{"id":229,"date":"2020-05-17T17:49:30","date_gmt":"2020-05-17T08:49:30","guid":{"rendered":"http:\/\/imedica.jp\/?p=229"},"modified":"2022-01-26T15:56:06","modified_gmt":"2022-01-26T06:56:06","slug":"%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap","status":"publish","type":"post","link":"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap\/","title":{"rendered":"\u3010Step by Step \u624b\u8853\u624b\u6280\u3011\u6307\u80cc\u6b20\u640d\u306e\u518d\u5efa\u306b\u6709\u7528\u306aDMAP flap"},"content":{"rendered":"<p><span style=\"font-family: Noto Sans Japanese;\"><\/span><\/p>\r\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap\/#Key_Point_Summary\" >Key Point Summary<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap\/#Q_A\" >Q &amp; A<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap\/#Outline\" >Outline<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91%e6%8c%87%e8%83%8c%e6%ac%a0%e6%90%8d%e3%81%ae%e5%86%8d%e5%bb%ba%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aadmap-flap\/#Step_by_Step\" >Step by Step<\/a><\/li><\/ul><\/nav><\/div>\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"Key_Point_Summary\"><\/span><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>Key Point Summary <\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><div class=\"st-mybox st-mybox-class\" style=\"background:#F0F8FF;border-color:#BDBDBD;border-width:0px;border-radius:5px;margin: 25px 0 25px 0;\"><div class=\"st-in-mybox\"><\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u80cc\u5074\u4e2d\u624b\u52d5\u8108\u7a7f\u901a\u679d\u76ae\u5f01: Dorsal Metacarpal Artery Perforator (DMAP) flap<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7b2c2\u301c4\u6307\u9593\u306e\u4e2d\u624b\u9aa8\u9838\u90e8\uff08\u8171\u9593\u7d50\u5408\u306e\u3059\u3050\u9060\u4f4d\uff09\u304b\u3089\u8d77\u3061\u4e0a\u304c\u308b\u7a7f\u901a\u679d\u3092\u830e\u306b\u3057\u305f\u7a7f\u901a\u679d\u76ae\u5f01\u3067\u3042\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5cf6\u3092\u7d04180\u00b0\u56de\u8ee2\u3059\u308b\u3053\u3068\u3067PIP\u95a2\u7bc0\u307e\u3067\u5b89\u5168\u306b\u88ab\u8986\u3067\u304d\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u63a1\u53d6\u90e8\u3092\u7e2b\u7e2e\u5f8c\u306e\u7e26\u65b9\u5411\u306e\u7622\u75d5\u304c\u76ee\u7acb\u3064\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u8853\u524d\u306b\u8aac\u660e\u3057\u3066\u304a\u304f\u3002<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><\/div><\/div> \u00a0<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"Q_A\"><\/span><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>Q &amp; A <\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\r\n<p>&nbsp;<\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><div class=\"st-kaiwa-box kaiwaicon1 clearfix\"><div class=\"st-kaiwa-face\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.29.01\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name\">resident<\/div><\/div><div class=\"st-kaiwa-area\"><div class=\"st-kaiwa-hukidashi\">DMAP flap\u3063\u3066\u3069\u3053\u307e\u3067\u88ab\u8986\u3067\u304d\u308b\u3093\u3067\u3059\u304b\uff1f<\/div><\/div><\/div><\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><div class=\"st-kaiwa-box kaiwaicon2 clearfix\"><div class=\"st-kaiwa-area2\"><div class=\"st-kaiwa-hukidashi2\">PIP\u95a2\u7bc0\u307e\u3067\u88ab\u8986\u3067\u304d\u308b\u3068\u899a\u3048\u3066\u304a\u304f\u3068\u3088\u3044\u3088\u3002<\/div><\/div><div class=\"st-kaiwa-face2\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.28.51\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name2\">medical advisor<\/div><\/div><\/div><\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><div class=\"st-kaiwa-box kaiwaicon1 clearfix\"><div class=\"st-kaiwa-face\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.29.01\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name\">resident<\/div><\/div><div class=\"st-kaiwa-area\"><div class=\"st-kaiwa-hukidashi\">\u3042\u3068\u5c11\u3057\u76ae\u5f01\u3092\u9060\u4f4d\u307e\u3067\u5c4a\u304b\u305b\u305f\u3044\u3068\u304d\u3063\u3066\u3001\u4f55\u304b\u3044\u3044\u65b9\u6cd5\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<\/div><\/div><\/div><\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><div class=\"st-kaiwa-box kaiwaicon2 clearfix\"><div class=\"st-kaiwa-area2\"><div class=\"st-kaiwa-hukidashi2\">\u8853\u524d\u306bDMAP