{"id":8157,"date":"2026-08-30T19:59:52","date_gmt":"2026-08-30T10:59:52","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=8157"},"modified":"2026-08-30T19:59:52","modified_gmt":"2026-08-30T10:59:52","slug":"post-8157","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-8157\/","title":{"rendered":"\u300c\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u300d\u306e\u8840\u884c\u518d\u5efa\u306b\u65b0\u305f\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3002Lancet2026\u3002NOBLE\u8a66\u9a13\uff08Nordic-Baltic-British Left Main Revascularisation Study\uff09\u306e\u6700\u7d42\u89e3\u6790\u3002"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u30ab\u30c6\u30fc\u30c6\u30eb\u6cbb\u7642\uff08PCI\uff09\u3068\u30d0\u30a4\u30d1\u30b9\u624b\u8853\uff08CABG\uff09\u306e10\u5e74\u5168\u6b7b\u4ea1\u7387\u540c\u7b49<\/strong>\u3002<strong>\u7b2c3\u76f8NOBLE\u8a66\u9a13\u306e\u6700\u7d42\u89e3\u6790\u3068\u3001\u30cf\u30fc\u30c8\u30c1\u30fc\u30e0\u306b\u3088\u308b\u500b\u5225\u5316\u533b\u7642\u306e\u9032\u5c55<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5fc3\u81d3\u306e\u7b4b\u8089\uff08\u5fc3\u7b4b\uff09\u3078\u9178\u7d20\u3068\u6804\u990a\u3092\u9001\u308a\u5c4a\u3051\u308b\u51a0\u52d5\u8108\u306e\u4e2d\u3067\u3082\u3001\u5de6\u5fc3\u5ba4\u5168\u4f53\u306e\u7d047\u5272\u306e\u8840\u6d41\u3092\u62c5\u3046\u300c\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\uff08Left Main Trunk: LMT\uff09\u300d\u306f\u3001\u307e\u3055\u306b\u5faa\u74b0\u5668\u7cfb\u306e\u751f\u547d\u7dda\u3067\u3059\u3002\u3053\u306e\u4e3b\u5e79\u90e8\u304c\u52d5\u8108\u786c\u5316\u306b\u3088\u3063\u3066\u72ed\u7a84\uff08\u72ed\u304f\u306a\u308b\u3053\u3068\uff09\u3092\u6765\u3059\u300c\u7121\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u300d\u306f\u3001\u4e00\u5ea6\u8840\u6d41\u304c\u9014\u7d76\u3059\u308c\u3070\u5e83\u7bc4\u306a\u5fc3\u7b4b\u6897\u585e\u3084\u5fc3\u539f\u6027\u30b7\u30e7\u30c3\u30af\u3001\u7a81\u7136\u6b7b\u306b\u76f4\u7d50\u3059\u308b\u6975\u3081\u3066\u9ad8\u30ea\u30b9\u30af\u306a\u75c5\u614b\u3067\u3059\u3002\u9577\u5e74\u306b\u308f\u305f\u308a\u3001\u3053\u306e\u91cd\u8981\u75c5\u5909\u306b\u5bfe\u3059\u308b\u8840\u884c\u518d\u5efa\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u306f\u51a0\u52d5\u8108\u30d0\u30a4\u30d1\u30b9\u8853\uff08CABG\uff09\u3068\u3055\u308c\u3001\u4f4e\u4fb5\u8972\u306a\u7d4c\u76ae\u7684\u51a0\u52d5\u8108\u5f62\u6210\u8853\uff08PCI\uff1a\u30b9\u30c6\u30f3\u30c8\u6cbb\u7642\uff09\u306f\u30d0\u30a4\u30d1\u30b9\