{"id":8622,"date":"2022-01-13T17:09:59","date_gmt":"2022-01-13T08:09:59","guid":{"rendered":"http:\/\/www.hs-kyoto.net\/?p=8622"},"modified":"2026-01-15T22:13:51","modified_gmt":"2026-01-15T13:13:51","slug":"2021%e5%b9%b4%e5%ba%a6%ef%bc%9b%e4%bf%ae%e5%a3%ab%e8%ab%96%e6%96%87%e6%a6%82%e8%a6%81","status":"publish","type":"post","link":"http:\/\/pathology.hs.med.kyoto-u.ac.jp\/?p=8622","title":{"rendered":"2021\u5e74\u5ea6\uff1b\u4fee\u58eb\u8ad6\u6587\u6982\u8981"},"content":{"rendered":"\n<div class=\"wp-block-group has-background\" style=\"background-color:#faf0c3\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"has-medium-font-size\"><strong>Return of the intestinal loop and superior mesenteric artery to the abdominal coelom after physiological umbilical herniation<br>\u751f\u7406\u7684\u81cd\u5e2f\u30d8\u30eb\u30cb\u30a2\u306e\u9084\u7d0d\u904e\u7a0b\u306b\u304a\u3051\u308b\uff13\u6b21\u5143\u7684\u89e3\u6790 \u3000\u639b\u8c37\u771f\u6a39<\/strong><\/p>\n<\/div><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large\"><a href=\"http:\/\/www.hs-kyoto.net\/?attachment_id=8626\" rel=\"attachment wp-att-8626\"><img decoding=\"async\" src=\"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/\/wp-content\/uploads\/SMA-267x300.jpg\" alt=\"\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>\u3010\u80cc\u666f\u3011\u30d2\u30c8\u306e\u80ce\u5150\u3067\u306f\u3001\u767a\u751f\u904e\u7a0b\u3067\u4e00\u6642\u4e2d\u8178\u304c\u8179\u8154\u304b\u3089\u81cd\u5e2f\u5185\u3078\u3068\u8131\u51fa\u3059\u308b\uff08\u751f\u7406\u7684\u81cd\u5e2f\u30d8\u30eb\u30cb\u30a2\uff09\u3002\u982d\u6bbf\u9577(Crown Rump Length: CRL)40mm \u524d\u5f8c\u306b\u4e2d\u8178\u306f\u8179\u8154\u306b\u9084\u7d0d\u3059\u308b\u304c\u3001\u9084\u7d0d\u904e\u7a0b\u306e\u4e2d\u8178\u3001\u7279\u306b\u5c0f\u8178\u306e\u4f4d\u7f6e\u3001\u5f62\u614b\u3084\u9084\u7d0d\u5f8c\u306e\u4f4d\u7f6e\u306b\u3064\u3044\u3066\u306f\u4e0d\u660e\u306a\u70b9\u304c\u591a\u3044\u3002\u672c\u7814\u7a76\u3067\u306f\u3001\u8178\u7ba1\u306e\u8a73\u7d30\u306a\u9084\u7d0d\u65b9\u6cd5\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u3001\u5c0f\u8178\u306e\u9084\u7d0d\u306e\u9806\u5e8f\u30fb\u9084\u7d0d\u65b9\u6cd5\u3001\u9084\u7d0d\u5f8c\u306e\u8178\u7ba1\u306e\u4f4d\u7f6e\u95a2\u4fc2\u306e\u5909\u5316\u306e\u691c\u8a0e\u3092\u884c\u3063\u305f\u3002\u307e\u305f\u3001\u5c0f\u8178\u30fb\u7d50\u8178\u3092\u6804\u990a\u3057\u3001\u305d\u306e\u6210\u9577\u306b\u5927\u304d\u304f\u95a2\u4fc2\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u4e0a\u8178\u9593\u819c\u52d5\u8108\uff08Superior mesenteric artery: