{"id":378,"date":"2018-09-17T08:00:04","date_gmt":"2018-09-16T23:00:04","guid":{"rendered":"https:\/\/www.sj-shibuya-bc.jp\/staff-blog\/?p=378"},"modified":"2024-05-30T15:04:36","modified_gmt":"2024-05-30T06:04:36","slug":"%e7%94%b7%e6%80%a7%e5%9b%a0%e5%ad%90%e3%80%80%ef%bd%9e%e9%96%89%e5%a1%9e%e6%80%a7%e7%84%a1%e7%b2%be%e5%ad%90%e7%97%87%e3%81%a8%e9%9d%9e%e9%96%89%e5%a1%9e%e6%80%a7%e7%84%a1%e7%b2%be%e5%ad%90%e7%97%87","status":"publish","type":"post","link":"https:\/\/www.sj-shibuya-bc.jp\/staff-blog\/?p=378","title":{"rendered":"\u7121\u7cbe\u5b50\u75c7\uff08\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\u3068\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff09"},"content":{"rendered":"<p>\u685c\u5341\u5b57\u30a6\u30a3\u30e1\u30f3\u30ba\u30af\u30ea\u30cb\u30c3\u30af\u6e0b\u8c37\u57f9\u990a\u90e8\u3067\u3059\u3002<\/p>\n<h4>\u7537\u6027\u4e0d\u598a\u306e\u7a2e\u985e\u3068\u7121\u7cbe\u5b50\u75c7<\/h4>\n<p>\u4e0d\u598a\u539f\u56e0\u306e\u3072\u3068\u3064\u3068\u306a\u3063\u3066\u3044\u308b\u7537\u6027\u56e0\u5b50\u306e\u4e2d\u3067\u7279\u306b\u767a\u751f\u304c\u591a\u3044\u3082\u306e\u3068\u3057\u3066\u9020\u7cbe\u6a5f\u80fd\u969c\u5bb3(83\uff05)\u304c\u3042\u308a\u3001\u6b21\u306b\u7cbe\u8def\u969c\u5bb3\u3001\u6027\u6a5f\u80fd\u969c\u5bb3\u304c\u3042\u308a\u307e\u3059\u3002\u4eca\u56de\u306f\u9020\u7cbe\u6a5f\u80fd\u969c\u5bb3\u3068\u7cbe\u8def\u969c\u5bb3\u306b\u95a2\u4fc2\u306e\u3042\u308b\u3001\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff08Obstructive Azoospermia; OA\uff09\u3068\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff08Non-Obstructive Azoospermia; NOA\uff09\u306b\u3064\u3044\u3066\u3054\u7d39\u4ecb\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<p>\u7cbe\u6db2\u4e2d\u306b\u7cbe\u5b50\u304c\u5b58\u5728\u3057\u306a\u3044\u3053\u3068\u3092\u300c\u7121\u7cbe\u5b50\u75c7\u300d\u3068\u547c\u3073\u307e\u3059\u3002<br \/>\n\u305d\u306e\u7121\u7cbe\u5b50\u75c7\u306e\u4e3b\u305f\u308b\u539f\u56e0\u306f2\u3064\u3042\u308a\u3001\u305d\u308c\u304c \u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7 \u3068 \u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7 \u3067\u3059\u3002<\/p>\n<h4>\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff08OA\uff09<\/h4>\n<p>\u7523\u751f\u3055\u308c\u305f\u7cbe\u5b50\u3092\u4f53\u5916\u306b\u5c04\u51fa\u3059\u308b\u305f\u3081\u306e\u901a\u8def(\u7cbe\u5de3\u4e0a\u4f53\u7ba1\u3084\u7cbe\u7ba1\u306a\u3069)\u304c\u4f55\u3089\u304b\u306e\u539f\u56e0\u3067\u9589\u3058\u3066\u3057\u307e\u3046\u306e\u304c\u7cbe\u8def\u969c\u5bb3\u3067\u3059\u3002\u7cbe\u5de3\u5185\u3067\u7cbe\u5b50\u306f\u7523\u751f\u3055\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u304c\u3001\u7cbe\u5b50\u304c\u901a\u308