{"id":2626,"date":"2017-11-22T23:24:27","date_gmt":"2017-11-22T14:24:27","guid":{"rendered":"https:\/\/www.sakudaira-angel-clinic.jp\/?p=2626"},"modified":"2017-11-22T23:24:27","modified_gmt":"2017-11-22T14:24:27","slug":"%e9%81%b8%e6%8a%9e%e7%9a%84%e5%8d%98%e4%b8%80%e8%83%9a%e7%a7%bb%e6%a4%8d%ef%bc%88eset%ef%bc%89%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/infertility\/2626\/","title":{"rendered":"\u9078\u629e\u7684\u5358\u4e00\u80da\u79fb\u690d\uff08eSET\uff09\u306b\u3064\u3044\u3066"},"content":{"rendered":"

\u4f55\u6545\uff11\u500b\u80da\u79fb\u690d\u306a\u306e\u304b\uff1f<\/h2>\n

\u73fe\u5728\u3001\u65e5\u672c\u306e\u4f53\u5916\u53d7\u7cbe\u306feSET(elective single embryo transfer=\u9078\u629e\u7684\u5358\u4e00\u80da\u79fb\u690d\uff09\u304c\u4e3b\u6d41\u3067\u3059\u3002\u3053\u308c\u306f2008\u5e74\u306e\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a\u306e\u4f1a\u544a\u304c\u5f71\u97ff\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3068\u3057\u3066\u4f53\u5916\u53d7\u7cbe\u7531\u6765\u306e\u591a\u80ce\u598a\u5a20\u6570\u304c\u5927\u5e45\u306b\u6e1b\u5c11\u3001\u5468\u7523\u671f\u5408\u4f75\u75c7\u306e\u6e1b\u5c11\u306b\u8ca2\u732e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u3068\u3053\u308d\u3067\u3001\uff12\u500b\u80da\u79fb\u690d\u3068\uff11\u500b\u80da\u79fb\u690d\u306b\u3064\u3044\u3066\u5b9f\u969b\u306e\u3068\u3053\u308d\u306e\u598a\u5a20\u7387\u306f\u3069\u3046\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n

