{"id":1315,"date":"2026-01-02T12:55:34","date_gmt":"2026-01-02T03:55:34","guid":{"rendered":"https:\/\/rmnw.jp\/?p=1315"},"modified":"2026-01-02T13:13:34","modified_gmt":"2026-01-02T04:13:34","slug":"prp%e7%99%82%e6%b3%95%e3%81%ae%e5%a9%a6%e4%ba%ba%e7%a7%91%e5%bf%9c%e7%94%a8","status":"publish","type":"post","link":"https:\/\/rmnw.jp\/?p=1315","title":{"rendered":"PRP\u7642\u6cd5\u306e\u5a66\u4eba\u79d1\u5fdc\u7528"},"content":{"rendered":"\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"AA 02\u5973\u6027\u306e\u5065\u5eb7\u306b\u304a\u3051\u308bPRP\uff1a\u671f\u5f85\u3068\u30a8\u30d2\u3099\u30c6\u3099\u30f3\u30b9\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/KbTIkZNG5xk?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n<a href=\"https:\/\/rmnw.jp\/wp-content\/uploads\/2026\/01\/AA-02-PRP\u7642\u6cd5\u306e\u5a66\u4eba\u79d1\u5fdc\u7528.pdf\" class=\"pdfemb-viewer\" style=\"\" data-width=\"max\" data-height=\"max\" data-toolbar=\"bottom\" data-toolbar-fixed=\"on\">AA-02-PRP\u7642\u6cd5\u306e\u5a66\u4eba\u79d1\u5fdc\u7528<\/a>\n\n\n<h2 class=\"wp-block-heading\">\u2015CPC\uff08\u5916\u90e8\u59d4\u8a17\u88fd\u9020\uff09\u3092\u6a19\u6e96\u3068\u3059\u308b\u533b\u5e2b\u5411\u3051\u6559\u79d1\u66f8\u539f\u7a3f\uff08\u51cd\u7d50\u4e7e\u71e5FD\u306f\u6271\u308f\u306a\u3044\uff09\u2015<\/h2>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">\u672c\u7ae0\u306e\u76ee\u7684\u3068\u30b9\u30b3\u30fc\u30d7<\/h2>\n\n\n\n<p>\u672c\u7ae0\u306f\u3001<strong>PRP\uff08Platelet-Rich Plasma\uff1a\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff09\u7642\u6cd5\u306e\u5a66\u4eba\u79d1\u5fdc\u7528<\/strong>\u306b\u3064\u3044\u3066\u3001\u533b\u5e2b\u304c\u300c\u5236\u5ea6\u30fb\u88fd\u9020\uff08\u54c1\u8cea\uff09\u30fb\u81e8\u5e8a\u9069\u5fdc\u30fb\u5b89\u5168\u6027\u300d\u3092<strong>\u4f53\u7cfb\u7684\u306b\u7406\u89e3\u3057\u3001\u5b9f\u88c5\u3067\u304d\u308b\u30ec\u30d9\u30eb<\/strong>\u306e\u6559\u79d1\u66f8\u539f\u7a3f\uff08\u672c\u6587\uff09\u3068\u3057\u3066\u307e\u3068\u3081\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3059\u308b\u3002\u7279\u306b <strong>\u65e5\u672c\u56fd\u5185\u306e\u5236\u5ea6\uff08\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\uff09\u3068\u5b9f\u88c5\u8981\u4ef6<\/strong>\u3092\u6700\u512a\u5148\u306b\u6574\u7406\u3057\u3001\u305d\u306e\u4e0a\u3067\u6d77\u5916\u30a8\u30d3\u30c7\u30f3\u30b9\u3092\u88dc\u5b8c\u7684\u306b\u7db2\u7f85\u3059\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6700\u91cd\u8981\u306e\u524d\u63d0\uff08\u672c\u7ae0\u306e\u201c\u6271\u308f\u306a\u3044\u3082\u306e\u201d\u3092\u5148\u306b\u660e\u78ba\u5316\uff09<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u9662\u5185\uff08\u30d9\u30c3\u30c9\u30b5\u30a4\u30c9\/\u9662\u5185\u30e9\u30dc\uff09\u3067\u306ePRP\u8abf\u88fd\u306f\u6271\u308f\u306a\u3044\u3002<\/strong><br>\u672c\u7ae0\u3067\u306f\u3001\u6fc3\u5ea6\uff08\u898f\u683c\u5316\uff09\u30fb\u7121\u83cc\u6027\u30fb\u30c8\u30ec\u30fc\u30b5\u30d3\u30ea\u30c6\u30a3\u30fbQC\/QA\u30fb\u6cd5\u4ee4\u5bfe\u5fdc\u3092\u6700\u5927\u5316\u3059\u308b\u76ee\u7684\u3067\u3001<strong>CPC\uff08\u5916\u90e8\u306e\u7279\u5b9a\u7d30\u80de\u52a0\u5de5\u7269\u7b49\u88fd\u9020\u65bd\u8a2d\uff09\u3078\u306e\u59d4\u8a17\u88fd\u9020\u30e2\u30c7\u30eb\u3092\u6a19\u6e96<\/strong>\u3068\u3057\u3066\u8a18\u8f09\u3059\u308b\u3002<\/li>\n\n\n\n<li><strong>\u51cd\u7d50\u4e7e\u71e5\uff08Freeze-dried, FD\uff09\u88fd\u5264\u306f\u6271\u308f\u306a\u3044\u3002<\/strong><br>\u5a66\u4eba\u79d1\u9818\u57df\u306b\u304a\u3044\u3066\u3001FD\u88fd\u5264\u306e\u6709\u52b9\u6027\u30fb\u540c\u7b49\u6027\u304c\u81e8\u5e8a\u7684\u306b\u78ba\u7acb\u3057\u3066\u3044\u308b\u3068\u306f\u8a00\u3044\u96e3\u304f\u3001\u672c\u7ae0\u306e\u5bfe\u8c61\u5916\u3068\u3059\u308b\u3002<\/li>\n\n\n\n<li><strong>\u540c\u4e00\u60a3\u8005\u7531\u6765\u3067\u3042\u3063\u3066\u3082\u201c\u88fd\u54c1\u5f62\u614b\u201d\u306f\u53b3\u5bc6\u306b\u533a\u5225\u3059\u308b\u3002<\/strong><br>\u305f\u3060\u3057\u672c\u7ae0\u306e\u4e2d\u5fc3\u306f **Fresh PRP\uff08\u5f53\u65e5\u88fd\u9020\u30fb\u5f53\u65e5\u6295\u4e0e\uff09**\u3067\u3042\u308b\u3002<br>\uff08PRF\/i-PRF\u7b49\u306f\u6982\u5ff5\u6574\u7406\u3068\u3057\u3066\u89e6\u308c\u308b\u304c\u3001CPC\u59d4\u8a17\u30e2\u30c7\u30eb\u306e\u6a19\u6e96\u904b\u7528\u304b\u3089\u5916\u308c\u308b\u305f\u3081\u5468\u8fba\u77e5\u8b58\u3068\u3057\u3066\u6271\u3046\uff09<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">1. \u7dcf\u8ad6\uff1a\u5a66\u4eba\u79d1\u9818\u57df\u306b\u304a\u3051\u308bPRP\u306e\u4f4d\u7f6e\u3065\u3051<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1.1 \u518d\u751f\u533b\u7642\u30fb\u88dc\u5b8c\u7642\u6cd5\u3068\u3057\u3066\u306ePRP<\/h3>\n\n\n\n<p>PRP\u306f\u81ea\u5df1\u8840\u304b\u3089\u5f97\u3089\u308c\u308b\u8840\u5c0f\u677f\u6fc3\u7e2e\u7269\u3067\u3042\u308a\u3001\u8840\u5c0f\u677f\u7531\u6765\u6210\u9577\u56e0\u5b50\uff08PDGF, TGF-\u03b2, VEGF, EGF\u306a\u3069\uff09\u3084\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3092\u4ecb\u3057\u3066\u3001<strong>\u7d44\u7e54\u4fee\u5fa9\u3001\u8840\u7ba1\u65b0\u751f\u3001\u6297\u708e\u75c7\/\u708e\u75c7\u8abf\u6574\u3001\u7d30\u80de\u5897\u6b96\u3084\u904a\u8d70<\/strong>\u306b\u95a2\u4e0e\u3059\u308b\u3068\u7406\u89e3\u3055\u308c\u3066\u3044\u308b\u3002\u5a66\u4eba\u79d1\u3067\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5b50\u5bae\u5185\u819c\u74b0\u5883\u306e\u6539\u5584\uff08\u8584\u3044\u5185\u819c\u3001\u53cd\u5fa9\u7740\u5e8a\u4e0d\u5168\u306a\u3069\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u5375\u5de3\u6a5f\u80fd\u4f4e\u4e0b\u306b\u5bfe\u3059\u308b\u5375\u5de3\u5185\u6295\u4e0e\uff08\u3044\u308f\u3086\u308b ovarian \u201crejuvenation\u201d\uff09<\/strong><\/li>\n\n\n\n<li><strong>GSM\/VVA\uff08\u66f4\u5e74\u671f\u6ccc\u5c3f\u751f\u6b96\u5668\u75c7\u5019\u7fa4\/\u840e\u7e2e\u6027\u815f\u708e\uff09\u3084\u6027\u6a5f\u80fd\u969c\u5bb3<\/strong><\/li>\n\n\n\n<li><strong>\u5c3f\u5931\u7981\uff08\u7279\u306bSUI\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u5916\u9670\u75be\u60a3\uff08\u5916\u9670\u786c\u5316\u6027\u82d4\u766c\u306a\u3069\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u5468\u8853\u671f\u30fb\u5275\u50b7\u6cbb\u7652\u88dc\u52a9<\/strong><br>\u3068\u3044\u3063\u305f\u9818\u57df\u3067\u5831\u544a\u304c\u5897\u3048\u3066\u3044\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001\u5a66\u4eba\u79d1\u9818\u57df\u306ePRP\u306f\u3001**\u201c\u6709\u671b\u3060\u304c\u3001\u6a19\u6e96\u6cbb\u7642\u3068\u3057\u3066\u63a8\u5968\u3067\u304d\u308b\u3060\u3051\u306e\u8cea\u306e\u9ad8\u3044\u5b89\u5168\u6027\u30fb\u6709\u52b9\u6027\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u4e0d\u8db3\u3057\u3084\u3059\u3044\u201d**\u3068\u3044\u3046\u6027\u683c\u3092\u6301\u3064\u3002\u305f\u3068\u3048\u3070ART\u306e add-on \u3068\u3057\u3066\u306ePRP\u306b\u3064\u3044\u3066\u3001ESHRE\u306f\u300c\u73fe\u6642\u70b9\u3067\u306f\u65e5\u5e38\u8a3a\u7642\u3067\u306e\u4f7f\u7528\u306f\u63a8\u5968\u3057\u306a\u3044\uff08not recommended\uff09\u300d\u3068\u3044\u3046\u7acb\u5834\u3092\u660e\u78ba\u306b\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1.2 \u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u73fe\u5728\u5730\uff08\u5a66\u4eba\u79d1\u5168\u4f53\u306e\u4fef\u77b0\uff09<\/h3>\n\n\n\n<p>\u5a66\u4eba\u79d1\u3001\u3068\u304f\u306b**\u4e0d\u598a\u30fb\u751f\u6b96\u533b\u7642\uff08\u5b50\u5bae\u5185\u6295\u4e0e\/\u5375\u5de3\u5185\u6295\u4e0e\uff09**\u306b\u95a2\u3057\u3066\u306f\u3001Cochrane\u30ec\u30d3\u30e5\u30fc\uff082024\uff09\u304cRCT\u3092\u96c6\u7d04\u3057\u3066\u3044\u308b\u304c\u3001\u7d50\u8ad6\u306f\u300c\u52b9\u679c\u306f\u4e0d\u78ba\u5b9f\uff08very low certainty\u304c\u591a\u3044\uff09\u300d\u300c\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u4e0d\u8db3\u300d\u3068\u3044\u3046\u614e\u91cd\u306a\u8a55\u4fa1\u3067\u3042\u308b\u3002<br>\u3055\u3089\u306b\u3001\u540c\u30ec\u30d3\u30e5\u30fc\u3067\u306f <strong>\u65e9\u7523\u30ea\u30b9\u30af\u5897\u52a0\u306e\u53ef\u80fd\u6027<\/strong>\u304c\u793a\u5506\u3055\u308c\u305f\u8a66\u9a13\u3082\u3042\u308a\u3001\u598a\u5a20\u6210\u7acb\u5f8c\u306e\u5b89\u5168\u6027\u306f\u201c\u5341\u5206\u306b\u8a9e\u308c\u308b\u3060\u3051\u306e\u30c7\u30fc\u30bf\u304c\u63c3\u3063\u3066\u3044\u306a\u3044\u201d\u3053\u3068\u3092\u81e8\u5e8a\u5bb6\u306f\u5f37\u304f\u610f\u8b58\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">2. \u7528\u8a9e\u5b9a\u7fa9\u3068\u5206\u985e\uff1aPRP\u306e\u201c\u5b9a\u7fa9\u201d\u3068\u201c\u898f\u683c\u5316\u201d<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">2.1 