u624b\u8853\u306b\u6bd4\u3079\u3066\u81ea\u7136\u767a\u75c7\u5fc3\u7b4b\u6897\u585e\u3084\u518d\u8840\u884c\u518d\u5efa\u306e\u983b\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u304b\u3089\u3001\u9069\u5fdc\u304c\u614e\u91cd\u306b\u5224\u65ad\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3057\u304b\u3057\u3001\u85ac\u5264\u6eb6\u51fa\u6027\u30b9\u30c6\u30f3\u30c8\uff08DES\uff09\u306e\u9032\u5316\u3084\u8840\u7ba1\u5185\u30a4\u30e1\u30fc\u30b8\u30f3\u30b0\u6280\u8853\u306e\u5411\u4e0a\u3092\u7d4c\u305f\u73fe\u5728\u300110\u5e74\u3068\u3044\u3046\u9577\u671f\u7684\u306a\u4e88\u5f8c\u306b\u304a\u3044\u3066\u4e21\u8005\u306e\u751f\u547d\u4e88\u5f8c\u306b\u771f\u306e\u5dee\u306f\u3042\u308b\u306e\u3067\u3057\u3087\u3046\u304b\u3002\u4e16\u754c\u6700\u9ad8\u5cf0\u306e\u533b\u5b66\u8a8c\u300eThe Lancet\u300f\u306b\u767a\u8868\u3055\u308c\u305f\u7121\u4f5c\u70ba\u5316\u975e\u52a3\u6027\u8a66\u9a13\u300cNOBLE\u8a66\u9a13\uff08Nordic-Baltic-British Left Main Revascularisation Study\uff09\u300d\u306e10\u5e74\u6700\u7d42\u8ffd\u8de1\u7d50\u679c\u306f\u3001\u8907\u96d1\u306a\u8ffd\u52a0\u75c5\u5909\u3092\u6301\u305f\u306a\u3044\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u72ed\u7a84\u306b\u304a\u3044\u3066\u3001\u7b2c2\u4e16\u4ee3\u4ee5\u964d\u306eDES\u3092\u7528\u3044\u305fPCI\u304cCABG\u3068\u540c\u7b49\u306e\u9577\u671f\u751f\u5b58\u7387\u3092\u3082\u305f\u3089\u3059\u3053\u3068\u3092\u660e\u3089\u304b\u306b\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. 10\u5e74\u5168\u6b7b\u4ea1\u7387\u306f\u300c23% vs 25%\u300d\uff1a\u9577\u671f\u751f\u5b58\u306b\u304a\u3051\u308b\u540c\u7b49\u6027\u306e\u8a3c\u660e<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NOBLE\u8a66\u9a13\u306f\u3001\u5317\u6b27\u304a\u3088\u3073\u82f1\u56fd\u3092\u4e2d\u5fc3\u3068\u3059\u308b36\u65bd\u8a2d\u306b\u304a\u3044\u3066\u3001\u72ed\u7a84\u738750%\u4ee5\u4e0a\u307e\u305f\u306f\u51a0\u8840\u6d41\u4e88\u5099\u91cf\u6bd4\uff08FFR\uff090.80\u4ee5\u4e0b\u306e\u7121\u4fdd\u8b77\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u75c5\u5909\u3092\u6709\u3057\u3001\u5faa\u74b0\u5668\u5185\u79d1\u533b\u3068\u5fc3\u81d3\u8840\u7ba1\u5916\u79d1\u533b\u304b\u3089\u306a\u308b\u591a\u8077\u7a2e\u300c\u30cf\u30fc\u30c8\u30c1\u30fc\u30e0\u300d\u306b\u3088\u3063\u3066PCI\u30fbCABG\u306e\u53cc\u65b9\u304c\u9069\u683c\u3068\u5408\u610f\u3055\u308c\u305f1,201\u540d\u306e\u60a3\u8005\u69d8\u3092\u5bfe\u8c61\u306b\u5b9f\u65bd\u3055\u308c\u307e\u3057\u305f\u3002\