b\u305f\u3081\u306e\u7ba1\u304c\u9589\u9396\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u3067\u7cbe\u5b50\u304c\u4f53\u5916\u306b\u5c04\u51fa\u3055\u308c\u308b\u3053\u3068\u306f\u306a\u304f\u3001\u7121\u7cbe\u5b50\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>&lt;\u767a\u75c7\u539f\u56e0&gt;<\/p>\n<ul>\n<li>\u7cbe\u5de3\u4e0a\u4f53\u7ba1\u306e\u9589\u585e\u3000(\u7cbe\u5de3\u4e0a\u4f53\u708e\u306a\u3069\u591a\u304f\u306f\u539f\u56e0\u4e0d\u660e)<\/li>\n<li>\u7cbe\u7ba1\u306e\u9589\u585e<br \/>\n(\u5148\u5929\u6027\u4e21\u5074\u7cbe\u7ba1\u6b20\u640d\u75c7\u3001\u7cbe\u7ba1\u7d50\u7d2e\u8853\u5f8c\u3001\u9f20\u5f84\u30d8\u30eb\u30cb\u30a2\u8853\u5f8c\u306e\u7cbe\u7ba1\u640d\u50b7\u3001\u7cbe\u8def\u611f\u67d3\u75c7\u306a\u3069)<\/li>\n<li>\u5c04\u7cbe\u7ba1\u306e\u9589\u585e\u3000(\u524d\u7acb\u817a\u56a2\u80de\u3001\u611f\u67d3\u75c7\u306a\u3069)<\/li>\n<\/ul>\n<p>\u9069\u5fdc\u306b\u3088\u308a\u5916\u79d1\u7684\u624b\u8853\u3067\u3042\u308b\u7cbe\u8def\u518d\u5efa\u8853(\u3064\u307e\u3063\u3066\u3044\u308b\u7ba1\u3092\u53d6\u308a\u9664\u304d\u3001\u7e4b\u304e\u5408\u308f\u305b\u308b\u624b\u8853)\u3092\u884c\u3046\u3053\u3068\u3067\u7ba1\u3092\u901a\u3059\u3053\u3068\u304c\u3067\u304d\u308c\u3070\u3001\u5c04\u51fa\u7cbe\u6db2\u4e2d\u306b\u7cbe\u5b50\u304c\u51fa\u73fe\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u81ea\u7136\u598a\u5a20\u304c\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u307e\u305f\u3001\u7cbe\u5b50\u81ea\u4f53\u306f\u7523\u751f\u3055\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u7cbe\u5de3\u5185\u7cbe\u5b50\u56de\u53ce\u6cd5(TESE\uff1a\u9670\u56a2\u3092\u5207\u958b\u3057\u3066\u76f4\u63a5\u7cbe\u5de3\u304b\u3089\u7cbe\u5b50\u304c\u3044\u305d\u3046\u306a\u7ba1(\u7cbe\u7d30\u7ba1)\u3092\u63a2\u3057\u3066\u7cbe\u5b50\u3092\u63a1\u53d6\u3059\u308b\u624b\u8853)\u3000\u3092\u884c\u3046\u3053\u3068\u3067\u3001\u9ad8\u78ba\u7387\u3067\u7cbe\u5b50\u56de\u53ce\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h4>\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff08NOA\uff09<\/h4>\n<p>\u7cbe\u5b50\u306f\u9670\u56a2\u5185\u306b\u3042\u308b\u7cbe\u5de3\u3067\u65e5\u3005\u7523\u751f\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u306e\u7cbe\u5de3\u304c\u306a\u3093\u3089\u304b\u306e\u539f\u56e0\u3067\u7cbe\u5b50\u3092\u7523\u751f\u3067\u304d\u306a\u304f\u306a\u308b\u306e\u304c\u9020\u7cbe\u6a5f\u80fd\u969c\u5bb3\u3067\u3059\u3002\u7cbe\u5b50\u304c\u901a\u308b\u7ba1\u306f\u6b63\u5e38\u3067\u3059\u304c\u7cbe\u5de3\u3067\u7cbe\u5b50\u306e\u7523\u751f\u81ea\u4f53\u304c\u884c\u308f\u308c\u306a\u3044\u305f\u3081\u3001\u7121\u7cbe\u5b50\u75c7\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\uff1c\u767a\u75c7\u539f\u56e0\uff1e<\/p>\n<ul>\n<li>\u4f4e\u30b4\u30ca\u30c9\u30c8\u30ed\u30d4\u30f3\u6027\u7537\u5b50\u6027\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7 (\u7cbe\u5b50\u5f62\u6210\u306b\u5fc5\u8981\u306a\u30db\u30eb\u30e2\u30f3\u304c\u4e0d\u8db3\u3057\u3066\u3044\u308b\u72b6\u614b)<\/li>\n<li>\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306a\u3069\u306e\u7cbe\u5b50\u5f62\u6210\u306b\u95a2\u4fc2\u3059\u308b\u67d3\u8272\u4f53\u7570\u5e38<\/li>\n<li>Y\u67d3\u8272\u4f53\u5fae\u5c0f\u6b20\u5931\u3000(\u7cbe\u5b50\u5f62\u6210\u306b\u95a2\u4e0e\u3059\u308b\u907a\u4f1d\u5b50\u304c\u6b20\u5931\u3057\u3066\u3044\u308b\u72b6\u614b)<\/li>\n<li>\u505c\u7559\u7cbe\u5de3\u3000(\u80ce\u5150\u306e\u3046\u3061\u306b\u9670\u56a2\u306b\u304a\u308a\u3066\u304f\u308b\u306f\u305a\u306e\u7cbe\u5de3\u304c\u4f53\u5185\u306b\u6b8b\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u72b6\u614b)<\/li>\n<li>\u7cbe\u5de3\u708e\u3001\u7cbe\u5de3\u637b\u8ee2\u75c7\u306a\u3069\u306e\u5f8c\u5929\u6027\u306e\u3082\u306e<\/li>\n<\/ul>\n<p>\u3053\u306e\u5834\u5408\u3001\u4e00\u90e8\u306e\u75c7\u4f8b\u3092\u9664\u3044\u3066\u6cbb\u7642\u306b\u3088\u308a\u7cbe\u5b50\u7523\u751f\u304c\u56de\u5fa9\u3059\u308b\u3053\u3068\u306f\u307b\u307c\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u305f\u3081\u3001\u7cbe\u5b50\u3092\u56de\u53ce\u3059\u308b\u305f\u3081\u306b\u306f\u5916\u79d1\u7684\u624b\u8853\u306b\u3088\u308a\u524d\u8ff0\u306eTESE\u3092\u884c\u3046\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u304c\u3001TESE\u306f\u6839\u672c\u7684\u6cbb\u7642\u3067\u306f\u306a\u3044\u305f\u3081\u7cbe\u5b50\u56de\u53ce\u304c\u3067\u304d\u306a\u3051\u308c\u3070\u610f\u5473\u306e\u306a\u3044\u624b\u8853\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>MD-TESE<\/h5>\n<p>\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\u3067\u3082\u4eba\u306b\u3088\u3063\u3066\u306f\u5168\u304f\u7cbe\u5b50\u304c\u3064\u304f\u3089\u308c\u3066\u3044\u306a\u3044\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u5c04\u51fa\u3055\u308c\u308b\u307b\u3069\u3067\u306f\u306a\u3044\u3051\u308c\u3069\u5c40\u6240\u7684\u306b\u7cbe\u5de3\u5185\u3067\u7cbe\u5b50\u5f62\u6210\u3057\u3066\u3044\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\u3067\u306f\u7cbe\u8def\u304c\u9589\u3058\u3066\u3044\u308b\u3060\u3051\u3067\u7cbe\u5de3\u3067\u306f\u7cbe\u5b50\u5f62\u6210\u3092\u884c\u3063\u3066\u3044\u308b\u305f\u3081\u3001\u9855\u5fae\u93e1\u3092\u7528\u3044\u306a\u304f\u3068\u3082\u7cbe\u5b50\u5f62\u6210\u3092\u884c\u3063\u3066\u3044\u308b\u7cbe\u7d30\u7ba1\u3092\u63a2\u3057\u3084\u3059\u3044\u306e\u3067\u3059\u304c\u3001\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\u3067\u306f\u5f62\u6210\u3055\u308c\u3066\u3044\u308b\u7cbe\u5b50\u304c\u5c40\u6240\u7684\u3067\u308f\u305a\u304b\u306b\u306a\u308b\u305f\u3081\u3001\u00a0\u9855\u5fae\u93e1\u4e0b\u7cbe\u5de3\u5185\u7cbe\u5b50\u56de\u53ce\u6cd5\u3000(Microdissection