自然寛解した膝窩動脈外膜囊腫の3例
膝窩動脈外膜囊腫は，外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である．外科的治療介入の待機中に自然寛解した3例を経験した．症例は56歳，34歳，72歳の男性で，間歇性跛行にて発症した．画像診断では，半月状の外膜囊腫により膝窩動脈内腔が圧迫され狭窄ないしは閉塞所見を呈していた．3例中2例で，膝窩動脈周囲の多房性囊腫と膝関節腔との交通を認めた．全例で外科的血行再建を予定したが，待機中に症状が自然消失したため保存的治療にて経過観察を行った．発症から自然寛解までの期間は各々約3カ月，約1カ月，13日であった．外膜囊腫と膝関節包の交通を認めた1例で症状の自然...
Saved in:
| Published in | 日本血管外科学会雑誌 Vol. 32; no. 6; pp. 455 - 461 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本血管外科学会
17.12.2023
日本血管外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0918-6778 1881-767X |
| DOI | 10.11401/jsvs.23-00073 |
Cover
| Abstract | 膝窩動脈外膜囊腫は，外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である．外科的治療介入の待機中に自然寛解した3例を経験した．症例は56歳，34歳，72歳の男性で，間歇性跛行にて発症した．画像診断では，半月状の外膜囊腫により膝窩動脈内腔が圧迫され狭窄ないしは閉塞所見を呈していた．3例中2例で，膝窩動脈周囲の多房性囊腫と膝関節腔との交通を認めた．全例で外科的血行再建を予定したが，待機中に症状が自然消失したため保存的治療にて経過観察を行った．発症から自然寛解までの期間は各々約3カ月，約1カ月，13日であった．外膜囊腫と膝関節包の交通を認めた1例で症状の自然寛解から8カ月後に下肢虚血症状の再燃を認めたが，約1週間の抗凝固療法の後，再度寛解に至った．自然寛解した膝窩動脈外膜囊腫の自験例3症例について文献的考察を含め報告する． |
|---|---|
| AbstractList | 「要旨」: 膝窩動脈外膜嚢腫は, 外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である. 外科的治療介入の待機中に自然寛解した3例を経験した. 症例は56歳, 34歳, 72歳の男性で, 間歇性跛行にて発症した. 画像診断では, 半月状の外膜嚢腫により膝窩動脈内腔が圧迫され狭窄ないしは閉塞所見を呈していた. 3例中2例で, 膝窩動脈周囲の多房性嚢腫と膝関節腔との交通を認めた. 全例で外科的血行再建を予定したが, 待機中に症状が自然消失したため保存的治療にて経過観察を行った. 発症から自然寛解までの期間は各々約3カ月, 約1カ月, 13日であった. 外膜嚢腫と膝関節包の交通を認めた1例で症状の自然寛解から8カ月後に下肢虚血症状の再燃を認めたが, 約1週間の抗凝固療法の後, 再度寛解に至った. 自然寛解した膝窩動脈外膜嚢腫の自験例3症例について文献的考察を含め報告する. 膝窩動脈外膜囊腫は，外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である．外科的治療介入の待機中に自然寛解した3例を経験した．症例は56歳，34歳，72歳の男性で，間歇性跛行にて発症した．画像診断では，半月状の外膜囊腫により膝窩動脈内腔が圧迫され狭窄ないしは閉塞所見を呈していた．3例中2例で，膝窩動脈周囲の多房性囊腫と膝関節腔との交通を認めた．全例で外科的血行再建を予定したが，待機中に症状が自然消失したため保存的治療にて経過観察を行った．発症から自然寛解までの期間は各々約3カ月，約1カ月，13日であった．外膜囊腫と膝関節包の交通を認めた1例で症状の自然寛解から8カ月後に下肢虚血症状の再燃を認めたが，約1週間の抗凝固療法の後，再度寛解に至った．自然寛解した膝窩動脈外膜囊腫の自験例3症例について文献的考察を含め報告する． |
| Author | 外田, 洋孝 廣岡, 茂樹 折田, 博之 |
| Author_xml | – sequence: 1 fullname: 外田, 洋孝 organization: 社会福祉法人恩賜財団済生会山形済生病院心臓血管外科 – sequence: 1 fullname: 折田, 博之 organization: 社会福祉法人恩賜財団済生会山形済生病院心臓血管外科 – sequence: 1 fullname: 廣岡, 茂樹 organization: 社会福祉法人恩賜財団済生会山形済生病院心臓血管外科 |
| BookMark | eNo90M9Kw0AQBvBFFKy1V98idfZfdnuUolUoeFHwtmyTXU2appJUwWOhVrFn9VDFg4JYQW8efZkamscwWvHyzWGG38C3ghbjbmwQWsNQxZgBXg_T07RKqAMAgi6gEpYSO8IVB4uoBDUsHVcIuYwqaRq0ipsaA0qhhHB-MZkNPrL3cf78OO3fTvsP-fB-NnnJRtf54DJ7usmHd9n4Kj9_nfbf6NfnaBUtWR2lpvI3y2h_a3Ovvu00dxs79Y2mExKBueOBzyh1fQ4e84iPsbSer8FSWTOgsbXc45hi7uKWZUL7zIAhzFpNQLYEk7SMGnO3Y_zA01E3joLYqLB7ksTFX2VD1jbttlYECFUpUAKuAqAKGOdFuJhR4LzGC6k-l8K0pw-NOk6Cjk7OlE56gRcVZFGdokS5P1FYvxX-b70jnahQ029Kn3pi |
| ContentType | Journal Article |