\n
\n
\n

2004\u5e74\u306b SET\uff08single embryo transfer\uff1d\uff11\u500b\u80da\u79fb\u690d) \u3068 DET (double embryo transfer\uff1d\uff12\u500b\u80da\u79fb\u690d)\u306e\u7dcf\u598a\u5a20\u7387\u3092\u6bd4\u8f03\u3057\u305f\u5927\u898f\u6a21\u306a RCT\uff08\u30e9\u30f3\u30c0\u30e0\u5316\u8a66\u9a13\uff09 \u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\uff08N Engl J Med 2004 ; 351 : 2392\u20152402\uff09\u3002\u3053\u306e RCT \u306f36\u6b73\u4ee5\u4e0b\u3067\u521d\u56de\u3001\u3082\u3057\u304f\u306f2\u56de\u76ee\u306e ART\u3067\u3001\u5c11\u306a\u304f\u3068\u30822\u500b\u4ee5\u4e0a\u306e\u826f\u597d\u80da\u304c\u7372\u5f97\u3067\u304d\u305f\u75c7\u4f8b\u3067\u65b0\u9bae\u80da\u79fb\u690d\u3092\u884c\u3063\u305f\u75c7\u4f8b\u3092\u5bfe\u8c61\u306b\u3001SET307\u4f8b\u3068DET 327\u4f8b\u3092\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u4ed8\u3051\u6bd4\u8f03\u691c\u8a0e\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\uff11\u56de\u306e\u80da\u79fb\u690d\u3042\u305f\u308a\u3067\u307f\u308b\u3068SET\u306727.6%\u3001DET\u306742.9%\u304c\u751f\u7523\u5206\u5a29\u3057\u3001DET\u306e\u751f\u7523\u5206\u5a29\u7387\u304c\u6709\u610f\u306b\u9ad8\u3044\u3082\u306e\u3067\u3057\u305f\u304c\u3001SET \u306e\u5834\u5408\u3001\u7fcc\u5468\u671f\u4ee5\u964d\u306e\u51cd\u7d50\u878d\u89e3\u80da\u79fb\u690d\u5468\u671f\u3067\u751f\u7523\u5206\u5a29\u3059\u308b\u75c7\u4f8b\u304c\u3042\u308b\u305f\u3081\u3001\u305d\u308c\u3092\u5408\u8a08\u3057\u305f\u7d2f\u7a4d\u306e\u7d50\u679c\u3067\u306f\u3001SET\u306e\u751f\u7523\u5206\u5a29\u7387\u306f38.8%\u3068\u306a\u308a\u3001SET\u3068DET\u306e\u751f\u7523\u5206\u5a29\u7387\u306b\u306f\u6709\u610f\u5dee\u304c\u306a\u304f\u306a\u3063\u305f\u3068\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\uff08\u7c21\u5358\u306b\u8a00\u3046\u3068\u3001\uff11\u56de\u306e\u63a1\u5375\u3067\u53d6\u308c\u305f\u5375\u306b\u3064\u3044\u3066\u3001\uff11\u56de\u306e\u79fb\u690d\u3042\u305f\u308a\u3067\u898b\u308b\u3068DET\u306e\u65b9\u304cSET\u3088\u308a\u5f53\u7136\uff12\u500b\u623b\u3057\u3066\u3044\u308b\u306e\u3067\u598a\u5a20\u7387\u306f\u9ad8\u304f\u306a\u308b\u304c\u3001\u8907\u6570\u500b\u306e\u5375\u5b50\u304c\u53d6\u308c\u305f\u5834\u5408\u306f\u5f53\u7136\u51cd\u7d50\u4fdd\u5b58\u3092\u884c\u3046\u306e\u3067\u3001\u305d\u306e\u5f8c\u306e\u51cd\u7d50\u80da\u79fb\u690d\u5468\u671f\u307e\u3067\u542b\u3081\u305f\u7d2f\u7a4d\u306e\u598a\u5a20\u3067\u306fSET\u3082DET\u3082\u7d50\u679c\u3068\u3057\u3066\u8d64\u3061\u3083\u3093\u304c\u751f\u307e\u308c\u305f\u304b\u3069\u3046\u304b\u3068\u3044\u3046\u70b9\u307e\u3067\u898b\u308b\u3068\u5dee\u306f\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u3088\u3046\u306a\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\uff09<\/p>\n

http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa041032<\/a><\/p>\n

\u4e0d\u598a\u6cbb\u7642\u306e\u6700\u7d42\u30b4\u30fc\u30eb\u306f\u598a\u5a20\u3059\u308b\u3053\u3068\u3067\u306f\u306a\u304f\u5065\u5150\u3092\u5f97\u308b\u3053\u3068<\/h2>\n

DET\u306e\u6700\u5927\u306e\u554f\u984c\u70b9\u306f\u591a\u80ce\u598a\u5a20\uff08\u53cc\u5b50\u4ee5\u4e0a\u306e\u598a\u5a20\uff09\u3067\u3059\u3002\u4e00\u822c\u306e\u65b9\u306f\u53cc\u5b50\u306b\u3064\u3044\u3066\u3001\u53cc\u5b50\u3092\u7523\u307f\u305f\u3044\u3001\u53cc\u5b50\u304c\u6b32\u3057\u3044\u3050\u3089\u3044\u306b\u8003\u3048\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u6211\u3005\u533b\u7642\u8005\u306b\u3068\u3063\u3066\u306f\u5358\u80ce\u3068\u53cc\u80ce\u3067\u306f\u6bcd\u5150\u306b\u304b\u304b\u308b\u30ea\u30b9\u30af\u3067\u306f\u96f2\u6ce5\u306e\u5dee\u304c\u3042\u308b\u3068\u3044\u3046\u8a8d\u8b58\u3067\u3059\u3002\u7279\u306b\u7523\u79d1\u306e\u73fe\u5834\u3067\u306f\u53cc\u80ce\u4ee5\u4e0a\u306e\u7ba1\u7406\u306f\u975e\u5e38\u306b\u6c17\u3092\u4f7f\u3044\u307e\u3059\u3002\u81ea\u7136\u767a\u751f\u306e\u53cc\u80ce\u3067\u3042\u308c\u3070\u305d\u308c\u306f\u53d7\u3051\u5165\u308c\u3056\u308b\u3092\u5f97\u307e\u305b\u3093\u304c\u3001\u4eba\u70ba\u7684\u306b\u4f5c\u3089\u308c\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308c\u3070\u306a\u305c\u305d\u308c\u3092\u907f\u3051\u3089\u308c\u306a\u304b\u3063\u305f\u306e\u304b\u3068\u306a\u308a\u307e\u3059\u3002\uff08\u79c1\u81ea\u8eab\u3082\u4e0d\u598a\u6cbb\u7642\u5f8c\u306e\u591a\u80ce\u598a\u5a20\u3067\u975e\u5e38\u306b\u82e6\u3044\u7d4c\u9a13\u304c\u3042\u308a\u307e\u3059\u30fb\u30fb\u30fb\uff09<\/p>\n