flap\u3067\u88ab\u8986\u53ef\u80fd\u306a\u6b20\u640d\u304b\u3057\u3063\u304b\u308a\u898b\u6975\u3081\u308b\u3053\u3068\u304c\u5927\u4e8b\u3060\u3051\u3069\u3001\u3042\u3068\u6570mm\u3067\u3044\u3044\u304b\u3089\u76ae\u5f01\u3092\u79fb\u52d5\u3055\u305b\u305f\u3044\u6642\u3063\u3066\u3042\u308b\u3088\u306d\u3002\u305d\u306e\u5834\u5408\u306f\u3001\u80cc\u5074\u4e2d\u624b\u52d5\u8108\u3092\u7a7f\u901a\u679d\u5206\u5c90\u90e8\u3088\u308a\u4e2d\u67a2\u5074\u3067\u5207\u96e2\u3057\u3066\u3001\u79fb\u52d5\u8ddd\u96e2\u3092\u304b\u305b\u3050\u65b9\u6cd5\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3088\u3002 <\/div><\/div><div class=\"st-kaiwa-face2\"><img decoding=\"async\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2021\/07\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-07-02-23.28.51\uff082\uff09.jpeg\" width=\"60px\"><div class=\"st-kaiwa-face-name2\">medical advisor<\/div><\/div><\/div> \u00a0<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><img decoding=\"async\" class=\"alignnone size-large wp-image-2401\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9-1024x473.jpg\" alt=\"\" width=\"920\" height=\"425\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9-1024x473.jpg 1024w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9-300x138.jpg 300w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9-768x354.jpg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9-1536x709.jpg 1536w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/Figure-9.jpg 1920w\" sizes=\"(max-width: 920px) 100vw, 920px\" \/><\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u80cc\u5074\u4e2d\u624b\u52d5\u8108\u3092\u7a7f\u901a\u679d\u5206\u5c90\u90e8\u3088\u308a\u4e2d\u67a2\u5074\u3067\u5207\u96e2\u3057\u3066\u3001\u76ae\u5f01\u3092\u672b\u68a2\u5074\u306e\u79fb\u52d5\u8ddd\u96e2\u3092\u78ba\u4fdd\u3059\u308b\u3002<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"Outline\"><\/span><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>Outline <\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u6982\u8981\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u80cc\u5074\u4e2d\u624b\u52d5\u8108\u7a7f\u901a\u679d\u76ae\u5f01: Dorsal Metacarpal Artery Perforator (DMAP) flap<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">DMAP flap\u306f\u7b2c2\u301c4\u6307\u9593\u306e\u4e2d\u624b\u9aa8\u9838\u90e8\uff08\u8171\u9593\u7d50\u5408\u306e\u3059\u3050\u9060\u4f4d\uff09\u304b\u3089\u8d77\u3061\u4e0a\u304c\u308b\u7a7f\u901a\u679d\u3092\u830e\u306b\u3057\u305f\u76ae\u5f01\u3067\u3042\u308a\u3001\u76ae\u5cf6\u3092\u7d04180\u00b0\u56de\u8ee2\u3059\u308b\u3053\u3068\u3067PIP\u95a2\u7bc0\u307e\u3067\u5b89\u5168\u306b\u88ab\u8986\u3067\u304d\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u5468\u56f2\u306e\u8102\u80aa\u3092\u6975\u529b\u6e29\u5b58\u3059\u308b\u3053\u3068\u3067\u9759\u8108\u9084\u6d41\u304c\u5b89\u5b9a\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u89e3\u5256\u3011<\/strong><\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<figure><\/figure>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u306f\u901a\u5e38\u3001\u7b2c2\u301c4\u6307\u9593\u306e\u8171\u9593\u7d50\u5408\u306e\u3059\u3050\u9060\u4f4d\u3001\u3064\u307e\u308a\u4e2d\u624b\u9aa8\u9838\u90e8\u4ed8\u8fd1\u306b\u78ba\u8a8d\u3067\u304d\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u306f\u3053\u306e\u7a7f\u901a\u679d\u3092\u542b\u3093\u3060\u7d21\u9318\u5f62\u306b\u4f5c\u56f3\u3057\u3001\u9060\u4f4d\u306f\u4e2d\u624b\u9aa8\u982d\u3001\u8fd1\u4f4d\u306f\u4f38\u7b4b\u652f\u5e2f\u9060\u4f4d\u3001\u5074\u9762\u306f\u96a3\u63a5\u3057\u305f\u4e2d\u624b\u9aa8\u5916\u5074\u7e01\u304c\u304a\u304a\u3088\u305d\u306e\u751f\u7740\u7bc4\u56f2\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_233\" style=\"width: 745px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-233\" class=\"wp-image-233\" src=\"http:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-16.png\" alt=\"\" width=\"735\" height=\"393\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-16.png 1010w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-16-300x161.png 300w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-16-768x411.png 768w\" sizes=\"(max-width: 735px) 100vw, 735px\" \/><p id=\"caption-attachment-233\" class=\"wp-caption-text\">DMAP flap\u306e\u8840\u7ba1\u89e3\u5256<\/p><\/div>\r\n<\/div>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_234\" style=\"width: 