PRP\u306e\u5b9a\u7fa9\uff1a\u6fc3\u5ea6\u3067\u306f\u306a\u304f\u300c\u3069\u308c\u3060\u3051\u6295\u4e0e\u3057\u305f\u304b\uff08platelet dose\uff09\u300d\u3078<\/h3>\n\n\n\n<p>PRP\u306f\u300c\u8840\u5c0f\u677f\u6fc3\u7e2e\u8840\u6f3f\u300d\u3060\u304c\u3001\u73fe\u5b9f\u306b\u306f\u88c5\u7f6e\u30fb\u9060\u5fc3\u6761\u4ef6\u30fb\u5206\u753b\u30fb\u767d\u8840\u7403\/\u8d64\u8840\u7403\u6df7\u5165\u306e\u7a0b\u5ea6\u30fb\u6d3b\u6027\u5316\u306e\u6709\u7121\u306a\u3069\u3067<strong>\u751f\u7269\u5b66\u7684\u306b\u201c\u5225\u7269\u201d\u306b\u306a\u308a\u5f97\u308b<\/strong>\u3002\u3053\u306e\u305f\u3081\u8fd1\u5e74\u306f\u3001\u5358\u306b\u300c\u8840\u5c0f\u677f\u6fc3\u5ea6\u304c\u4f55\u500d\u300d\u3067\u306f\u306a\u304f\u3001<strong>\u6ce8\u5165\u3055\u308c\u305f\u8840\u5c0f\u677f\u306e\u201c\u7d76\u5bfe\u91cf\u201d\uff1dplatelet dose<\/strong>\u3092\u542b\u3081\u3066\u8868\u73fe\u3059\u308b\u8003\u3048\u304c\u91cd\u8981\u306b\u306a\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2.2 \u5206\u985e\u30d5\u30ec\u30fc\u30e0\uff1aDEPA\u5206\u985e\u3068PAW\u5206\u985e<\/h3>\n\n\n\n<p><strong>DEPA\u5206\u985e<\/strong>\u306fPRP\u3092\u6a19\u6e96\u5316\u3059\u308b\u63d0\u6848\u3068\u3057\u3066\u5e83\u304f\u53c2\u7167\u3055\u308c\u3001\u300cDose\uff08\u6ce8\u5165\u8840\u5c0f\u677f\u91cf\uff09\/ Efficiency\uff08\u56de\u53ce\u52b9\u7387\uff09\/ Purity\uff08\u767d\u8840\u7403\u30fb\u8d64\u8840\u7403\u6df7\u5165\u306e\u5c11\u306a\u3055\uff09\/ Activation\uff08\u6d3b\u6027\u5316\u306e\u6709\u7121\uff09\u300d\u3067\u8a18\u8f09\u3059\u308b\u3002<br><strong>PAW\u5206\u985e<\/strong>\u3082\u540c\u69d8\u306b\u3001(P)\u8840\u5c0f\u677f\u306e\u7d76\u5bfe\u6570\u3001(A)\u6d3b\u6027\u5316\u306e\u65b9\u6cd5\u3001(W)\u767d\u8840\u7403\u306e\u6709\u7121\u3092\u67f1\u3068\u3057\u3066\u6bd4\u8f03\u53ef\u80fd\u6027\u3092\u9ad8\u3081\u308b\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u672c\u7ae0\u306e\u5b9f\u88c5\u65b9\u91dd<\/strong>\uff1a<br>CPC\u59d4\u8a17\u88fd\u9020\u30e2\u30c7\u30eb\u3067\u306f\u3001\u81e8\u5e8a\u73fe\u5834\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u306e\u306f\u300c\u88c5\u7f6e\u540d\u300d\u3067\u306f\u306a\u304f\u3001<strong>\u6700\u7d42\u88fd\u54c1\u306e\u898f\u683c\uff08platelet dose\u3001WBC\/RBC\u6df7\u5165\u3001\u6d3b\u6027\u5316\u72b6\u614b\u3001\u7121\u83cc\u6027\u3001\u540c\u5b9a\u30fb\u8ffd\u8de1\u6027\uff09\u3067\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u672c\u7ae0\u3067\u306f\u3001DEPA\/PAW\u306e\u8003\u3048\u3092\u7528\u3044\u3066\u201c\u6bd4\u8f03\u53ef\u80fd\u306aPRP\u201d\u3068\u3057\u3066\u898f\u683c\u5316\u3059\u308b<\/strong>\u3053\u3068\u3092\u6a19\u6e96\u3068\u3059\u308b\u3002<\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\">2.3 LR\/LP\uff08Leukocyte-rich \/ Leukocyte-poor\uff09\u306e\u6574\u7406<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>LR-PRP\uff08\u767d\u8840\u7403\u591a\uff09<\/strong>\uff1a\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3084\u30d7\u30ed\u30c6\u30a2\u30fc\u30bc\u304c\u5897\u3048\u5f97\u308b\u4e00\u65b9\u3001\u611f\u67d3\u9632\u5fa1\u3084\u514d\u75ab\u8abf\u6574\u3078\u306e\u5bc4\u4e0e\u304c\u8b70\u8ad6\u3055\u308c\u308b\u3002<\/li>\n\n\n\n<li><strong>LP-PRP\uff08\u767d\u8840\u7403\u5c11\uff09<\/strong>\uff1a\u708e\u75c7\u60f9\u8d77\u3092\u6291\u3048\u305f\u3044\u9818\u57df\uff08\u7c98\u819c\u30fb\u95a2\u7bc0\u30fb\u795e\u7d4c\u5468\u56f2\u306a\u3069\uff09\u3067\u597d\u307e\u308c\u308b\u3053\u3068\u304c\u3042\u308b\u3002<br>\u5a66\u4eba\u79d1\u3067\u306f\u3001<strong>\u5b50\u5bae\u5185\u8154\u30fb\u5375\u5de3\u30fb\u5c3f\u9053\u5468\u56f2\u30fb\u815f\u7c98\u819c<\/strong>\u306a\u3069\u201c\u7121\u83cc\u7684\u64cd\u4f5c\u304c\u5fc5\u9808\u3067\u3001\u904e\u5ea6\u306a\u708e\u75c7\u304c\u671b\u307e\u3057\u304f\u306a\u3044\u201d\u90e8\u4f4d\u306b\u6295\u4e0e\u3059\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u7406\u5c48\u3068\u3057\u3066\u306f<strong>LP\u8a2d\u8a08\u304c\u597d\u307e\u308c\u3084\u3059\u3044<\/strong>\u304c\u3001\u73fe\u6642\u70b9\u3067\u300c\u5a66\u4eba\u79d1\u306fLP\u304c\u512a\u308c\u308b\u300d\u3068\u65ad\u8a00\u3067\u304d\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u5341\u5206\u3067\u306f\u306a\u3044\uff08\u591a\u304f\u306e\u7814\u7a76\u304cLR\/LP\u3092\u8a73\u7d30\u306b\u5831\u544a\u3057\u3066\u3044\u306a\u3044\u3001\u3042\u308b\u3044\u306f\u624b\u6cd5\u304c\u6df7\u5728\u3057\u3066\u3044\u308b\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">3. \u65e5\u672c\u306e\u5236\u5ea6\u30fb\u6cd5\u898f\u5236\uff1a\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u306e\u5b9f\u52d9<\/h2>\n\n\n\n<p>\uff08\u203b\u3053\u3053\u306f\u201c\u5b9f\u88c5\u306e\u5931\u6557\u201d\u304c\u533b\u7642\u5b89\u5168\u30fb\u6cd5\u4ee4\u9055\u53cd\u306b\u76f4\u7d50\u3059\u308b\u305f\u3081\u3001\u81e8\u5e8a\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u540c\u7b49\u4ee5\u4e0a\u306b\u91cd\u8981\u3067\u3042\u308b\uff09<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.1 \u518d\u751f\u533b\u7642\u7b49\u63d0\u4f9b\u8a08\u753b\uff1a\u63d0\u51fa\u30fb\u5be9\u67fb\u30fb\u8a18\u9332\u4fdd\u5b58<\/h3>\n\n\n\n<p>\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5\u306e\u67a0\u7d44\u307f\u3067\u306f\u3001\u63d0\u4f9b\u8a08\u753b\u3001\u59d4\u54e1\u4f1a\u5be9\u67fb\u3001\u5831\u544a\u3001\u8a18\u9332\u4fdd\u5b58\u306a\u3069\u306e\u5b9f\u52d9\u304c\u5b9a\u3081\u3089\u308c\u3066\u3044\u308b\u3002\u539a\u52b4\u7701\u306e\u6982\u8981\u30da\u30fc\u30b8\u3067\u306f\u3001<strong>\u4fdd\u5b58\u671f\u9593<\/strong>\u3068\u3057\u3066<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7279\u5b9a\u751f\u7269\u7531\u6765\u88fd\u54c1\u7b49\u306b\u985e\u4f3c\u306e\u539f\u6599\u304b\u3089\u6210\u308b\u7279\u5b9a\u7d30\u80de\u52a0\u5de5\u7269\u7b49\u3092\u7528\u3044\u308b\u5834\u5408\uff1a<strong>30\u5e74<\/strong><\/li>\n\n\n\n<li>\u4e0a\u8a18\u4ee5\u5916\uff1a<strong>10\u5e74<\/strong><br>\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3.2 \u5831\u544a\u30fb\u69d8\u5f0f\uff08\u91cd\u5927\u4e8b\u614b\u5831\u544a\u306a\u3069\uff09<\/h3>\n\n\n\n<p>\u539a\u52b4\u7701\u306e\u69d8\u5f0f\u4e00\u89a7\u306b\u306f\u3001<strong>\u75be\u75c5\u7b49\u5831\u544a\u66f8\uff08\u59d4\u54e1\u4f1a\/\u539a\u52b4\u5927\u81e3\uff09<\/strong>\u3001<strong>\u5b9a\u671f\u5831\u544a\u66f8<\/strong>\u3001<strong>\u91cd\u5927\u4e8b\u614b\u5831\u544a\u66f8<\/strong>\u3001<strong>\u91cd\u5927\u306a\u4e0d\u9069\u5408\u5831\u544a\u66f8<\/strong>\u3001\u3055\u3089\u306b\u63d0\u4f9b\u57fa\u6e96\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u306a\u3069\u304c\u6574\u7406\u3055\u308c\u3066\u3044\u308b\u3002CPC\u59d4\u8a17\u88fd\u9020\u3092\u524d\u63d0\u3068\u3059\u308b\u5834\u5408\u3067\u3082\u3001<strong>\u63d0\u4f9b\u6a5f\u95a2\u5074\u306f\u5831\u544a\u8cac\u4efb\u3092\u514d\u308c\u306a\u3044<\/strong>\u305f\u3081\u3001\u3053\u308c\u3089\u69d8\u5f0f\u3068\u9662\u5185\u4f53\u5236\u306f\u5fc5\u9808\u3068\u306a\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.3 \u201c\u59d4\u8a17\u88fd\u9020\u201d\u306e\u8003\u3048\u65b9\uff1a\u9662\u5185\u3067\u88fd\u9020\u3057\u306a\u3044\u30e2\u30c7\u30eb<\/h3>\n\n\n\n<p>\u539a\u751f\u5c40\u306e\u7591\u7fa9\u5fdc\u7b54\u96c6\uff08Q&amp;A\uff09\u3067\u306f\u3001\u4f8b\u3068\u3057\u3066\u300c\u9662\u5185\u3067PRP\u3092\u88fd\u9020\u3057\u63d0\u4f9b\u3059\u308b\u5834\u5408\u306f\u88fd\u9020\uff08\u5c4a\u51fa\/\u8a8d\u5b9a\u7b49\uff09\u624b\u7d9a\u304c\u95a2\u4fc2\u3059\u308b\u300d\u4e00\u65b9\u3001<strong>\u5168\u91cf\u3092\u5916\u90e8\u306b\u59d4\u8a17\u3057\u3001\u533b\u7642\u6a5f\u95a2\u3067\u88fd\u9020\u3092\u884c\u308f\u306a\u3044\u5834\u5408\u306f\u3001\u533b\u7642\u6a5f\u95a2\u304c\u88fd\u9020\u624b\u7d9a\u3092\u3059\u308b\u5fc5\u8981\u304c\u306a\u3044<\/strong>\u65e8\u304c\u6574\u7406\u3055\u308c\u3001\u540c\u6642\u306b<strong>\u59d4\u8a17\u5148\u304c\u9069\u5207\u306a\u88fd\u9020\u65bd\u8a2d\u3067\u3042\u308b\u3053\u3068\u306e\u78ba\u8a8d<\/strong>\u304c\u6c42\u3081\u3089\u308c\u308b\u8da3\u65e8\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002<a href=\"https:\/\/kouseikyoku.mhlw.go.jp\/tohoku\/iji\/saisei_question.html?