| Copyright | 2023 特定非営利活動法人日本血管外科学会 |
| Copyright_xml | – notice: 2023 特定非営利活動法人日本血管外科学会 |
| CorporateAuthor | 社会福祉法人恩賜財団済生会山形済生病院心臓血管外科 |
| CorporateAuthor_xml | – name: 社会福祉法人恩賜財団済生会山形済生病院心臓血管外科 |
| DOI | 10.11401/jsvs.23-00073 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1881-767X |
| EndPage | 461 |
| ExternalDocumentID | fj4kekka_2023_s03206_003_0455_04614305595 article_jsvs_32_6_32_23_00073_article_char_ja |
| GroupedDBID | ABJNI ACGFS ALMA_UNASSIGNED_HOLDINGS GROUPED_DOAJ JSF KQ8 RJT |
| ID | FETCH-LOGICAL-j2715-c0d4336d50c4c2d118fcda0f389e0a1ff5c5131561bf47ad4e0e24ffa208b7483 |
| ISSN | 0918-6778 |
| IngestDate | Thu Jul 10 16:15:07 EDT 2025 Wed Sep 03 06:30:39 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Language | Japanese |
| License | https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j2715-c0d4336d50c4c2d118fcda0f389e0a1ff5c5131561bf47ad4e0e24ffa208b7483 |
| OpenAccessLink | http://dx.doi.org/10.11401/jsvs.23-00073 |
| PageCount | 7 |
| ParticipantIDs | medicalonline_journals_fj4kekka_2023_s03206_003_0455_04614305595 jstage_primary_article_jsvs_32_6_32_23_00073_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 2023/12/17 |
| PublicationDateYYYYMMDD | 2023-12-17 |
| PublicationDate_xml | – month: 12 year: 2023 text: 2023/12/17 day: 17 |
| PublicationDecade | 2020 |
| PublicationTitle | 日本血管外科学会雑誌 |
| PublicationTitleAlternate | 日血外会誌 |
| PublicationYear | 2023 |
| Publisher | 特定非営利活動法人 日本血管外科学会 日本血管外科学会 |
| Publisher_xml | – name: 特定非営利活動法人 日本血管外科学会 – name: 日本血管外科学会 |
| References | 16) Zhang L, Guzman R, Kirkpatrick I, et al. Spontaneous resolution of cystic adventitial disease: a word of caution. Ann Vasc Surg 2012; 26: 422.e1–422.e4. 3) Atkins HJB, Key JA. A case of myxomatous tumour arising in the adventitia of the left external iliac artery. Br J Surg 1947; 34: 426–427. 22) Jibiki M, Miyata T, Shigematsu H. Cystic adventitial disease of the popliteal artery with spontaneous regression. J Vasc Surg Cases Innov Tech 2018; 4: 136–139. 1) Desy NM, Spinner RJ. The etiology and management of cystic adventitial disease. J Vasc Surg 2014; 60: 235–245. 8) Jarraya M, Simmons S, Farber A, et al. Uncommon diseases of the popliteal artery: a pictorial review. Insights Imaging 2016; 7: 679–688. 13) Kikuchi S, Sasajima T, Kokubo T, et al. Clinical results of cystic excision for popliteal artery cystic adventitial disease: long-term benefits of preserving the intact intima. Ann Vasc Surg 2014; 28: 1567.e5–1567.e8. 