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u3067\u3042\u308b\u300c10\u5e74\u5168\u6b7b\u4ea1\u7387\uff08Intention-to-Treat\u96c6\u56e3\uff1a\u5404\u7fa4592\u540d\uff09\u300d\u306eKaplan-Meier\u63a8\u8a08\u5024\u306f\u3001PCI\u7fa4\u3067<strong>23%\uff08136\/592\u540d\uff09<\/strong>\u3001CABG\u7fa4\u306725%\uff08145\/592\u540d\uff09\u3067\u3042\u308a\u3001\u30cf\u30b6\u30fc\u30c9\u6bd40.93\uff0895%\u4fe1\u983c\u533a\u9593 0.74\u301c1.18\u3001p=0.56\uff09\u3068\u4e21\u7fa4\u9593\u306b\u7d71\u8a08\u5b66\u7684\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3055\u3089\u306b\u3001\u6642\u9593\u8ef8\u3092\u533a\u5207\u3063\u305f\u30e9\u30f3\u30c9\u30de\u30fc\u30af\u89e3\u6790\u306b\u304a\u3044\u3066\u3082\u3001\u8853\u5f8c0\u301c5\u5e74\uff08PCI\u7fa4 9% vs CABG\u7fa4 9%\u3001\u30cf\u30b6\u30fc\u30c9\u6bd4 1.06\uff09\u304a\u3088\u30735\u301c10\u5e74\uff08PCI\u7fa4 15% vs CABG\u7fa4 17%\u3001\u30cf\u30b6\u30fc\u30c9\u6bd4 0.86\uff09\u306e\u3044\u305a\u308c\u306e\u671f\u9593\u306b\u304a\u3044\u3066\u3082\u6b7b\u4ea1\u7387\u306e\u5dee\u306f\u751f\u3058\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u904e\u53bb\u306e5\u5e74\u8ffd\u8de1\u6642\u70b9\u3067\u306fPCI\u7fa4\u3067\u518d\u8840\u884c\u518d\u5efa\u3084\u5fc3\u7b4b\u6897\u585e\u306e\u767a\u751f\u7387\u304c\u9ad8\u304b\u3063\u305f\u3082\u306e\u306e\u3001\u305d\u306e\u30a4\u30d9\u30f3\u30c8\u304c10\u5e74\u3068\u3044\u3046\u9577\u671f\u7d4c\u904e\u306e\u4e2d\u3067\u300c\u5168\u6b7b\u4ea1\u7387\u306e\u4e0a\u6607\u300d\u3078\u3068\u5909\u63db\u3055\u308c\u308b\u3053\u3068\u306f\u306a\u304b\u3063\u305f\u3068\u3044\u3046\u4e8b\u5b9f\u304c\u3001\u5f37\u56fa\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u3057\u3066\u793a\u3055\u308c\u305f\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u6025\u6027\u51a0\u75c7\u5019\u7fa4\uff08ACS\uff09\u306b\u304a\u3051\u308b\u8fc5\u901f\u306a\u8840\u884c\u518d\u5efa\u306e\u512a\u4f4d\u6027<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e8b\u524d\u306b\u8a2d\u5b9a\u3055\u308c\u305f\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u306b\u304a\u3044\u3066\u3001\u81e8\u5e8a\u4e0a\u6975\u3081\u3066\u91cd\u8981\u306a\u77e5\u898b\u304c\u5f97\u3089\u308c\u307e\u3057\u305f\u3002\u5b89\u5b9a\u72ed\u5fc3\u75c7\u306a\u3069\u306e\u6162\u6027\u51a0\u75c7\u5019\u7fa4\uff08CCS\uff09\u60a3\u8005\u306b\u304a\u3044\u3066\u306f\u4e21\u7fa4\u306e\u6b7b\u4ea1\u7387\u306b\u5dee\u304c\u306a\u304b\u3063\u305f\u306e\u306b\u5bfe\u3057\uff08\u30cf\u30b6\u30fc\u30c9\u6bd4 