{"id":1789,"date":"2023-09-03T21:53:16","date_gmt":"2023-09-03T12:53:16","guid":{"rendered":"https:\/\/kumanokoboy.com\/blog\/?p=1789"},"modified":"2025-02-11T08:37:47","modified_gmt":"2025-02-10T23:37:47","slug":"tcd","status":"publish","type":"post","link":"https:\/\/kumanokoboy.com\/blog\/tcd\/","title":{"rendered":"\u982d\u306e\u4e2d\u3082\u30a8\u30b3\u30fc\u3067\u898b\u308c\u308b!? \u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\u3063\u3066\u3069\u3093\u306a\u691c\u67fb\uff1f"},"content":{"rendered":"\n

\u306f\u3058\u3081\u307e\u3057\u3066\uff01
\u81e8\u5e8a\u691c\u67fb\u6280\u5e2b\u306e\u68ee\u5c45\u3042\u3093\u307f<\/span>\u3068\u7533\u3057\u307e\u3059\u3002
\u666e\u6bb5\u306f\u5927\u5b66\u75c5\u9662\u3067\u30a8\u30b3\u30fc\u691c\u67fb\u306b\u5f93\u4e8b\u3057\u3066\u3044\u307e\u3059\u3002

\u3068\u3001\u81ea\u5df1\u7d39\u4ecb\u3092\u3059\u308b\u3068
\u8179\u90e8\u3084\u5fc3\u81d3\u3092\u30d0\u30ea\u30d0\u30ea\u307f\u3066\u3044\u308b\u306e\u3092\u60f3\u50cf\u3055\u308c\u308b\u65b9\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u2026
<\/p>\n\n\n\n

\u79c1\u304c\u6bce\u65e5\u898b\u3066\u3044\u308b\u306e\u306f\u9838\u52d5\u8108<\/strong>\u3001\u305d\u3057\u3066\u8133\u52d5\u8108<\/strong>\uff01\u3000
\u3064\u307e\u308a\u982d\u981a\u90e8\u306e\u8840\u7ba1\u30a8\u30b3\u30fc<\/strong>\u3092\u5c02\u9580\u3068\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n


\u4eca\u56de\u306f\u3001\u691c\u67fb\u6280\u5e2b\u306f\u304a\u308d\u304b\u533b\u5e2b\u304b\u3089\u3082
\u300c\u3069\u3046\u3084\u3063\u3066\u898b\u308b\u306e\uff01\uff1f\u300d\u3068\u9a5a\u304b\u308c\u308b\u3053\u3068\u3082\u591a\u3044\u982d\u90e8\u306e\u30a8\u30b3\u30fc\u2026<\/p>\n\n\n\n

\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\u691c\u67fb (TC-CFI\uff1atranscranial color flow imaging)<\/span>\u3001\u307e\u305f\u306f(TCD\uff1atranscranial color doppler)<\/span>\u306b\u3064\u3044\u3066\u66f8\u304b\u305b\u3066\u9802\u304d\u307e\u3059\u3002<\/p>\n\n\n\n

\uff11\u3001\u4e00\u4f53\u3069\u3046\u3084\u3063\u3066\u898b\u308b\u306e\uff1f<\/h2>\n\n\n\n

\u982d\u84cb\u9aa8\u306b\u304c\u3063\u3061\u308a\u8986\u308f\u308c\u305f\u982d\u90e8\u3002
\u7686\u3055\u3093\u307e\u305a\u3001\u3069\u3053\u304b\u3089\u3069\u3046\u898b\u308b\u306e\u304b\u304c\u6c17\u306b\u306a\u308b\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f

\u307e\u305a\u306f\u30d7\u30ed\u30fc\u30d6\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u5fc3\u30a8\u30b3\u30fc\u3068\u540c\u3058\u30bb\u30af\u30bf\u30d7\u30ed\u30fc\u30d6<\/strong>\u3092\u4f7f\u3044\u307e\u3059\uff01

\u305f\u3060\u3057\u5206\u539a\u3044\u982d\u84cb\u9aa8\u3092\u900f\u904e\u3059\u308b\u969b\u306b\u8d85\u97f3\u6ce2\u304c\u304b\u306a\u308a\u6e1b\u8870\u3059\u308b\u305f\u3081\u30012.0MHz\uff5e2.5MHz<\/strong>\u306b\u8a2d\u5b9a\u3057\u3066\u884c\u3044\u307e\u3059\u3002(\u30d7\u30ea\u30bb\u30c3\u30c8\u3067TCCFI\u3084TCD\u3068\u3044\u3046\u8a2d\u5b9a\u306e\u3042\u308b\u6a5f\u7a2e\u3082\u3042\u308b)

