˘ˇˆ - marianna uigakukai.marianna-u.ac.jp/idaishi/www/371/01-37-9seiichi...‹›−‰...

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膈膋腰膎腾膓膞膩臝臦 Vol. 37, pp. 6571, 2009 腗腌腄腃腅腆腇腍腕腎腐腅腒腂腇腈腉腋腊腘腓腅腀腁腇腍腕腖腏腑腔 膖臞 腠腤腪腦 腕腄腄腘 1 腞腒 腢腱 1 膆膨 腢腱腖腈 1 腓腕 腄腒腈腲 腣腧腚腉 1 腮腡 腝腈腨腮 1 臹臣 腓腫腳腏 1 腄腒 腃腙 1 腇腇腒腎 膠膪 腦腐腢腱 1 腣腓 膜臢 腭腒腙腌 1 腦腙腇腈 1 腄腠腅腆 腖腍 1 膇腕 腒腮腈腲 腖腆 1 腧腟腒腖 腁腺 腦腐腧腘 1 腋腯腩腜 腴腂 腠腯腃腉 2 腡腒 腋腞 腢腱 3 腋腯 腡腮 腪腔 腬腉 3 腧腪腑腲 腛腰腇腧 1 : 膑腏 21 2 25 腍腊腔腌 EBUS, 3D-CT, 腷腻膎腼, 膷臜 腄腀腅腂 膷臜腞腑腪腷腻膎腼膧腭腠膰膦腍臈腞腧腪 臉膴臕 腄腪膫臬腟 腄腇 腭臀 腞膣 QOL 腭膣腏腒腪膟膢腝臨腚腁腪腦腄腞 臙膹膘至腚腠臉膴膯腱膎腸腀膆膎腶膉膎 inter- ventional pulmonology腛腐腙 腯膝 腏腫ERS ATS statement 腇臷腏腫腙腂腪 1腞膏膷臜腞腑腪腷腻膎腼膧腭腠腇腮臨 腞腅腋腪致膩腟膕腘腞臭腩腌腨腫膫臬 臋腭膖腏腒腪臌腝臨腛腐腙腣腨腫腪腧 腃腞腝腗腕腋腒腆腇腉腈腃腎腕腁腐腑 膰膭腷腻膎腼腟臯 silicone stent Dumon stent, TM stent, Polyflex stent 腝腜腷腻膎腼腥 腾腱腺膁腀膌腝腜腟臩臊膦腰腎腷腻膎腼 Spi- ral Z-stent, Ultraflex stent 腝腜腇腁腪腏腨腞腐腂 hybrid stent, 腛腉腞臙膹膃膌腳膂腀腸腱膅臍臂膭腇腚腈腟膋膯腇臼腝腉膢腫腞腉 腉臭腩臷腒腪腟腇膟膢腚腁腪腍腟腧腃腝膽膱膚 臒膺膀腺膁腀膌腛腶膋腴膎腚腚腈腕 hybrid stent Silmet stent, NiTi stent, Alveolus AERO stent腞腝腗腕Silicone stent 腠臩臉膴腭臟腐腕腛腊膙腌膅膍 膇膃腲腀膌腚臏膰膭臤膸腭腂腙腟膧腭臮膳腚 膍膣腚腁腩腐腆腤膍膣腚腁腪腇膫腀腲腞腠膐腚膧自腚腁腩腵腀膌腽腷腸膎腹腀 腽腛臐腄腨腫腪腟膺腷腻膎腼腠膰膭臤膃腯 腱膂腀腚腟膧腭臮膳腠膮腖腇腷膧腭腏腫腪腛 膡臲腅腧腡臘膧腭腠臕腚腁腩膟膽腞腧腪臘 臚腥膺腟膋膯腚膢腫腪腛腂腃臁腇腁腪腕腣腇臈腨腫腙腂腪腦腄腞 2005 臔腚腠腼膊膄 膌腇臧腊腍腛腆腨膞腧腞腝腩 臩臊膦腰腎腻膎腼膧腭腐腙腟 FDA 腟膿臓腇膑膛腟腎腛 腉臷腏腫腕膪腎膒臚腞腠 silicone stent 腥臮臸腝 腜腟腟臮腇臟腏腫腙腂腝腂臒腟腢腞臈腪腍 腐腆腤腷腻膎腼腟膧腭腥臭腩臷腐腞腠膼腏腫 腕膾臅腆腝臸臬腞腧腗腙腟腢臥臸腏腫腪腍腛腉腟臯腟腷腻膎腼腇腁腩腓腫腔腫臻腭腐腙腅腩臇臛腟腛腍腬膥腝腟腷腻膎腼腠臛腐腝腂膥臯腷腻膎腼腟膟膢腎腥臒膐腄膨腭 腑腪 randomized study 腠腝腂腟腚腓腟腘腨腟臥膾臅腥膇膋腶腀腞膒腐腙腅腩 1 膈膋腰膎腾膓膞膞膩 臉膴膯腖腄腽2 膤膞膩 臉膴膯膤膞3 65 65

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Page 1: ˘ˇˆ - Marianna Uigakukai.marianna-u.ac.jp/idaishi/www/371/01-37-9Seiichi...‹›−‰ endoscopic ultrasound system EU-M20, EU-M30, EU-M30S, EU-M2000, Olympus 8˘K2 !¤'“ «‹"›