775px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-234\" class=\"wp-image-234\" src=\"http:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-17.png\" alt=\"\" width=\"765\" height=\"720\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-17.png 802w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-17-300x282.png 300w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-17-768x723.png 768w\" sizes=\"(max-width: 765px) 100vw, 765px\" \/><p id=\"caption-attachment-234\" class=\"wp-caption-text\">DMAP flap\u306e\u4f5c\u56f3\u306e\u76ee\u5b89\u3068\u88ab\u8986\u53ef\u80fd\u7bc4\u56f2<\/p><\/div>\r\n<\/div>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u624b\u8853\u9069\u5fdc\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u9069\u5fdc\uff1aPIP\u95a2\u7bc0\u301c\u57fa\u7bc0\u9aa8\u306e\u80cc\u5074\uff08or \u5074\u9762\uff09\u306e\u76ae\u819a\u6b20\u640d<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u9069\u5fdc\u5916\uff1a\u624b\u80cc\u306e\u5727\u632b and\/or \u4e2d\u624b\u9aa8\u9838\u90e8\u9aa8\u6298\u3092\u5408\u4f75\u3059\u308b\u75c7\u4f8b\uff08\u7a7f\u901a\u679d\u3084\u305d\u306e\u4f34\u8d70\u9759\u8108\u304c\u640d\u50b7\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\uff09<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u9069\u5fdc\u5916\uff1a\u6b20\u640d\u304c\u611f\u67d3\u5275\u306e\u5834\u5408\uff08\u672c\u76ae\u5f01\u306f\u8840\u6d41\u91cf\u304c\u5c11\u306a\u3044\u76ae\u5f01\u306e\u305f\u3081\u3001\u611f\u67d3\u306b\u3088\u308b\u708e\u75c7\u3067\u5bb9\u6613\u306b\u76ae\u5f01\u8840\u6d41\u969c\u5bb3\u304c\u751f\u3058\u308b\u305f\u3081\uff09<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u8a3a\u5bdf\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u6b20\u640d\u304c\u751f\u3058\u308b\u539f\u56e0\u3068\u306a\u3063\u305f\u5916\u50b7\u6a5f\u8ee2\u3092\u8074\u53d6\u3057\u3001\u7a7f\u901a\u679d\u3084\u305d\u306e\u4f34\u8d70\u9759\u8108\u306e\u640d\u50b7\u306e\u53ef\u80fd\u6027\u304c\u306a\u3044\u304b\u3092\u78ba\u8a8d\u3059\u308b\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u624b\u80cc\u306e\u5727\u632b\u304c\u306a\u3044\u304b\u3001\u632b\u5275\u304c\u6307\u9593\u90e8\u306b\u53ca\u3093\u3067\u3044\u306a\u3044\u304b\u3001\u6307\u30d6\u30ed\u30c3\u30af\u9ebb\u9154\u306e\u969b\u306b\u5185\u51fa\u8840\u3057\u3066\u3044\u306a\u3044\u304b\u3001\u306a\u3069\u3067\u3042\u308b<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u6b20\u640d\u5468\u56f2\u306e\u767a\u8d64\u30fb\u816b\u8139\u306e\u6709\u7121\u3092\u78ba\u8a8d\u3057\u3001\u3042\u308c\u3070\u305d\u308c\u3089\u3092\u6c88\u9759\u5316\u3055\u305b\u3066\u304b\u3089\u306e\u76ae\u5f01\u9589\u5275\u304c\u671b\u307e\u3057\u3044\u3002<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u691c\u67fb\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u8853\u524d\u306e\u7a7f\u901a\u679d\u306e\u78ba\u8a8d\u306f\u5fc5\u305a\u3057\u3082\u5fc5\u8981\u306a\u3044\u304c\u3001\u6163\u308c\u306a\u3044\u3046\u3061\u306f\u30b5\u30a6\u30f3\u30c9\u30c9\u30c3\u30d7\u30e9\u30fc\u3001\u30ab\u30e9\u30fc\u30c9\u30c3\u30d7\u30e9\u30fc\u3067\u306e\u8853\u524d\u30de\u30fc\u30ad\u30f3\u30b0\u3092\u63a8\u5968\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u306f\u5e38\u306b\u5b58\u5728\u3057\u3001\u3082\u3057\u80cc\u5074\u4e2d\u624b\u52d5\u8108\u304c\u6b20\u640d\u3057\u3066\u3044\u305f\u3068\u3057\u3066\u3082\u6df1\u638c\u52d5\u8108\u304b\u3089\u306e\u679d\u304c\u5b58\u5728\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u753b\u50cf\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">Xp\u304c\u6709\u7528\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7279\u306b\u6df1\u90e8\u306e\u9aa8\u6298\uff08\u4e2d\u624b\u9aa8\u9838\u90e8\u9aa8\u6298\u306a\u3069\uff09\u3092\u4f34\u3046\u5834\u5408\u306f\u7a7f\u901a\u679d\u3082\u640d\u50b7\u3055\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u306e\u3067\u9069\u5fdc\u3092\u614e\u91cd\u306b\u5224\u65ad\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u3010<strong>\u60a3\u8005\u8aac\u660e\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u672c\u76ae\u5f01\u3092\u6319\u4e0a\u3059\u308b\u969b\u306b\u306f\u6a48\u9aa8\u52d5\u8108\u6d45\u679d\u3092\u90e8\u5206\u7684\u306b\u640d\u50b7 or \u610f\u56f3\u7684\u306b\u7d50\u7d2e\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u8853\u5f8c\u306e\u611f\u899a\u969c\u5bb3\u306b\u95a2\u3057\u3066\u8853\u524d\u8aac\u660e\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u63a1\u53d6\u90e8\u3092\u7e2b\u7e2e\u5f8c\u306e\u7e26\u65b9\u5411\u306e\u7622\u75d5\u304c\u76ee\u7acb\u3064\u3053\u3068\u304c\u3042\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u3010\u4f53\u4f4d\u30fb\u80a2\u4f4d\u3011<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u4ef0\u81e5\u4f4d\u3001\u624b\u53f0\u3092\u4f7f\u7528\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><span class=\"has-inline-color has-vivid-red-color\">\u99c6\u8840\u5e2f\uff08\u30bf\u30fc\u30cb\u30b1\u30c3\u30c8\uff09<\/span>\u3092\u4f7f\u7528\u3057\u7121\u8840\u91ce\u3067\u306e\u624b\u8853\u3092\u63a8\u5968\u3059\u308b\u3002\u901a\u5e38\u3001\u76ae\u5f01\u79fb\u690d\u524d\uff08\u56de\u8ee2\u524d\uff09\u306b\u99c6\u8840\u5e2f\u3092\u89e3\u9664\u3057\u76ae\u5f01\u8840\u6d41\u3092\u78ba\u8a8d\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><span class=\"has-inline-color has-vivid-red-color\">\u624b\u8853\u7528\u30eb\u30fc\u30da <\/span>or <span class=\"has-inline-color has-vivid-red-color\">\u9855\u5fae\u93e1<\/span>\u4e0b\u306b\u3088\u308b\u624b\u8853\u304c\u671b\u307e\u3057\u3044\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<h4 class=\"st-matome\"><span class=\"ez-toc-section\" id=\"Step_by_Step\"><\/span><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>Step by Step<\/strong><\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 1<\/strong>\u3000<\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u3092\u4f5c\u56f3\u3059\u308b\u3002\u7a7f\u901a\u679d\u306e\u4f4d\u7f6e\u304c\u76ae\u5f01\u56de\u8ee2\u6642\u306e\u30d4\u30dc\u30c3\u30c8\u30dd\u30a4\u30f3\u30c8\u306b\u306a\u308b\u3002\u63d0\u793a\u75c7\u4f8b\u3067\u306f\u76ae\u5f01\u830e\u306e\u90e8\u5206\u3092\u771f\u76ae\u8102\u80aa\u3068\u3057\u3066\u3044\u308b\u304c\u3001\u7a7f\u901a\u679d\u3092\u542b\u3081\u305f\u7d21\u9318\u5f62\u306e\u4f5c\u56f3\u304c\u4e00\u822c\u7684\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u304b\u3089\u6b20\u640d\u9060\u4f4d\u307e\u3067\u306e\u8ddd\u96e2\u3088\u308a\u3082\u7a7f\u901a\u679d\u304b\u3089\u76ae\u5f01\u8fd1\u4f4d\u307e\u3067\u306e\u4f4d\u7f6e\u306f10\u301c20\uff05\u9577\u304f\u306a\u308b\u3088\u3046\u306b\u4f5c\u56f3\u3059\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u3092\u3084\u3084\u9577\u304f\u63a1\u53d6\u3057\u305f\u3044\u5834\u5408\u306f\u3001\u76ae\u5cf6\u3092\u659c\u3081\u306b\u4f5c\u56f3\u3059\u308b\u3002<\/span><\/p>\r\n<div class=\"st-photohu\">\r\n<div id=\"attachment_2393\" style=\"width: 692px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-2393\" class=\"wp-image-2393\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37-682x1024.jpeg\" alt=\"\" width=\"682\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37-682x1024.jpeg 682w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37-200x300.jpeg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37-768x1152.jpeg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37-1024x1536.jpeg 1024w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.43.37.jpeg 1123w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/><p id=\"caption-attachment-2393\" class=\"wp-caption-text\">\u2191\uff1a\u7a7f\u901a\u679d\u306e\u4f4d\u7f6e\u3001\u25b2\uff1a\u4e2d\u624b\u9aa8\u9838\u90e8<\/p><\/div>\r\n<\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n\r\n\r\n<\/span><\/p>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_2395\" style=\"width: 692px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-2395\" class=\"wp-image-2395\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05-682x1024.jpeg\" alt=\"\" width=\"682\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05-682x1024.jpeg 682w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05-200x300.jpeg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05-768x1152.jpeg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05-1024x1536.jpeg 1024w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.45.05.jpeg 1091w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/><p id=\"caption-attachment-2395\" class=\"wp-caption-text\">DMAP flap\u306e\u4f5c\u56f3\u306e\u5b9f\u969b<\/p><\/div>\r\n<\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 