of pressure ulcers with undermining","subitem_title_language":"en"}]},"item_type_id":"4","owner":"18","path":["1134"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-09-27"},"publish_date":"2021-09-27","publish_status":"0","recid":"57008","relation_version_is_last":true,"title":["ポケットを有する褥瘡のポケット被蓋部の組織学的研究"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-07-27T14:58:00.310880+00:00"}