12) Devereux D, Forrest H, McLeod T, et al. The nonarterial origin of cystic adventitial disease of the popliteal artery in two patients. Surgery 1980; 88: 723–727. 10) 山下裕也，長尾和治，松田正和，他．膝窩動脈外膜囊腫の1例—カラードップラーエコー検査の有用性—．日血外会誌1993; 2: 521–526. 11) Buijsrogge MP, van der Meij S, Korte JH, et al. “Intermittent claudication intermittence” as a manifestation of adventitial cystic disease communicating with the knee joint. Ann Vasc Surg 2006; 20: 687–689. 18) 古永晃彦，善甫宣哉，秋山紀雄，他．自然退縮を来した膝窩動脈外膜囊腫の1例．日外会誌1992; 93: 1501–1503. 15) Soury P, Rivière J, Watelet J, et al. Spontaneous regression of a sub-adventitial cyst of the popliteal artery. J Mal Vasc 1995; 20: 323–325. 24) 原田拓光，小林 平，濱本正樹，他．短期間に跛行症状の増悪と寛解を繰り返した膝窩動脈外膜囊腫の一例．日血外会誌2020; 29: 355–359. 6) Lejay A, Ohana M, Delay C, et al. Cystic adventitial pathology as an entity in peripheral arterial disease. J Cardiovasc Surg 2016; 57: 282–291. 7) Ishikawa K. Cystic adventitial disease of the popliteal artery and of other stem vessels in the extremities. Jpn J Surg 1987; 17: 221–229. 23) Nemoto M, Hosaka A. Spontaneous regression of cystic adventitial disease of the popliteal artery: a case report. Ann Vasc Surg 2020; 62: 498.e11–498.e13. 2) Motaganahalli RL, Smeds MR, Harlander-Locke MP, et al.; Vascular Low-Frequency Disease Consortium. A multi-institutional experience in adventitial cystic disease. J Vasc Surg 2017; 65: 157–161. 17) Owen ER, Speechly-Dick EM, Kour NW, et al. Cystic adventitial disease of the popliteal artery: a case of spontaneous resolution. Eur J Vasc Surg 1990; 4: 319–321. 4) Levien LJ, Benn CA. Adventitial cystic disease: a unifying hypothesis. J Vasc Surg 1998; 28: 193–205. 5) Spinner RJ, Desy NM, Agarwal G, et al. Evidence to support that adventitial cysts, analogous to intraneural ganglion cysts, are also joint-connected. Clin Anat 2013; 26: 267–281. 14) Mii S, Ienaga S, Miyazaki N, et al. Unique clinical features due to cystic adventitial disease of the popliteal artery: case report and consideration of etiology. Int J Angiol 1992; 1: 101–103. 20) 月岡祐介，村井則之．自然回復した膝窩動脈外膜囊腫の1例：過去の報告例の検討．日血外会誌2011; 20: 937–940. 25) Ibrahim G, Nabhani S, Feghaly M, et al. Spontaneous resolution of cystic adventitial disease of the popliteal artery. Case Rep Vasc Med 2021; 2021: 8863682. 9) Wright LB, Matchett WJ, Cruz CP, et al. Popliteal artery disease: diagnosis and treatment. Radiographics 2004; 24: 467–479. 21) 田端強志，中神美奈，稲岡 努，他．超音波検査が有用であった膝窩動脈外膜囊腫の2症例．超音波医学2015; 42: 541–549. 26) Affes M, Chaabouni M, Attia M, et al. Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review. Clin Case Rep 2022; 10: e05757. 19) Pursell R, Torrie EP, Gibson M, et al. Spontaneous and permanent resolution of cystic adventitial disease of the popliteal artery. J R Soc Med 2004; 97: 77–78. |
