\u76e3\u4fee\u533b\u5e2b\uff1a\u5927\u5742 \u8cb4\u53f2\uff08\u533b\u5e2b\uff09
\n\u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66\u5352\u696d\u3002\u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u4fee\u4e86\u3002\u73fe\u5728\u306f\u7dbe\u90e8\u5e02\u7acb\u75c5\u9662 \u5185\u5206\u6ccc\u30fb\u7cd6\u5c3f\u75c5\u5185\u79d1\u90e8\u9577\u3001\u4eac\u90fd\u5e9c\u7acb\u533b\u79d1\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1 \u5185\u5206\u6ccc\u30fb\u7cd6\u5c3f\u75c5\u30fb\u4ee3\u8b1d\u5185\u79d1\u5b66\u8b1b\u5ea7 \u5ba2\u54e1\u8b1b\u5e2b\u3092\u52d9\u3081\u308b\u3002\u533b\u5b66\u535a\u58eb\u3002\u65e5\u672c\u5185\u79d1\u5b66\u4f1a\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3001\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u3002
\n\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306f\u5b50\u5bae\u5185\u819c\u75c7\u3068\u3044\u3046\u75be\u60a3\u306e\u4e00\u90e8\u3067\u3059\u3002\u5b50\u5bae\u5185\u819c\u75c7\u306f\u5b50\u5bae\u5185\u819c\u306b\u4f3c\u305f\u7d44\u7e54\u304c\u5b50\u5bae\u306e\u5916\u3067\u5897\u6b96\u3057\u3066\u3057\u307e\u3046\u75c5\u6c17\u3067\u3001\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306f\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u304c\u5375\u5de3\u3067\u5897\u6b96\u3057\u3066\u3057\u307e\u3046\u3082\u306e\u3067\u3059\u3002\u5b50\u5bae\u5185\u819c\u75c7\u306e\u539f\u56e0\u306b\u3064\u3044\u3066\u306f\u69d8\u3005\u306a\u8b70\u8ad6\u304c\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u306f\u3063\u304d\u308a\u3068\u3057\u3066\u3044\u306a\u3044\u3068\u3044\u3046\u306e\u304c\u73fe\u72b6\u3067\u3059 (\u53c2\u8003\u6587\u732e 1)\u3002\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306e\u3082\u3063\u3068\u3082\u4e00\u822c\u7684\u306a\u75c7\u72b6\u306f\u6162\u6027\u306e\u75db\u307f\u3067\u3059 (\u53c2\u8003\u6587\u732e 2, 3) \u3002\u305d\u306e\u4ed6\u306b\u3082\u69d8\u3005\u306a\u75c7\u72b6\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u91cd\u8981\u306a\u3082\u306e\u306b\u4e0d\u598a\u304c\u3042\u308a\u3001\u598a\u5a20\u3092\u5e0c\u671b\u3055\u308c\u308b\u5b50\u5bae\u5185\u819c\u75c7\u60a3\u8005\u306e 3\u5272\u304c\u4e0d\u598a\u306b\u60a9\u307e\u3055\u308c\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059 (\u53c2\u8003\u6587\u732e 3, 4)\u3002\u691c\u67fb\u306f\u5a66\u4eba\u79d1\u3067\u884c\u3046\u5185\u8a3a\u3084\u3001\u30a8\u30b3\u30fc\u30fbMRI\u306a\u3069\u306e\u753b\u50cf\u691c\u67fb\u304c\u8ef8\u306b\u306a\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 2, 3)\u3002\u6cbb\u7642\u306b\u306f\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3084\u5916\u79d1\u624b\u8853\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u65b9\u91dd\u306e\u6c7a\u5b9a\u306b\u306f\u5c06\u6765\u306e\u598a\u5a20\u306e\u5e0c\u671b\u306a\u3069\u3092\u3075\u307e\u3048\u3066\u3001\u60a3\u8005\u3055\u3093\u672c\u4eba\u3068\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3092\u3068\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 3, 4)\u3002