1.04\uff09\u3001\u4e0d\u5b89\u5b9a\u72ed\u5fc3\u75c7\u3084\u975eST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\u306a\u3069\u306e<strong>\u6025\u6027\u51a0\u75c7\u5019\u7fa4\uff08ACS\uff09\u3092\u5951\u6a5f\u306b\u767a\u75c7\u3057\u305f\u60a3\u8005\u7fa4\u306b\u304a\u3044\u3066\u306f\u3001PCI\u7fa4\u304cCABG\u7fa4\u3068\u6bd4\u8f03\u3057\u306610\u5e74\u5168\u6b7b\u4ea1\u7387\u3092\u6709\u610f\u306b\u4f4e\u4e0b<\/strong>\u3055\u305b\u3066\u3044\u305f\u70b9\u3067\u3059\uff08PCI\u7fa4 19% vs CABG\u7fa4 31%\u3001\u30cf\u30b6\u30fc\u30c9\u6bd4 0.57\u300195%\u4fe1\u983c\u533a\u9593 0.32\u301c0.99\u3001\u4ea4\u4e92\u4f5c\u7528p=0.049\uff09\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u8981\u56e0\u3068\u3057\u3066\u3001\u7121\u4f5c\u70ba\u5272\u308a\u4ed8\u3051\u304b\u3089\u8840\u884c\u518d\u5efa\u5b8c\u4e86\u307e\u3067\u306e\u5f85\u6a5f\u671f\u9593\u304cCABG\u7fa4\u306e\u4e2d\u592e\u50246\u65e5\u306b\u5bfe\u3057\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u6cbb\u7642\u3067\u3042\u308bPCI\u7fa4\u3067\u306f\u4e2d\u592e\u50241\u65e5\u3068\u6975\u3081\u3066\u8fc5\u901f\u306b\u5b8c\u4e86\u3057\u3066\u3044\u305f\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002\u4e0d\u5b89\u5b9a\u306a\u865a\u8840\u72b6\u614b\u306b\u3042\u308b\u5fc3\u7b4b\u306b\u5bfe\u3057\u3001\u65e9\u671f\u306b\u704c\u6d41\u3092\u56de\u5fa9\u3055\u305b\u308b\u3053\u3068\u306e\u91cd\u8981\u6027\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u75c5\u5909\u306e\u89e3\u5256\u5b66\u7684\u8907\u96d1\u6027\u3092\u8a55\u4fa1\u3059\u308b\u300cSYNTAX\u30b9\u30b3\u30a2\u300d\u306e\u9ad8\u4f4e\u306b\u3088\u308b\u6cbb\u7642\u52b9\u679c\u306e\u4e0d\u5747\u4e00\u6027\u3082\u8a8d\u3081\u3089\u308c\u305a\u3001\u4e3b\u5e79\u90e8\u5358\u72ec\u307e\u305f\u306f\u5358\u7d14\u75c5\u5909\u3067\u3042\u308c\u3070\u3001\u30b9\u30b3\u30a2\u306b\u95a2\u308f\u3089\u305a\u540c\u69d8\u306e\u751f\u5b58\u6210\u7e3e\u304c\u5f97\u3089\u308c\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. \u5404\u6cbb\u7642\u6cd5\u306e\u7279\u6027\u3092\u7406\u89e3\u3057\u305f\u300cShared Decision Making\uff08\u5171\u540c\u610f\u601d\u6c7a\u5b9a\uff09\u300d\u3078<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u672c\u7814\u7a76\u306e10\u5e74\u6210\u7e3e\u306f\u3001\u300cPCI\u304cCABG\u306b\u5b8c\u5168\u306b\u53d6\u3063\u3066\u4ee3\u308f\u3063\u305f\u300d\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002CABG\u306f\u3001\u9577\u671f\u306b\u308f\u305f\u308a\u81ea\u7136\u767a\u75c7\u5fc3\u7b4b\u6897\u585e\u3084\u5c06\u6765