| References_xml | – reference: 9) Wright LB, Matchett WJ, Cruz CP, et al. Popliteal artery disease: diagnosis and treatment. Radiographics 2004; 24: 467–479. – reference: 18) 古永晃彦，善甫宣哉，秋山紀雄，他．自然退縮を来した膝窩動脈外膜囊腫の1例．日外会誌1992; 93: 1501–1503. – reference: 25) Ibrahim G, Nabhani S, Feghaly M, et al. Spontaneous resolution of cystic adventitial disease of the popliteal artery. Case Rep Vasc Med 2021; 2021: 8863682. – reference: 7) Ishikawa K. Cystic adventitial disease of the popliteal artery and of other stem vessels in the extremities. Jpn J Surg 1987; 17: 221–229. – reference: 10) 山下裕也，長尾和治，松田正和，他．膝窩動脈外膜囊腫の1例—カラードップラーエコー検査の有用性—．日血外会誌1993; 2: 521–526. – reference: 17) Owen ER, Speechly-Dick EM, Kour NW, et al. Cystic adventitial disease of the popliteal artery: a case of spontaneous resolution. Eur J Vasc Surg 1990; 4: 319–321. – reference: 24) 原田拓光，小林 平，濱本正樹，他．短期間に跛行症状の増悪と寛解を繰り返した膝窩動脈外膜囊腫の一例．日血外会誌2020; 29: 355–359. – reference: 11) Buijsrogge MP, van der Meij S, Korte JH, et al. “Intermittent claudication intermittence” as a manifestation of adventitial cystic disease communicating with the knee joint. Ann Vasc Surg 2006; 20: 687–689. – reference: 26) Affes M, Chaabouni M, Attia M, et al. Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review. Clin Case Rep 2022; 10: e05757. – reference: 21) 田端強志，中神美奈，稲岡 努，他．超音波検査が有用であった膝窩動脈外膜囊腫の2症例．超音波医学2015; 42: 541–549. – reference: 4) Levien LJ, Benn CA. Adventitial cystic disease: a unifying hypothesis. J Vasc Surg 1998; 28: 193–205. – reference: 16) Zhang L, Guzman R, Kirkpatrick I, et al. Spontaneous resolution of cystic adventitial disease: a word of caution. Ann Vasc Surg 2012; 26: 422.e1–422.e4. – reference: 1) Desy NM, Spinner RJ. The etiology and management of cystic adventitial disease. J Vasc Surg 2014; 60: 235–245. – reference: 12) Devereux D, Forrest H, McLeod T, et al. The nonarterial origin of cystic adventitial disease of the popliteal artery in two patients. Surgery 1980; 88: 723–727. – reference: 6) Lejay A, Ohana M, Delay C, et al. Cystic adventitial pathology as an entity in peripheral arterial disease. J Cardiovasc Surg 2016; 57: 282–291. – reference: 14) Mii S, Ienaga S, Miyazaki N, et al. Unique clinical features due to cystic adventitial disease of the popliteal artery: case report and consideration of etiology. Int J Angiol 1992; 1: 101–103. – reference: 20) 月岡祐介，村井則之．自然回復した膝窩動脈外膜囊腫の1例：過去の報告例の検討．