SMA\uff09\u306e\u691c\u8a0e\u3082\u884c\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u3010\u65b9\u6cd5\u3011\u30c9\u30a4\u30c4\u30b2\u30c3\u30c6\u30a3\u30f3\u30b2\u30f3\u5927\u5b66\u304c\u4fdd\u7ba1\u3059\u308b\u30d2\u30c8\u80ce\u5150\u6a19\u672c\u7fa4 Blechschmidt Collection\u306e\u3046\u3061CRL30.0-50.0mm \u306e\u6a19\u672c\u8a0810\u500b\u4f53\u306e\u9023\u7d9a\u7d44\u7e54\u5207\u7247\u3092\u30c7\u30b8\u30bf\u30eb\u5316\u3057\u305f\u3082\u306e\u304b\u3089\u3001\u5341\u4e8c\u6307\u8178\u8d77\u59cb\u90e8\u304b\u3089\u809b\u9580\u307e\u3067\u306e\u8178\u7ba1\u3068SMA\u306e\u7acb\u4f53\u518d\u69cb\u6210\u50cf\u3068\u305d\u306e\u4e2d\u5fc3\u7dda\u3092\u4f5c\u6210\u3057\u305f\u3002\u3053\u306e\u4e2d\u5fc3\u7dda\u3092\u3082\u3068\u306b\u8178\u7ba1\u306b\u3064\u3044\u30661\uff09\u30d8\u30eb\u30cb\u30a2\u9084\u7d0d\u306b\u4f34\u3046\u4f4d\u7f6e\u5909\u5316\u306e\u89b3\u5bdf\u30012\uff09\u81cd\u5e2f\u8f2a\u901a\u904e\u6642\u306e\u8178\u7ba1\u306e\u89b3\u5bdf\u3068\u5c48\u66f2\u5ea6\u306e\u89e3\u6790\u3092\u884c\u3063\u305f\u3002SMA\u306e\u5c0f\u8178\u679d\u306e\u5206\u5c90\u3092\u6307\u6a19\u306b\u5c0f\u8178\u3092\u5341\u4e8c\u6307\u8178\u5074\u304b\u30894\u3064\u306e\u9818\u57dfA-D\u306b\u533a\u5206\u3057\u3066\u305d\u306e\u4f4d\u7f6e\u3001\u5f62\u614b\u5909\u5316\u3092\u691c\u8a0e\u3057\u305f\u3002\u307e\u305f\u3001SMA\u306b\u3064\u3044\u30661\uff09\u30d8\u30eb\u30cb\u30a2\u9084\u7d0d\u306b\u4f34\u3046\u5f62\u614b\u5909\u5316\u306e\u89b3\u5bdf\u30012\uff09\u5c0f\u8178\u679d\u306e\u9577\u3055\u3092\u7528\u3044\u305f\u5b9a\u91cf\u7684\u89e3\u6790\u3092\u884c\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u3010\u7d50\u679c\u3011\u8178\u7ba1\u306b\u3064\u3044\u3066\uff1a1\uff09\u4f4d\u7f6e\u5909\u5316\u306e\u89b3\u5bdf\uff1b\u751f\u7406\u7684\u81cd\u5e2f\u30d8\u30eb\u30cb\u30a2\u671f\u306b\u3001\u5341\u4e8c\u6307\u8178\u5074\u306e\u9818\u57dfA\u306f\u4e00\u90e8\u306e\u307f\u8131\u51fa\u3057\u3001\u305d\u306e\u4ed6\u306e3\u9818\u57df\u306f\u5168\u4f53\u304c\u8131\u51fa\u3057\u305f\u3002\u9084\u7d0d\u6642\u3001\u56de\u8178\u672b\u7aef\u90e8\u304c\u6700\u5f8c\u306b\u9084\u7d0d\u3057\u3001\u9084\u7d0d\u5f8c\u306b\u306f\u5341\u4e8c\u6307\u8178\u304b\u3089\u9806\u306b\u8179\u8154\u53f3\u5074\u304b\u3089\u5de6\u5074\u3078\u3068\u5360\u9818\u533a\u57df\u3092\u5909\u3048\u3066\u4f4d\u7f6e\u3057\u305f\u30022\uff09\u81cd\u5e2f\u8f2a\u3092\u901a\u308b\u8178\u7ba1\u306f\u5168\u4f8b\u4e0a\u884c\u811a\u3068\u4e0b\u884c\u811a2\u672c\u3067\u3042\u3063\u305f\u3002\u307e\u305f\u3001\u8178\u7ba1\u306f\u81cd\u5e2f\u5185\u30fb\u8179\u8154\u5185\u3067\u306f\u30eb\u30fc\u30d7\u72b6\u306b\u66f2\u7dda\u3092\u63cf\u3044\u3066\u5b58\u5728\u3059\u308b\u306e\u306b\u5bfe\u3057\u3001\u81cd\u5e2f\u8f2a\u3092\u901a\u904e\u3059\u308b\u6642\u306f\u5c48