\u306e\u8ffd\u52a0\u6cbb\u7642\uff08\u518d\u8840\u884c\u518d\u5efa\uff09\u3092\u6291\u5236\u3059\u308b\u70b9\u3067\u4f9d\u7136\u3068\u3057\u3066\u512a\u4f4d\u6027\u3092\u4fdd\u3063\u3066\u3044\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u958b\u80f8\u624b\u8853\u306b\u4f34\u3046\u65e9\u671f\u306e\u5468\u8853\u671f\u8133\u5352\u4e2d\u30ea\u30b9\u30af\u3084\u4fb5\u8972\u6027\u3092\u56de\u907f\u3067\u304d\u308bPCI\u306f\u3001\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\uff08IVUS\uff09\u306a\u3069\u306e\u30a4\u30e1\u30fc\u30b8\u30f3\u30b0\u6280\u8853\u3092\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u9577\u671f\u6b7b\u4ea1\u7387\u306b\u304a\u3044\u3066\u624b\u8853\u306b\u52a3\u3089\u306a\u3044\u5b89\u5168\u6027\u3092\u9054\u6210\u3067\u304d\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3059\u306a\u308f\u3061\u3001\u51a0\u52d5\u8108\u75be\u60a3\u306e\u6cbb\u7642\u9078\u629e\u306f\u300c\u3069\u3061\u3089\u304b\u4e00\u65b9\u306e\u753b\u4e00\u7684\u306a\u512a\u52a3\u300d\u3092\u7af6\u3046\u6642\u4ee3\u304b\u3089\u3001\u60a3\u8005\u69d8\u306e\u5168\u8eab\u72b6\u614b\u3001\u5e74\u9f62\u3001\u5408\u4f75\u75c7\u3001\u624b\u8853\u30ea\u30b9\u30af\u3001\u305d\u3057\u3066\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306b\u5fdc\u3058\u3001\u5faa\u74b0\u5668\u5c02\u9580\u533b\u30c1\u30fc\u30e0\u304c\u305d\u308c\u305e\u308c\u306e\u5229\u70b9\u3068\u6b20\u70b9\u3092\u900f\u660e\u6027\u9ad8\u304f\u63d0\u793a\u3057\u305f\u4e0a\u3067\u3001\u60a3\u8005\u69d8\u3068\u5171\u306b\u6700\u9069\u306a\u9053\u3092\u9078\u629e\u3059\u308b\u300cNuanced Shared Decision Making\uff08\u6d17\u7df4\u3055\u308c\u305f\u5171\u540c\u610f\u601d\u6c7a\u5b9a\uff09\u300d\u306e\u6642\u4ee3\u3078\u3068\u9032\u5c55\u3057\u3066\u3044\u308b\u306e\u3067\u3059\u3002\u5f53\u9662\u306f\u5faa\u74b0\u5668\u5c02\u9580\u65bd\u8a2d\u3067\u306f\u3054\u3056\u3044\u307e\u305b\u3093\u304c\u3001\u6700\u65b0\u306e\u77e5\u8b58\u3092\u6709\u3057\u3066\u304a\u308a\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u4e00\u4eba\u306e\u73fe\u72b6\u304b\u3089\u3069\u306e\u3088\u3046\u306a\u9078\u629e\u3092\u3059\u308b\u306e\u304c\u6700\u9069\u304b\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u9001\u308a\u3001\u7d39\u4ecb\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u65bd\u8a2d\u3068\u306a\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u25a1\u30af\u30ea\u30cb\u30c3\u30af\u304b\u3089\u306e\u30e1\u30c3\u30bb\u30fc\u30b8<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