{"id":425,"date":"2025-04-22T22:55:10","date_gmt":"2025-04-22T13:55:10","guid":{"rendered":"https:\/\/www.den.hokudai.ac.jp\/kouge1\/wordpress\/?p=425"},"modified":"2025-04-22T22:55:10","modified_gmt":"2025-04-22T13:55:10","slug":"%e5%94%be%e6%b6%b2%e8%85%ba%e7%96%be%e6%82%a3","status":"publish","type":"post","link":"https:\/\/www.den.hokudai.ac.jp\/kouge1\/case\/oralsurgery\/425","title":{"rendered":"\u553e\u6db2\u817a\u75be\u60a3"},"content":{"rendered":"\n

<\/i>\u553e\u6db2\u817a\u75be\u60a3<\/span><\/span><\/h2>\n\n\n\n

\u553e\u6db2\u817a\u306f\u5c40\u6240\u7684\u306b\u3082\u3001\u307e\u305f\u5168\u8eab\u7684\u306b\u3082\u591a\u304f\u306e\u751f\u7406\u7684\u50cd\u304d\u3092\u3082\u3061\u307e\u3059\u3002\u3068\u304f\u306b\u3001\u53e3\u8154\u5185\u74b0\u5883\u304a\u3088\u3073\u53e3\u8154\u6a5f\u80fd\u3092\u7dad\u6301\u3059\u308b\u3046\u3048\u306b\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u307e\u3059\u3002\u553e\u6db2\u5206\u6ccc\u7570\u5e38\u3092\u751f\u3058\u308b\u7a2e\u3005\u306e\u553e\u6db2\u817a\u75be\u60a3\u306f\u53e3\u8154\u5185\u74b0\u5883\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3001\u5480\u56bc\u304a\u3088\u3073\u69cb\u97f3\u306a\u3069\u53e3\u8154\u6a5f\u80fd\u306b\u53ca\u307c\u3059\u5f71\u97ff\u306f\u5927\u304d\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u307e\u305f\u3001\u9f72\u8755\u75c7\u3001\u6b6f\u5468\u75be\u60a3\u3001\u53e3\u8154\u7c98\u819c\u75be\u60a3\u3001\u3055\u3089\u306b\u5e8a\u7fa9\u6b6f\u306e\u5b89\u5b9a\u3001\u5473\u899a\u3001\u53e3\u81ed\u306a\u3069\u3068\u3082\u6df1\u3044\u95a2\u4fc2\u304c\u3042\u308a\u307e\u3059\u3002\u553e\u6db2\u817a\u75be\u60a3\u306f\u5c40\u6240\u7684\u539f\u56e0\u306b\u3088\u308a\u767a\u73fe\u3059\u308b\u3082\u306e\u3082\u3042\u308b\u304c\u3001\u7cbe\u795e\u9762\u3092\u3082\u542b\u3081\u305f\u5168\u8eab\u3068\u95a2\u9023\u3057\u3066\u767a\u73fe\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