2<\/strong>\u3000<\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u3092\u5074\u65b9\u7e01\u3001\u5185\u5074\u307e\u305f\u306f\u5916\u5074\u306e\u3044\u305a\u308c\u3067\u3082\u53ef\u3001\u304b\u3089\u6319\u4e0a\u3059\u308b\u3002\u4f38\u7b4b\u8171\u4e0a\u306e\u8584\u3044\u819c\uff08\u30d1\u30e9\u30c6\u30ce\u30f3\uff09\u4e0a\u306e\u5c64\u3067\u76ae\u5f01\u3092\u6319\u4e0a\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u9759\u8108\u306f\u76ae\u5f01\u306b\u542b\u3081\u308b\u3001\u6a48\u9aa8\u795e\u7d4c\u6d45\u679d\u306f\u6975\u529b\u6e29\u5b58\u3059\u308b\u304c\u76ae\u5f01\u830e\u306b\u8fd1\u3044\u7d30\u3044\u679d\u306f\u7d50\u7d2e\u3001\u30e1\u30b9\u3067\u5207\u96e2\u3057\u3066\u76ae\u5f01\u306b\u542b\u3081\u308b\u3002 <\/span><\/li>\r\n<\/ul>\r\n<p><br \/><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u306f15\u756a\u30e1\u30b9\u3067\u6319\u4e0a\u3057\u3001\u9477\u5b50\u3067\u920d\u7684\u306b\u6458\u307e\u307e\u305a\u3001\u5e38\u306batraumatic\u306a\u6271\u3044\u3092\u5fc3\u304c\u3051\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30d1\u30e9\u30c6\u30ce\u30f3\u3092\u640d\u50b7\u3057\u3066\u4f38\u7b4b\u8171\u304c\u9732\u51fa\u3059\u308b\u3068\u7652\u7740\u306e\u539f\u56e0\u3068\u306a\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u6a48\u9aa8\u795e\u7d4c\u6d45\u679d\u3092\u904e\u5270\u306b\u727d\u5f15\u3057\u305f\u308a\u3001\u9477\u5b50\u3067\u4e0d\u7528\u610f\u306b\u6458\u3080\u3068\u8853\u5f8c\u306e\u795e\u7d4c\u75c7\u72b6\u306e\u8a34\u3048\u304c\u5f37\u304f\u306a\u308b\u3002<\/span><\/p>\r\n<div class=\"st-photohu\">\r\n<div id=\"attachment_2396\" style=\"width: 693px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-2396\" class=\"wp-image-2396\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.44.57-683x1024.jpeg\" alt=\"\" width=\"683\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.44.57-683x1024.jpeg 683w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.44.57-200x300.jpeg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.44.57-768x1152.jpeg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.44.57.jpeg 976w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/><p id=\"caption-attachment-2396\" class=\"wp-caption-text\">\u76ae\u5f01\u306f\u4f38\u7b4b\u8171\u306e\u30d1\u30e9\u30c6\u30ce\u30f3\u4e0a\u3067\u6319\u4e0a\u3059\u308b\uff08\u2191\uff1a\u7a7f\u901a\u679d\uff09<\/p><\/div>\r\n<\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 3<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u306e\u8fd1\u4f4d\u7e01\u3092\u5207\u958b\u3057\u3001\u3055\u3089\u306b\u53cd\u5bfe\u5074\u306e\u5074\u65b9\u7e01\u3082\u5207\u958b\u3057\u3066\u76ae\u5f01\u3092\u9060\u4f4d\u304b\u3089\u6301\u3061\u4e0a\u3052\u308b\u3088\u3046\u306b\u6319\u4e0a\u3057\u3066\u3044\u304f\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u3053\u306e\u969b\u3001\u76ae\u5f01\u9060\u4f4d2\/3\u306f\u7d20\u65e9\u304f\u6319\u4e0a\u3057\u3001\u8171\u9593\u7d50\u5408\u3092\u78ba\u8a8d\u3057\u305f\u3089\u3001\u305d\u306e\u3059\u3050\u9060\u4f4d\u304b\u3089\u7a7f\u901a\u679d\u304c\u8d77\u3061\u3042\u304c\u308b\u306e\u3067\u614e\u91cd\u306b\u6319\u4e0a\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_2397\" style=\"width: 693px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-2397\" class=\"wp-image-2397\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.47.45-683x1024.jpeg\" alt=\"\" width=\"683\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.47.45-683x1024.jpeg 683w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.47.45-200x300.jpeg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.47.45-768x1152.jpeg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.47.45.jpeg 1014w\" sizes=\"(max-width: 683px) 100vw, 683px\" \/><p id=\"caption-attachment-2397\" class=\"wp-caption-text\">\u8171\u9593\u7d50\u5408\uff08\u25b3\uff09\u306e\u3059\u3050\u9060\u4f4d\u306bDMA\uff08\u25b2\uff09\u304b\u3089\u5206\u5c90\u3059\u308b\u7a7f\u901a\u679d\uff08\u2191\uff09\u3092\u78ba\u8a8d\u3067\u304d\u308b<\/p><\/div>\r\n<span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><br \/><br \/><\/span><\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 4<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u5468\u56f2\u306f\u3001\u7dda\u7dad\u6027\u7d22\u72b6\u7269\u306e\u307f\u5207\u96e2\u3057\u3001\u8edf\u90e8\u7d44\u7e54\u306f\u6975\u529b\u6e29\u5b58\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u7a7f\u901a\u679d\u306f\u5468\u56f2\u306e\u8102\u80aa\u3092\u5265\u96e2\u3057\u3066\u5b8c\u5168\u306a\u8840\u7ba1\u830e\u306b\u3059\u308b\u3079\u304d\u3067\u306f\u306a\u3044\u3002\u5468\u56f2\u306e\u8102\u80aa\u7d44\u7e54\u5185\u306b\u76ae\u5f01\u306e\u9759\u8108\u9084\u6d41\u3068\u306a\u308b\u7d30\u3044\u9759\u8108\u3092\u542b\u3093\u3067\u3044\u308b\u305f\u3081\u3067\u3042\u308b\u3002<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 