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\">Kouseikyoku+1<\/a><\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><strong>\u81e8\u5e8a\u7684\u306a\u8981\u70b9<\/strong>\uff1a<br>\u672c\u7ae0\u3067\u306f\u3001\u3053\u306e\u8003\u3048\u65b9\u3092\u3055\u3089\u306b\u9032\u3081\u3066\u3001PRP\u3092\u300c\u533b\u7642\u6a5f\u95a2\u306e\u624b\u6280\u300d\u3067\u306f\u306a\u304f\u3001<strong>\u201c\u898f\u683c\u5316\u3055\u308c\u305f\u81ea\u5df1\u8840\u7531\u6765\u88fd\u5264\u201d\u3068\u3057\u3066\u54c1\u8cea\u4fdd\u8a3c\u4e0b\u3067\u4f9b\u7d66\u3055\u308c\u308b\u3082\u306e<\/strong>\u3068\u3057\u3066\u6271\u3046\u3002\u3053\u308c\u306b\u3088\u308a\u3001<strong>\u7121\u83cc\u6027\u30fb\u30c8\u30ec\u30fc\u30b5\u30d3\u30ea\u30c6\u30a3\u30fb\u53d6\u308a\u9055\u3048\u9632\u6b62\u30fb\u9038\u8131\u7ba1\u7406<\/strong>\u3092\u8a2d\u8a08\u6bb5\u968e\u304b\u3089\u7d44\u307f\u8fbc\u3080\u3002<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">4. CPC\u59d4\u8a17\u88fd\u9020\u30e2\u30c7\u30eb\uff08\u672c\u7ae0\u306e\u6a19\u6e96\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">4.1 \u65bd\u8a2d\u8981\u4ef6\u30fb\u5951\u7d04\u30fb\u8cac\u4efb\u5206\u754c<\/h3>\n\n\n\n<p>CPC\u59d4\u8a17\u88fd\u9020\u3067\u306f\u3001\u63d0\u4f9b\u6a5f\u95a2\uff08\u75c5\u9662\/\u8a3a\u7642\u6240\uff09\u3068\u88fd\u9020\u65bd\u8a2d\uff08\u7279\u5b9a\u7d30\u80de\u52a0\u5de5\u7269\u7b49\u88fd\u9020\u65bd\u8a2d\u7b49\uff09\u3068\u306e\u9593\u3067\u3001\u6700\u4f4e\u9650\u6b21\u3092\u6587\u66f8\u5316\u3059\u308b\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>\u88fd\u9020\u59d4\u8a17\u5951\u7d04<\/strong>\uff1a\u8cac\u4efb\u5206\u754c\uff08\u539f\u6599\u63a1\u8840\u301c\u642c\u9001\u301c\u88fd\u9020\u301c\u8fd4\u9001\u301c\u6295\u4e0e\uff09<\/li>\n\n\n\n<li><strong>\u54c1\u8cea\u53d6\u308a\u6c7a\u3081\uff08Quality Agreement\uff09<\/strong>\uff1a\u898f\u683c\u3001\u8a66\u9a13\u3001\u9038\u8131\u3001\u5909\u66f4\u7ba1\u7406\u3001CAPA\u3001\u76e3\u67fb<\/li>\n\n\n\n<li><strong>\u30c1\u30a7\u30fc\u30f3\u30fb\u30aa\u30d6\u30fb\u30ab\u30b9\u30c8\u30c7\u30a3\uff08Chain of custody\uff09<\/strong>\uff1a\u540c\u4e00\u6027\u4fdd\u8a3c\u3001\u53d6\u308a\u9055\u3048\u9632\u6b62<\/li>\n\n\n\n<li><strong>\u30c7\u30fc\u30bf\u5171\u6709<\/strong>\uff1a\u30ed\u30c3\u30c8\u60c5\u5831\u3001COA\uff08\u5206\u6790\u8a3c\u660e\uff09\u3001\u6e29\u5ea6\u30ed\u30b0\u3001\u9038\u8131\u5831\u544a<\/li>\n\n\n\n<li><strong>\u6709\u5bb3\u4e8b\u8c61\u6642\u306e\u9023\u7d61\u4f53\u5236<\/strong>\uff1a24\/7\u9023\u7d61\u3001\u30ed\u30c3\u30c8\u9694\u96e2\u3001\u56de\u53ce\uff08\u5fc5\u8981\u6642\uff09<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">4.2 \u539f\u6599\u63a1\u8840\u301c\u642c\u9001\u301c\u88fd\u9020\u301c\u8fd4\u9001\uff1a\u30d5\u30ed\u30fc\u306e\u6a19\u6e96\u5316<\/h3>\n\n\n\n<p>\u672c\u7ae0\u3067\u306f**Fresh PRP\uff08\u5f53\u65e5\u88fd\u9020\u30fb\u5f53\u65e5\u6295\u4e0e\uff09**\u3092\u6a19\u6e96\u3068\u3059\u308b\u3002\u3088\u3063\u3066\u30d5\u30ed\u30fc\u8a2d\u8a08\u306e\u6838\u5fc3\u306f\u300c\u6642\u9593\u30fb\u6e29\u5ea6\u30fb\u540c\u5b9a\u300d\u306e3\u70b9\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u63a1\u8840<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u60a3\u8005\u540c\u610f\uff08\u518d\u751f\u533b\u7642\u7b49\u63d0\u4f9b\u8a08\u753b\u306b\u57fa\u3065\u304f\u8aac\u660e\uff09<\/li>\n\n\n\n<li>\u63a1\u8840\u524d\u306e\u9069\u683c\u6027\u78ba\u8a8d\uff08\u5f8c\u8ff0\uff1a\u7981\u5fcc\/\u6ce8\u610f\uff09<\/li>\n\n\n\n<li>\u30e9\u30d9\u30eb\uff082\u8981\u7d20\u4ee5\u4e0a\uff1a\u6c0f\u540dID\uff0b\u751f\u5e74\u6708\u65e5\u7b49\uff09\u3001\u30d0\u30fc\u30b3\u30fc\u30c9\u5316\u3092\u63a8\u5968<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u642c\u9001<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u6e29\u5ea6\u9038\u8131\u304c\u8d77\u3053\u308a\u5f97\u308b\u305f\u3081\u3001<strong>\u6e29\u5ea6\u30ed\u30ac\u30fc<\/strong>\u540c\u68b1\u3092\u6a19\u6e96<\/li>\n\n\n\n<li>\u53d7\u9818\u5074CPC\u306f\u3001\u53d7\u9818\u6642\u523b\u30fb\u6e29\u5ea6\u30fb\u5916\u89b3\u30fb\u5c01\u5370\u3092\u8a18\u9332<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u88fd\u9020<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u53ef\u80fd\u306a\u9650\u308a<strong>\u9589\u9396\u7cfb<\/strong>\uff08\u30aa\u30fc\u30d7\u30f3\u64cd\u4f5c\u3092\u6e1b\u3089\u3059\uff09<\/li>\n\n\n\n<li>RBC\/WBC\u4f4e\u6e1b\u3001\u5206\u753b\u306e\u518d\u73fe\u6027\u78ba\u4fdd<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u8fd4\u9001\u301c\u53d7\u9818<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u533b\u7642\u6a5f\u95a2\u5074\u306f\u53d7\u9818\u6642\u306b\u300c\u540c\u4e00\u6027\u300d\u300c\u6e29\u5ea6\u300d\u300c\u671f\u9650\u300d\u300c\u30ed\u30c3\u30c8\u60c5\u5831\u300d\u3092\u78ba\u8a8d\u3057\u3001<strong>\u53d7\u9818\u8a18\u9332\u3068COA<\/strong>\u3092\u7d10\u3065\u3051\u308b<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u6295\u4e0e<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>\u201c\u53d7\u9818\u2192\u76f4\u524d\u78ba\u8a8d\u2192\u6295\u4e0e\u2192\u8a18\u9332\u201d\u306e\u4e00\u9023\u3092\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\u5316\uff08\u4ed8\u9332\u53c2\u7167\uff09<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.3 \u88fd\u9020\u5de5\u7a0b\uff08\u6982\u5ff5\u6574\u7406\uff1a\u672c\u7ae0\u306f\u201c\u9662\u5185\u624b\u6280\u66f8\u201d\u3067\u306f\u306a\u3044\uff09<\/h3>\n\n\n\n<p>CPC\u3067\u306e\u5de5\u7a0b\u306f\u4e00\u822c\u306b\u3001(1)\u5206\u96e2\u3001(2)\u6fc3\u7e2e\u3001(3)\u4e0d\u8981\u6210\u5206\u4f4e\u6e1b\u3001(4)\u5fc5\u8981\u306a\u3089\u6d3b\u6027\u5316\u3001(5)\u6700\u7d42\u5bb9\u5668\u5145\u586b\u3001(6)\u30ea\u30ea\u30fc\u30b9\u5224\u5b9a\u3001\u3067\u69cb\u6210\u3055\u308c\u308b\u3002<br>\u3053\u3053\u3067\u91cd\u8981\u306a\u306e\u306f\u3001<strong>\u300c\u9060\u5fc3\u6761\u4ef6\u305d\u306e\u3082\u306e\u300d\u3067\u306f\u306a\u304f\u6700\u7d42\u88fd\u54c1\u306e\u898f\u683c\u306b\u3088\u308a\u81e8\u5e8a\u7684\u518d\u73fe\u6027\u3092\u62c5\u4fdd\u3059\u308b<\/strong>\u3068\u3044\u3046\u8003\u3048\u65b9\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4.4 \u54c1\u8cea\u7ba1\u7406\uff08QC\/QA\uff09\u3068\u201c\u898f\u683c\u201d<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">4.4.1 platelet concentration \u3067\u306f\u306a\u304f platelet dose \u3092\u4e2d\u6838\u306b<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PRP\u4e2d\u8840\u5c0f\u677f\u6570\uff08\/\u00b5L\uff09\u00d7\u6700\u7d42\u5bb9\u91cf\uff08mL\uff09\u304b\u3089 **platelet dose\uff08\u7dcf\u8840\u5c0f\u677f\u6570\uff09**\u3092\u7b97\u51fa\u3057\u3001\u898f\u683c\u5316\u3059\u308b\u3002<\/li>\n\n\n\n<li>DEPA\/PAW\u306e\u601d\u60f3\u306b\u6cbf\u3063\u3066\u3001<strong>\u6295\u4e0e\u3055\u308c\u308b\u8840\u5c0f\u677f\u91cf\u3068\u6df7\u5165\u7d30\u80de\u3001\u6d3b\u6027\u5316\u72b6\u614b\u3092\u8a18\u8ff0<\/strong>\u3059\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">4.4.2 \u63a8\u5968\u3055\u308c\u308bQC\u9805\u76ee\uff08\u5a66\u4eba\u79d1\u6295\u4e0e\u3092\u60f3\u5b9a\uff09<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CBC\uff08\u539f\u6599\u3068\u88fd\u54c1\uff09<\/strong>\uff1a\u8840\u5c0f\u677f\u56de\u53ce\u7387\u3001RBC\/WBC\u6df7\u5165\u91cf<\/li>\n\n\n\n<li><strong>\u5916\u89b3<\/strong>\uff1a\u6eb6\u8840\u3001\u51dd\u96c6\u3001\u30d5\u30a3\u30d6\u30ea\u30f3\u5f62\u6210\u306e\u6709\u7121<\/li>\n\n\n\n<li><strong>pH\uff08\u5fc5\u8981\u306b\u5fdc\u3058\u3066\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u6d3b\u6027\u5316\u72b6\u614b<\/strong>\uff1a\u6d3b\u6027\u5316\u3092\u3059\u308b\u306a\u3089\u65b9\u6cd5\u3092\u898f\u683c\u5316\uff08CaCl\u2082\u7b49\uff09<\/li>\n\n\n\n<li><strong>\u7121\u83cc\u6027\u306e\u8003\u3048\u65b9<\/strong>\uff1a\n<ul class=\"wp-block-list\">\n<li>same-day\u6295\u4e0e\u3067\u306f\u6700\u7d42\u7121\u83cc\u8a66\u9a13\u306e\u7d50\u679c\u3092\u5f85\u3066\u306a\u3044\u305f\u3081\u3001\n<ul class=\"wp-block-list\">\n<li>\u5de5\u7a0b\u306e\u9589\u9396\u6027<\/li>\n\n\n\n<li>\u74b0\u5883\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0<\/li>\n\n\n\n<li>\u30d7\u30ed\u30bb\u30b9\u30d0\u30ea\u30c7\u30fc\u30b7\u30e7\u30f3<\/li>\n\n\n\n<li>\u8fc5\u901f\u5fae\u751f\u7269\u691c\u51fa\uff08\u5b9f\u88c5\u53ef\u80fd\u306a\u3089\uff09<br>\u3092\u7d44\u307f\u5408\u308f\u305b\u305f**\u201c\u30d7\u30ed\u30bb\u30b9\u4fdd\u8a3c\u201d**\u304c\u73fe\u5b9f\u7684\u306b\u306a\u308b<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">4.4.3 \u30ed\u30c3\u30c8\u5b9a\u7fa9\u30fb\u9038\u8131\/\u5909\u66f4\u7ba1\u7406<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u30ed\u30c3\u30c8\uff1d\u300c\u5358\u4e00\u60a3\u8005\u30fb\u5358\u4e00\u63a1\u8840\u30fb\u5358\u4e00\u88fd\u9020\u30d0\u30c3\u30c1\u300d\u3092\u539f\u5247<\/li>\n\n\n\n<li>\u9038\u8131\uff08\u6e29\u5ea6\u9038\u8131\u3001\u6642\u9593\u9038\u8131\u3001\u6a5f\u5668\u7570\u5e38\u3001\u30e9\u30d9\u30eb\u4e0d\u6574\u5408\uff09\u306f<strong>\u6295\u4e0e\u524d\u306b\u5fc5\u305a\u8a55\u4fa1\u3057\u3001\u6295\u4e0e\u53ef\u5426\u5224\u5b9a<\/strong><\/li>\n\n\n\n<li>CAPA\u306f\u63d0\u4f9b\u6a5f\u95a2\u306b\u3082\u5171\u6709\u3057\u3001\u518d\u767a\u9632\u6b62\u3092\u5171\u540c\u3067\u8a2d\u8a08\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4.5 \u4fdd\u7ba1\u30fb\u671f\u9650<\/h3>\n\n\n\n<p>Fresh PRP\u3092\u6a19\u6e96\u3068\u3059\u308b\u4ee5\u4e0a\u3001\u57fa\u672c\u306f **\u201c\u5f53\u65e5\u4f7f\u7528\u201d**\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u671f\u9650\u8a2d\u5b9a\uff08\u63a1\u8840\u2192\u88fd\u9020\u2192\u6295\u4e0e\u307e\u3067\u306e\u6700\u5927\u8a31\u5bb9\u6642\u9593\uff09\u306f\u3001CPC\u306e\u5de5\u7a0b\u30fb\u8f38\u9001\u30fb\u5b89\u5b9a\u6027\u30c7\u30fc\u30bf\u306b\u57fa\u3065\u304d\u898f\u5b9a\u3059\u308b\u3002<\/li>\n\n\n\n<li>\u6e29\u5ea6\u5e2f\uff08\u5e38\u6e29\/\u51b7\u8535\uff09\u3082\u542b\u3081\u3001**\u9038\u8131\u6642\u306e\u6271\u3044\uff08\u5ec3\u68c4\/\u518d\u63a1\u8840\/\u5ef6\u671f\uff09**\u3092\u4e8b\u524d\u306b\u5408\u610f\u3059\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">5. \u81e8\u5e8a\u5404\u8ad6\uff1a\u5a66\u4eba\u79d1\u9069\u5fdc\u3092\u4f53\u7cfb\u5316\u3057\u3066\u6559\u79d1\u66f8\u5316<\/h2>\n\n\n\n<p>\u672c\u7ae0\u3067\u306f\u3001\u81e8\u5e8a\u5fdc\u7528\u3092 <strong>A \u4e0d\u598a\u30fb\u751f\u6b96\u533b\u7642 \/ B \u5375\u5de3 \/ C GSM\u30fb\u6027\u6a5f\u80fd \/ D \u5c3f\u5931\u7981\u30fb\u9aa8\u76e4\u5e95 \/ E \u5916\u9670\u75be\u60a3 \/ F \u5468\u8853\u671f\u30fb\u5275\u50b7<\/strong>\u306b\u5206\u985e\u3057\u3001\u5404\u9805\u3067\u300c\u75c7\u72b6\u30fb\u7528\u9014\u30fb\u671f\u5f85\u52b9\u679c\u30fb\u9650\u754c\u30fb\u30ea\u30b9\u30af\u30fb\u7981\u5fcc\u300d\u3092\u5fc5\u305a\u8a18\u8f09\u3059\u308b\u3002\u306a\u304a\u3001ART\u9818\u57df\u3067\u306fPRP\u306f\u5178\u578b\u7684\u306b**add-on\uff08\u88dc\u52a9\u7642\u6cd5\uff09**\u3067\u3042\u308a\u3001\u56fd\u969b\u7684\u306b\u306f\u63a8\u5968\u3055\u308c\u306a\u3044\uff08\u7814\u7a76\u76ee\u7684\u306b\u9650\u5b9a\u3059\u3079\u304d\uff09\u3068\u3044\u3046\u7acb\u5834\u304c\u5f37\u3044\u3053\u3068\u3092\u3001\u6700\u521d\u306b\u660e\u8a18\u3057\u3066\u304a\u304f\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">A. \u4e0d\u598a\u30fb\u751f\u6b96\u533b\u7642\uff08\u5b50\u5bae\u5185\u6295\u4e0e\uff09<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">A1. \u8584\u3044\u5b50\u5bae\u5185\u819c\uff08refractory thin endometrium\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u75c5\u614b\u30fb\u80cc\u666f<\/h3>\n\n\n\n<p>\u8584\u3044\u5b50\u5bae\u5185\u819c\u306f\u3001\u80da\u79fb\u690d\u30ad\u30e3\u30f3\u30bb\u30eb\u3084\u7740\u5e8a\u7387\u4f4e\u4e0b\u306b\u76f4\u7d50\u3059\u308b\u5b9f\u52d9\u4e0a\u306e\u5927\u554f\u984c\u3067\u3042\u308b\u3002\u539f\u56e0\u306f\u591a\u5f69\u3067\u3001\u53cd\u5fa9\u63bb\u722c\u5f8c\u3001\u6162\u6027\u5b50\u5bae\u5185\u819c\u708e\u3001\u5b50\u5bae\u5185\u7652\u7740\u3001\u4f4e\u704c\u6d41\u3001\u30db\u30eb\u30e2\u30f3\u53cd\u5fdc\u6027\u4f4e\u4e0b\u306a\u3069\u304c\u7d61\u3080\u3002<br>\u4e00\u822c\u7684\u6cbb\u7642\uff08\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u5ef6\u9577\u3001\u30a2\u30b9\u30d4\u30ea\u30f3\u3001\u30d3\u30bf\u30df\u30f3E\u3001\u30da\u30f3\u30c8\u30ad\u30b7\u30d5\u30a3\u30ea\u30f3\u3001\u30b7\u30eb\u30c7\u30ca\u30d5\u30a3\u30eb\u7b49\uff09\u306b\u4e0d\u5fdc\u306e\u75c7\u4f8b\u304c\u4e00\u5b9a\u6570\u5b58\u5728\u3057\u3001\u88dc\u5b8c\u7642\u6cd5\u3068\u3057\u3066PRP\u304c\u691c\u8a0e\u3055\u308c\u3066\u304d\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u4f5c\u7528\u4eee\u8aac\uff08\u5185\u819c\uff09<\/h3>\n\n\n\n<p>PRP\u4e2d\u306e\u6210\u9577\u56e0\u5b50\u304c\u3001\u5185\u819c\u306e\u4fee\u5fa9\u30fb\u8840\u7ba1\u65b0\u751f\u30fb\u9593\u8cea\/\u4e0a\u76ae\u306e\u5897\u6b96\u3092\u4fc3\u3059\u53ef\u80fd\u6027\u304c\u8b70\u8ad6\u3055\u308c\u308b\u3002\u305f\u3060\u3057\u3001\u3069\u306e\u56e0\u5b50\u304c\u81e8\u5e8a\u52b9\u679c\u306b\u5bc4\u4e0e\u3059\u308b\u304b\u306f\u78ba\u5b9a\u3057\u3066\u3044\u306a\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u9069\u5fdc\uff08\u5019\u88dc\uff09\u3068\u60a3\u8005\u9078\u629e<\/h3>\n\n\n\n<p><strong>\u5019\u88dc<\/strong>\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>HRT\u5468\u671f\u307e\u305f\u306f\u81ea\u7136\u5468\u671f\u3067\u3001\u5341\u5206\u306a\u5185\u819c\u5897\u6b96\u304c\u5f97\u3089\u308c\u305a\u3001\u79fb\u690d\u30ad\u30e3\u30f3\u30bb\u30eb\u307e\u305f\u306f\u6210\u7e3e\u4e0d\u826f\u304c\u7e70\u308a\u8fd4\u3055\u308c\u308b\u4f8b<\/li>\n\n\n\n<li>\u5185\u819c\u539a\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u306f\u7814\u7a76\u306b\u3088\u308a\u7570\u306a\u308b\uff08\u22647mm\u3001&lt;8mm\u306a\u3069\uff09<br><strong>\u7981\u5fcc\/\u614e\u91cd\u6295\u4e0e<\/strong>\uff1a<\/li>\n\n\n\n<li>\u6d3b\u52d5\u6027\u306e\u9aa8\u76e4\u5185\u611f\u67d3\u3001\u5b50\u5bae\u5185\u611f\u67d3\u304c\u7591\u308f\u308c\u308b\u4f8b<\/li>\n\n\n\n<li>\u91cd\u5ea6\u306e\u51fa\u8840\u50be\u5411\u3001\u6297\u51dd\u56fa\u7642\u6cd5\u4e2d\uff08\u8abf\u6574\u4e0d\u80fd\uff09<\/li>\n\n\n\n<li>\u91cd\u5ea6\u8ca7\u8840\u3001\u8840\u5c0f\u677f\u6e1b\u5c11\uff08\u5f8c\u8ff0\u306e\u63a1\u8840\u57fa\u6e96\u306b\u6e96\u62e0\uff09<\/li>\n<\/ul>\n\n\n\n<p>\u65e5\u672c\u306e\u524d\u5411\u304d\u7814\u7a76\uff08Kusumi\u3089\uff09\u3067\u306f\u3001Hb &lt;11 g\/dL\u3001\u8840\u5c0f\u677f &lt;150,000\/mm\u00b3\u3001\u6297\u51dd\u56fa\u85ac\u4f7f\u7528\u3001\u598a\u5a20\u306a\u3069\u3092\u9664\u5916\u3068\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u6295\u4e0e\u6cd5\u30fb\u30bf\u30a4\u30df\u30f3\u30b0\uff08CPC\u88fd\u5264\u3092\u524d\u63d0\uff09<\/h3>\n\n\n\n<p>\u81e8\u5e8a\u5831\u544a\u306e\u591a\u304f\u306f\u9662\u5185\u8abf\u88fdPRP\u3067\u3042\u308b\u304c\u3001\u672c\u7ae0\u3067\u306f <strong>CPC\u59d4\u8a17\u3067\u898f\u683c\u5316\u3055\u308c\u305fFresh PRP<\/strong>\u3092\u540c\u7b49\u306e\u201c\u81ea\u5df1\u8840\u7531\u6765PRP\u201d\u3068\u3057\u3066\u7528\u3044\u308b\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6295\u4e0e\u7d4c\u8def\uff1a\u4e00\u822c\u306b<strong>\u5b50\u5bae\u5185\u8154\u3078\u306e\u30ab\u30c6\u30fc\u30c6\u30eb\u6ce8\u5165\uff08IUI\u30ab\u30c6\u7b49\uff09<\/strong><\/li>\n\n\n\n<li>\u6295\u4e0e\u30bf\u30a4\u30df\u30f3\u30b0\uff1aHRT\u5468\u671f\u3067\u30d7\u30ed\u30b2\u30b9\u30c6\u30ed\u30f3\u958b\u59cb\u524d\u306b\u8907\u6570\u56de\u3001\u307e\u305f\u306f\u79fb\u690d\u6570\u65e5\u524d\uff0848\u201372\u6642\u9593\u524d\uff09\u306a\u3069\u3001\u7814\u7a76\u306b\u3088\u308a\u5dee\u304c\u5927\u304d\u3044<\/li>\n\n\n\n<li>\u56de\u6570\uff1a1\u20133\u56de\u306e\u5831\u544a\u304c\u591a\u3044\uff08\u305f\u3060\u3057\u6a19\u6e96\u5316\u3055\u308c\u3066\u3044\u306a\u3044\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">5) \u30a2\u30a6\u30c8\u30ab\u30e0\u3068\u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\u56fd\u5185\uff08\u65e5\u672c\uff09<\/h4>\n\n\n\n<p>**Kusumi\u3089\uff08\u65e5\u672c\u3001\u524d\u5411\u304d\u5358\u7fa4\u30fb\u81ea\u5df1\u5bfe\u7167\uff09**\u3067\u306f\u3001\u8584\u3044\u5185\u819c\uff08\u22647mm\uff09\u3092\u5bfe\u8c61\u306b\u3001HRT\u5468\u671f\u3067PRP\u3092\u6295\u4e0e\u3057\u3001<strong>\u5185\u819c\u539a\u304c\u6709\u610f\u306b\u5897\u52a0\uff08\u76f2\u691c\u6e2c\u5b9a\u3067\u3082\u5897\u52a0\uff09<\/strong>\u3001\u81e8\u5e8a\u598a\u5a20\u738715.6%\u3001\u6709\u5bb3\u4e8b\u8c61\u306a\u3057\u3068\u5831\u544a\u3057\u3066\u3044\u308b\u3002<br>\u305f\u3060\u3057\u5358\u7fa4\u7814\u7a76\u3067\u3042\u308a\u3001\u80da\u8981\u56e0\u3084\u6642\u9593\u7d4c\u904e\u306e\u5f71\u97ff\u3092\u5b8c\u5168\u306b\u306f\u9664\u5916\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u56fd\u969b\uff08\u7dcf\u5408\u8a55\u4fa1\uff1aCochrane 2024\uff09<\/h4>\n\n\n\n<p>Cochrane\u30ec\u30d3\u30e5\u30fc\u306f\u3001\u5b50\u5bae\u5185PRP\u306eRCT\u3092\u96c6\u7d04\u3057\u3064\u3064\u3082\u3001**\u307b\u307c\u5168\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u78ba\u5b9f\u6027\u304c\u975e\u5e38\u306b\u4f4e\u3044\uff08very