\n
\n
\n

\u533b\u7642\u8cbb\u306e\u7acb\u5834\u3067SET\u3068DET\u3092\u6bd4\u8f03\u3057\u305f\u4f0a\u6771\u3089\u306e\u8ad6\u6587\u3067\u306f\u3001\u4e0d\u598a\u6cbb\u7642\u306b\u304b\u304b\u3063\u305f\u533b\u7642\u30b3\u30b9\u30c8\u3067\u306fSET\u3082DET\u3082\u3042\u307e\u308a\u5dee\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u5206\u5a29(1\u30ab\u6708\u5065\u8a3a)\u307e\u3067\u542b\u3081\u305f\u533b\u7642\u8cbb\u3067\u307f\u308b\u3068SET\u306e\u65b9\u304cDET\u3088\u308a\u4f4e\u984d\u306b\u306a\u3063\u3066\u304a\u308a\u3001\u533b\u7642\u8cbb\u306e\u4e0a\u3067\u3082SET\u304c\u6709\u5229\u3067\u3042\u308b\u3068\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002 \u307e\u305f\u3001\u30d5\u30a3\u30f3\u30e9\u30f3\u30c9\u304b\u3089\u3082SET\u3068DET \u306e\u533b\u7642\u8cbb\u3092\u6bd4\u8f03\u3057\u305f\u8ad6\u6587\u304c\u51fa\u3055\u308c\u3001\u4f0a\u6771\u3089\u306e\u7d50\u679c\u3068\u540c\u69d8\u306a\u7d50\u679c\u3092\u5831\u544a\u3057\u3066\u304a\u308a\u3001\u533b\u7642\u8cbb\u4e0a\u306b\u304a\u3044\u3066\u3082SET\u306e\u512a\u4f4d\u6027\u304c\u660e\u3089\u304b\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\uff08\u53cc\u5b50\u3092\u598a\u5a20\u3059\u308b\u3068\u305d\u306e\u5f8c\u306e\u7523\u79d1\u7684\u7ba1\u7406\u3001\u65b0\u751f\u5150\u7ba1\u7406\u3001\u598a\u5a20\u4e2d\u301c\u7523\u5f8c\u306e\u6bcd\u5150\u306b\u95a2\u308f\u308b\u30ea\u30b9\u30af\u306b\u5bfe\u3059\u308b\u8cbb\u7528\u306a\u3069\u3001\u533b\u7642\u7d4c\u6e08\u7684\u306b\u3082\u975e\u5e38\u306b\u30b3\u30b9\u30c8\u304c\u304b\u304b\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u308f\u3051\u3067\u3059\u3002\uff09<\/p>\n