日血外会誌2011; 20: 937–940. – reference: 13) Kikuchi S, Sasajima T, Kokubo T, et al. Clinical results of cystic excision for popliteal artery cystic adventitial disease: long-term benefits of preserving the intact intima. Ann Vasc Surg 2014; 28: 1567.e5–1567.e8. – reference: 3) Atkins HJB, Key JA. A case of myxomatous tumour arising in the adventitia of the left external iliac artery. Br J Surg 1947; 34: 426–427. – reference: 22) Jibiki M, Miyata T, Shigematsu H. Cystic adventitial disease of the popliteal artery with spontaneous regression. J Vasc Surg Cases Innov Tech 2018; 4: 136–139. – reference: 2) Motaganahalli RL, Smeds MR, Harlander-Locke MP, et al.; Vascular Low-Frequency Disease Consortium. A multi-institutional experience in adventitial cystic disease. J Vasc Surg 2017; 65: 157–161. – reference: 19) Pursell R, Torrie EP, Gibson M, et al. Spontaneous and permanent resolution of cystic adventitial disease of the popliteal artery. J R Soc Med 2004; 97: 77–78. – reference: 23) Nemoto M, Hosaka A. Spontaneous regression of cystic adventitial disease of the popliteal artery: a case report. Ann Vasc Surg 2020; 62: 498.e11–498.e13. – reference: 5) Spinner RJ, Desy NM, Agarwal G, et al. Evidence to support that adventitial cysts, analogous to intraneural ganglion cysts, are also joint-connected. Clin Anat 2013; 26: 267–281. – reference: 8) Jarraya M, Simmons S, Farber A, et al. Uncommon diseases of the popliteal artery: a pictorial review. Insights Imaging 2016; 7: 679–688. – reference: 15) Soury P, Rivière J, Watelet J, et al. Spontaneous regression of a sub-adventitial cyst of the popliteal artery. J Mal Vasc 1995; 20: 323–325. |
| SSID | ssib000940330 ssib050736107 ssj0056921 ssib058493834 |
| Score | 2.370614 |
| Snippet | 膝窩動脈外膜囊腫は，外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である．外科的治療介入の待機中に自然寛解した3例を経... 「要旨」: 膝窩動脈外膜嚢腫は, 外膜に貯留したコロイド様物質が内腔を圧迫することにより生じる非動脈硬化性の閉塞性動脈疾患である. 外科的治療介入の待機中に自然寛... |
| SourceID | medicalonline jstage |
| SourceType | Publisher |
| StartPage | 455 |
| SubjectTerms | 外膜囊腫 膝窩動脈 自然寛解 |
| Title | 自然寛解した膝窩動脈外膜囊腫の3例 |
| URI | https://www.jstage.jst.go.jp/article/jsvs/32/6/32_23-00073/_article/-char/ja http://mol.medicalonline.jp/library/journal/download?GoodsID=fj4kekka/2023/s03206/003&name=0455-0461j |
| Volume | 32 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本血管外科学会雑誌, 2023/12/17, Vol.32(6), pp.455-461 |