u30fb\u30ea\u30a6\u30de\u30c1\u81a0\u539f\u75c5\u5c02\u9580\u533b\u3001\u304a\u3088\u3073\u809d\u81d3\u5c02\u9580\u533b\u304c\u5728\u7c4d\u3057\u3001\u65e5\u3005\u52c9\u5b66\u306b\u52aa\u3081\u308b\u3053\u3068\u3067\u6b63\u78ba\u306a\u8a3a\u65ad\u30fb\u6cbb\u7642\u3092\u884c\u3048\u308b\u3088\u3046\u52aa\u529b\u3092\u7a4d\u307f\u91cd\u306d\u3066\u3044\u307e\u3059\u3002\u60a3\u8005\u69d8\u306e\u8a34\u3048\u304c\u3001\u3069\u306e\u3088\u3046\u306a\u300c\u4f53\u306e\u4ed5\u7d44\u307f\u300d\u3067\u8d77\u304d\u3066\u3044\u308b\u306e\u304b\u3092\u3001\u8eab\u4f53\u8a3a\u5bdf\u3001\u7dbf\u5bc6\u306a\u8840\u6db2\u691c\u67fb\u3084\u8d85\u97f3\u6ce2\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u30fb\u5fc5\u8981\u306b\u5fdc\u3058\u3066CT\u7b49\u304b\u3089\u8ad6\u7406\u7684\u306b\u89e3\u304d\u660e\u304b\u3057\u3001\u6b63\u78ba\u306a\u8a3a\u65ad\u306a\u3089\u3073\u306b\u5b89\u5168\u306a\u6cbb\u7642\u7ba1\u7406\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u3054\u63d0\u6848\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u571f\u66dc\u65e5\u306e\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u5e73\u65e5\u304a\u5fd9\u3057\u304f\u3066\u7cbe\u5bc6\u306a\u5065\u5eb7\u7ba1\u7406\u3084\u691c\u67fb\u306b\u306a\u304b\u306a\u304b\u901a\u3048\u306a\u3044\u60a3\u8005\u69d8\u3067\u3082\u3001\u9031\u672b\u306b\u3086\u3068\u308a\u3092\u6301\u3063\u3066\u5c02\u9580\u533b\u306b\u3088\u308b\u304d\u3081\u7d30\u304b\u306a\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u53d7\u3051\u3066\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u307e\u305f\u3001\u51a0\u52d5\u8108\u75be\u60a3\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u5fc3\u8840\u7ba1\u7cfb\u306e\u5065\u5eb7\u3092\u5b88\u308b\u4e0a\u3067\u3001\u304a\u53e3\u306e\u4e2d\u306e\u885b\u751f\u7ba1\u7406\uff08\u6b6f\u79d1\u7ba1\u7406\uff09\u306f\u3001\u898b\u904e\u3054\u3055\u308c\u304c\u3061\u3067\u3059\u304c\u6975\u3081\u3066\u91cd\u8981\u306a\u300c\u9632\u885b\u30e9\u30a4\u30f3\u300d\u3067\u3059\u3002\u304a\u53e3\u306e\u4e2d\u306b\u91cd\u5ea6\u306e\u6b6f\u5468\u75c5\uff08\u6162\u6027\u708e\u75c7\uff09\u304c\u5b58\u5728\u3057\u3066\u3044\u308b\u3068\u3001\u98df\u4e8b\u306e\u969b\u306e\u5480\u56bc\uff08\u565b\u3080\u3053\u3068\uff09\u3084\u6bce\u65e5\u306e\u30cf\u30df\u30ac\u30ad\u3068\u3044\u3063\u305f\u4e9b\u7d30\u306a\u523a\u6fc0\u306b\u3088\u3063\u3066\u3001\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306e\u8840\u7ba1\u304b\u3089\u5927\u91cf\u306e\u53e3\u8154\u5185\u7d30\u83cc\u304c