\u3053\u308c\u3092\u8033\u4ecb\u524d\u65b9\u306b\u3042\u308b\u5074\u982d\u9aa8\u30a6\u30a3\u30f3\u30c9\u30a6\u306b\u3042\u3066\u308b\u3053\u3068\u3067\u3001B-mode\u3067\u4e2d\u8133\u30fb\u8776\u5f62\u9aa8\u30fb\u5bfe\u5074\u306e\u5074\u982d\u9aa8\u306a\u3069\u3092\u63cf\u51fa\u3067\u304d\u307e\u3059\u3002

\u3053\u3053\u3067\u30ab\u30e9\u30fc\u30c9\u30d7\u30e9\u6cd5\u3092\u7528\u3044\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u4e2d\u5927\u8133\u52d5\u8108(MCA)<\/strong>\u30fb\u5f8c\u5927\u8133\u52d5\u8108(PCA)<\/strong>\u30fb\u5185\u981a\u52d5\u8108\u672b\u7aef\u90e8(ICA-TOP)<\/strong>\u30fb\u524d\u5927\u8133\u52d5\u8108(ACA)\u8d77\u59cb\u90e8<\/strong>\u306a\u3069\u306e\u8840\u6d41\u3092\u898b\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059(fig1)<\/p>\n\n\n\n

\"\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\"<\/figure>\n\n\n\n


\u307e\u305f\u3001\u5f8c\u982d\u90e8\u306e\u9996\u306e\u4ed8\u3051\u6839\u304b\u3089\u5927\u5f8c\u982d\u5b54\u30a6\u30a3\u30f3\u30c9\u30a6\u3092\u3068\u304a\u3057\u3066\u690e\u9aa8\u52d5\u8108(VA)<\/strong>\u30fb\u8133\u5e95\u52d5\u8108(BA)<\/strong>\u306e\u8840\u6d41\u3092\u63cf\u51fa\u3059\u308b\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059(fig.2)\u3002
<\/p>\n\n\n\n

\"\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\"<\/figure>\n\n\n\n

\u3053\u306e\uff12\u3064\u306e\u30a6\u30a3\u30f3\u30c9\u30a6\u306f\u30bb\u30af\u30bf\u30d7\u30ed\u30fc\u30d6\u3067\u89b3\u5bdf\u3057\u307e\u3059\u304c\u3001\u5b9f\u306f\u5468\u6ce2\u6570\u306e\u9ad8\u3044\u30ea\u30cb\u30a2\u30d7\u30ed\u30fc\u30d6\u3067\u89b3\u5bdf\u3059\u308b\u90e8\u4f4d\u3082\u3042\u308a\u307e\u3059\uff01
\u305d\u308c\u306f\u773c\u7aa9\u30a6\u30a3\u30f3\u30c9\u30a6(fig.3)\u3002<\/p>\n\n\n\n

\"\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\"<\/figure>\n\n\n\n


\u77bc\u306e\u4e0a\u304b\u3089\u30d7\u30ed\u30fc\u30d6\u3092\u3042\u3066\u308b\u3053\u3068\u3067\u773c\u52d5\u8108(OA)<\/strong>\u306e\u8840\u6d41\u3092\u89b3\u5bdf\u53ef\u80fd\u3067\u3059(\u305f\u3060\u3057\u7d44\u7e54\u640d\u50b7\u30ea\u30b9\u30af\u3092\u907f\u3051\u308b\u305f\u3081\u3001\u5fc5\u305aTI<1.0, MI<0.23<\/strong>\u3067\u884c\u3044\u307e\u3059)\u3002<\/p>\n\n\n\n

2\u3001\u305d\u308c\u304c\u4f55\u306e\u5f79\u306b\u7acb\u3064\u306e\uff1f<\/h2>\n\n\n\n

\u3055\u3066\u3001\u8133\u52d5\u8108\u306e\u8840\u6d41\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u306f\u5206\u304b\u308a\u307e\u3057\u305f\u304c\u2026\u4e00\u4f53\u4f55\u306e\u5f79\u306b\u7acb\u3064\u306e\u3067\u3057\u3087\u3046\u304b\uff1f

\u7d50\u8ad6\u3092\u5148\u306b\u8a00\u3046\u3068\u3001\u8133\u5352\u4e2d\u306e\u8a3a\u65ad\u306b\u5bfe\u3057\u3066\u975e\u5e38\u306b\u6709\u7528<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n