<\/i>\u553e\u6db2\u817a\u8caf\u7559\u763b\u80de<\/span><\/span><\/h2>\n\n\n\n

\u553e\u6db2\u306e\u6d41\u51fa\u969c\u5bb3\u306b\u3088\u308a\u751f\u3058\u308b\u56a2\u80de\u3067\u3001\u7c98\u819c\u4e0b\u306e\u5c0f\u553e\u6db2\u817a\u90e8\u306b\u751f\u3058\u307e\u3059(mucocele\u3001\u7c98\u6db2\u7624\u3001\u7c98\u6db2\u56a2\u80de)\u3053\u3068\u304c\u591a\u304f\u307f\u3089\u308c\u307e\u3059\u3002\u3068\u304f\u306b\u3001\u4e0b\u5507\u53e3\u89d2\u90e8\u7c98\u819c\u306b\u597d\u767a\u3059\u308b\u307b\u304b\u3001\u820c\u4e0b\u9762(Blandin and Nuhn\u2019sglands)\u3001\u30ed\u5e95\u3001\u982c\u7c98\u819c\u306b\u3082\u767a\u75c7\u3057\u307e\u3059\u3002\u307e\u305f\u3001\u820c\u4e0b\u817a\u307e\u305f\u306f\u984e\u4e0b\u817a\u306e\u5c0e\u7ba1\u306b\u7531\u6765\u3057\u3001\u30ed\u5e95\u90e8\u306b\u751f\u3058\u305f\u5927\u304d\u306a\u56a2\u80de\u306f\u3001\u305d\u306e\u5916\u89b3\u304c\u30ac\u30de\u306e\u5589\u982d\u56a2\u306b\u4f3c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u30ac\u30de\u816branula\u3068\u3088\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u308c\u306b\u984e\u4e0b\u90e8\u3001\u5074\u982d\u90e8\u306b\u3082\u816b\u8139\u3092\u307f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u6210\u56e0\u306f\u3044\u308d\u3044\u308d\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u5916\u50b7\u3042\u308b\u3044\u306f\u708e\u75c7\u306b\u3088\u308b\u5c0e\u7ba1\u306a\u3044\u3057\u817a\u623f\u306e\u640d\u50b7\u306b\u3088\u3063\u3066\u5468\u56f2\u306e\u7d44\u7e54\u4e2d\u306b\u553e\u6db2\u304c\u6ea2\u51fa\u3057\u3001\u3053\u306e\u6d41\u51fa\u3057\u305f\u553e\u6db2\u6210\u5206\u3092\u56f2\u3093\u3067\u8089\u82bd\u7d44\u7e54\u304c\u5897\u6b96\u3057\u3001\u3053\u308c\u304c\u7dda\u7dad\u5316\u3057\u3066\u56a2\u80de\u58c1\u3092\u5f62\u6210\u3059\u308b\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059(mucus exteravasation cyst)\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u3053\u306e\u56a2\u80de\u58c1\u306b\u306f\u4e0a\u76ae\u7d30\u80de\u306e\u306a\u3044\u3082\u306e\u304c\u591a\u3044\u3068\u3044\u3048\u307e\u3059\u3002\u307e\u305f\u3002\u7acb\u65b9\u4e0a\u76ae\u7d30\u80de\u3042\u308b\u3044\u306f\u6241\u5e73\u4e0a\u76ae\u7d30\u80de\u3088\u308a\u306a\u308b\u56a2\u80de\u58c1\u3092\u3082\u3064\u3082\u306e\u3082\u3042\u308a\u3001\u553e\u6db2\u306e\u6392\u51fa\u969c\u5bb3\u306e\u305f\u3081\u5c0e\u7ba1\u306e\u4e00\u90e8\u304c\u62e1\u5f35\u3057\u3001 \u56a2\u80de\u5316\u3057\u305f\u3082\u306e\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059(mucus retention cyst)\u3002<\/p>\n\n\n\n

<\/i>\u81e8\u5e8a\u6240\u898b<\/span><\/span><\/h2>\n\n\n\n

1)\u7c98\u6db2\u7624: \u4e0b\u5507\u7c98\u819c\u9762\u306a\u3069\u306b\u7121\u75db\u6027\u306e\u534a\u7403\u72b6\u306b\u76db\u308a\u4e0a\u3063\u305f\u6ce2\u52d5\u6027\u306e\u3042\u308b\u8edf\u3089\u304b\u3044\u81a8\u9686\u3068\u3057\u3066\u8a8d\u3081\u3089\u308c\u3001\u5178\u578b\u7684\u306a\u3082\u306e\u3067\u306f\u9752\u5473\u304c\u304b\u3063\u305f\u534a\u900f\u660e\u306a\u8272\u8abf\u3092\u5448\u3057\u307e\u3059\u3002\u54ac\u50b7\u306a\u3069\u306e\u6a5f\u68b0\u7684\u523a\u6fc0\u306b\u3088\u308a\u7c98\u819c\u8868\u9762\u304c\u89d2\u5316\u3057\u3001\u767d\u8272\u5316\u3057\u3066\u3044\u308b\u3053\u3068\u3082\u591a\u3044\u3067\u3059\u3002\u5185\u5bb9\u306f\u7121\u8272\u900f\u660e\u306a\u7c98\u7a20\u306a\u6db2\u4f53\u3067\u3059\u3002<\/p>\n\n\n\n