5<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u3092\u7d04180\u00b0\u56de\u8ee2\u3057\u3066\u6b20\u640d\u90e8\u306b\u79fb\u52d5\u3057\u3001\u305d\u306e\u969b\u306b\u76ae\u5f01\u56de\u8ee2\u306e\u59a8\u3052\u3068\u306a\u308b\u7d22\u72b6\u7269\u3092\u5207\u96e2\u3057\u3066\u3044\u304f\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u6b20\u640d\u90e8\u3068\u76ae\u5f01\u63a1\u53d6\u90e8\u306e\u9593\u306f\u76ae\u4e0b\u30c8\u30f3\u30cd\u30eb\u3068\u3057\u3066\u3082\u3088\u3044\u3057\u3001\u76ae\u819a\u5207\u958b\u3057\u3066\u3064\u306a\u3052\u3066\u3082\u3088\u3044\u3002\u524d\u8005\u306e\u307b\u3046\u304c\u8853\u5f8c\u306e\u7622\u75d5\u62d8\u7e2e\u3092\u4e88\u9632\u3067\u304d\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 6<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u304c\u6b20\u640d\u9060\u4f4d\u307e\u3067\u5341\u5206\u306b\u5c4a\u304f\u3053\u3068\u3092\u78ba\u8a8d\u3057\u305f\u3089\u3001\u30c9\u30ca\u30fc\u306e\u771f\u76ae\u7e2b\u5408\u3060\u3051\u7c97\u304f\u304a\u3053\u306a\u3063\u3066\u304a\u304f\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u99c6\u8840\u5e2f\u89e3\u9664\u5f8c\u306f\u7d44\u7e54\u816b\u8139\u306b\u3088\u308a\u76ae\u5f01\u63a1\u53d6\u90e8\u306e\u7e2b\u7e2e\u304c\u3084\u308a\u3065\u3089\u304f\u306a\u308b\u305f\u3081\u3001\u99c6\u8840\u5e2f\u89e3\u9664\u524d\u306b\u76ae\u5f01\u63a1\u53d6\u90e8\u3092\u3042\u308b\u7a0b\u5ea6\u9589\u5275\u3057\u3066\u304a\u304f\u3068\u3088\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 7<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u99c6\u8840\u5e2f\u3092\u89e3\u9664\u3057\u3066\u76ae\u5f01\u306b\u8840\u6db2\u304c\u6d41\u5165\u3059\u308b\u306e\u3092\u5f85\u3064\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u9060\u4f4d\u307e\u3067\u8840\u6db2\u304c\u5341\u5206\u306b\u6d41\u5165\u3057\u8840\u884c\u304c\u5b89\u5b9a\u3059\u308b\u307e\u306710\u301c15\u5206\u307b\u3069\u304b\u304b\u308b\u3002\u3053\u306e\u9593\u306b\u76ae\u5f01\u63a1\u53d6\u90e8\u306e\u7e2b\u5408\u3092\u304a\u3053\u306a\u3046\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 8<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u819a\u7e2b\u5408\u3092\u3059\u308b\u3002\u76ae\u4e0b\u30c9\u30ec\u30fc\u30f3\u3092\u7559\u7f6e\u3059\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u8853\u5f8c\u306f\u60a3\u80a2\u6319\u4e0a\u3059\u308b\u306e\u3067\u7e2b\u5408\u5275\u306e\u4e2d\u67a2\u5074\u304b\u3089\u30c9\u30ec\u30ca\u30fc\u30b8\u3055\u308c\u308b\u3088\u3046\u306b\u30c9\u30ec\u30fc\u30f3\u3092\u7559\u7f6e\u3059\u308b\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u76ae\u5f01\u4e0b\u306e\u8840\u816b\u306f\u8853\u5f8c1\u9031\u9593\u3050\u3089\u3044\u3057\u3066\u304b\u3089\u611f\u67d3\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u3001\u3057\u3063\u304b\u308a\u3068\u30c9\u30ec\u30fc\u30f3\u3092\u52b9\u304b\u305b\u308b\u3002\u3053\u306e\u5834\u5408\u306e\u611f\u67d3\u3067\u306f\u76ae\u5f01\u9060\u4f4d\u306e\u816b\u8139\u304c\u5f37\u304f\u306a\u308a\u3001\u8d64\u307f\u30fb\u6c34\u75b1\u304c\u51fa\u73fe\u3059\u308b\u3002\uff09<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_2398\" style=\"width: 692px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-2398\" class=\"wp-image-2398\" src=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05-682x1024.jpeg\" alt=\"\" width=\"682\" height=\"1024\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05-682x1024.jpeg 682w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05-200x300.jpeg 200w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05-768x1152.jpeg 768w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05-1024x1536.jpeg 1024w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/\u30b9\u30af\u30ea\u30fc\u30f3\u30b7\u30e7\u30c3\u30c8-2021-08-30-16.23.05.jpeg 1251w\" sizes=\"(max-width: 682px) 100vw, 682px\" \/><p id=\"caption-attachment-2398\" class=\"wp-caption-text\">\u76ae\u819a\u7e2b\u5408\u3057\u3001\u30c9\u30ec\u30fc\u30f3\u3092\u7559\u7f6e\u3059\u308b<\/p><\/div>\r\n<\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 Step 