{"_buckets": {"deposit": "14b88b15-5823-44df-a7c8-3ec83303431d"}, "_deposit": {"created_by": 3, "id": "848", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "848"}, "status": "published"}, "_oai": {"id": "oai:dmu.repo.nii.ac.jp:00000848", "sets": ["54"]}, "author_link": ["3640", "3639"], "item_2_biblio_info_12": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2010-07-25", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "118", "bibliographicPageStart": "111", "bibliographicVolumeNumber": "37", "bibliographic_titles": [{"bibliographic_title": "Dokkyo journal of medical sciences"}]}]}, "item_2_description_10": {"attribute_name": "抄録(日)", "attribute_value_mlt": [{"subitem_description": "【目的】小児滲出性中耳炎に対して鼓膜チューブ留置を行い,留置期間による再発率,鼓膜穿孔率を検討し,適切な留置期間を明らかにする.【方法】1992年1月から2006年12月までの15年間に当科にて滲出性中耳炎と診断され,全身麻酔下にて初回鼓膜チューブ留置を行った12歳以下の小児266症例,472耳を対象とし,留置期間による再発率・鼓膜穿孔率について検討した.【結果】 鼓膜チューブ留置期間は平均17.6カ月であった.チューブの留置期間が19カ月以上の症例は再発が少なく,18カ月以内の留置に対して有意に再発率が低かった.鼓膜チューブの挿入が必要な滲出性中耳炎症例が多いと考えられる6歳以下の症例において,チューブの抜去時の年齢が7歳以上の群は,抜去時の年齢が6歳以下の群に対して有意に再発率が低かった.また,チューブの留置期間が12カ月以内では穿孔をおこす確率は非常に低く,37カ月をこえるものは穿孔率が高かった.【結論】滲出性中耳炎に対する鼓膜チューブ留置の期間は19カ月以上,36カ月以下が推奨される.また,6歳以下で鼓膜チューブ留置を行った場合は,7歳までは留置することが望ましい.", "subitem_description_type": "Other"}]}, "item_2_description_11": {"attribute_name": "抄録(英)", "attribute_value_mlt": [{"subitem_description": "Objectives:To perform tympanostomy tube placementfor otitis media with effusion in children, investigate howthe incidences of recurrence and tympanic membrane perforationvary with duration of placement, and determine themost appropriate duration of placement.Methods:We examined the relationships between durationand placement and the incidence of recurrence andtympanic membrane perforation in 266 children( 472 ears)aged 12 years or less, diagnosed with otitis media with effusionand initially fitted under general anaesthesia with tympanostomytubing in this hospital during the 15-year periodbetween January 1992 and December 2006.Results:The duration of tympanostomy tube placementwas 17.6 months on average. For children with placementover 19 months, the rate of recurrence was low, and significantlylower than that for placement of 18 months or less.In cases in which the tubes were left indwelling at age 6years or less, recurrence was significantly lower in thegroup in which the tubes were removed at age 7 or overthan in the group with tubes removed at age 6 or less. Theprobability of perforation was extremely low for tube placementof 12 months or less in duration, but high for placementsover 37 months.Conclusion:A duration between 18 and 36 months fortympanostomy tube placement in otitis media with effusionis recommended. When indwelling tympanostomy tubes areplaced in children aged 6 years and under, maintainingplacement until 7 years of age is also desirable.", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "11", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00006378079", "subitem_description_type": "Other"}]}, "item_2_description_8": {"attribute_name": "記事種別(日)", "attribute_value_mlt": [{"subitem_description": "原著", "subitem_description_type": "Other"}]}, "item_2_description_9": {"attribute_name": "記事種別(英)", "attribute_value_mlt": [{"subitem_description": "Original", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "item_2_source_id_19": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03855023", "subitem_source_identifier_type": "ISSN"}]}, "item_2_text_6": {"attribute_name": "著者所属(日)", "attribute_value_mlt": [{"subitem_text_value": "獨協医科大学越谷病院耳鼻咽喉科"}]}, "item_2_text_7": {"attribute_name": "著者所属(英)", "attribute_value_mlt": [{"subitem_text_language": "en", "subitem_text_value": "Department of Otolaryngology, Dokkyo Medical University Koshigaya Hospital"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", "attribute_value_mlt": [{"subitem_title": "ショウニ シンシュツセイ チュウジエン チリョウ ノ タメノ テキセツ ナ コマク チューブ ソウニュウ キカン ノ ケントウ"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "山口, 晋太郎"}, {"creatorName": "ヤマグチ, シンタロウ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3639", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yamaguchi, Shintaro", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3640", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-05-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00006378079.pdf", "filesize": [{"value": "493.2 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 493200.0, "url": {"label": "KJ00006378079.pdf", "url": "https://dmu.repo.nii.ac.jp/record/848/files/KJ00006378079.pdf"}, "version_id": "ed5ba9f7-8322-43a6-974b-127436f9fc84"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "滲出性中耳炎", "subitem_subject_scheme": "Other"}, {"subitem_subject": "鼓膜チューブ", "subitem_subject_scheme": "Other"}, {"subitem_subject": "小児", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Otitis media with effusion", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "tympanostomy tube", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "children", "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": "小児滲出性中耳炎治療のための適切な鼓膜チューブ挿入期間の検討", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "小児滲出性中耳炎治療のための適切な鼓膜チューブ挿入期間の検討"}, {"subitem_title": "Study on the Duration of Placement of Tympanostomy Tubesfor Treatment of Otitis Media with Effusion in Children", "subitem_title_language": "en"}]}, "item_type_id": "2", "owner": "3", "path": ["54"], "permalink_uri": "https://dmu.repo.nii.ac.jp/records/848", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-05-24"}, "publish_date": "2017-05-24", "publish_status": "0", "recid": "848", "relation": {}, "relation_version_is_last": true, "title": ["小児滲出性中耳炎治療のための適切な鼓膜チューブ挿入期間の検討"], "weko_shared_id": 3}