low\uff09**\u3068\u8a55\u4fa1\u3057\u3066\u3044\u308b\u3002<br>\u307e\u305f\u3001\u65e9\u7523\u30ea\u30b9\u30af\u5897\u52a0\u3092\u793a\u5506\u3059\u308b\u8a66\u9a13\u304c\u3042\u308a\u3001\u5468\u7523\u671f\u5b89\u5168\u6027\u306f\u91cd\u8981\u306a\u672a\u89e3\u6c7a\u8ab2\u984c\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u307e\u3068\u3081\uff08\u8584\u3044\u5185\u819c\uff09<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u671f\u5f85\u52b9\u679c<\/strong>\uff1a\u5185\u819c\u539a\u306e\u6539\u5584\u3001\u79fb\u690d\u5b9f\u65bd\u7387\u306e\u6539\u5584\u3001\u598a\u5a20\u7387\u4e0a\u6607\u306e\u53ef\u80fd\u6027<\/li>\n\n\n\n<li><strong>\u9650\u754c<\/strong>\uff1a\u6a19\u6e96\u5316\u3055\u308c\u305f\u6295\u4e0e\u6cd5\u304c\u306a\u3044\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u78ba\u5b9f\u6027\u304c\u4f4e\u3044\u3001\u5b89\u5168\u6027\uff08\u7279\u306b\u598a\u5a20\u5f8c\uff09\u306e\u5831\u544a\u304c\u4e0d\u8db3<\/li>\n\n\n\n<li><strong>\u63a8\u5968\u5ea6<\/strong>\uff1a\u56fd\u969b\u7684\u306b\u306f\u201croutine\u306b\u306f\u63a8\u5968\u3055\u308c\u306a\u3044\u201d\u9818\u57df\uff08\u7814\u7a76\u30fb\u81e8\u5e8a\u8a66\u9a13\u3068\u3057\u3066\u306e\u4f4d\u7f6e\u3065\u3051\u304c\u59a5\u5f53\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6) \u30ea\u30b9\u30af\u30fb\u7981\u5fcc\u30fb\u6ce8\u610f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5b50\u5bae\u5185\u64cd\u4f5c\u306b\u4f34\u3046\uff1a\u611f\u67d3\uff08\u5185\u819c\u708e\uff09\u3001\u51fa\u8840\u3001\u75bc\u75db\u3001\u8ff7\u8d70\u795e\u7d4c\u53cd\u5c04\u3001\u5b50\u5bae\u7a7f\u5b54\uff08\u6975\u3081\u3066\u7a00\u3060\u304c\u30bc\u30ed\u3067\u306f\u306a\u3044\uff09<\/li>\n\n\n\n<li>PRP\u88fd\u5264\u306b\u4f34\u3046\uff1a\u53d6\u308a\u9055\u3048\u3001\u4ea4\u5dee\u6c5a\u67d3\u3001\u51dd\u96c6\/\u30b2\u30eb\u5316\u306b\u3088\u308b\u6ce8\u5165\u56f0\u96e3<\/li>\n\n\n\n<li>\u598a\u5a20\u5f8c\uff1a\u65e9\u7523\u306a\u3069\u306e\u5468\u7523\u671f\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u5341\u5206\u306a\u30c7\u30fc\u30bf\u304c\u306a\u304f\u3001Cochrane\u3067\u306f\u201c\u5897\u52a0\u306e\u53ef\u80fd\u6027\u201d\u304c\u793a\u5506\u3055\u308c\u305f\u70b9\u3092\u8aac\u660e\u3059\u3079\u304d<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">A2. \u53cd\u5fa9\u7740\u5e8a\u4e0d\u5168\uff08RIF\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u75c5\u614b\u30fb\u80cc\u666f<\/h3>\n\n\n\n<p>RIF\u306f\u5b9a\u7fa9\u304c\u4e00\u5b9a\u305b\u305a\u3001\u80da\u8981\u56e0\uff08\u67d3\u8272\u4f53\u7570\u5e38\u3001\u80da\u8cea\uff09\u3001\u5b50\u5bae\u5185\u819c\u8981\u56e0\uff08\u53d7\u5bb9\u80fd\u3001\u6162\u6027\u708e\u75c7\u3001\u7652\u7740\u3001\u8840\u6d41\uff09\u3001\u514d\u75ab\u30fb\u51dd\u56fa\u3001\u5185\u5206\u6ccc\u306a\u3069\u591a\u56e0\u5b50\u304c\u95a2\u4e0e\u3059\u308b\u3002PRP\u306f\u4e3b\u306b<strong>\u5185\u819c\u8981\u56e0\u306e\u88dc\u6b63<\/strong>\u3068\u3057\u3066\u63d0\u6848\u3055\u308c\u3066\u304d\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u4f5c\u7528\u4eee\u8aac<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5185\u819c\u53d7\u5bb9\u80fd\u3092\u652f\u3048\u308b\u5206\u5b50\u74b0\u5883\uff08\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3001\u63a5\u7740\u56e0\u5b50\u3001\u8840\u7ba1\u65b0\u751f\uff09\u3078\u306e\u5f71\u97ff<\/li>\n\n\n\n<li>\u30ab\u30c6\u30fc\u30c6\u30eb\u633f\u5165\u306b\u3088\u308b\u6a5f\u68b0\u523a\u6fc0\uff08\u3044\u308f\u3086\u308bendometrial scratching\u69d8\u52b9\u679c\uff09\u3068\u306e\u6df7\u5728\uff08\u30d7\u30e9\u30bb\u30dc\u5bfe\u7167\u3067\u8a55\u4fa1\u304c\u5fc5\u8981\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u9069\u5fdc\uff08\u5019\u88dc\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u826f\u597d\u80da\u79fb\u690d\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u598a\u5a20\u4e0d\u6210\u7acb\u304c\u53cd\u5fa9\u3057\u3001\u5185\u819c\u539a\u306e\u554f\u984c\u304c\u3042\u308b\/\u306a\u3044\u53cc\u65b9<\/li>\n\n\n\n<li>\u305f\u3060\u3057\u3001RIF\u306e\u8a3a\u65ad\u30fb\u539f\u56e0\u691c\u7d22\uff08\u5b50\u5bae\u5185\u8154\u8a55\u4fa1\u3001\u6162\u6027\u5185\u819c\u708e\u3001\u9ec4\u4f53\u88dc\u5145\u3001\u80da\u8981\u56e0\u306e\u518d\u691c\u8a0e\u306a\u3069\uff09\u3092\u884c\u3063\u305f\u4e0a\u3067\u3001**\u201c\u6b8b\u4f59\u306e\u5185\u819c\u4ecb\u5165\u201d**\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u308b<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u6295\u4e0e\u6cd5\u30fb\u30bf\u30a4\u30df\u30f3\u30b0<\/h3>\n\n\n\n<p>\u8584\u3044\u5185\u819c\u3068\u540c\u69d8\u306b\u5831\u544a\u306f\u3070\u3089\u3064\u304f\u3002CPC\u59d4\u8a17\u306eFresh PRP\u3092\u7528\u3044\u308b\u5834\u5408\u306f\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u540c\u4e00\u60a3\u8005\u30fb\u540c\u4e00\u5468\u671f\u5185\u3067\u306e\u30ed\u30c3\u30c8\u7ba1\u7406<\/li>\n\n\n\n<li>\u53d7\u9818\u301c\u6295\u4e0e\u306e\u6642\u9593\u7ba1\u7406\uff08\u5f53\u65e5\u4f7f\u7528\uff09<br>\u304c\u91cd\u8981\u306b\u306a\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">5) \u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\u56fd\u5185\uff08\u65e5\u672c\uff09<\/h4>\n\n\n\n<p>**Enatsu\u3089\uff08\u65e5\u672c\u3001\u5f8c\u308d\u5411\u304d\uff09**\u306f\u3001RIF\u75c7\u4f8b\u306b\u5b50\u5bae\u5185PRP\u3092\u884c\u3044\u3001PRP\u5f8c\u306eET\u5468\u671f\u3067 <strong>hCG\u967d\u602757.4%\u3001\u81e8\u5e8a\u598a\u5a2050%<\/strong> \u3068\u3001PRP\u524d\u5468\u671f\uff08hCG\u967d\u602727.2%\u3001\u81e8\u5e8a\u598a\u5a209.6%\uff09\u3088\u308a\u826f\u597d\u3060\u3063\u305f\u3068\u5831\u544a\u3057\u3066\u3044\u308b\u3002\u4e00\u65b9\u3067\u3001<strong>\u5185\u819c\u539a\u306fPRP\u3067\u5897\u52a0\u3057\u306a\u304b\u3063\u305f<\/strong>\u3068\u3057\u3066\u304a\u308a\u3001\u201c\u539a\u3055\u4ee5\u5916\u306e\u8cea\u306e\u6539\u5584\u201d\u3092\u793a\u5506\u3059\u308b\u3002<br>\u305f\u3060\u3057\u3001\u5f8c\u308d\u5411\u304d\u30fb\u81ea\u5df1\u6bd4\u8f03\u3067\u3042\u308a\u3001\u540c\u6642\u671f\u306e\u6cbb\u7642\u5909\u66f4\u3084\u9078\u629e\u30d0\u30a4\u30a2\u30b9\u306e\u5f71\u97ff\u3092\u5426\u5b9a\u3067\u304d\u306a\u3044\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u56fd\u969b\u30ac\u30a4\u30c0\u30f3\u30b9\uff08ESHRE add-ons\uff09<\/h4>\n\n\n\n<p>ESHRE\u306f\u3001ART\u306b\u304a\u3051\u308b<strong>\u5b50\u5bae\u5185PRP\u6295\u4e0e\u306f\u63a8\u5968\u3057\u306a\u3044<\/strong>\u3068\u660e\u8a18\u3057\u3066\u3044\u308b\uff08\u7814\u7a76\u306e\u8cea\u30fb\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u4e0d\u8db3\uff09\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">\u7cfb\u7d71\u7684\u8a55\u4fa1\uff08Cochrane 2024\uff09<\/h4>\n\n\n\n<p>Cochrane\u306f\u3001\u5b50\u5bae\u5185PRP\u306e\u52b9\u679c\u306b\u3064\u3044\u3066<strong>\u4e0d\u78ba\u5b9f<\/strong>\u3068\u3057\u3001\u307b\u3068\u3093\u3069\u306e\u30a2\u30a6\u30c8\u30ab\u30e0\u3067\u78ba\u5b9f\u6027\u304c\u4f4e\u3044\u3068\u8a55\u4fa1\u3057\u305f\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">6) \u30ea\u30b9\u30af\u30fb\u7981\u5fcc\u30fb\u6ce8\u610f<\/h3>\n\n\n\n<p>\u8584\u3044\u5185\u819c\u3068\u540c\u69d8\u306b\u3001\u5b50\u5bae\u5185\u64cd\u4f5c\u306b\u4f34\u3046\u611f\u67d3\u30fb\u51fa\u8840\u306a\u3069\u306b\u52a0\u3048\u3001RIF\u3067\u306f\u4ecb\u5165\u304c\u91cd\u306a\u308a\u304c\u3061\u3067\u3042\u308b\u3002<br><strong>\u60a3\u8005\u8aac\u660e\u3067\u306f\u300c\u63a8\u5968\u3055\u308c\u306a\u3044add-on\u3067\u3042\u308b\u300d\u3053\u3068\u3001\u52b9\u679c\u304c\u4e0d\u78ba\u5b9f\u3067\u3042\u308b\u3053\u3068\u3001\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u304c\u5341\u5206\u3067\u306a\u3044\u3053\u3068<\/strong>\u3092\u660e\u78ba\u306b\u3057\u3001\u540c\u610f\u53d6\u5f97\u306e\u8cea\u3092\u4e0a\u3052\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">A3. \u53cd\u5fa9\u6d41\u7523\uff08RPL\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u4f4d\u7f6e\u3065\u3051<\/h3>\n\n\n\n<p>RPL\u306b\u5bfe\u3059\u308bPRP\u306f\u3001\u5831\u544a\u304c\u5b58\u5728\u3059\u308b\u3082\u306e\u306e\u3001<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u75c5\u614b\uff08\u67d3\u8272\u4f53\u3001\u89e3\u5256\u3001\u5185\u5206\u6ccc\u3001\u514d\u75ab\u3001\u51dd\u56fa\u3001\u6162\u6027\u708e\u75c7\uff09\u306e\u7570\u8cea\u6027\u304c\u5927\u304d\u3044<\/li>\n\n\n\n<li>PRP\u306e\u4f5c\u7528\u70b9\u304c\u7279\u5b9a\u3057\u3065\u3089\u3044<\/li>\n\n\n\n<li>\u598a\u5a20\u5f8c\u5b89\u5168\u6027\u3092\u542b\u3080\u30c7\u30fc\u30bf\u304c\u8584\u3044<br>\u3068\u3044\u3046\u7406\u7531\u304b\u3089\u3001\u73fe\u6642\u70b9\u3067\u306f<strong>\u7814\u7a76\u7684\u4ecb\u5165<\/strong>\u306e\u57df\u3092\u51fa\u306b\u304f\u3044\