\n\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306f\u5b50\u5bae\u5185\u819c\u75c7\u3068\u3044\u3046\u75be\u60a3\u306e\u4e00\u90e8\u3067\u3059\u3002\u5b50\u5bae\u5185\u819c\u75c7\u306f\u5b50\u5bae\u5185\u819c\u306b\u4f3c\u305f\u7d44\u7e54\u304c\u5b50\u5bae\u306e\u5916\u3067\u5897\u6b96\u3057\u3066\u3057\u307e\u3046\u75c5\u6c17\u3067\u3001\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306f\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u304c\u5375\u5de3\u3067\u5897\u6b96\u3057\u3066\u3057\u307e\u3044\u3001\u8336\u8272\u3044\u5185\u5bb9\u7269\u304c\u6e9c\u307e\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u300c\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u300d\u3068\u3088\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u5b50\u5bae\u5185\u819c\u75c7\u81ea\u4f53\u306e\u539f\u56e0\u306f\u306f\u3063\u304d\u308a\u3068\u306f\u3057\u3066\u3044\u307e\u305b\u3093\u304c\u3001\u3082\u3063\u3068\u3082\u4e00\u822c\u7684\u306b\u8a00\u308f\u308c\u3066\u3044\u308b\u306e\u306f\u6708\u7d4c\u306e\u3068\u304d\u306b\u672c\u6765\u3067\u3042\u308c\u3070\u8eab\u4f53\u306e\u5916\u306b\u6392\u51fa\u3055\u308c\u308b\u5b50\u5bae\u5185\u819c\u306e\u4e00\u90e8\u304c\u9006\u6d41\u3057\u305f\u7d50\u679c\u3001\u5375\u7ba1\u3092\u7d4c\u7531\u3057\u3066\u4ed6\u306e\u5834\u6240\u3078\u884c\u304d\u3064\u3044\u3066\u3057\u307e\u3046\u3068\u3044\u3046\u3082\u306e\u3067\u3059 (\u53c2\u8003\u6587\u732e 1) \u3002\u7570\u5e38\u306a\u5834\u6240\u3067\u5897\u6b96\u3057\u305f\u5b50\u5bae\u5185\u819c\u7d44\u7e54\u3067\u306f\u708e\u75c7\u304c\u8d77\u3053\u308a\u3001\u75db\u307f\u306a\u3069\u306e\u75c7\u72b6\u304c\u51fa\u3066\u3057\u307e\u3046\u3068\u3055\u308c\u3066\u3044\u307e\u3059 (\u53c2\u8003\u6587\u732e 1) \u3002\u307e\u305f\u3001\u708e\u75c7\u304c\u7d9a\u304f\u3053\u3068\u306b\u3088\u3063\u3066\u5375\u5de3\u304c\u5468\u56f2\u306e\u7d44\u7e54\u3068\u7652\u7740\u3057\u3066\u3057\u307e\u3046\u3001\u307e\u305f\u306f\u6b63\u5e38\u306a\u5375\u5de3\u6a5f\u80fd\u304c\u963b\u5bb3\u3055\u308c\u3066\u3057\u307e\u3046\u306a\u3069\u306e\u5f71\u97ff\u3067\u4e0d\u598a\u75c7\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 1)\u3002
\n\u5b50\u5bae\u5185\u819c\u75c7\u5168\u822c\u3068\u3057\u3066\u3001\u4e00\u822c\u7684\u306a\u75c7\u72b6\u306b\u306f\u6b21\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 2, 3) \u3002
\n\u6162\u6027\u306e\u8179\u75db\u3084\u9aa8\u76e4\u5468\u8fba\u306e\u75db\u307f\u3084\u5727\u8feb\u611f
\n\u6708\u7d4c\u56f0\u96e3\u75c7
\n\u6027\u4ea4\u75db
\n\u6708\u7d4c\u904e\u591a
\n\u4e0d\u598a\u75c7\uff1a\u598a\u5a20\u306e\u5e0c\u671b\u306e\u3042\u308b\u5185\u819c\u75c7\u60a3\u8005\u306e3\u5272\u304c\u4e0d\u598a\u306b\u60a9\u3080\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059 (\u53c2\u8003\u6587\u732e 4)
\n\u6392\u5c3f\u969c\u5bb3\uff1a\u983b\u5c3f\u3084\u5c3f\u610f\u5207\u8feb\u611f\u306a\u3069\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059
\n\u4fbf\u306b\u95a2\u3059\u308b\u75c7\u72b6\uff1a\u4e0b\u75e2\u3001\u4fbf\u79d8\u3001\u6392\u4fbf\u56f0\u96e3\u3068\u3044\u3063\u305f\u75c7\u72b6\u304c\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059
\n\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u4ed6\u306e\u75be\u60a3\u3067\u3082\u51fa\u307e\u3059\u304c\u3001\u5f53\u3066\u306f\u307e\u308b\u3082\u306e\u304c\u591a\u3044\u307b\u3069\u5b50\u5bae\u5185\u819c\u75c7\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 2) \u3002
