{"id":693,"date":"2015-10-28T17:54:51","date_gmt":"2015-10-28T08:54:51","guid":{"rendered":"https:\/\/www.heartfull.or.jp\/kano\/?page_id=693"},"modified":"2026-10-10T08:55:43","modified_gmt":"2026-10-09T23:55:43","slug":"ext01","status":"publish","type":"page","link":"https:\/\/www.heartfull.or.jp\/kano\/gairai\/shinryo04\/ext01","title":{"rendered":"\u810a\u690e\u5185\u8996\u93e1\u624b\u8853"},"content":{"rendered":"<h2>\u810a\u690e\u5185\u8996\u93e1\u624b\u8853<\/h2>\n<h3>\u810a\u690e\u5185\u8996\u93e1\u624b\u8853\u306e\u3054\u6848\u5185<\/h3>\n<h4>\u810a\u690e\u5185\u8996\u93e1\u624b\u8853(UBE\uff1aUnilateral Biportal Endoscpy)<\/h4>\n<p>\u30002\u30f5\u6240\u306b\u5207\u958b\uff083mm\u30688mm\uff09\u3092\u52a0\u3048\u30663mm\u306e\u5207\u958b\u3088\u308a\u633f\u5165\u3057\u305f\u5185\u8996\u93e1\u3067\u89b3\u5bdf\u3057\u306a\u304c\u3089\u3001\u3082\u3046\u4e00\u65b9\u306e\u5207\u958b\u90e8\u4f4d\u3088\u308a\u30c9\u30ea\u30eb\u306a\u3069\u306e\u5668\u68b0\u3092\u4f7f\u7528\u3057\u3066\u624b\u8853\u3092\u884c\u3044\u307e\u3059\u3002\u73fe\u5728\u3001\u30a2\u30b8\u30a2\u3092\u4e2d\u5fc3\u306b\u4e16\u754c\u5404\u56fd\u3078\u6d41\u884c\u3057\u3064\u3064\u3042\u308b\u8853\u5f0f\u3067\u3001\u5f53\u9662\u3067\u30822025\u5e74\u3088\u308a\u5c0e\u5165\u958b\u59cb\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u307e\u3067\u884c\u3063\u3066\u304d\u305fMED\u306b\u6bd4\u3079\u3055\u3089\u306b\u4f4e\u4fb5\u8972\u624b\u8853\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u3000\u30e1\u30ea\u30c3\u30c8\u306f\u3001<br \/>\n\u3000\u2460\u5c0f\u5207\u958b\u3067\u624b\u8853\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068<br 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src=\"https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa.png\" alt=\"\" width=\"50%\" height=\"1035\" srcset=\"https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa.png 1559w, https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa-300x199.png 300w, https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa-1024x680.png 1024w, https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa-768x510.png 768w, https:\/\/www.heartfull.or.jp\/kano\/wp-content\/uploads\/2026\/06\/795316b92fc766b0181f6fef074f03fa-1536x1020.png 1536w\" sizes=\"(max-width: 1559px) 100vw, 1559px\" \/><\/a><\/p>\n<h4 id=\"med\">\u5185\u8996\u93e1\u4e0b\u690e\u9593\u677f\u6458\u51fa\u624b\u8853(MED\uff1aMicro Endoscopic Discectomy)<\/h4>\n<p>\u3000\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306f\u3001\u4fdd\u5b58\u7642\u6cd5\u3067\u307b\u3068\u3093\u3069\u306e\u5834\u5408\u304c\u6539\u5584\u30fb\u6cbb\u7652\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u4e0b\u80a2\u75db\u304c\u3068\u3066\u3082\u5f37\u3044\u5834\u5408\u3001\u8db3\u306b\u529b\u304c\u5165\u3089\u306a\u304f\u306a\u3063\u305f\u5834\u5408\u30013\u304b\u6708\u4ee5\u4e0a\u