\u66f2\u304c\u5c0f\u3055\u304f\u76f4\u7dda\u7684\u3067\u3042\u3063\u305f\u3002SMA\u306b\u3064\u3044\u3066\uff1a1\uff09\u30d8\u30eb\u30cb\u30a2\u671f\u306b\u5e83\u304c\u308a\u3092\u898b\u305b\u306a\u304b\u3063\u305f\u5c0f\u8178\u679d\u306f\u3001\u9084\u7d0d\u671f\u306b\u306a\u308b\u3068\u8179\u8154\u5de6\u4e0a\u304b\u3089\u53f3\u4e0b\u306b\u304b\u3051\u3066\u6247\u72b6\u306b\u5e83\u304c\u3063\u305f\u30022\uff09\u7b2c4\u5c0f\u8178\u679d\u304c\u6700\u9577\u3067\u3042\u308b\u3053\u3068\u3001\u7b2c8\u5c0f\u8178\u679d\u307e\u3067\u3068\u305d\u308c\u4ee5\u964d\u306e\u5c0f\u8178\u679d\u3068\u3067\u9577\u3055\u3084\u5206\u5c90\u306e\u50be\u5411\u304c\u7570\u306a\u3063\u305f\u3002<\/p>\n\n\n\n<p>\u3010\u7d50\u8ad6\u3011\u751f\u7406\u7684\u81cd\u5e2f\u30d8\u30eb\u30cb\u30a2\u306e\u9084\u7d0d\u65b9\u6cd5\u306f\u3001\u81cd\u5e2f\u8154\u306b\u8131\u51fa\u3057\u3066\u4e8c\u6b21\u8178\u30eb\u30fc\u30d7\u3092\u5f62\u6210\u3057\u3066\u3044\u305f\u8178\u7ba1\u304c\u4e00\u5ea6\u76f4\u7dda\u72b6\u306b\u306a\u3063\u3066\u81cd\u5e2f\u8f2a\u3092\u901a\u904e\u3057\u3066\u8179\u8154\u306b\u623b\u308a\u3001\u8179\u8154\u5185\u3067\u518d\u3073\u4e8c\u6b21\u8178\u30eb\u30fc\u30d7\u3092\u5f62\u6210\u3059\u308b\u3068\u3044\u3046\u53ef\u80fd\u6027\u304c\u793a\u3055\u308c\u305f\u3002\u307e\u305f\u3001\u30d8\u30eb\u30cb\u30a2\u9084\u7d0d\u306b\u4f34\u3046SMA\u306e\u5f62\u614b\u5909\u5316\u3084\u3001\u500b\u4f53\u9593\u3067\u5171\u901a\u3059\u308bSMA\u306e\u5c0f\u8178\u679d\u306e\u7279\u5fb4\u3092\u660e\u3089\u304b\u306b\u3057\u305f\u3002<\/p>\n\n\n\n<p>56.Kakeya M, Matsubayashi J, Kanahashi T, M\u00e4nner J, Yamada S, Takakuwa T. The return process of physiological umbilical herniation in human fetuses: the possible role of the vascular tree and umbilical ring. J Anatomy 2022, 241(3), 846-859. <a href=\"https:\/\/doi.org\/10.1111\/joa.13720\">https:\/\/doi.org\/10.1111\/joa.13720<\/a><\/p>\n\n\n\n<div class=\"wp-block-group has-background has-medium-font-size\" style=\"background-color:#faf0c3\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p><strong>Fixation of the colorectum in the abdominal coelom during normal human development<\/strong><br><strong>\u30d2\u30c8\u80ce\u5150\u671f\u306b\u304a\u3051\u308b\u5927\u8178\u306e\u9084\u7d0d\u3001\u56fa\u5b9a\u6642\u671f\u306e\u89e3\u6790\u3000\u9ec4 \u67d4\u5a77<\/strong><\/p>\n<\/div><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-large\"><a href=\"http:\/\/www.hs-kyoto.net\/?attachment_id=8542\" rel=\"attachment wp-att-8542\"><img