\n\u3053\u308c\u3089\u306e\u75c7\u72b6\u304c\u3042\u308b\u65b9\u306f\u4e00\u5ea6\u8fd1\u304f\u306e\u7523\u5a66\u4eba\u79d1\u3078\u304b\u304b\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002
\n\u5185\u8a3a\u3068\u3088\u3070\u308c\u308b\u5a66\u4eba\u79d1\u3067\u306e\u8eab\u4f53\u8a3a\u5bdf\u3067\u3001\u5973\u6027\u5668\u5468\u8fba\u306e\u75db\u307f\u3084\u5375\u5de3\u306a\u3069\u306e\u53ef\u52d5\u6027\u3092\u8a55\u4fa1\u3059\u308b\u307b\u304b\u3001\u8840\u6db2\u691c\u67fb\u3067\u5b50\u5bae\u5185\u819c\u75c7\u95a2\u9023\u306e\u30de\u30fc\u30ab\u30fc\u306e\u8840\u6e05\u6fc3\u5ea6\u3092\u8abf\u3079\u307e\u3059 (\u53c2\u8003\u6587\u732e 2, 3)\u3002\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306e\u8a3a\u65ad\u3067\u306f\u753b\u50cf\u691c\u67fb\u304c\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3046\u305f\u3081\u3001\u8d85\u97f3\u6ce2\u691c\u67fb\u3001MRI \u7b49\u3092\u7528\u3044\u3066\u3001\u56a2\u80de\u306e\u4e2d\u306e\u72b6\u614b\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059 (\u53c2\u8003\u6587\u732e 2, 3)\u3002
\n\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306e\u6cbb\u7642\u65b9\u6cd5\u306f\u5927\u304d\u304f\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u3068\u5916\u79d1\u624b\u8853\u306b\u5206\u304b\u308c\u307e\u3059\u3002\u8efd\u75c7\u3067\u3042\u308c\u3070\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304b\u3089\u59cb\u3081\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059 (\u53c2\u8003\u6587\u732e 3)\u3002\u4e00\u822c\u7684\u306b\u306f\u3044\u308f\u3086\u308b\u4f4e\u7528\u91cf\u30d4\u30eb\u3084\u8996\u5e8a\u4e0b\u90e8\u306e\u30db\u30eb\u30e2\u30f3\u3067\u3042\u308b GnRH \u306b\u95a2\u9023\u3059\u308b\u30db\u30eb\u30e2\u30f3\u3001\u9ec4\u4f53\u30db\u30eb\u30e2\u30f3\u306a\u3069\u304c\u7528\u3044\u3089\u308c\u307e\u3059 (\u53c2\u8003\u6587\u732e 3, 4) \u3002\u305d\u306e\u307b\u304b\u306b\u708e\u75c7\u3084\u75db\u307f\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u305f\u3081\u306b\u3044\u308f\u3086\u308b\u93ae\u75db\u5264\u3092\u4f75\u7528\u3057\u3066\u6cbb\u7642\u3092\u3057\u3066\u3044\u304d\u307e\u3059 (\u53c2\u8003\u6587\u732e 3)\u4e2d\u7b49\u75c7\u4ee5\u4e0a\u3067\u306f\u624b\u8853\u304c\u691c\u8a0e\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u56a2\u80de\u3060\u3051\u3092\u5207\u308a\u53d6\u308b\u8853\u5f0f\u3068\u3001\u5375\u5de3\u81ea\u4f53\u3092\u53d6\u3063\u3066\u3057\u307e\u3046\u8853\u5f0f\u306b\u5927\u304d\u304f\u5206\u304b\u308c\u307e\u3059 (\u53c2\u8003\u6587\u732e 3)\u3002\u56a2\u80de\u3060\u3051\u3092\u5207\u308a\u53d6\u308b\u8853\u5f0f\u3067\u306f\u5375\u5de3\u6a5f\u80fd\u306f\u6e29\u5b58\u3055\u308c\u307e\u3059\u304c\u518d\u767a\u306e\u30ea\u30b9\u30af\u304c\u3042\u308a\u3001\u5375\u5de3\u81ea\u4f53\u3092\u5207\u308a\u53d6\u308b\u8853\u5f0f\u3067\u306f\u518d\u767a\u3092\u907f\u3051\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u3059\u304c\u5207\u308a\u53d6\u3063\u305f\u5375\u5de3\u306e\u6a5f\u80fd\u304c\u5931\u308f\u308c\u307e\u3059 (\u53c2\u8003\u6587\u732e 3) \u3002\u3057\u305f\u304c\u3063\u3066\u624b\u8853\u306b\u3088\u308b\u6cbb\u7642\u3092\u691c\u8a0e\u3059\u308b\u969b\u306b\u306f\u3001\u672c\u4eba\u306e\u5e74\u9f62\u3084\u5c06\u6765\u306e\u598a\u5a20\u306e\u5e0c\u671b\u306e\u6709\u7121\u306a\u3069\u3082\u4f75\u305b\u3066\u8003\u3048\u3066\u65b9\u91dd\u3092\u6c7a\u3081\u3066\u3044\u304d\u307e\u3059 (\u53c2\u8003\u6587\u732e 3) \u3002