\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\u691c\u67fb\u3067\u306f\u57fa\u672c\u7684\u306b\u30ab\u30e9\u30fc\u30c9\u30d7\u30e9\u3067\u8840\u6d41\u304c\u898b\u3048\u308b\u3060\u3051\u3067\u3001\u9838\u52d5\u8108\u306e\u3088\u3046\u306b\u30d7\u30e9\u30fc\u30af\u3084\u72ed\u7a84\u3092\u898b\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n\n\n\n


\u3067\u3059\u304c\u3001\u6d41\u901f\u3092\u8a08\u6e2c\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u72ed\u7a84\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u3084\u3001\u6ce2\u5f62\u304b\u3089\u9589\u585e\u3092\u63a8\u6e2c\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002

\u307e\u305f\u8840\u6d41\u65b9\u5411\u304c\u306f\u3063\u304d\u308a\u3068\u5206\u304b\u308b\u305f\u3081\u3001\u9006\u6d41\u306e\u8a3a\u65ad\u306b\u3082\u5f79\u7acb\u3061\u307e\u3059\u3002<\/p>\n\n\n\n

\u5177\u4f53\u4f8b\u3092\u4ee5\u4e0b\u306b\u5e7e\u3064\u304b\u3042\u3052\u307e\u3059\u3002<\/p>\n\n\n\n

\u25cf\u8133\u6897\u585e\u3084TIA(\u4e00\u904e\u6027\u8133\u865a\u8840\u767a\u4f5c)\u6642\u306e\u8133\u8840\u7ba1\u7cbe\u67fb<\/h3>\n\n\n\n

\u5185\u981a\u52d5\u8108\u7cfb\u30fb\u690e\u9aa8\u8133\u5e95\u52d5\u8108\u7cfb\u306e\u72ed\u7a84\u30fb\u9589\u585e\u30fb\u9006\u6d41\u3092\u5ba2\u89b3\u7684\u306b\u8a55\u4fa1\u3059\u308b\u3002<\/p>\n\n\n\n

\u25cfMES(micro embolic signal)\u306e\u8a55\u4fa1<\/h3>\n\n\n\n

\u9023\u7d9a\u7684\u306b\u30d7\u30ed\u30fc\u30d6\u3092\u5f53\u3066\u7d9a\u3051\u308b\u3053\u3068\u3067\u3001\u8133\u8840\u7ba1\u5185\u306b\u5fae\u5c0f\u8840\u6813\u5230\u9054\u306e\u6709\u7121\u3084\u7a0b\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u3002<\/p>\n\n\n\n

\u25cf\u30af\u30e2\u819c\u4e0b\u51fa\u8840\u5f8c\u306espasm(\u8133\u8840\u7ba1\u6523\u7e2e)\u306e\u8a55\u4fa1<\/h3>\n\n\n\n

\u8853\u5f8c2\u9031\u9593\u306fspasm\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u3002\u8840\u6d41\u901f\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u3053\u3068\u3067\u3001\u305d\u306e\u4e88\u77e5\u3084\u7d4c\u904e\u89b3\u5bdf\u306b\u5f79\u7acb\u3066\u308b\u3002<\/p>\n\n\n\n

\u3053\u306e\u3088\u3046\u306b\u3001\u69d8\u3005\u306a\u5f62\u3067\u8133\u5352\u4e2d\u8a3a\u65ad\u306b\u5bc4\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

3\u3001\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u30c7\u30e1\u30ea\u30c3\u30c8<\/h2>\n\n\n\n

\u64ae\u5f71\u306f\u4e00\u77ac\u3060\u3051\u3069\u88ab\u66dd\u304c\u3042\u308bCT\u3001\u591a\u304f\u306e\u64ae\u5f71\u6cd5\u3067\u5168\u8eab\u3092\u898b\u3089\u308c\u308b\u3051\u3069\u91d1\u5c5e\u306b\u306f\u5f31\u3044MRI\u2026\u3069\u3093\u306a\u691c\u67fb\u306b\u3082\u30e1\u30ea\u30c3\u30c8\u3068\u30c7\u30e1\u30ea\u30c3\u30c8\u304c\u3042\u308a\u307e\u3059\u3002

\u3082\u3061\u308d\u3093\u3001\u30a8\u30b3\u30fc\u306b\u3082\u2026\u3002

\u3068\u3044\u3046\u308f\u3051\u3067\u3001\u7d4c\u982d\u84cb\u30a8\u30b3\u30fc\u306e\u30e1\u30ea\u30c3\u30c8\u3068\u30c7\u30e1\u30ea\u30c3\u30c8\u3092\u3053\u3053\u306b\u6319\u3052\u307e\u3059\u3002<\/p>\n\n\n\n