| journalDatabaseRights | – providerCode: PRVAFT databaseName: Colorado Digital library customDbUrl: eissn: 1881-767X dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0056921 issn: 0918-6778 databaseCode: KQ8 dateStart: 20060101 isFulltext: true titleUrlDefault: http://grweb.coalliance.org/oadl/oadl.html providerName: Colorado Alliance of Research Libraries – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1881-767X dateEnd: 99991231 omitProxy: true ssIdentifier: ssj0056921 issn: 0918-6778 databaseCode: DOA dateStart: 20170101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1881-767X dateEnd: 99991231 omitProxy: true ssIdentifier: ssib050736107 issn: 0918-6778 databaseCode: M~E dateStart: 20060101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrR1NaxQxdKj1IogoKtaP0oM5ydSZJJNJwIMzu7MUoZ5a6C3M52GLrbitBw_CQq1iz-qhigcFsYLePPon_Al16f4M30tmd6fVg1VhyYaX5L2X9zKT9zLJi-Nc52mOdnzuVjB5u7wspZv6WejSkopAsdLLOZ4dXrwrFpb5nZVgZerE98aupc2NbD5_9NtzJX-jVYCBXvGU7DE0O0YKAMiDfiEFDUP6RzomiSTgzEcRSUIiOYkFSQISdYiKsSiCIkYSBtYiUeEo0zGtBFFtbAVtI4WtZExUYIrAupQGDydKjCq3EAJoZWQgUBrXCCP4S4B2Aiiapi5JBFKNApNpkahlePJxbwUSTjA_IRMiu8pC2iQSBmeLKKCnkDAWSWRXjtd1D7VWUN3DAYPkYo79sahUe1JfIP9KHqkPnW8bQgBSo17U-OPYyBAyFPk19aH_LSIpooskNGmunFCGu1DsQVEz1o1qFCJGdpJRh4BgYkQqaq2BzFERhvc4bmgEIMxkAB7B78b_EmxzldaXLsb4s9O1naOk9N1QhCvNSWyySHxkRuI2CnJt3HAb-f7XeZPbCxt6D3vzICjzAXdiIYz3bdYjXWM9zagWmFCmTX09KsXzgroLTstJGgqB14osPk4aNj332MRnBX-EicYaBBjEikmMWWjNqUAoc3hyLIk68ipyfPMQv2BDdsGjwlAZp-_Zr5w22kzDYFw665ypPb25yLJ7zpnqpucdf_h072Dr6-DL7vDDu_3-q_3-2-H2m4O9j4OdF8OtZ4P3L4fbrwe7z4dPPu33P7Mf33YuOMudZKm14Na3lrhdGvqBm3sFZ0wUAbzmclqAA1_lRepV4BmUXupXVZAHPvPBb8kqHqYFL72S8qpKqSezkEt20ZleW18rLzlzAuOnepmXVWBEMsAkWZVVhVL4LV8U-Yxzy_ZY37ehafSxFDTj3D4kJ12_2nq66vLVcnU11fjY6J7HqNn9CnhgOGm8o8FEClTB5X_j4IpzavJgXnWmNx5sltfAyN_IZs3i2KwZOj8B6c3GEg |
| linkProvider | ISSN International Centre |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E8%87%AA%E7%84%B6%E5%AF%9B%E8%A7%A3%E3%81%97%E3%81%9F%E8%86%9D%E7%AA%A9%E5%8B%95%E8%84%88%E5%A4%96%E8%86%9C%E5%9B%8A%E8%85%AB%E3%81%AE3%E4%BE%8B&rft.jtitle=%E6%97%A5%E6%9C%AC%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E5%A4%96%E7%94%B0%2C+%E6%B4%8B%E5%AD%9D&rft.au=%E6%8A%98%E7%94%B0%2C+%E5%8D%9A%E4%B9%8B&rft.au=%E5%BB%A3%E5%B2%A1%2C+%E8%8C%82%E6%A8%B9&rft.date=2023-12-17&rft.pub=%E7%89%B9%E5%AE%9A%E9%9D%9E%E5%96%B6%E5%88%A9%E6%B4%BB%E5%8B%95%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E8%A1%80%E7%AE%A1%E5%A4%96%E7%A7%91%E5%AD%A6%E4%BC%9A&rft.issn=0918-6778&rft.eissn=1881-767X&rft.volume=32&rft.issue=6&rft.spage=455&rft.epage=461&rft_id=info:doi/10.11401%2Fjsvs.23-00073&rft.externalDocID=article_jsvs_32_6_32_23_00073_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0918-6778&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0918-6778&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0918-6778&client=summon |