4fdd\u5b58\u52a0\u7642\u3057\u3066\u3082\u6539\u5584\u3057\u306a\u3044\u5834\u5408\u306a\u3069\u306f\u624b\u8853\u9069\u5fdc\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3000\u5f53\u79d1\u3067\u306f\u6700\u5148\u7aef\u306e\u30d5\u30eb\u30cf\u30a4\u30d3\u30b8\u30e7\u30f3\u810a\u690e\u5185\u8996\u93e1\u30b7\u30b9\u30c6\u30e0\u3092\u5c0e\u5165\u3059\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u5b89\u5168\u306a\u5185\u8996\u93e1\u30d8\u30eb\u30cb\u30a2\u6458\u51fa\u8853\uff08MED\uff09\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u30d5\u30eb\u30cf\u30a4\u30d3\u30b8\u30e7\u30f3\u30b7\u30b9\u30c6\u30e0\u306e\u810a\u690e\u5185\u8996\u93e1\u306f\u672c\u90a6\u3067\u3082\u9650\u3089\u308c\u305f\u75c5\u9662\u306b\u3057\u304b\u8a2d\u7f6e\u3057\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n<p>\u3000\u624b\u8853\u51fa\u8840\u306f\u307b\u3068\u3093\u3069\u306a\u304f\u3001\u50b7\u306f\u533b\u7642\u7528\u30c6\u30fc\u30d7\u3067\u56fa\u5b9a\u3059\u308b\u305f\u3081\u629c\u7cf8\u306e\u5fc5\u8981\u3082\u3042\u308a\u307e\u305b\u3093\u3002\u8853\u5f8c\u306f\u7fcc\u65e5\u3088\u308a\u6b69\u884c\u8a13\u7df4\u3067\u304d\u3001\u5165\u9662\u671f\u9593\u306f1\u9031\u9593\u4ee5\u5185\u3067\u3059\u3002\u65e9\u671f\u9000\u9662\u3082\u53ef\u80fd\u3067\u3059\u304c\u3001\u30ea\u30cf\u30d3\u30ea\u306a\u3069\u3092\u5e0c\u671b\u3055\u308c\u308b\u5834\u5408\u306f\u81ea\u4fe1\u304c\u3064\u304f\u307e\u3067\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3059\u308b\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<p>\u3000\u810a\u690e\u5185\u8996\u93e1\u306f\u3001\u76ae\u819a\u5207\u958b\u306e\u5c0f\u3055\u3055\uff08\u7d04\uff12\u339d\uff09\u3001\u80cc\u7b4b\u7fa4\u306a\u3069\u8edf\u90e8\u7d44\u7e54\u306b\u5bfe\u3059\u308b\u30c0\u30e1\u30fc\u30b8\u304c\u5c11\u306a\u3044\u3053\u3068\u306b\u52a0\u3048\u3001\u795e\u7d4c\u7d44\u7e54\u304c\u62e1\u5927\u3055\u308c\u305f\u660e\u308b\u3044\u8996\u91ce\u3067\u624b\u8853\u304c\u53ef\u80fd\u3067\u3059\u3002\u307e\u305f\u3001\u659c\u8996\u93e1\u3092\u7528\u3044\u308b\u3053\u3068\u3067\u3001\u3088\u308a\u5e83\u3044\u7bc4\u56f2\u304c\u898b\u3048\u308b\u3053\u3068\u304c\u5927\u304d\u306a\u7279\u5fb4\u3067\u3059\u3002\u30b9\u30dd\u30fc\u30c4\u9078\u624b\u3084\u82e5\u3044\u65b9\u3067\u50b7\u3092\u5c0f\u3055\u304f\u3001\u56de\u5fa9\u3092\u65e9\u304f\u3057\u305f\u3044\u65b9\u306b\u306f\u3068\u3066\u3082\u6709\u52b9\u306a\u624b\u8853\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n<p><a href=\"\/assets\/image\/kano\/shinryo04_7.jpg\"><img decoding=\"async\" class=\"alignnone\" src=\"\/assets\/image\/kano\/shinryo04_7.jpg\" alt=\"\" width=\"50%\" height=\"auto\" \/><\/a><\/p>\n<h4 id=\"mel\">\u5185\u8996\u93e1\u4e0b\u690e\u5f13\u5207\u9664\u8853(MEL\uff1aMicro Endoscopic