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Page 2: ˘ˇˆ - Marianna Uigakukai.marianna-u.ac.jp/idaishi/www/371/01-37-9Seiichi...‹›−‰ endoscopic ultrasound system EU-M20, EU-M30, EU-M30S, EU-M2000, Olympus 8˘K2 !¤'“ «‹"›

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Page 3: ˘ˇˆ - Marianna Uigakukai.marianna-u.ac.jp/idaishi/www/371/01-37-9Seiichi...‹›−‰ endoscopic ultrasound system EU-M20, EU-M30, EU-M30S, EU-M2000, Olympus 8˘K2 !¤'“ «‹"›

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n��op<�� qr�stmu���N 3D-CT �vW' EBUS 8�K'()RS�w�xy�RS z�{|�()*+L0t}~"����K'�\�xy��y�t}~"8��J'K2�EBUS �(=>�*��������8��J�(=>*L0(=>� (=>�������8�2��<g2� :;�U0�(=L0��(=><E�J'K2�������� �+�������20MHz, radial type: UM-BS20-26R;Olympus ��+2.6mm� <g2� �����8���~��t����1� b�� ¡ 2�4ml <���~8�0�¢2£�<� �������¤(8 ¥J'8�2 �Fig 3�� ���,-¦��J'�� �+��������� endoscopic ultrasound system �EU-M20, EU-M30, EU-M30S, EU-M2000, Olympus�8�K2�§!¨©ª�«¬"­���K'� ®¯�°(=>��#±<�(=>�8²³�$´J� %�8oVd2£����<g2� (=<�� µ[¶ª�³·"­ª�<�¸¹º���~<(=�8²³�$´y¢2£��<O2�� §!¨©ª�«¬"­�<

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�� �������� ��������������� ������������ !��"#$"%�� �&'(�)*� EBUS �+,������-�.�/01234�5�'(���6�789�:;1<=>� �?@A�B�6C�DE*�� FGH34�5�IJ�KL<=>�'(���6�M��� IJ�NO�?�PQ�RS*� �Fig 4�� T�'(���6�M��'(JU�NO�?�PQV>� .W�X�C�Y%"Z[�M��\��.W�X�]^�L����<��_��`a�&'(�Yb� EBUS �c��&PQRS=.W�X�C��d������e>V�*�2fgh�ci� 3D-CT ��jklm�Y�<$2�

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�� �Fig 6�� ������� �� ������ ��������� �����: r�0.781p�0.0001�� ��� ���������� �� !��� EBUS" 3D-CT���#$%&'���� �r�0.758 p�0.0001� ����� ()�����*+,-�.�/��#0����� �r�0.801 p�0.0001� ����� (�1��������$��23,-�.����#045��

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��������� ������� ���� EBUS ������������ !"#���$%& ����� 3D-CT �'(������)*�+�,-./�0� ��1�� 23�456789:$��;<�=>��� �?@� �ABCD�EF,GH$IJ�� KBLMN� NOPB�QR?����F2ST�0�� U2� ��;<BVW�XYB�Z[;\B]^B_`ab�� cd� eZ�fghij�B��-kl�����&mn�0o� �@Bpq�rstuvwBx�.y�0F2�z{B|}$~�����,B�|}�+�,'B��$��2�� �������B������, 0.7$N{o� ���B|}Eo�����@�2� ������B�A�� 3D-CT �E����������$-R���1����$ 2�����2 ����������

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1� Bollinger CT, Mathur PN, Beamis JF, et al:ERS �ATS statement on interventional pulu-monology: European Respiratory Society �American Thoracic Society. Eur Respir J 19:

356�373, 2002.2� JR. Dame, A. Candra, AS jones, N. Berend,JS. Magnussen, and GG. King. Airway Di-

mensions Measured from Microcomputed To-

mography and High-Resolution Computed

Fig 6 ������B EBUS� 3D-CT�E���;§�B��a� �¨ b� ��¨ c� '©¨

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Tomography. Eur Respir J 2006; 28: 712�720.3� Nakano Y, Kenneth P. W, Steve E. K, Hear-vey O. C, and John C. English. Development

and Validation of Human Airway Analysis Al-

gorithm Using Multidetector Row CT. Inter-

national Society for Optical Engineering. 2002;

4683: 460�469.4� Robert H. Brown, N Scichilone, B Mudge,Fiona B Diemer, S Permutt, and A Togias.

High-Resolution Computed Tomographic

Evaluation of Airway Distensibility and the

E#ects of Lung Inflation on Airway Caliber in

Healthy Subjects and Individuals with Asthma.

American J of Respiratory and Critical Care

Medicine. 2001; 163: 994�1001.5� P Berger, V Perot, J Manual Tunon-de-Lara,and F Laurent. Airway Wall Thickness in

Cigarette Smokers: Quantitative Thin-Section

CT Assessment. Radiology 2005; 235: 1055�1064.

6� Matsuoka S, Kurihara Y, and Nakajima Y.Airway Dimensions at Inspiratory and Expira-

tory Multisection CT in Chronic Obstructive

Pulmonary Disease: Correlation with Airflow

Limitation. Thoracic Imaging; 2008: 249:

7� ����� ���� �� ��� ����������� ����� ��� 2008, 109�116.

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