{"created":"2023-06-19T10:30:05.167297+00:00","id":2177,"links":{},"metadata":{"_buckets":{"deposit":"c4962cfc-9ca6-45dd-9fb0-d952befef707"},"_deposit":{"created_by":31,"id":"2177","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2177"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002177","sets":["1709617079800:35:686"]},"author_link":["109773","109774","109775","109776","109777","109778","109779","109780","109781","109782","109783","109784","109785","109786","109787","109788","109789","109790","109791","109792"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"100","bibliographicPageStart":"95","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Regular Article","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J201945095","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019/KMJ-J201945095.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2020200382","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"池田クリニック"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学呼吸器内科学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学免疫腫瘍学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Ikeda clinic"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Respiratory Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Immuno-Oncology, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　Evaluation of lymphadenopathy of the mediastinum and hilum using endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is comparatively less invasive than mediastinoscopy and surgical biopsy. Its usefulness for lymph node metastasis of lung cancer has been established; however, there are only a few reports regarding its usefulness for benign diseases. We aimed to investigate the clinical usefulness and potential problems of EBUS-TBNA for sarcoidosis. We retrospectively analyzed 67 patients with suspected sarcoidosis in our hospital between May 2004 and November 2016 and evaluated their diagnoses with EBUS-TBNA and other diagnostic methods (transbronchial lung biopsy(TBLB) or mediastinoscope). In all, 10 of 20 patients diagnosed sarcoidosis using EBUSTBNA exhibited bilateral hilar lymphadenopathy (BHL) on their chest X-rays. Targeted lymph nodes were #4 and/or #7. On average, the puncture distance was 27.9 ± 4.5 mm, with 19 cases having a puncture distance of >20 mm. We could not examine 15 cases, 8 of which were stage III, 2 were stage Ⅱ , 1 case failed to identify the lymph node, 1 case for blood flow and 3 were stage 0. No adverse events were associated with EBUS-TBNA. Thus, EBUS-TBNA is a useful and safe procedure for diagnosing sarcoidosis with lymphadenopathy of the mediastinum and hilum."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　縦隔・肺門リンパ節病変に対する超音波気管支内視鏡ガイド下経気管支針生検（endobronchial ultrasound-guided transbronchial needle aspiration： 以下EBUS-TBNA） は，縦隔鏡や外科的な肺生検に比べ低侵襲である．肺癌のリンパ節転移の診断に対するEBUS-TBNAの有用性は確立されており，良性疾患に対する有用性や内視鏡所見についての報告は少ない．サルコイドーシスに対するEBUS-TBNA の有用性と問題点を検討した．川崎医科大学呼吸器内科に2004年５月１日から2016年11月30日に，サルコイドーシスの疑いで入院した67例（男34，女33）を対象とした．EBUS-TBNA でサルコイドーシスと診断した症例と，それ以外で診断した症例を後方視的に解析した．サルコイドーシスと診断したのは39/67例（58％），そのうちTBLB ＋ EBUS-TBNA で診断；13/21例（62％），EBUS-TBNA のみで診断；2/2例，TBLB（transbronchial lung biopsy）のみで診断；22/41例（53％），縦隔鏡で診断；１例，皮膚生検で診断; １例であった．受診の契機は健康診断の胸部エックス線検査で両側肺門リンパ節腫脹（bilateral hilar lymphadenopathy：以下BHL）等の胸部異常陰影の指摘によるものが約半数（31/67例）を占めていた．穿刺リンパ節は#4R と#7が多く，穿刺距離は 27.9±4.5 mm，そのうち19例は 20 mm 以上であった．EBUS-TBNA が施行できなかった15例のうち８例は病期Ⅲ，２例は病期Ⅱ，３例は病期０，１例は血流のため，１例はリンパ節が同定不可であった．また，EBUS-TBNA に関連した重篤な有害事象はなかった．縦隔・肺門リンパ節が腫大したサルコイドーシスでは，穿刺困難な事由がなければ，EBUS-TBNA による診断は有用である．"}]},"item_10001_version_type_20":{"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":"八十川, 直哉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池田, 征樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大植, 祥弘","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"黒瀬, 浩史","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉岡, 大介","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"白井, 亮","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, 茂樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小橋, 吉博","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小賀, 徹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡, 三喜男","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YASOKAWA, Naoya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IKEDA, Masaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OHUE, Yoshihiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUROSE, Koji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YOSHIOKA, Daisuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIRAI, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KATO, Shigeki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOBASHI, Yoshihiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OGA, Toru","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OKA, Mikio","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-04-01"}],"displaytype":"detail","filename":"KMJ-J201945095.pdf","filesize":[{"value":"3.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2177/files/KMJ-J201945095.pdf"},"version_id":"0d36cb04-b8fa-4695-a056-b9342f6c11ff"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"サルコイドーシス","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"良性疾患","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"超音波気管支内視鏡ガイド下経気管支針生検","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"両側リンパ節腫大","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Sarcoidosis, Benign disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Bilateral hilar lymphadenopathy (BHL)","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"サルコイドーシスの診断における超音波気管支内視鏡ガイド下経気管支針生検（EBUS-TBNA）の有用性","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"サルコイドーシスの診断における超音波気管支内視鏡ガイド下経気管支針生検（EBUS-TBNA）の有用性","subitem_title_language":"ja"},{"subitem_title":"Clinical usefulness of endobronchial ultrasound-guided transbronchial needle aspiration in sarcoidosis diagnosis","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["686"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-01"},"publish_date":"2020-04-01","publish_status":"0","recid":"2177","relation_version_is_last":true,"title":["サルコイドーシスの診断における超音波気管支内視鏡ガイド下経気管支針生検（EBUS-TBNA）の有用性"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:11:14.006934+00:00"}