8<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u6307\u9593\u306b\u3055\u3070\u304d\u30ac\u30fc\u30bc\u3092\u3042\u3066\u304c\u3044\u3001\u3055\u3089\u306b\u624b\u6307\u3092\u4f38\u5c55\u4f4d\u3067\u638c\u5074\u304b\u3089\u30b7\u30fc\u30cd\u5916\u56fa\u5b9a\u3092\u3057\u305f\u3046\u3048\u3067\u3001\u60a3\u80a2\u3092\u6319\u4e0a\u3059\u308b\u3002\u638c\u5074\u304b\u3089\u30b7\u30fc\u30cd\u3092\u3042\u3066\u308b\u306e\u306f\u3001\u30b7\u30fc\u30cd\u3067\u76ae\u5f01\u3092\u5727\u8feb\u3057\u306a\u3044\u305f\u3081\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u624b\u6307\uff08\u7279\u306bMP\u95a2\u7bc0\u3001PIP\u95a2\u7bc0\uff09\u3092\u4f38\u5c55\u4f4d\u306b\u3057\u306a\u3044\u3068\u6307\u306e\u5c48\u66f2\u306e\u5ea6\u306b\u76ae\u5f01\u306b\u7dca\u5f35\u304c\u304b\u304b\u308a\u3001\u76ae\u5f01\u306e\u8840\u884c\u969c\u5bb3\u3001\u5275\u96e2\u958b\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3002<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 \u8853\u5f8c<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u624b\u8853\u5f53\u65e5\uff08\u5e30\u5ba4\u5f8c\uff09\u3001\u60a3\u80a2\u6319\u4e0a\u304c\u9069\u5207\u306b\u3067\u304d\u3066\u3044\u308b\u304b\u3001\u76ae\u5f01\u304c\u5727\u8feb\u3055\u308c\u3066\u3044\u306a\u3044\u304b\u78ba\u8a8d\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30c9\u30ec\u30fc\u30f3\u306f\u8853\u5f8c1\u301c2\u65e5\u3067\u629c\u53bb\u3059\u308b\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u8853\u5f8c1\u9031\u7d4c\u904e\u3057\u3066\u76ae\u5f01\u8840\u884c\u3001\u7e2b\u5408\u90e8\u306b\u554f\u984c\u304c\u306a\u3051\u308c\u3070\u3001\u60a3\u6307\u306eMP\u95a2\u7bc0\u3068PIP\u95a2\u7bc0\u306e\u5c48\u66f2\u3092\u5236\u9650\u4ed8\u304d\u3067\u958b\u59cb\u3057\uff08\u6700\u521d\u306f\u305d\u308c\u305e\u308c30\u00b0\u307e\u3067\u306a\u3069\uff09\u3001\u5f90\u3005\u306b\u5c48\u66f2\u89d2\u5ea6\u3092\u3042\u3052\u3066\u3044\u304f\u3002<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u629c\u7cf8\u306f\u8853\u5f8c10\u301c14\u65e5\u304c\u76ee\u9014\u3067\u3042\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u4f38\u5c55\u4f4d\u306b\u3057\u305f\u307e\u307e\u56fa\u5b9a\u671f\u9593\u304c\u9577\u3044\u3068\u4f38\u7b4b\u8171\u304c\u7652\u7740\u3057\u3001\u4f38\u5c55\u62d8\u7e2e\u3001\u5c48\u66f2\u4e0d\u5168\u3092\u304d\u305f\u3059\u3002<\/span><\/p>\r\n<p><span class=\"checkmark2 on-color\" style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u624b\u80cc\u306e\u76ae\u5f01\u63a1\u53d6\u90e8\u3084\u76ae\u5f01\u5468\u56f2\u306e\u7e2b\u5408\u90e8\u304c\u80a5\u539a\u6027\u7622\u75d5\u5316\u3059\u308b\u5834\u5408\u306f\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u30c6\u30fc\u30d7\uff08\u30a8\u30af\u30e9\u30fc\u30d7\u30e9\u30b9\u30bf\u30fc\uff09\u8cbc\u4ed8\u3092\u958b\u59cb\u3059\u308b\u3002<\/span><\/p>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<div class=\"wp-block-image size-large is-resized st-photohu\">\r\n<div id=\"attachment_243\" style=\"width: 681px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-243\" class=\"wp-image-243\" src=\"http:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-23.png\" alt=\"\" width=\"671\" height=\"506\" srcset=\"https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-23.png 805w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-23-300x226.png 300w, https:\/\/imedica.jp\/wp-content\/uploads\/2020\/05\/image-23-768x579.png 768w\" sizes=\"(max-width: 671px) 100vw, 671px\" \/><p id=\"caption-attachment-243\" class=\"wp-caption-text\">\u8853\u5f8c\u9577\u671f\u7d4c\u904e<\/p><\/div>\r\n<\/div>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n\r\n\r\n<\/span><\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 \u30a2\u30a6\u30c8\u30ab\u30e0\u30fb\u30a8\u30d3\u30c7\u30f3\u30b9<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">Quaba AA, Davison PM. The distally-based dorsal hand flap. Br J Plast Surg.1990;43:28-39.<\/span><br \/><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u672c\u76ae\u5f01\u3092\u6700\u521d\u306b\u5831\u544a\u3057\u305f1990\u5e74\u306eDr. Quaba\u306e\u8ad6\u6587\u3067\u3042\u308b\u300218\u4f8b\u306e\u6b7b\u4f53\u89e3\u5256\u3092\u3082\u3068\u306b\u3001\u5168\u4f8b\u3067\u8171\u9593\u7d50\u5408\u306e\u9060\u4f4d\u304b\u3089\u80cc\u5074\u4e2d\u624b\u9aa8\u52d5\u8108\u304b\u3089\u306e\u7a7f\u901a\u679d\u3092\u78ba\u8a8d\u3057\u305f\u300221\u4f8b\u306e\u81e8\u5e8a\u4f8b\u3092\u5831\u544a\u3057\u3001\u5408\u4f75\u75c7\u306f\u76ae\u5f01\u306e\u90e8\u5206\u58ca\u6b7b1\u4f8b\u3001\u5b8c\u5168\u58ca\u6b7b1\u4f8b\u3067\u3042\u3063\u305f\u3068\u5831\u544a\u3057\u3066\u3044\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">Sebastin SJ, Chong AK, Peng YP, et al: Dorsal metacarpal artery perforator flap for resurfacing soft tissue defects proximal to the fingertip. Plast Reconstr Surg. 2011;128:166r-178e.