\uff08\u4f0a\u6771\u5b97\u6bc5,\u6797 \u76f4\u6a39,\u677e\u6c38\u8302\u525b,\u9ad8\u4e95 \u6cf0,\u6589\u85e4\u6b63\u535a,\u95a2 \u535a\u4e4b\u3000\u5f53\u79d1\u306b\u304a\u3051\u308b\u9078\u629e\u76841\u80da\u79fb\u690d(eSET)\u30682\u80da\u79fb\u690d(DET)\u306e\u6210\u7e3e\u304a\u3088\u3073 \u533b\u7642\u30b3\u30b9\u30c8\u306e\u6bd4\u8f03\u691c\u8a0e\u3000\u7523\u5a66\u4eba\u79d1\u306e\u5b9f\u969b 2008;57:2043\u20152047\uff09<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\u81ea\u65bd\u8a2d\u306e\u4f53\u5916\u53d7\u7cbe\u6280\u8853\u3001\u57f9\u990a\u6280\u8853\u3001\u6cbb\u7642\u6280\u8853\u306b\u81ea\u4fe1\u306e\u3042\u308b\u65bd\u8a2d\u3067\u306f\u3001SET\u3067\u3082\u9ad8\u3044\u598a\u5a20\u7387\u3092\u7dad\u6301\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001DET\u3068\u6bd4\u3079\u3066\u4f55\u3089\u905c\u8272\u306f\u3042\u308a\u307e\u305b\u3093\u3002\uff08\u3053\u308c\u3053\u305d\u304c\u307e\u3055\u306b\u9078\u629e\u7684\u5358\u4e00\u80da\u79fb\u690deSET\u3067\u3059<\/strong>\uff09\u4e0d\u598a\u6cbb\u7642\u306e\u6700\u7d42\u30b4\u30fc\u30eb\u306f\u598a\u5a20\u3059\u308b\u3053\u3068\u3067\u306f\u306a\u304f\u5065\u5150\u3092\u5f97\u308b\u3053\u3068\u3067\u3059\u3002\u591a\u80ce\u598a\u5a20\u306b\u4f34\u3046\u6bcd\u5150\u3078\u306e\u30ea\u30b9\u30af\u306f\u3082\u3061\u308d\u3093\u3001\u591a\u80ce\u306b\u3088\u308b\u793e\u4f1a\u7684\u3001\u533b\u7642\u7d4c\u6e08\u7684\u5f71\u97ff\u3092\u5341\u5206\u8003\u616e\u3057\u305f\u4e0a\u3067\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u304c\u751f\u6b96\u533b\u7642\u3078\u643a\u308f\u308b\u5168\u3066\u306e\u533b\u7642\u5f93\u4e8b\u8005\u3078\u8ab2\u305b\u3089\u308c\u305f\u8cac\u4efb\u3067\u3042\u308b\u3068\u8a00\u3048\u307e\u3059\uff08\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a\u304c\u3053\u306e\u3088\u3046\u306b\u660e\u8a00\u3057\u3066\u3044\u307e\u3059\uff09\u3002\u3053\u306e\u3088\u3046\u306a\u7406\u7531\u304b\u3089\u5f53\u9662\u3067\u3082\u73fe\u5728\u306f\u5168\u3066\u306e\u30b1\u30fc\u30b9\u3067eSET\uff08\u9078\u629e\u7684\u5358\u4e00\u80da\u79fb\u690d\uff09\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\uff08\u4ee5\u524d\u306b\u75c7\u4f8b\u3092\u9078\u3093\u3067\u306e\uff12\u500b\u80da\u79fb\u690d\u3092\u884c\u3063\u3066\u3044\u305f\u6642\u671f\u3082\u3042\u308a\u307e\u3057\u305f\u304c\u3001\u73fe\u5728\u306f\u5168\u3066\u5358\u4e00\u80da\u79fb\u690d\u3068\u3055\u305b\u3066\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u3054\u7406\u89e3\u306e\u7a0b\u3088\u308d\u3057\u304f\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002\uff09<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u4f55\u6545\uff11\u500b\u80da\u79fb\u690d\u306a\u306e\u304b\uff1f \u73fe\u5728\u3001\u65e5\u672c\u306e\u4f53\u5916\u53d7\u7cbe\u306feSET(elective single embryo transfer=\u9078\u629e\u7684\u5358\u4e00\u80da\u79fb\u690d\uff09\u304c\u4e3b\u6d41\u3067\u3059\u3002\u3053\u308c\u306f2008\u5e74\u306e\u65e5\u672c\u7523\u79d1\u5a66\u4eba\u79d1\u5b66\u4f1a\u306e\u4f1a\u544a\u304c\u5f71\u97ff\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3068 […]<\/p>\n","protected":false},"author":2,"featured_media":2627,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4,5,6],"tags":[],"acf":[],"views":5211,"_links":{"self":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts\/2626"}],"collection":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/comments?post=2626"}],"version-history":[{"count":0,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/posts\/2626\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/media?parent=2626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/categories?post=2626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sakudaira-angel-clinic.jp\/contents\/wp-json\/wp\/v2\/tags?post=2626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}