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u7528\u9014\uff08\u5019\u88dc\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6162\u6027\u5b50\u5bae\u5185\u819c\u708e\u3084\u5185\u819c\u83f2\u8584\u3001\u5185\u819c\u74b0\u5883\u4e0d\u826f\u304c\u7591\u308f\u308c\u308b\u4f8b\u3078\u306e\u88dc\u52a9<\/li>\n\n\n\n<li>\u305f\u3060\u3057RPL\u306f\u307e\u305a\u6a19\u6e96\u7684\u8a55\u4fa1\u30fb\u6cbb\u7642\uff08\u539f\u56e0\u691c\u7d22\u3001\u6297\u30ea\u30f3\u8102\u8cea\u6297\u4f53\u3001\u5b50\u5bae\u5f62\u614b\u3001\u5185\u5206\u6ccc\u30fb\u67d3\u8272\u4f53\u306a\u3069\uff09\u304c\u512a\u5148\u3067\u3042\u308b<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u671f\u5f85\u52b9\u679c\u30fb\u9650\u754c<\/h3>\n\n\n\n<p>\u671f\u5f85\u52b9\u679c\u306f\u201c\u5185\u819c\u306e\u4fee\u5fa9\u3068\u708e\u75c7\u8abf\u6574\u201d\u3060\u304c\u3001\u78ba\u8a3c\u306f\u5f31\u3044\u3002Cochrane\u3067\u3082\u5b89\u5168\u6027\u3092\u542b\u3081\u4e0d\u78ba\u5b9f\u6027\u304c\u5f37\u8abf\u3055\u308c\u3001\u614e\u91cd\u306a\u59ff\u52e2\u304c\u59a5\u5f53\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u30ea\u30b9\u30af<\/h3>\n\n\n\n<p>\u5b50\u5bae\u5185\u6ce8\u5165\u624b\u6280\u306e\u4e00\u822c\u7684\u30ea\u30b9\u30af\u306b\u52a0\u3048\u3001\u598a\u5a20\u6210\u7acb\u5f8c\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u4e0d\u78ba\u5b9f\u6027\u304c\u6700\u5927\u306e\u8ad6\u70b9\u3068\u306a\u308b\uff08\u60a3\u8005\u8aac\u660e\u306e\u8981\u70b9\uff09\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">A4. \u5b50\u5bae\u5185\u7652\u7740\uff0fAsherman\u3001\u8853\u5f8c\u88dc\u52a9<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u75c5\u614b\u30fb\u80cc\u666f<\/h3>\n\n\n\n<p>\u5b50\u5bae\u5185\u7652\u7740\u306f\u5b50\u5bae\u5185\u819c\u306e\u57fa\u5e95\u5c64\u969c\u5bb3\u304c\u95a2\u4e0e\u3057\u3001\u624b\u8853\uff08\u7652\u7740\u5265\u96e2\uff09\u5f8c\u3082\u518d\u7652\u7740\u304c\u8ab2\u984c\u306b\u306a\u308b\u3002PRP\u306f\u201c\u5275\u50b7\u6cbb\u7652\u30fb\u518d\u751f\u4fc3\u9032\u201d\u306e\u6587\u8108\u3067\u691c\u8a0e\u3055\u308c\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u7528\u9014\uff08\u5019\u88dc\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7652\u7740\u5265\u96e2\u8853\u5f8c\u306e\u5185\u819c\u4fee\u5fa9\u88dc\u52a9<\/li>\n\n\n\n<li>\u305f\u3060\u3057\u3001\u8853\u5f8c\u7ba1\u7406\uff08IUD\/\u30d0\u30eb\u30fc\u30f3\u3001\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u3001\u611f\u67d3\u4e88\u9632\u3001\u518d\u8a55\u4fa1\uff09\u3068\u30bb\u30c3\u30c8\u3067\u8003\u3048\u308b\u3079\u304d\u3067\u3001PRP\u5358\u72ec\u3067\u306e\u4f4d\u7f6e\u3065\u3051\u306f\u56f0\u96e3\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u9650\u754c<\/h3>\n\n\n\n<p>\u5a66\u4eba\u79d1\u9818\u57df\u3067\u306f\u5831\u544a\u304c\u5897\u3048\u3064\u3064\u3042\u308b\u4e00\u65b9\u3001\u6a19\u6e96\u5316\u3055\u308c\u305f\u624b\u6280\u30fb\u8a55\u4fa1\u30fb\u9577\u671f\u6210\u7e3e\u304c\u5341\u5206\u3068\u306f\u8a00\u3044\u96e3\u3044\u3002ART add-on \u3068\u540c\u69d8\u3001<strong>\u5341\u5206\u306a\u8cea\u306e\u7814\u7a76\u3092\u524d\u63d0<\/strong>\u3068\u3057\u305f\u5c0e\u5165\u304c\u671b\u307e\u3057\u3044\uff08\u63d0\u4f9b\u8a08\u753b\u306e\u8a2d\u8a08\u3067\u201c\u7814\u7a76\u7684\u8981\u7d20\u201d\u3092\u660e\u78ba\u5316\u3059\u308b\uff09\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">B. \u5375\u5de3\u6a5f\u80fd\u4f4e\u4e0b\u30fb\u5375\u5de3\u5185\u6295\u4e0e\uff08ovarian \u201crejuvenation\u201d\uff09<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">B1. POR\/DOR\/POI\u306b\u5bfe\u3059\u308b\u5375\u5de3\u5185PRP<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u4f4d\u7f6e\u3065\u3051\uff1a\u671f\u5f85\u304c\u5148\u884c\u3057\u3084\u3059\u3044\u9818\u57df<\/h3>\n\n\n\n<p>\u5375\u5de3\u5185PRP\u306f\u300c\u5375\u5de3\u6a5f\u80fd\u3092\u56de\u5fa9\u3055\u305b\u308b\u300d\u30a4\u30e1\u30fc\u30b8\u3067\u8a9e\u3089\u308c\u304c\u3061\u3060\u304c\u3001\u73fe\u5b9f\u306b\u306f<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201c\u5375\u5de3\u4e88\u5099\u80fd\u304c\u5897\u3048\u308b\u201d\u3068\u3044\u3046\u5f37\u3044\u8a3c\u62e0\u306f\u9650\u5b9a\u7684<\/li>\n\n\n\n<li>\u63a1\u5375\u6570\u304c\u5897\u3048\u3066\u3082\u80da\u8cea\u30fb\u51fa\u751f\u7387\u306b\u7d50\u3073\u3064\u304f\u304b\u4e0d\u660e<br>\u3068\u3044\u3046\u70b9\u304c\u6700\u5927\u306e\u8ad6\u70b9\u3067\u3042\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<p>ESHRE add-ons \u306f\u3001<strong>\u5375\u5de3\u5185PRP\u306f\u63a8\u5968\u3057\u306a\u3044<\/strong>\u3068\u660e\u78ba\u306b\u8a18\u8f09\u3057\u3066\u3044\u308b\uff08RCT\u4e0d\u8db3\u30fb\u5b89\u5168\u6027\u30c7\u30fc\u30bf\u9650\u5b9a\uff09\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u7528\u9014\uff08\u5019\u88dc\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>POR\uff08poor ovarian response\uff09\u3001DOR\uff08diminished ovarian reserve\uff09<\/li>\n\n\n\n<li>POI\uff08premature ovarian insufficiency\uff09<br>\u305f\u3060\u3057\u3001\u9069\u5fdc\u8a2d\u5b9a\u305d\u306e\u3082\u306e\u304c\u96e3\u3057\u304f\u3001\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\u304c\u5fc5\u9808\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<p>Cochrane\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001\u5375\u5de3\u5185PRP\u306eRCT\u306f\u6975\u3081\u3066\u9650\u3089\u308c\u3001\u52b9\u679c\u306f\u4e0d\u78ba\u5b9f\u3068\u3055\u308c\u308b\u3002<br>\u4e00\u65b9\u3001\u8fd1\u5e74\u306e\u7814\u7a76\u3068\u3057\u3066\u3001POR\u306b\u5bfe\u3057\u3066\u300c\u63a1\u5375\u6570\u306f\u5897\u3048\u5f97\u308b\u304c\u80da\u76e4\u80de\u306e\u8cea\u306f\u6539\u5584\u3057\u306a\u3044\u300d\u3068\u3044\u3063\u305f\u7d50\u8ad6\u306e\u5831\u544a\u3082\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u30ea\u30b9\u30af\u30fb\u6ce8\u610f<\/h3>\n\n\n\n<p>\u5375\u5de3\u306f\u8840\u6d41\u8c4a\u5bcc\u3067\u3042\u308a\u3001**\u51fa\u8840\u30fb\u8840\u816b\u30fb\u611f\u67d3\uff08\u81bf\u760d\uff09**\u306f\u91cd\u5927\u3002\u3055\u3089\u306b\u7d4c\u815f\u7a7f\u523a\u3092\u4f34\u3046\u5834\u5408\u3001\u6297\u83cc\u85ac\u3084\u7121\u83cc\u64cd\u4f5c\u3001\u8853\u5f8c\u30d5\u30a9\u30ed\u30fc\u306f\u5fc5\u9808\u3067\u3042\u308b\u3002CPC\u59d4\u8a17\u88fd\u9020\u3067\u3042\u3063\u3066\u3082\u3001<strong>\u88fd\u5264\u304c\u7121\u83cc\u3067\u3042\u308b\u3053\u3068<\/strong>\u3060\u3051\u3067\u306f\u5b89\u5168\u6027\u306f\u62c5\u4fdd\u3055\u308c\u305a\u3001\u624b\u6280\u5074\u306e\u611f\u67d3\u5236\u5fa1\u304c\u6c7a\u5b9a\u7684\u3068\u306a\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">C. \u66f4\u5e74\u671f\u6ccc\u5c3f\u751f\u6b96\u5668\u75c7\u5019\u7fa4\uff08GSM\/VVA\uff09\u30fb\u6027\u6a5f\u80fd\u969c\u5bb3<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">C1. GSM\/VVA\uff08\u815f\u4e7e\u71e5\u3001\u6027\u4ea4\u75db\u3001\u707c\u71b1\u611f\u3001\u518d\u767a\u6027\u708e\u75c7\u69d8\u75c7\u72b6\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u80cc\u666f\u3068\u81e8\u5e8a\u30cb\u30fc\u30ba<\/h3>\n\n\n\n<p>GSM\u306f\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4f4e\u4e0b\u306b\u4f34\u3046\u815f\u30fb\u5916\u9670\u30fb\u5c3f\u8def\u75c7\u72b6\u306e\u7dcf\u79f0\u3067\u3001\u5c40\u6240\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u304c\u6a19\u6e96\u7684\u306b\u7528\u3044\u3089\u308c\u308b\u3002\u4e00\u65b9\u3001\u4e73\u764c\u30b5\u30d0\u30a4\u30d0\u30fc\u3084AI\u4f7f\u7528\u306a\u3069\u3067\u30db\u30eb\u30e2\u30f3\u7642\u6cd5\u304c\u56f0\u96e3\u306a\u96c6\u56e3\u3067\u306f\u3001\u975e\u30db\u30eb\u30e2\u30f3\u4ecb\u5165\u306e\u30cb\u30fc\u30ba\u304c\u9ad8\u3044\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) PRP\u306e\u7528\u9014\u3068\u6295\u4e0e\u6cd5\uff08\u5831\u544a\u306e\u6982\u89b3\uff09<\/h3>\n\n\n\n<p>GSM\u9818\u57df\u306ePRP\u306f\u3001\u815f\u58c1\u3084\u5f8c\u4ea4\u9023\u306a\u3069\u3078\u306e\u591a\u70b9\u6ce8\u5c04\u3068\u3057\u3066\u5831\u544a\u3055\u308c\u308b\u3002\u4e73\u764c\u30b5\u30d0\u30a4\u30d0\u30fc\u3092\u5bfe\u8c61\u3068\u3057\u305f\u8a66\u9a13\u3067\u306f\u3001\u815f\u7ba1\u301c\u5f8c\u4ea4\u9023\u306b\u5e83\u304f\u6ce8\u5165\u3057\u3001\u75c7\u72b6\u30b9\u30b3\u30a2\u3084\u6027\u6a5f\u80fd\u3001\u5c3f\u8def\u75c7\u72b6\u306e\u5909\u5316\u3092\u8a55\u4fa1\u3057\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u73fe\u72b6<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5358\u7fa4\u30d1\u30a4\u30ed\u30c3\u30c8\u8a66\u9a13\u3067\u5b89\u5168\u6027\u30fb\u5b9f\u884c\u53ef\u80fd\u6027\u304c\u793a\u3055