2)\u30ac\u30de\u816b: \u820c\u4e0b\u30d2\u30c0\u306e\u90e8\u5206\u304c\u7247\u5074\u6027\u306b\u534a\u7403\u72b6\u306b\u81a8\u9686\u3057\u307e\u3059\u3002\u88ab\u8986\u7c98\u819c\u306f\u6b63\u5e38\u3067\u3059\u304c\u3001\u5185\u5bb9\u6db2\u304c\u900f\u3051\u3066\u9752\u5473\u304c\u304b\u3063\u305f\u534a\u900f\u660e\u8272\u3092\u5448\u3057\u307e\u3059\u3002\u984e\u820c\u9aa8\u7b4b\u306e\u4e0a\u306b\u3042\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u3068\u304d\u306b\u306f\u984e\u4e0b\u90e8\u3084\u9838\u90e8\u306b\u3082\u53ca\u3093\u3067\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u5185\u5bb9\u6db2\u306f\u9ec4\u8910\u8272\u306e\u7c98\u7a20\u306a\u6db2\u4f53\u3067\u3059\u3002
\u51e6\u7f6e\u3068\u3057\u3066\u306f\u7c98\u6db2\u7624\u306e\u5834\u5408\u306f\u539f\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u817a\u3092\u542b\u3081\u3066\u5168\u6458\u51fa\u3057\u307e\u3059\u3002\u30ac\u30de\u816b\u3067\u306f\u820c\u4e0b\u817a\u3092\u542b\u3081\u305f\u5168\u6458\u51fa\u3082\u884c\u308f\u308c\u307e\u3059\u304c\u3001\u958b\u7a93\u6cd5\u304c\u591a\u304f\u884c\u308f\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

<\/i>\u553e\u77f3\u75c7\u304a\u3088\u3073mucous plug<\/span><\/span><\/h2>\n\n\n\n

\u553e\u6db2\u817a\u5c0e\u7ba1\u5185\u306b\u7d50\u77f3\u306e\u751f\u3058\u308b\u75be\u60a3\u3067\u3059\u3002\u984e\u4e0b\u817a\u306e\u4e3b\u5c0e\u7ba1(\u30ef\u30eb\u30c8\u30f3\u7ba1)\u5185\u304a\u3088\u3073\u817a\u4f53\u5185\u5c0e\u7ba1\u306b\u751f\u3058\u307e\u3059\u3053\u3068\u304c\u3082\u3063\u3068\u3082\u591a\u304f\u3001\u8033\u4e0b\u817a\u3001\u820c\u4e0b\u817a\u306b\u751f\u3058\u308b\u3053\u3068\u306f\u7a00\u3067\u3059\u3002\u5927\u304d\u3055\u3084\u6570\u306f\u69d8\u3005\u3067\u3001\u5e2f\u9ec4\u7070\u767d\u8272\u3042\u308b\u3044\u306f\u9ec4\u8272\u306e\u5834\u5408\u304c\u591a\u304f\u3001\u8868\u9762\u306f\u7c97\u9020\u3067\u3059\u3002<\/p>\n\n\n\n

<\/i>\u553e\u6db2\u817a\u708e<\/span><\/span><\/h2>\n\n\n\n

\u30fb\u975e\u7279\u7570\u6027\u708e
\u591a\u304f\u306f\u53e3\u8154\u5185\u306b\u5e38\u5728\u3059\u308b\u975e\u7279\u7570\u6027\u7d30\u83cc\u306b\u3088\u308b\u553e\u6db2\u817a\u7ba1\u958b\u53e3\u90e8\u304b\u3089\u306e\u4e0a\u884c\u6027\u611f\u67d3\u3067\u3059\u3002<\/p>\n\n\n\n