decoding=\"async\" src=\"https:\/\/pathology.hs.med.kyoto-u.ac.jp\/wp-content\/uploads\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-12-12-14.08.45-334x300.png\" alt=\"\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>\u3010\u80cc\u666f\u3011\u30d2\u30c8\u306e\u4e2d\u8178\u306f\u3001\u80da\u5b50\u671f\u306b\u4e00\u6642\u7684\u306b\u81cd\u5e2f\u8154\u306b\u8131\u51fa\u3057\u3001\u982d\u81c0\u9577(CRL) 40 mm\u524d\u5f8c\u306b\u3001\u901f\u3084\u304b\u306b\u8179\u8154\u306b\u9084\u7d0d\u3059\u308b\u3002\u305d\u306e\u5f8c\u3001\u5404\u90e8\u4f4d\u306e\u7d50\u8178\u306f\u3001\u6240\u5b9a\u306e\u4f4d\u7f6e\u306b\u56fa\u5b9a\u3059\u308b\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u5404\u90e8\u4f4d\u306e\u7d50\u8178\u306e\u9084\u7d0d\u3084\u56fa\u5b9a\u904e\u7a0b\u306b\u3064\u3044\u3066\u306e\u8a18\u8f09\u306f\u3001\u307e\u3060\u5341\u5206\u3068\u306f\u3044\u3048\u306a\u3044\u3002<\/p>\n\n\n\n<p>\u3010\u5bfe\u8c61\u3068\u65b9\u6cd5\u3011\u4eac\u90fd\u5927\u5b66\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u79d1\u9644\u5c5e\u5148\u5929\u7570\u5e38\u6a19\u672c\u89e3\u6790\u30bb\u30f3\u30bf\u30fc\u306b\u4fdd\u7ba1\u3055\u308c\u3066\u3044\u308b\u30d2\u30c8\u80da\u5b50\u3001\u80ce\u5150\u671f\u521d\u671f\u6a19\u672c\u306eMRI\u753b\u50cf\u30c7\u30fc\u30bf40\u4f8b (\u30d8\u30eb\u30cb\u30a2\u671f3\u4f8b\uff1b\u79fb\u884c\u671f12\u4f8b\uff1b\u9084\u7d0d\u671f25\u4f8b, \u982d\u6bbf\u9577\uff08CRL\uff09=22\u301c225mm)\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3002\u4e09\u6b21\u5143\u753b\u50cf\u89e3\u6790\u30bd\u30d5\u30c8Amira\u3092\u7528\u3044\u3066\u8179\u819c\u8154\u3068\u5f8c\u8179\u819c\u8154\u306b\u4f4d\u7f6e\u3059\u308b\u8af8\u5668\u5b98\u306e\u7acb\u4f53\u518d\u69cb\u6210\u50cf\u3092\u4f5c\u6210\u3057\u3001\uff11\uff09\u7d50\u8178\u306e\u8d70\u884c\u306e\u5909\u5316\u3068\u5468\u8fba\u5668\u5b98\u306e\u95a2\u4fc2\u3092\u89b3\u5bdf\u3001\uff12\uff09\u7d50\u8178\u76f4\u8178\u5404\u9818\u57df\u306e\u9577\u3055\u306e\u8a08\u6e2c\uff13\uff09\u4e0a\u884c\u7d50\u8178\uff08AC\uff09\u3068\u4e0b\u884c\u7d50\u8178(DC)\u306e\u5f8c\u8179\u819c\u3078\u306e\u56fa\u5b9a\u6642\u671f\u3068\u305d\u306e\u5272\u5408\u3001\u3092\u691c\u8a0e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3010\u7d50\u679c\u3011\u30d8\u30eb\u30cb\u30a2\u671f\u30fb\u79fb\u884c\u671f\uff1bCRL22mm\u3067\u306f\u3001\u4e2d\u8178\u30eb\u30fc\u30d7\u306e\u9060\u4f4d\u80a2\u306e\u5f62\u72b6\u306f\u3001\u5c3f\u819c\u7ba1\u3068\u81cd\u5e2f\u52d5\u8108\u306b\u6cbf\u3063\u3066\u8d70\u308b\u6b63\u4e2d\u77e2\u72b6\u9762\u4e0a\u3067\u307b\u307c\u76f4\u7dda\u72b6\u3067\u3001\u6a2a\u884c\u7d50\u8178(TC)\u3068DC\u3068\u306e\u5883\u754c\u3068\u306a\u308b\u4e2d\u8178\u3068\u5f8c\u8178\u306e\u5883\u754c\u304c\u3001\u5c48\u66f2\u70b9\u3068\u3057\u3066\u691c\u51fa\u3055\u308c\u305f\u3002CRL26.8 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