著者
平田 健一郎 辰口 治樹 望月 環 三谷 正信 矢花 剛 福田 守道
出版者
一般社団法人 日本消化器内視鏡学会
雑誌
日本消化器内視鏡学会雑誌 (ISSN:03871207)
巻号頁・発行日
vol.34, no.2, pp.323-332, 1992-02-20 (Released:2011-05-09)
参考文献数
13
被引用文献数
1

胃平滑筋腫19例と胃平滑筋肉腫8例について超音波内視鏡(EUS)による超音波断層像を検討し,良・悪性の鑑別診断を試みた.腫瘍の最大径で両者を比較すると平滑筋腫では3.9±1.9cm,平滑筋肉腫では9.9±5.9cmで有意差(p<0.0005)を認めた.腫瘍の最大径別に3cm未満,3~8.9cm,9cm以上の3段階に分類し超音波断層像を検討した.3cm未満では7例中6例が平滑筋腫で,その超音波断層像は辺縁整,内部エコー均一(1例のみ不均川一),径1cm以上の嚢胞(-)で特徴的であった.また,9cm以上の大きな腫瘍は4例全例が平滑筋肉腫で径1cm以上の嚢胞を有していた.しかし3~8.9cmの範囲の腫瘍16例では超音波断層像の組合せで鑑別診断を試みても正診率は60%台に留まった.以上より,最大径3cm未満および9cm以上の腫瘍はEUSでほぼ的確に良・悪性の鑑別が可能であるが,3~8.9cmの腫瘍は鑑別が困難な場合があり,生検を含む積極的なアプローチが必要と考えられた.

1 0 0 0 OA 官報

著者
大蔵省印刷局 [編]
出版者
日本マイクロ写真
巻号頁・発行日
vol.1919年07月16日, 1919-07-16

1 0 0 0 OA 官報

著者
大蔵省印刷局 [編]
出版者
日本マイクロ写真
巻号頁・発行日
vol.1912年11月11日, 1912-11-11

1 0 0 0 OA 官報

著者
大蔵省印刷局 [編]
出版者
日本マイクロ写真
巻号頁・発行日
vol.1926年09月18日, 1926-09-18

1 0 0 0 OA 説鈴

著者
清呉震方輯
巻号頁・発行日
vol.第2册, 1819

1 0 0 0 新潮45

出版者
新潮社
巻号頁・発行日
1985
著者
田中 奈保
出版者
早稲田大学史学会
雑誌
史觀 (ISSN:03869350)
巻号頁・発行日
no.162, pp.1-18, 2010-03-25

1 0 0 0 OA 官報

著者
大蔵省印刷局 [編]
出版者
日本マイクロ写真
巻号頁・発行日
vol.1915年11月23日, 1915-11-23
著者
鈴木 真
出版者
公益財団法人史学会
雑誌
史學雜誌 (ISSN:00182478)
巻号頁・発行日
vol.120, no.1, pp.1-35, 2011-01-20

This article takes up the issue of imperial succession during the Qing Dynasty's Kangxi Era (1662-1722), in an attempt to clarify 1) why the selection of the crown prince was executed by the reigning Emperor Kangxi according to the custom of earlier Chinese dynasties, rather than through the consensus of powerful leaders based on the Qing tradition and 2) why Eighth Prince Yin Si gained popularity within the court after the disinheritance of the crown prince, Second Prince Yin Reng. The discussion will hopefully better elucidate the power structure within the imperial court during this period. The author takes up a theme that has been largely ignored in the research to date; that is, an analysis of Prince An of the imperial family's Plain Blue Banner, which shows that Prince An 1) was one of the most powerful leaders of the Banner with leading clans serving under him, 2) enjoyed strong influence at court, which was made possible in part by the formation of marital ties with the Mongol royal family, the family of the grand empress dowager, and 3) also formed a marital relationship with the Heseri clan, the maternal clan of the crown prince, and, thus supported Yin Reng together with the vassals of the royal banner family for several decades. The alliance formed between Prince An and the Heseri clan may appear at a glance to have enabled selection of the crown prince as in the earlier Chinese dynasties ; however, in reality the act amounted to none other than installation based on the consensus of the era's powerful leaders. As the An-Heseri alliance weakened, however, the status of Crown Prince Yin Reng also wavered. The popularity won by the Eighth Prince Yin Si, whose mother was of low status, after the disinheritance of the crown prince stemmed from the marital relationship formed between Yin Si and Prince An. The "rejection" of the Manchurian custom of consensus in the selection of the crown prince during the Kangxi Era has been seen as a display of the kind of respect afforded to Emperor Kangxi and to the Chinese imperial institution. However, in actuality, there was no substantive change whatsoever from the practices adopted during the early years of the Qing Dynasty. That is to say, the crown prince of the Kangxi Era was supported by imperial authority, but also was selected through the support of the powerful banner princes and clans, like his Qing Dynasty predecessors. Their speculations and interests continued to exert strong influence on the successor to the emperor. The author concludes that the power structure of the early Qing Dynasty therefore essentially survived up to the end of the Kangxi Era.