1)\u81e8\u5e8a\u75c7\u72b6
\u3000\u81e8\u5e8a\u7d4c\u904e\u306f\u6b21\u306e3\u3064\u306b\u5927\u5225\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\u30001. \u521d\u611f\u67d3\u304b\u3089\u6025\u6027\u306e\u7d4c\u904e\u3092\u3068\u308b\u5834\u5408(\u6025\u6027\u5316\u81bf\u6027\u553e\u6db2\u817a\u708e): \u553e\u6db2\u817a\u90e8\u306e\u81ea\u767a\u75db\u3092\u4f34\u3046\u767a\u8d64\u3001\u816b\u8139\u3001\u6240\u5c5e\u30ea\u30f3\u30d1\u7bc0\u306e\u816b\u8139\u30fb\u5727\u75db\u3001\u5168\u8eab\u306e\u767a\u71b1\u3001\u5026\u6020\u611f\u306a\u3069\u3092\u751f\u3058\u3001\u553e\u6db2\u817a\u7ba1\u958b\u53e3\u90e8\u304b\u3089\u6392\u81bf\u304c\u307f\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u7d4c\u904e\u304b\u3089\u5316\u81bf\u6027\u553e\u6db2\u817a\u708e\u306f\u521d\u3081\u3066\u3067\u3001\u75c7\u72b6\u6d88\u9000\u5f8c\u306e\u553e\u5f71\u50cf\u3067\u306f\u3001\u4e00\u822c\u306b\u7570\u5e38\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u3088\u3046\u306a\u7d4c\u904e\u3092\u3068\u308b\u75c7\u4f8b\u306f\u5c11\u306a\u3044\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n\n\n\n

\u30002. \u6162\u6027\u306e\u7d4c\u904e\u3092\u3068\u308a\u3001\u5168\u8eab\u72b6\u614b\u306e\u4f4e\u4e0b\u306a\u3069\u306b\u3088\u308a\u6025\u6027\u5316\u3092\u7e70\u308a\u8fd4\u3059\u5834\u5408(\u6162\u6027\u975e\u7279\u7570\u6027\u553e\u6db2\u817a\u708e): \u6025\u6027\u5316\u671f\u306b\u306f1.\u3068\u540c\u69d8\u306e\u81e8\u5e8a\u75c7\u72b6\u3092\u5448\u3057\u3001\u4e00\u822c\u306b\u306f\u6025\u6027\u5316\u81bf\u6027\u553e\u6db2\u817a\u708e\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u304c\u3001\u672c\u6765\u306f\u6162\u6027\u708e\u306e\u6025\u6027\u5316\u3068\u7406\u89e3\u3059\u3079\u304d\u3067\u3059\u3002\u904e\u53bb\u306b\u4f55\u5ea6\u304b\u553e\u6db2\u817a\u708e\u306e\u65e2\u5f80\u304c\u3042\u308a\u3001\u553e\u5f71\u50cf\u3067\u306f\u3001\u5c0e\u7ba1\u306e\u62e1\u5f35\u3001\u817a\u7cfb\u50cf\u306e\u6591\u7d0b\u5316\u306a\u3069\u8457\u660e\u306a\u5909\u6027\u50cf\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002
\u3000\u306a\u304a\u30013\uff5e10\u6b73\u3050\u3089\u3044\u306e\u5c0f\u5150\u306b\u767a\u73fe\u3057\u3001\u6025\u6027\u5316\u81bf\u6027\u553e\u6db2\u817a\u708e\u75c7\u72b6\u3092\u5e74\u306b\u4f55\u5ea6\u304b\u7e70\u308a\u8fd4\u3057\u3001\u553e\u5f71\u50cf\u3067\u306f\u817a\u4f53\u90e8\u306b\u305f\u304f\u3055\u3093\u306e\u5c0f\u5186\u5f62\u9670\u5f71\u304c\u307f\u3089\u308c\u3001\u4e00\u822c\u306b\u601d\u6625\u671f\u307e\u3067\u306b\u306f\u75c7\u72b6\u304c\u307f\u3089\u308c\u306a\u304f\u306a\u308b\u3068\u3044\u3046\u7279\u5fb4\u306e\u3042\u308b\u81e8\u5e8a\u7d4c\u904e\u3092\u3068\u308b\u553e\u6db2\u817a\u708e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u5f93\u6765\u304b\u3089\u5c0f\u5150\u6162\u6027\u518d\u767a\u6027\u8033\u4e0b\u817a\u708e\u3068\u3088\u3070\u308c\u3001\u984e\u4e0b\u817a\u3067\u3082\u8033\u4e0b\u817a\u3068\u540c\u69d8\u306e\u81e8\u5e8a\u75c7\u72b6\u3001\u553e\u5f71\u50cf\u6240\u898b\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