\u308c\u3001\u75c7\u72b6\u3084\u6027\u6a5f\u80fd\u306e\u6539\u5584\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u4e00\u65b9\u3001<\/li>\n\n\n\n<li>RCT\u3084\u6bd4\u8f03\u8a66\u9a13\u306e\u84c4\u7a4d\u306f\u307e\u3060\u9650\u5b9a\u7684\u3067\u3042\u308a\u3001\u6a19\u6e96\u6cbb\u7642\u306e\u4ee3\u66ff\u3068\u3057\u3066\u4e00\u822c\u5316\u3059\u308b\u306b\u306f\u4e0d\u8db3\u304c\u3042\u308b\uff08\u3068\u304f\u306b\u9577\u671f\u5b89\u5168\u6027\uff09\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u30ea\u30b9\u30af\u30fb\u7981\u5fcc\u30fb\u6ce8\u610f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c40\u6240\uff1a\u75bc\u75db\u3001\u51fa\u8840\u3001\u8840\u816b\u3001\u611f\u67d3\u3001\u8ff7\u8d70\u795e\u7d4c\u53cd\u5c04<\/li>\n\n\n\n<li>\u6027\u611f\u67d3\u75c7\u3084\u7d30\u83cc\u6027\u815f\u75c7\u3001\u30ab\u30f3\u30b8\u30c0\u306a\u3069\u6d3b\u52d5\u6027\u708e\u75c7\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u306f\u3001\u307e\u305a\u6cbb\u7642\u3068\u9670\u6027\u5316\u78ba\u8a8d\u304c\u512a\u5148<\/li>\n\n\n\n<li>\u514d\u75ab\u6291\u5236\u72b6\u614b\u3067\u306f\u611f\u67d3\u30ea\u30b9\u30af\u3092\u3088\u308a\u614e\u91cd\u306b\u8a55\u4fa1<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">D. \u5c3f\u5931\u7981\u30fb\u9aa8\u76e4\u5e95<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">D1. \u8179\u5727\u6027\u5c3f\u5931\u7981\uff08SUI\uff09\u306b\u5bfe\u3059\u308b\u5c3f\u9053\u5468\u56f2\/\u62ec\u7d04\u7b4bPRP<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u80cc\u666f<\/h3>\n\n\n\n<p>SUI\u306f\u9aa8\u76e4\u5e95\u652f\u6301\u306e\u7834\u7dbb\u30fb\u5c3f\u9053\u62ec\u7d04\u6a5f\u80fd\u4f4e\u4e0b\u304c\u95a2\u4e0e\u3057\u3001PFMT\u3001\u624b\u8853\uff08TOT\/TVT\u7b49\uff09\u3001\u5c3f\u9053\u6ce8\u5165\u6750\u306a\u3069\u591a\u69d8\u306a\u6cbb\u7642\u304c\u3042\u308b\u3002PRP\u306f\u201c\u7d44\u7e54\u4fee\u5fa9\u30fb\u62ec\u7d04\u6a5f\u80fd\u6539\u5584\u201d\u306e\u88dc\u5b8c\u7642\u6cd5\u3068\u3057\u3066\u7814\u7a76\u304c\u9032\u3080\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u30a8\u30d3\u30c7\u30f3\u30b9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5468\u56f2\u5c3f\u9053PRP\u6ce8\u5c04\u306eRCT<\/strong>\u3067\u3001\u30b7\u30e3\u30e0\u6ce8\u5c04\u3088\u308a\u75c7\u72b6\u6539\u5584\u304c\u512a\u308c\u3066\u3044\u305f\u3068\u3059\u308b\u5831\u544a\u304c\u3042\u308b\u3002<\/li>\n\n\n\n<li>\u3055\u3089\u306b\u3001\u5c40\u6240\u6ce8\u5c04\u306e\u524d\u5411\u304d\u7814\u7a76\u3084\u4e2d\u671f\u8ffd\u8de1\u3067\u6539\u5584\u3092\u793a\u3059\u5831\u544a\u304c\u3042\u308b\u3002<\/li>\n\n\n\n<li>A-PRP\u3068PFMT\u4f75\u7528\u304c\u6cbb\u7642\u30aa\u30d7\u30b7\u30e7\u30f3\u306b\u306a\u308a\u5f97\u308b\u3001\u305f\u3060\u3057\u5927\u898f\u6a21\u7b2cIII\u76f8\u304c\u5fc5\u8981\u3068\u3044\u3046\u898b\u89e3\u3082\u793a\u3055\u308c\u308b\u3002<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">3) \u671f\u5f85\u52b9\u679c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ICIQ-SF\u3001UDI-6\u3001IIQ-7\u306a\u3069\u60a3\u8005\u5831\u544a\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u6539\u5584<\/li>\n\n\n\n<li>\u4e00\u90e8\u3067\u52b9\u679c\u6301\u7d9a\u304c\u793a\u5506\u3055\u308c\u308b\u304c\u3001\u6295\u4e0e\u56de\u6570\u30fb\u6700\u9069\u6ce8\u5165\u90e8\u4f4d\u30fb\u9069\u5fdc\u306e\u7cbe\u5bc6\u5316\u306f\u672a\u78ba\u7acb<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">4) \u30ea\u30b9\u30af\u30fb\u7981\u5fcc<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5c3f\u9053\u5468\u56f2\u6295\u4e0e\uff1a\u8840\u816b\u3001\u611f\u67d3\u3001\u75bc\u75db\u3001\u6392\u5c3f\u56f0\u96e3<\/li>\n\n\n\n<li>\u6297\u51dd\u56fa\/\u6297\u8840\u5c0f\u677f\u85ac\u3001\u51fa\u8840\u50be\u5411\u3001\u5c3f\u8def\u611f\u67d3\u306f\u8981\u6ce8\u610f<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">E. \u5916\u9670\u75be\u60a3<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">E1. \u5916\u9670\u786c\u5316\u6027\u82d4\u766c\uff08VLS\uff09\u306a\u3069<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1) \u4f4d\u7f6e\u3065\u3051<\/h3>\n\n\n\n<p>\u5916\u9670\u786c\u5316\u6027\u82d4\u766c\u306f\u7b2c\u4e00\u9078\u629e\u304c\u5f37\u529b\u30b9\u30c6\u30ed\u30a4\u30c9\u5916\u7528\u3067\u3042\u308a\u3001PRP\u306f\u4e3b\u3068\u3057\u3066<strong>\u96e3\u6cbb\u4f8b\u30fb\u88dc\u5b8c\u7642\u6cd5<\/strong>\u3068\u3057\u3066\u5831\u544a\u3055\u308c\u308b\u9818\u57df\u3067\u3042\u308b\u3002\u5a66\u4eba\u79d1\u3067\u306e\u6a19\u6e96\u6cbb\u7642\u306e\u4ee3\u66ff\u3068\u3057\u3066\u3067\u306f\u306a\u304f\u3001\u7814\u7a76\u7684\u306b\u4f4d\u7f6e\u3065\u3051\u308b\u306e\u304c\u5b89\u5168\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2) \u6ce8\u610f\u70b9<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u75c5\u5909\u8a55\u4fa1\uff08\u60aa\u6027\u5316\/\u4e0a\u76ae\u5185\u75c5\u5909\u9664\u5916\uff09\u304c\u6700\u512a\u5148<\/li>\n\n\n\n<li>PRP\u4ecb\u5165\u3092\u884c\u3046\u5834\u5408\u3067\u3082\u3001\u6a19\u6e96\u6cbb\u7642\uff08\u30b9\u30c6\u30ed\u30a4\u30c9\uff09\u3092\u3069\u3046\u4f4d\u7f6e\u3065\u3051\u308b\u304b\u3001\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u4e0a\u660e\u78ba\u5316\u304c\u5fc5\u8981<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\">F. \u5468\u8853\u671f\u30fb\u5275\u50b7\u6cbb\u7652\uff08\u4f1a\u9670\u30fb\u815f\u624b\u8853\u30fb\u7622\u75d5\u306a\u3069\uff09<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">F1. \u4f1a\u9670\u88c2\u50b7\/\u4f1a\u9670\u5207\u958b\u5f8c\u3001\u815f\u624b\u8853\u5f8c\u3001\u5e1d\u738b\u5207\u958b\u7622\u75d5<\/h2>\n\n\n\n<p>\u5275\u50b7\u6cbb\u7652\u88dc\u52a9\u3068\u3057\u3066PRP\u304c\u63d0\u6848\u3055\u308c\u308b\u3053\u3068\u306f\u3042\u308b\u304c\u3001\u5a66\u4eba\u79d1\u624b\u8853\u9818\u57df\u3067\u306f\u9069\u5fdc\u3068\u30c7\u30fc\u30bf\u306e\u8cea\u304c\u307e\u3060\u4e00\u5b9a\u3057\u306a\u3044\u3002<br><strong>\u5c0e\u5165\u3059\u308b\u5834\u5408\u306f\u3001\u9069\u5fdc\u3092\u53b3\u683c\u306b\u7d5e\u308a\u3001\u8a55\u4fa1\u6307\u6a19\uff08\u75bc\u75db\u3001\u6cbb\u7652\u65e5\u6570\u3001\u611f\u67d3\u7387\u3001\u7622\u75d5\u8a55\u4fa1\uff09\u3092\u4e8b\u524d\u306b\u898f\u5b9a\u3057\u305f\u3046\u3048\u3067\u7814\u7a76\u7684\u306b\u5b9f\u88c5<\/strong>\u3059\u308b\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">6. \u5b89\u5168\u6027\u30fb\u30ea\u30b9\u30af\u7ba1\u7406\uff08CPC\u59d4\u8a17\u88fd\u9020\u3092\u542b\u3080\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">6.1 \u6709\u5bb3\u4e8b\u8c61\uff1a\u5c40\u6240\u624b\u6280\u3068\u3057\u3066\u306e\u30ea\u30b9\u30af<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u611f\u67d3\uff08\u5c40\u6240\u301c\u83cc\u8840\u75c7\uff09\u3001\u8840\u816b\u3001\u75bc\u75db\u3001\u8ff7\u8d70\u795e\u7d4c\u53cd\u5c04<\/li>\n\n\n\n<li>\u815f\u30fb\u5b50\u5bae\u5185\u30fb\u5c3f\u9053\u5468\u56f2\u306a\u3069\u201c\u7c98\u819c\/\u7121\u83cc\u8154\u201d\u306b\u4ecb\u5165\u3059\u308b\u305f\u3081\u3001<strong>\u611f\u67d3\u5236\u5fa1\u304c\u6700\u91cd\u8981<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.2 \u8840\u6db2\u7531\u6765\u88fd\u5264\u3068\u3057\u3066\u306e\u56fa\u6709\u30ea\u30b9\u30af<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u53d6\u308a\u9055\u3048\uff08\u540c\u4e00\u6027\u5d29\u58ca\uff09<\/li>\n\n\n\n<li>\u4ea4\u5dee\u6c5a\u67d3\uff08\u30aa\u30fc\u30d7\u30f3\u64cd\u4f5c\u3001\u5668\u6750\u518d\u4f7f\u7528\u3001\u74b0\u5883\u4e0d\u5099\uff09<\/li>\n\n\n\n<li>\u8868\u793a\/\u30ed\u30c3\u30c8\/\u8a18\u9332\u4e0d\u5099\u306b\u3088\u308b\u8ffd\u8de1\u4e0d\u80fd<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.3 CPC\u59d4\u8a17\u88fd\u9020\u7279\u6709\u306e\u30ea\u30b9\u30af\u3068\u5bfe\u7b56<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u642c\u9001\u9045\u5ef6\u3001\u6e29\u5ea6\u9038\u8131 \u2192 \u6e29\u5ea6\u30ed\u30b0\u3001\u53d7\u9818\u5224\u5b9a\u57fa\u6e96<\/li>\n\n\n\n<li>\u30ed\u30c3\u30c8\u53d6\u308a\u9055\u3048 \u2192 \u4e8c\u91cd\u7167\u5408\u3001\u30d0\u30fc\u30b3\u30fc\u30c9\u3001\u5c01\u5370<\/li>\n\n\n\n<li>\u9038\u8131\u304c\u8d77\u304d\u305f\u6642\u306e\u6295\u4e0e\u53ef\u5426 \u2192 \u4e8b\u524d\u53d6\u308a\u6c7a\u3081\uff08Quality Agreement\uff09\u3068CAPA<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">6.4 \u598a\u5a20\u6210\u7acb\u5f8c\u306e\u30a2\u30a6\u30c8\u30ab\u30e0<\/h3>\n\n\n\n<p>ART\u9818\u57df\u3067\u306f\u3001Cochrane\u30ec\u30d3\u30e5\u30fc\u3067 <strong>\u65e9\u7523\u30ea\u30b9\u30af\u5897\u52a0\u306e\u53ef\u80fd\u6027<\/strong>\u304c\u793a\u5506\u3055\u308c\u305f\u5831\u544a\u304c\u3042\u308b\u305f\u3081\u3001\u598a\u5a20\u5f8c\u5b89\u5168\u6027\u306e\u8aac\u660e\u3068\u8ffd\u8de1\u306f\u4e0d\u53ef\u6b20\u3002<br>\u73fe\u6642\u70b9\u3067\u306f\u300c\u5b89\u5168\u300d\u3068\u8a00\u3044\u5207\u308b\u6839\u62e0\u304c\u5341\u5206\u3067\u306a\u3044\u305f\u3081\u3001\u63d0\u4f9b\u8a08\u753b\u4e0a\u3082\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u8a2d\u8a08\u3092\u539a\u304f\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">7. \u5b9f\u88c5\u306e\u305f\u3081\u306e\u6a19\u6e96\u5316\uff08\u4ed8\u9332\uff1a\u30c9\u30e9\u30d5\u30c8\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u4ed8\u93321\uff1aCPC\u59d4\u8a17\u5951\u7d04\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\uff08\u8981\u70b9\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u59d4\u8a17\u7bc4\u56f2\uff08\u63a1\u8840\u5f8c\u306e\u5168\u5de5\u7a0b\u304b\u3001\u63a1\u8840\u30ad\u30c3\u30c8\u4f9b\u7d66\u3092\u542b\u3080\u304b\uff09<\/li>\n\n\n\n<li>\u898f\u683c\uff08platelet dose\u3001WBC\/RBC\u3001\u6d3b\u6027\u5316\u3001\u6700\u7d42\u5bb9\u91cf\u3001\u5916\u89b3\uff09<\/li>\n\n\n\n<li>COA\u63d0\u4f9b\u3001\u6e29\u5ea6\u30ed\u30b0\u3001\u30ed\u30c3\u30c8\u60c5\u5831<\/li>\n\n\n\n<li>\u9038\u8131\/\u5909\u66f4\u7ba1\u7406\u3001CAPA\u3001\u76e3\u67fb\u6a29\u9650<\/li>\n\n\n\n<li>\u6709\u5bb3\u4e8b\u8c61\u6642\u306e\u60c5\u5831\u9023\u643a\uff0824\u6642\u9593\u4f53\u5236\uff09<\/li>\n\n\n\n<li>\u8a18\u9332\u4fdd\u5b58\u3068\u30a2\u30af\u30bb\u30b9\u6a29\uff08\u63d0\u4f9b\u6a5f\u95a2\u306e\u4fdd\u5b58\u7fa9\u52d9\u3068\u6574\u5408\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4ed8\u93322\uff1a\u53d7\u9818\u30fb\u4fdd\u7ba1\u30fb\u6295\u4e0e\u6642\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8\uff08\u4f8b\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u60a3\u8005ID\u4e8c\u91cd\u7167\u5408\uff08\u6c0f\u540d\uff0b\u751f\u5e74\u6708\u65e5\u7b49\uff09<\/li>\n\n\n\n<li>\u30ed\u30c3\u30c8\u756a\u53f7\u30fb\u6709\u52b9\u671f\u9650\u30fb\u6e29\u5ea6\u30ed\u30b0\u78ba\u8a8d<\/li>\n\n\n\n<li>\u5916\u89b3\uff08\u51dd\u96c6\u3001\u6eb6\u8840\uff09<\/li>\n\n\n\n<li>\u6295\u4e0e\u76f4\u524d\u306e\u611f\u67d3\u5fb4\u5019\u78ba\u8a8d<\/li>\n\n\n\n<li>\u6295\u4e0e\u8a18\u9332\uff08\u90e8\u4f4d\u3001\u56de\u6570\u3001\u4f7f\u7528\u91cf\u3001\u5408\u4f75\u75c7\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4ed8\u93323\uff1a\u60a3\u8005\u8aac\u660e\u30fb\u540c\u610f\u66f8\uff08\u9aa8\u5b50\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u76ee\u7684\uff1a\u6a19\u6e96\u6cbb\u7642\u306e\u88dc\u52a9\uff08add-on\/\u88dc\u5b8c\u7642\u6cd5\uff09\u3067\u3042\u308b\u3053\u3068<\/li>\n\n\n\n<li>\u30a8\u30d3\u30c7\u30f3\u30b9\uff1a\u52b9\u679c\u304c\u4e0d\u78ba\u5b9f\u3001\u63a8\u5968\u3055\u308c\u306a\u3044\u9818\u57df\u304c\u3042\u308b\u3053\u3068\uff08\u7279\u306bART\uff09<\/li>\n\n\n\n<li>\u4ee3\u66ff\u7642\u6cd5\uff1a\u6a19\u6e96\u6cbb\u7642\u306e\u9078\u629e\u80a2<\/li>\n\n\n\n<li>\u30ea\u30b9\u30af\uff1a\u611f\u67d3\u3001\u51fa\u8840\u3001\u75bc\u75db\u3001\u53d6\u308a\u9055\u3048\u7b49<\/li>\n\n\n\n<li>\u598a\u5a20\u5f8c\uff1a\u5468\u7523\u671f\u30a2\u30a6\u30c8\u30ab\u30e0\u304c\u5341\u5206\u306b\u78ba\u7acb\u3057\u3066\u3044\u306a\u3044\u3053\u3068\uff08\u65e9\u7523\u306e\u53ef\u80fd\u6027\u306a\u3069\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u4ed8\u93324\uff1a\u9038\u8131\/\u6709\u5bb3\u4e8b\u8c61\u5831\u544a\u30c6\u30f3\u30d7\u30ec<\/h3>\n\n\n\n<p>\u539a\u52b4\u7701\u69d8\u5f0f\uff08\u91cd\u5927\u4e8b\u614b\u5831\u544a\u7b49\uff09\u306b\u6cbf\u3063\u305f\u904b\u7528\u3092\u524d\u63d0\u306b\u3001\u9662\u5185\u306e\u4e00\u6b21\u30c6\u30f3\u30d7\u30ec\u3092\u6574\u5099\u3059\u308b\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">8. \u53c2\u8003\u6587\u732e\uff08\u4e3b\u8981\u4e00\u6b21\u60c5\u5831\uff1a\u56fd\u5185\u512a\u5148\uff0b\u56fd\u969b\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u5236\u5ea6\u30fb\u624b\u7d9a\uff08\u65e5\u672c\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u539a\u751f\u52b4\u50cd\u7701\uff1a\u518d\u751f\u533b\u7642\u7b49\u63d0\u4f9b\u8a08\u753b\u306e\u63d0\u51fa\u7b49\uff08\u4fdd\u5b58\u671f\u9593\u542b\u3080\uff09<\/li>\n\n\n\n<li>\u539a\u751f\u52b4\u50cd\u7701\uff1a\u518d\u751f\u533b\u7642\u7b49\u5b89\u5168\u6027\u78ba\u4fdd\u6cd5 \u7533\u8acb\u66f8\u7b49\u69d8\u5f0f\uff08\u91cd\u5927\u4e8b\u614b\u5831\u544a\u66f8\u7b49\uff09<\/li>\n\n\n\n<li>\u539a\u751f\u5c40 \u7591\u7fa9\u5fdc\u7b54\u96c6\uff08\u59d4\u8a17\u88fd\u9020\u30fb\u9662\u5185\u88fd\u9020\u306e\u8003\u3048\u65b9\uff09<a href=\"https:\/\/kouseikyoku.mhlw.go.jp\/tohoku\/iji\/saisei_question.html?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\">Kouseikyoku+1<\/a><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">PRP\u898f\u683c\u5316<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Magalon J, et al. <strong>DEPA classification<\/strong>. <em>BMJ Open Sport Exerc Med.<\/em> 2016;2:e000060. DOI:10.1136\/bmjsem-2015-000060.<\/li>\n\n\n\n<li>DeLong JM, et al. <strong>PAW classification<\/strong>. <em>Arthroscopy.<\/em> 2012.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">ART\uff08\u5b50\u5bae\u5185\/\u5375\u5de3\u5185PRP\uff09<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vaidakis D, et al. <strong>Autologous PRP for assisted reproduction (Cochrane Review)<\/strong>. 2024.<\/li>\n\n\n\n<li>ESHRE. <strong>Good practice recommendations on add-ons in reproductive medicine<\/strong> (PRP not recommended). 2023.<\/li>\n\n\n\n<li>Kusumi M, et al. <em>Reprod Med Biol.<\/em> 2020;19:350\u2013356\uff08\u65e5\u672c \u524d\u5411\u304d\u5358\u7fa4\u81ea\u5df1\u5bfe\u7167\uff09<\/li>\n\n\n\n<li>Enatsu Y, et al. <em>Reprod Med Biol.<\/em> 2021\/2022;21:e12417\uff08\u65e5\u672c \u5f8c\u308d\u5411\u304d\uff09<\/li>\n\n\n\n<li>Barrenetxea G, et al. <em>Hum Reprod.<\/em> 2024\uff08\u5375\u5de3\u5185PRP\uff1a\u63a1\u5375\u6570\u5897\u52a0\u3082\u80da\u76e4\u80de\u8cea\u6539\u5584\u306a\u3057\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u5c3f\u5931\u7981\u30fb\u9aa8\u76e4\u5e95<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Grigoriadis T, et al. <strong>Periurethral PRP vs sham\uff08RCT\uff09<\/strong>. 2024.<\/li>\n\n\n\n<li>Long CY, et al. <em>Sci Rep.<\/em> 2021\uff08SUI\u5c40\u6240\u6ce8\u5c04\u306e\u524d\u5411\u304d\u5831\u544a\uff09<\/li>\n\n\n\n<li>Chiang CH, et al. <em>Front Pharmacol.<\/em> 2022\uff08\u5c3f\u9053\u62ec\u7d04\u7b4bPRP\uff09<\/li>\n\n\n\n<li>Saraluck A, et al. <em>Neurourol Urodyn.<\/em> 2024\uff08A-PRP\uff0bPFMT\uff09<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">GSM\/VVA<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chen AH, et al. <strong>GSM\uff08\u4e73\u764c\u30b5\u30d0\u30a4\u30d0\u30fc\uff09\u5358\u7fa4\u30d1\u30a4\u30ed\u30c3\u30c8<\/strong>. 2025.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"\u2015CPC\uff08\u5916\u90e8\u59d4\u8a17\u88fd\u9020\uff09\u3092\u6a19\u6e96\u3068\u3059\u308b\u533b\u5e2b\u5411\u3051\u6559\u79d1\u66f8\u539f\u7a3f\uff08\u51cd\u7d50\u4e7e\u71e5FD\u306f\u6271\u308f\u306a\u3044\uff09\u2015 \u672c\u7ae0\u306e\u76ee\u7684\u3068\u30b9\u30b3\u30fc\u30d7 \u672c\u7ae0\u306f\u3001PRP\uff08Platelet-Rich Plasma\uff1a\u591a\u8840\u5c0f\u677f\u8840\u6f3f\uff09\u7642\u6cd5\u306e\u5a66\u4eba\u79d1\u5fdc\u7528\u306b\u3064\u3044\u3066\u3001\u533b\u5e2b\u304c\u300c\u5236\u5ea6\u30fb\u88fd [&hellip;]","protected":false},"author":1,"featured_media":1319,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[36],"tags":[],"class_list":["post-1315","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-course"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/rmnw.jp\/wp-content\/uploads\/2026\/01\/AA-02.png?fit=1200%2C800&ssl=1","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/posts\/1315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rmnw.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1315"}],"version-history":[{"count":2,"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/posts\/1315\/revisions"}],"predecessor-version":[{"id":1318,"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/posts\/1315\/revisions\/1318"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rmnw.jp\/index.php?rest_route=\/wp\/v2\/media\/1319"}],"wp:attachment":[{"href":"https:\/\/rmnw.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rmnw.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rmnw.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}