Laminectomy)<\/h4>\n<p>\u3000\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3068\u306f\u52a0\u9f62\u3068\u5171\u306b\u795e\u7d4c\u306e\u901a\u308a\u9053(\u810a\u67f1\u7ba1)\u304c\u72ed\u304f\u306a\u308b\u75be\u60a3\u3067\u3059\u3002\u3053\u306e\u624b\u8853\u65b9\u6cd5\u3068\u3057\u3066\u3001\u690e\u5f13\u5207\u9664\u8853\u3001\u810a\u690e\u56fa\u5b9a\u8853\u304c\u4ee5\u524d\u304b\u3089\u3042\u308a\u307e\u3057\u305f\u304c\u3001\u60a3\u8005\u69d8\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306b\u3001\u6700\u8fd1\u3067\u306f\u5185\u8996\u93e1\u4e0b\u690e\u5f13\u5207\u9664\u8853(MEL)\u3092\u884c\u3046\u3053\u3068\u304c\u591a\u304f\u306a\u308a\u307e\u3057\u305f\u3002MEL\u3068\u306f\u810a\u690e\u5185\u8996\u93e1\u3092\u4f7f\u3044\u3001\u72ed\u304f\u306a\u3063\u305f\u810a\u67f1\u7ba1\u3092\u5e83\u3052\u308b\u3068\u3044\u3046\u624b\u8853\u65b9\u6cd5\u3067\u3059\u3002<\/p>\n<p>\u3000MEL\u306e\u30e1\u30ea\u30c3\u30c8\u3067\u6700\u3082\u7279\u5fb4\u7684\u306a\u3053\u3068\u306f\u3001\u5185\u8996\u93e1\u3092\u7528\u3044\u308b\u305f\u3081\u4fb5\u8972\u304c\u5c11\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u76ae\u819a\u5207\u958b\u306f\u7d04\uff12\u339d\u306e\u305f\u3081\u5275\u75d5\u304c\u76ee\u7acb\u305f\u305a\u3001\u56de\u5fa9\u304c\u65e9\u3044\u3001\u624b\u8853\u5f8c\u306e\u75db\u307f\u304c\u8efd\u3044\u3001\u611f\u67d3\u306e\u5371\u967a\u6027\u304c\u4f4e\u3044\u3001\u306a\u3069\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u4e8b\u304b\u3089\u3001\u9000\u9662\u304c\u65e9\u304f\u306a\u308a\u65e5\u5e38\u751f\u6d3b\u3084\u4ed5\u4e8b\u3078\u306e\u65e9\u671f\u5fa9\u5e30\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u3000\u9006\u306bMEL\u306e\u30c7\u30e1\u30ea\u30c3\u30c8\u306f\u3001\u810a\u67f1\u7ba1\u72ed\u7a84\u304c\u5e83\u7bc4\u56f2\u3067\u8d77\u3053\u3063\u3066\u3044\u3066\u524a\u308b\u90e8\u5206\u304c\u591a\u3044\u30b1\u30fc\u30b9\u3084\u80cc\u9aa8\u306e\u6b6a\u307f\u304c\u5927\u304d\u304f\u91d1\u5177\u3067\u56fa\u5b9a\u3057\u306a\u3051\u308c\u3070\u3044\u3051\u306a\u3044\u30b1\u30fc\u30b9\u306f\u624b\u8853\u9069\u5fdc\u5916\u3068\u306a\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u3067\u3059\u3002\u57fa\u672c\u7684\u306b\u6cbb\u7642\u3059\u308b\u5834\u6240\u304c\uff11\uff5e\uff12\u30f6\u6240\u306e\u5834\u5408\u306b\u9650\u3089\u308c\u307e\u3059\u3002<\/p>\n<p>\u3000MED\u3068\u7570\u306a\u308b\u70b9\u306f\u3001\u9aa8\u5207\u9664\u91cf\u304c\u591a\u304f\u306a\u308b\u305f\u3081MED\u3088\u308a\u3084\u3084\u51fa\u8840\u91cf\u304c\u591a\u304f\u3001\u624b\u8853\u6642\u9593\u3082\u9577\u304f\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u3053\u308c\u3089\u306e\u4e8b\u306f\u4ed6\u306e\u5f93\u6765\u306e\u624b\u8853\u65b9\u6cd5\u3068\u6bd4\u3079\u305f\u5834\u5408\u306b\u306f\u3001\u30c7\u30e1\u30ea\u30c3\u30c8\u3068\u306f\u8a00\u3048\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u810a\u690e\u5185\u8996\u93e1\u624b\u8853 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