\u30003. \u307e\u3063\u305f\u304f\u7121\u75c7\u72b6\u306b\u7d4c\u904e\u3057\u3001\u53e3\u8154\u4e7e\u71e5\u3001\u553e\u6db2\u817a\u306e\u786c\u7d50\u306a\u3069\u306b\u3088\u308a\u767a\u898b\u3055\u308c\u308b\u5834\u5408: \u4e2d\u9ad8\u5e74\u9f62\u8005\u306b\u767a\u898b\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u904e\u53bb\u306b\u553e\u6db2\u817a\u708e\u306e\u75c7\u72b6\u304c\u307b\u3068\u3093\u3069\u306a\u304f\u7d4c\u904e\u3057\u3001\u53e3\u8154\u4e7e\u71e5\u3042\u308b\u3044\u306f\u553e\u6db2\u817a\u306e\u786c\u7d50\u306a\u3069\u306b\u6c17\u3065\u3044\u3066\u6765\u9662\u3057\u305f\u3068\u3053\u308d\u3001\u553e\u5f71\u50cf\u306b\u3088\u308a\u5c0e\u7ba1\u306e\u8457\u660e\u306a\u62e1\u5f35\u3001\u817a\u7cfb\u50cf\u306e\u6591\u7d0b\u5316\u306a\u3069\u306e\u553e\u6db2\u817a\u306e\u5909\u6027\u3068\u3001\u553e\u6db2\u5206\u6ccc\u80fd\u306e\u4f4e\u4e0b\u306a\u3069\u306e\u7570\u5e38\u6240\u898b\u3092\u8a8d\u3081\u3089\u308c\u305f\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u3002
\u3000\u306a\u304a\u3001\u7279\u6b8a\u306a\u3082\u306e\u3068\u3057\u3066\u7247\u5074\u306e\u984e\u4e0b\u817a\u304c\u6570\u30ab\u6708\u304b\u3089\u6570\u5e74\u306e\u7d4c\u904e\u3067\u5f90\u3005\u306b\u7121\u75db\u6027\u306b\u816b\u8139\u3057\u3001\u786c\u5316\u3057\u3066\u304f\u308b\u3082\u306e\u304c\u3042\u308a\u3001 Kuttner\u2019s tumor\u3068\u3088\u3070\u308c\u307e\u3059\u3002\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u306b\u306f\u817a\u7d44\u7e54\u306e\u840e\u7e2e\u6d88\u5931\u3001\u7dda\u63a8\u306e\u5897\u751f\u304a\u3088\u3073\u7dda\u7dad\u5185\u306b\u6563\u5728\u3059\u308b\u5de3\u72b6\u306e\u708e\u75c7\u6027\u7d30\u80de\u6d78\u6f64\u304c\u307f\u3089\u308c\u3001\u6162\u6027\u786c\u5316\u6027\u553e\u6db2\u817a\u708e\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