\u30e1\u30ea\u30c3\u30c8<\/h3>\n\n\n\n

\u5927\u304c\u304b\u308a\u306a\u88c5\u7f6e\u304c\u8981\u3089\u306a\u3044<\/strong><\/p>\n\n\n\n

\u3044\u3064\u3082\u306e\u30a8\u30b3\u30fc\u8a3a\u65ad\u88c5\u7f6e\u3068\u30bb\u30af\u30bf\u30d7\u30ed\u30fc\u30d6\u3055\u3048\u3042\u308c\u3070\u5b9f\u65bd\u53ef\u80fd\uff01

\u898f\u6a21\u306e\u5c0f\u3055\u306a\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3082\u75c5\u5ba4\u306b\u51fa\u5f35\u3057\u3066\u3082\u3001\u554f\u984c\u306a\u304f\u64ae\u5f71\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n

\u88ab\u66dd\u304c\u306a\u3044<\/strong><\/p>\n\n\n\n

\u653e\u5c04\u7dda\u3092\u4f7f\u7528\u3057\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u5f53\u7136\u88ab\u66dd\u3057\u307e\u305b\u3093\u3002<\/p>\n\n\n\n

\u6bce\u65e5\u3067\u3082\u3067\u304d\u308b<\/strong><\/p>\n\n\n\n

\u30d7\u30ed\u30fc\u30d6\u3092\u5f53\u3066\u308b\u3060\u3051\u306e\u624b\u8efd\u3055\u3086\u3048\u3001\u5fc5\u8981\u3068\u3042\u3089\u3070\u6bce\u65e5\u3067\u3082\u884c\u3048\u307e\u3059\u3002
\uff08\u5b9f\u969b\u3001\u304f\u3082\u819c\u4e0b\u51fa\u8840\u5f8c\u306e\u60a3\u8005\u3055\u3093\u7b49\u306f\u3001spasm\u671f\u306e\u9593\u307b\u307c\u6bce\u65e5\u8133\u8840\u6d41\u3092\u89b3\u5bdf\u3057\u3066\u3044\u307e\u3059\uff09\u3002<\/p>\n\n\n\n

\u9006\u6d41\u304c\u306f\u3063\u304d\u308a\u5206\u304b\u308b<\/strong><\/p>\n\n\n\n

\u690e\u9aa8\u52d5\u8108\u3084\u5916\u9838\u52d5\u8108\u306a\u3069\u3067\u306f\u3057\u3070\u3057\u3070\u9006\u6d41\u304c\u898b\u3089\u308c\u307e\u3059\u3002

\u6d41\u308c\u306e\u65b9\u5411\u304c\u5206\u304b\u308b\u306e\u306f\u30a8\u30b3\u30fc\u691c\u67fb\u306e\u4ee3\u8868\u7684\u306a\u5f37\u307f\u3067\u3059\u3002<\/p>\n\n\n\n

\u30c7\u30e1\u30ea\u30c3\u30c8<\/h3>\n\n\n\n

\u691c\u67fb\u306e\u8cea\u304c\u5b9f\u65bd\u8005\u306b\u4f9d\u5b58\u3059\u308b<\/strong><\/p>\n\n\n\n

\u3053\u308c\u3082\u30a8\u30b3\u30fc\u691c\u67fb\u5168\u4f53\u306b\u8a00\u3048\u308b\u3053\u3068\u3067\u3059\u306d\u3002\u7fd2\u5f97\u306b\u305d\u308c\u306a\u308a\u306e\u6642\u9593\u3082\u304b\u304b\u308a\u307e\u3059\u3002<\/p>\n\n\n\n

\u9ad8\u9f62\u5973\u6027\u306e\u8840\u7ba1\u63cf\u51fa\u7387\u304c\u4f4e\u3044<\/strong><\/p>\n\n\n\n

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\u81ea\u9a13\u4f8b\u306b\u304a\u3044\u3066\u3001\u7537\u6027\u306eMCA\u63cf\u51fa\u7387\u306f\u5e74\u4ee3\u306b\u95a2\u4fc2\u306a\u304f80\uff05~90%\u3042\u308a\u307e\u3059\u304c\u3001\u5973\u6027\u306f50\u53f0\u3092\u8d85\u3048\u308b\u9803\u304b\u3089\u5f90\u3005\u306b\u4f4e\u4e0b\u305770\u4ee3\u3067\u306f\u63cf\u51fa\u7387\u306f30%\u307b\u3069\u2026TC-CFI\u6700\u5927\u306e\u5f31\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n


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\n\n\n\n
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