\n\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u306b\u3088\u3063\u3066\u4e0d\u598a\u306b\u306a\u3063\u3066\u3044\u308b\u65b9\u306f\u3001\u5916\u79d1\u7684\u306b\u56a2\u80de\u3092\u53d6\u9664\u304f\u3053\u3068\u306b\u3088\u3063\u3066\u81ea\u7136\u598a\u5a20\u306e\u53ef\u80fd\u6027\u3092\u4e0a\u3052\u308b\u3053\u304c\u3067\u304d\u307e\u3059\u304c\u3001\u73fe\u5728\u3067\u306f\u4f53\u5916\u53d7\u7cbe\u306a\u3069\u306e\u6280\u8853\u3082\u767a\u5c55\u3057\u3066\u304d\u3066\u304a\u308a\u3001\u4f53\u5916\u53d7\u7cbe\u3092\u3059\u308b\u306e\u304b\u5426\u304b\u3084\u3001\u30c1\u30e7\u30b3\u30ec\u30fc\u30c8\u56a2\u80de\u304c\u4f53\u5916\u53d7\u7cbe\u306e\u59a8\u3052\u306b\u306a\u308b\u306e\u304b\u3069\u3046\u304b\u3082\u6cbb\u7642\u65b9\u6cd5\u306b\u95a2\u308f\u3063\u3066\u304d\u307e\u3059 (\u53c2\u8003\u6587\u732e 3) \u3002
\n\u307e\u305f\u3001\u5c06\u6765\u306e\u598a\u5a20\u5e0c\u671b\u304c\u306a\u3044\u5834\u5408\u3001\u5375\u5de3\u306e\u307f\u306a\u3089\u305a\u5b50\u5bae\u3084\u5375\u7ba1\u3082\u307e\u3068\u3081\u3066\u6458\u51fa\u3059\u308b\u3068\u3044\u3046\u9078\u629e\u3082\u3042\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 3)\u3002
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\n\u9a5a\u304b\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u5b50\u5bae\u5185\u819c\u75c7\u306f\u598a\u5a20\u304c\u3067\u304d\u308b\u5e74\u4ee3\u306e\u5973\u6027\u306e\u7d04 10% \u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059 (\u53c2\u8003\u6587\u732e 1) \u3002\u5b50\u5bae\u5185\u819c\u75c7\u306e\u30ea\u30b9\u30af\u56e0\u5b50\u3068\u3057\u3066\u306f\u3001\u5bb6\u65cf\u6b74\u3001\u672a\u7523\u3001\u521d\u6f6e\u304c\u65e9\u304b\u3063\u305f\u308a\u9589\u7d4c\u304c\u9045\u304b\u3063\u305f\u4eba\u3001\u6708\u7d4c\u5468\u671f\u304c\u77ed\u3044 (27\u65e5\u4ee5\u5185)\u3001\u6708\u7d4c\u306e\u3068\u304d\u51fa\u8840\u304c\u591a\u3044\u3001\u9ad8\u8eab\u9577\u3001\u75e9\u305b\u3066\u3044\u308b\u3053\u3068\u306a\u3069\u304c\u3042\u308a\u307e\u3059 (\u53c2\u8003\u6587\u732e 1)\u3002\u5b50\u5bae\u5185\u819c\u75c7\u4e88\u9632\u306e\u305f\u3081\u306b\u3059\u308b\u3053\u3068\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u30ea\u30b9\u30af\u3092\u4f4e\u6e1b\u3055\u305b\u308b\u3082\u306e\u3068\u3057\u3066\u51fa\u7523\u56de\u6570\u304c\u591a\u3044\u3053\u3068\u3084\u3001\u6388\u4e73\u3057\u3066\u3044\u305f\u671f\u9593\u304c\u9577\u3044\u3053\u3068\u3001\u521d\u7d4c\u304c\u304a\u305d\u3044\u3053\u3068\u306a\u3069\u304c\u3042\u3052\u308c\u307e\u3059 (\u53c2\u8003\u6587\u732e 1)<\/p>\n
\u53c2\u8003\u6587\u732e
\n1.UpToDate. Endometriosis in adults: Pathogenesis, epidemiology, and clinical impact
\n2.UpToDate. Endometriosis: Clinical features, evaluation, and diagnosis
\n3.UpToDate. Endometriosis: Management of ovarian endometriomas
\n4.\u516c\u76ca\u793e\u56e3\u6cd5\u4eba \u65e5\u672c\u7523\u5a66\u4eba\u79d1\u5b66\u4f1a. \u5b50\u5bae\u5185\u819c\u75c7<\/p>\n","protected":false},"excerpt":{"rendered":"
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