2) \u6cbb\u7642<\/p>\n\n\n\n

\u3000\u6025\u6027\u671f\u306b\u306f\u5341\u5206\u306a\u5b89\u9759\u3068\u6804\u990a\u306b\u7559\u610f\u3059\u308b\u3068\u3068\u3082\u306b\u3001\u6297\u751f\u5264\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u5316\u5b66\u7642\u6cd5\u3092\u884c\u3044\u307e\u3059\u3002\u975e\u7279\u7570\u6027\u553e\u6db2\u817a\u708e\u60a3\u8005\u306e\u591a\u304f\u306f\u3001\u57fa\u76e4\u306b\u3001\u553e\u6db2\u5206\u6ccc\u4f4e\u4e0b\u3092\u4f34\u3046\u3053\u3068\u304c\u591a\u304f\u3001\u3053\u306e\u3053\u3068\u304c\u4e0a\u884c\u6027\u611f\u67d3\u306e\u6a5f\u4f1a\u3092\u4e0e\u3048\u308b\u3068\u3082\u8003\u3048\u3089\u308c\u3001\u30ec\u30e2\u30f3\u306a\u3069\u306b\u3088\u308b\u5206\u6ccc\u523a\u6fc0\u7642\u6cd5\u3092\u884c\u3046\u3068\u3068\u3082\u306b\u3001\u553e\u6db2\u5206\u6ccc\u306e\u6291\u5236\u3092\u751f\u3058\u308b\u539f\u56e0\u3068\u3057\u3066\u3001\u5e38\u7528\u85ac\u3042\u308b\u3044\u306f\u5168\u8eab\u75be\u60a3\u3001\u3055\u3089\u306b\u7cbe\u795e\u8eab\u4f53\u533b\u5b66\u9762\u304b\u3089\u306e\u691c\u7d22\u3001\u6cbb\u7642\u3082\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

<\/i>\u6162\u6027\u7279\u7570\u6027\u553e\u6db2\u817a\u708e<\/span><\/span><\/h2>\n\n\n\n

\u7d50\u6838\u3001\u6885\u6bd2\u3001\u653e\u7dda\u83cc\u306b\u3088\u308b\u3082\u306e\u304c\u3042\u308b\u304c\u3001\u3044\u305a\u308c\u3082\u307e\u308c\u3067\u3059\u3002<\/p>\n\n\n\n

<\/i>\u6d41\u884c\u6027\u8033\u4e0b\u817a\u708e<\/span><\/span><\/h2>\n\n\n\n

mumps\u3000virus\u306e\u611f\u67d3\u306b\u3088\u308b\u75be\u60a3\u3067\u3001\u4e00\u822c\u306b\u6d41\u884c\u6027\u306b\u751f\u3058\u307e\u3059\u3002\u611f\u67d3\u306f\u591a\u304f\u306f\u553e\u6db2\u306e\u98db\u6cab\u306b\u3088\u308a\u307e\u3059\u304c\u3001\u76f4\u63a5\u63a5\u89e6\u306b\u3088\u308b\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u4e00\u5ea6\u7f79\u60a3\u3059\u308c\u3070\u514d\u75ab\u3092\u5f97\u3089\u308c\u307e\u3059\u3002 1) \u81e8\u5e8a\u75c7\u72b6
\u3000\u5c0f\u5150\u306b\u597d\u767a\u3057\u307e\u3059\u3002\u75c5\u5909\u306f\u8033\u4e0b\u817a\u306b\u73fe\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u984e\u4e0b\u817a\u3082\u4fb5\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001\u553e\u6db2\u817a\u4ee5\u5916\u306b\u6027\u817a\u3001\u81b5\u3001\u7532\u72b6\u817a\u3001\u6d99\u817a\u306a\u3069\u306b\u3082\u75c5\u5909\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u524d\u99c6\u75c7\u72b6\u3068\u3057\u3066\u3001\u767a\u71b1\u3001\u60aa\u5bd2\u3001\u5168\u8eab\u5026\u6020\u611f\u3001\u982d\u75db\u306a\u3069\u3092\u8a34\u3048\u307e\u3059\u3002\u8033\u4e0b\u817a\u306f\u4e00\u822c\u306b\u4e21\u5074\u6027\u306b\u4fb5\u3055\u308c\u3001\u6709\u75db\u6027\u306b\u8457\u3057\u304f\u816b\u8139\u3057\u3001\u3044\u308f\u3086\u308b\u201d\u304a\u305f\u3075\u304f\u304b\u305c\u201d\u3068\u3082\u3088\u3070\u308c\u307e\u3059\u3002\u553e\u6db2\u817a\u306e\u816b\u8139\u306f1\u9031\u9593\u3050\u3089\u3044\u7d9a\u304d\u3001\u305d\u306e\u5f8c\u5b8c\u5168\u306b\u6cbb\u7652\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