<\/span><br \/><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u8457\u8005\u3089\u306fDMAP flap\u300156\u76ae\u5f01\u306e\u81e8\u5e8a\u6210\u7e3e\u3092\u5831\u544a\u3057\u3066\u3044\u308b\u3002\u76ae\u5f01\u30b5\u30a4\u30ba\u306e\u5e73\u5747\u306f4.6 \u00d7 2.3 cm\u3067\u30017\u76ae\u5f01\u3067\u76ae\u5f01\u63a1\u53d6\u90e8\u306b\u690d\u76ae\u3092\u8981\u3057\u305f\u3002\u5408\u4f75\u75c7\u306f6\u76ae\u5f01\u3067\u3046\u3063\u8840\u30013\u4f8b\u3067\u865a\u8840\u3068\u8a8d\u3081\u3001\u865a\u8840\u3046\u3061\u306e2\u4f8b\u306f\u5b8c\u5168\u58ca\u6b7b\u306b\u81f3\u3063\u305f\u3002DMAP flap\u306f\u4e2d\u7bc0\u9aa8\u4e2d\u9593\u90e8\u307e\u3067\u306f\u5b89\u5168\u306b\u88ab\u8986\u53ef\u80fd\u3067\u3042\u308b\u3068\u5831\u544a\u3057\u3066\u3044\u308b\u3002<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 \u51e6\u65b9\u7b8b<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30bb\u30d5\u30a1\u30be\u30ea\u30f3Na\u70b9\u6ef4\u9759\u6ce8\u75281g\u30d0\u30c3\u30af\u30001\u65e53\u56de\u30003\u65e5\u5206<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30ed\u30ad\u30bd\u30cb\u30f3\u9320\uff0860mg\uff09\u30001\u56de1\u9320\u30001\u65e53\u56de\u3000\u6bce\u98df\u5f8c\u30007\u65e5\u5206<\/span><\/li>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30e0\u30b3\u30b9\u30bf\u9320\uff08100mg\uff09\u30001\u56de1\u9320\u30001\u65e53\u56de\u3000\u6bce\u98df\u5f8c\u30007\u65e5\u5206<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\u30b2\u30f3\u30bf\u30b7\u30f3\u8edf\u818f 10g 1\u672c<\/span><\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\">\r\n\r\n<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 \u30b3\u30b9\u30c8<\/strong><\/span><\/p>\r\n<ul>\r\n<li><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><a class=\"aioseop-link\" href=\"https:\/\/shirobon.net\/r02\/ika_2_10_1_1_2\/k016.html\" target=\"_blank\" rel=\"noopener\">\u52d5\u8108\u76ae\u5f01\u8853<\/a>\uff08K016\uff09<\/span><\/li>\r\n<\/ul>\r\n<p>&nbsp;<\/p>\r\n<p class=\"h4modoki\"><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><strong>\u25a0 \u95a2\u9023\u8a18\u4e8b<\/strong><\/span><\/p>\r\n<ul>\r\n<li>\r\n<p><span style=\"font-family: Noto Sans Japanese; font-size: 120%;\"><a href=\"https:\/\/imedica.jp\/en\/%e3%80%90step-by-step-%e6%89%8b%e8%a1%93%e6%89%8b%e6%8a%80%e3%80%91cross-finger-flap%ef%bc%88%e6%8c%87%e4%ba%a4%e5%8f%89%e7%9a%ae%e5%bc%81%ef%bc%89\/\">\u3010Step by Step \u624b\u8853\u624b\u6280\u3011Cross-finger flap\uff08\u6307\u4ea4\u53c9\u76ae\u5f01\uff09<\/a><\/span><\/p>\r\n<\/li>\r\n<\/ul>\r\n<p><span style=\"font-family: Noto Sans Japanese;\"><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Key Point Summary \u80cc\u5074\u4e2d\u624b\u52d5\u8108\u7a7f\u901a\u679d\u76ae\u5f01: Dorsal Metacarpal Artery Perforator (DMAP) flap \u7b2c2\u301c4\u6307\u9593\u306e\u4e2d\u624b\u9aa8\u9838\u90e8\uff08\u8171\u9593\u7d50\u5408\u306e\u3059\u3050\u9060 &#8230; <\/p>","protected":false},"author":2,"featured_media":2402,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,4],"tags":[288,290,291,195,289],"class_list":["post-229","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plastic-surgery","category-hand","tag-dmap","tag-dorsal-metacarpal-artery","tag-flap","tag-195","tag-289"],"_links":{"self":[{"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/posts\/229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/comments?post=229"}],"version-history":[{"count":12,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/posts\/229\/revisions"}],"predecessor-version":[{"id":3962,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/posts\/229\/revisions\/3962"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/media\/2402"}],"wp:attachment":[{"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/media?parent=229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/categories?post=229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imedica.jp\/en\/wp-json\/wp\/v2\/tags?post=229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}