TESE; MD-TESE\u3042\u308b\u3044\u306fmicro-TESE\uff09\u3092\u884c\u3044\u307e\u3059\u3002<\/p>\n<p>\u901a\u5e38\u306eTESE\u3068\u7570\u306a\u308b\u70b9\u306f\u624b\u8853\u7528\u306e\u9855\u5fae\u93e1\u3092\u7528\u3044\u3066\u3088\u308a\u8a73\u3057\u304f\u7cbe\u7d30\u7ba1\u3092\u89b3\u5bdf\u3057\u3066\u7cbe\u5b50\u5f62\u6210\u3092\u884c\u3063\u3066\u3044\u305d\u3046\u306a\u7cbe\u7d30\u7ba1\u3092\u63a2\u7d22\u3059\u308b\u70b9\u3067\u3059\u3002<\/p>\n<p>\u3053\u306eMD-TESE\u304c\u63d0\u6848\u3055\u308c\u305f\u3053\u3068\u3067\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\u306e\u65b9\u3067\u3082\u7cbe\u5b50\u304c\u56de\u53ce\u3067\u304d\u308b\u78ba\u7387\u304c\u5411\u4e0a\u3057\u307e\u3057\u305f\u3002\u3042\u308b\u7a0b\u5ea6\u7cbe\u5b50\u304c\u56de\u53ce\u3067\u304d\u308c\u3070\u3001\u305d\u306e\u5f8c\u306f\u9855\u5fae\u6388\u7cbe(ICSI)\u3067\u5375\u5b50\u306b\u53d7\u7cbe\u3055\u305b\u3001\u6210\u9577\u3057\u305f\u80da\u3092\u5b50\u5bae\u306b\u623b\u305b\u3070\u6319\u5150\u3092\u5f97\u3089\u308c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u901a\u5e38\u3001\u7cbe\u6db2\u691c\u67fb\u3092\u884c\u3044\u7cbe\u6db2\u306e\u4e2d\u306b\u7cbe\u5b50\u304c\u3044\u306a\u3044\u304b\u3089\u3068\u3044\u3063\u3066\u30011\u5ea6\u306e\u691c\u67fb\u3067\u7121\u7cbe\u5b50\u75c7\u3068\u5224\u5b9a\u3059\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u7537\u6027\u306e\u7cbe\u6db2\u306e\u6240\u898b\u306f\u4f53\u8abf\u306a\u3069\u306b\u3088\u308a\u826f\u304f\u3082\u60aa\u304f\u3082\u6bce\u56de\u5927\u304d\u304f\u5909\u52d5\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u305f\u3081\u3001\u6700\u4f4e\u3067\u3082\u6570\u56de\u691c\u67fb\u3092\u884c\u3063\u3066\u5224\u5b9a\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n<p>\u5f53\u9662\u3067\u306fTESE\u306f\u884c\u3063\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u4e0a\u8a18\u306e\u3088\u3046\u306a\u75c7\u4f8b\u306e\u7591\u3044\u304c\u3042\u308b\u5834\u5408\u306f\u6ccc\u5c3f\u5668\u79d1\u306b\u3054\u7d39\u4ecb\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002\u6ccc\u5c3f\u5668\u79d1\u306e\u6cbb\u7642\u306b\u3066\u7cbe\u5b50\u5f62\u6210\u304c\u56de\u5fa9\u3042\u308b\u3044\u306fTESE\u306a\u3069\u3067\u7cbe\u5b50\u56de\u53ce\u304c\u3067\u304d\u305f\u6298\u306b\u306f\u3001\u518d\u5ea6\u5f53\u9662\u3067\u6319\u5150\u3092\u5f97\u308b\u305f\u3081\u306b\u3068\u3082\u306b\u9811\u5f35\u3063\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n<p>&nbsp;<\/p>\n<div 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