<\/i>Sjogren\u75c7\u5019\u7fa4<\/span><\/span><\/h2>\n\n\n\n

\u4e7e\u71e5\u6027\u89d2\u7d50\u819c\u708e\u3001\u53e3\u8154\u4e7e\u71e5\u306a\u3069\u306e\u4e7e\u71e5\u75c7\u72b6\u3092\u4e3b\u5fb4\u3068\u3057\u3001\u3053\u308c\u306b\u30ea\u30a6\u30de\u30c1\u6027\u95a2\u7bc0\u708e\u306a\u3069\u591a\u7a2e\u591a\u69d8\u306e\u81e8\u5e8a\u75c7\u72b6\u304a\u3088\u3073\u514d\u75ab\u8840\u6e05\u5b66\u7684\u7570\u5e38\u304c\u9ad8\u983b\u5ea6\u306b\u8a8d\u3081\u3089\u308c\u308b\u5168\u8eab\u6027\u75be\u60a3\u3067\u3059\u3002\u75c5\u56e0\u3068\u3057\u3066\u81ea\u5df1\u514d\u75ab\u6a5f\u5e8f\u304c\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

1) \u81e8\u5e8a\u75c7\u72b6
\u3000\u773c\u304a\u3088\u3073\u53e3\u8154\u306e\u4e7e\u71e5\u75c7\u72b6\u3068\u95a2\u7bc0\u75c7\u72b6\u306a\u3069\u306e\u81a0\u539f\u75c5\u75c7\u72b6\u304c\u76f8\u524d\u5f8c\u3057\u3066\u51fa\u73fe\u3059\u308b\u75c7\u72b6\u3067\u3001\u5973\u6027\u306b\u591a\u304f\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n

2) \u8a3a\u65ad
\u3000\u8a3a\u65ad\u57fa\u6e96\u306b\u3064\u3044\u3066\u306f\u8af8\u8aac\u3042\u308a\u307e\u3059\u304c\u3001\u4e7e\u64cd\u6027\u89d2\u7d50\u819c\u708e(Schirmer test\u3001 Rose-Bengal\u67d3\u8272\u3001fluorescein\u67d3\u8272\u6cd5\u306b\u3088\u308b\u8a3c\u660e)\u3001\u53e3\u8154\u4e7e\u64cd(\u53e3\u8154\u6240\u898b\u3001\u553e\u6db2\u5206\u6ccc\u91cf\u6e2c\u5b9a\u3001\u553e\u5f71\u6cd5\u306a\u3069\u306b\u3088\u308b\u8a3c\u660e)\u3001\u30ea\u30a6\u30de\u30c1\u6027\u95a2\u7bc0\u708e(\u30a2\u30e1\u30ea\u30ab\u30ea\u30a6\u30de\u30c1\u5354\u4f1a\u306e\u8a3a\u65ad\u57fa\u6e96)\u306a\u3069\u81a0\u539f\u75c5\u75c7\u72b6\u306e\u3046\u30612\u3064\u4ee5\u4e0a\u306e\u8a3c\u660e\u3001\u3055\u3089\u306b\u7d44\u7e54\u5b66\u7684\u6240\u898b\u304a\u3088\u3073\u514d\u75ab\u8840\u6e05\u5b66\u7684\u6240\u898b\u306a\u3069\u306b\u3088\u308a\u3001\u7dcf\u5408\u7684\u306b\u5224\u5b9a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n

3) \u53e3\u8154\u75c7\u72b6\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u6cd5
\u3000\u553e\u5f71\u50cf\u306a\u3069\u306b\u3088\u308a\u65e9\u671f\u306b\u767a\u898b\u3057\u3001\u553e\u6db2\u5206\u6ccc\u523a\u6fc0\u7642\u6cd5\u306a\u3069\u306b\u3088\u308a\u553e\u6db2\u5206\u6ccc\u306e\u4fc3\u9032\u3092\u306f\u304b\u308a\u3001\u53e3\u8154\u5e38\u5728\u83cc\u306b\u3088\u308b\u4e8c\u6b21\u611f\u67d3\u3092\u4e88\u9632\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3068\u3055\u308c\u307e\u3059\u3002\u9032\u884c\u4f8b\u3067\u306f\u5bfe\u75c7\u7684\u306b\u4eba\u5de5\u553e\u6db2\u306a\u3069\u3092\u4f7f\u7528\u3057\u3001\u53e3\u8154\u6a5f\u80fd\u306e\u6539\u5584\u3001\u53e3\u8154\u7c98\u819c\u306e\u4fdd\u8b77\u306b\u52aa\u3081\u307e\u3059\u3002<\/p>\n\n\n\n

<\/i>Mikulicz\u75c5<\/span><\/span><\/h2>\n\n\n\n

\u6d99\u817a\u3068\u553e\u6db2\u817a\u304c\u7121\u75db\u6027\u5bfe\u79f0\u6027\u306b\u816b\u8139\u3092\u304d\u305f\u3059\u3001\u539f\u56e0\u4e0d\u660e\u306e\u307e\u308c\u306a\u75be\u60a3\u3067\u3059\u30021892\u5e74\u306bMikulicz\u306b\u3088\u3063\u3066\u6700\u521d\u306b\u5831\u544a\u3055\u308c\u3066\u4ee5\u6765\u3001\u985e\u4f3c\u3057\u305f\u81e8\u5e8a\u75c7\u72b6\u3092\u793a\u3059\u75c7\u4f8b\u304c\u5831\u544a\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u3053\u308c\u3089\u306e\u3046\u3061\u3001\u767d\u8840\u75c5\u3001\u60aa\u6027\u30ea\u30f3\u30d1\u816b\u3001\u7d50\u6838\u306a\u3069\u539f\u56e0\u75c5\u5909\u306e\u660e\u3089\u304b\u306a\u3082\u306e\u3092Mikulicz\u75c7\u5019\u7fa4\u3001\u539f\u56e0\u4e0d\u660e\u306e\u3082\u306e\u3092Mikulicz\u75c5\u3068\u3088\u3073\u308f\u3051\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n

\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u306b\u306f\u3001\u817a\u5b9f\u8cea\u306e\u5e83\u7bc4\u306a\u7834\u58ca\u3001\u30ea\u30f3\u30d1\u6027\u7d30\u80de\u306e\u6d78\u6f64\u5897\u751f\u3001\u5cf6\u72b6\u4e0a\u76ae\u7d44\u7e54\u306e\u51fa\u73fe\u3067\u3042\u308a\u3001 Sjogren\u75c7\u5019\u7fa4\u306e\u7d44\u7e54\u6240\u898b\u3068\u9177\u4f3c\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3053\u3068\u304b\u3089\u3001 Mikulicz\u75c5\u3068Sjogren\u75c7\u5019\u7fa4\u304c\u672c\u8cea\u7684\u306b\u540c\u7a2e\u306e\u75c5\u5909\u3067\u3001Sjogren\u75c7\u5019\u7fa4\u3067\u306f\u75c5\u5909\u304c\u7cfb\u7d71\u7684\u306b\u73fe\u308c\u3066\u3044\u308b\u306e\u306b\u5bfe\u3057\u3066\u3001Mikulicz\u75c5\u3067\u306f\u90e8\u5206\u7684\u306b\u51fa\u73fe\u3057\u3066\u3044\u308b\u3068\u8003\u3048\u3066\u3044\u308b\u4eba\u3082\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u5168\u8eab\u75c7\u72b6\u306f\u5225\u3068\u3057\u3066\u3082\u3001\u773c\u3001\u553e\u6db2\u817a\u6240\u898b\u3067\u3082\u81e8\u5e8a\u7684\u306b\u306f\u305d\u306e\u816b\u8139\u306e\u7a0b\u5ea6\u3001\u4e7e\u71e5\u75c7\u72b6\u3001\u553e\u5f71\u50cf\u6240\u898b\u306a\u3069Sjogren\u75c7\u5019\u7fa4\u3068\u306f\u660e\u3089\u304b\u306b\u5dee\u304c\u307f\u3089\u308c\u307e\u3059\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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