\u5bb9\u6613\u306b\u8840\u6db2\u4e2d\u306b\u4fb5\u5165\u3057\u307e\u3059\uff08\u4e00\u904e\u6027\u83cc\u8840\u75c7\uff09\u3002\u5065\u5eb7\u306a\u72b6\u614b\u3067\u3042\u308c\u3070\u514d\u75ab\u306b\u3088\u3063\u3066\u6392\u9664\u3055\u308c\u307e\u3059\u304c\u3001\u72ed\u5fc3\u75c7\u3084\u5fc3\u7b4b\u6897\u585e\u306e\u65e2\u5f80\u3001\u52d5\u8108\u786c\u5316\u3001\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u5f8c\u3001\u3042\u308b\u3044\u306f\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u6301\u75c5\u3092\u304a\u6301\u3061\u306e\u65b9\u3084\u9ad8\u9f62\u306e\u60a3\u8005\u69d8\u306a\u3069\u306e\u69cb\u9020\u7684\u306a\u5f31\u70b9\uff08\u57fa\u8cea\uff09\u304c\u3042\u308b\u72b6\u614b\u3067\u306f\u3001\u8840\u6db2\u306b\u4e57\u3063\u3066\u6d41\u308c\u3066\u304d\u305f\u304a\u53e3\u306e\u7d30\u83cc\u304c\u8840\u7ba1\u5185\u76ae\u3092\u50b7\u3064\u3051\u3001\u8840\u7ba1\u58c1\u3084\u5fc3\u81d3\u306e\u5f01\u306a\u3069\u306b\u5b9a\u7740\u3057\u3066\u52d5\u8108\u786c\u5316\u30d7\u30e9\u30fc\u30af\u306e\u4e0d\u5b89\u5b9a\u5316\u3084\u91cd\u75c7\u306e\u5316\u81bf\u6027\u611f\u67d3\u75c7\u3092\u5f15\u304d\u8d77\u3053\u3059\u76f4\u63a5\u306e\u5f15\u304d\u91d1\uff08\u539f\u56e0\u7d4c\u8def\uff09\u3068\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u533b\u79d1\u3068\u6b6f\u79d1\u304c\u540c\u3058\u96fb\u5b50\u30ab\u30eb\u30c6\u306e\u3082\u3068\u3067\u7dca\u5bc6\u306b\u9023\u643a\u3059\u308b\u300c\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u6cbb\u7642\u300d\u306e\u5f37\u307f\u3092\u6d3b\u304b\u3057\u3001\u5185\u79d1\u3067\u306e\u5168\u8eab\u7ba1\u7406\u3068\u9023\u52d5\u3057\u306a\u304c\u3089\u3001\u30d7\u30ed\u306b\u3088\u308b\u5fb9\u5e95\u7684\u306a\u304a\u53e3\u306e\u6e05\u6383\uff08PMTC\u306b\u3088\u308b\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u9664\u53bb\uff09\u3092\u63d0\u4f9b\u3057\u307e\u3059\u3002\u4f53\u5168\u4f53\u306e\u5165\u308a\u53e3\u3067\u3042\u308b\u304a\u53e3\u306e\u7d30\u83cc\u3092\u304d\u308c\u3044\u306b\u30ea\u30bb\u30c3\u30c8\u3059\u308b\u3053\u3068\u3067\u3001\u5185\u79d1\u6cbb\u7642\u306e\u5b89\u5168\u6027\u3092\u98db\u8e8d\u7684\u306b\u9ad8\u3081\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u304a\u4f53\u306e\u5065\u5eb7\u3092\u30c8\u30fc\u30bf\u30eb\u3067\u652f\u3048\u629c\u304d\u307e\u3059\u3002\u67cf\u30fb\u6211\u5b6b\u5b50\u30a8\u30ea\u30a2\u3067\u539f\u56e0\u4e0d\u660e\u306e\u3060\u308b\u3055\u3084\u80f8\u306e\u9055\u548c\u611f\u3001\u304a\u53e3\u306e\u4e7e\u304d\u3084\u30c8\u30e9\u30d6\u30eb\u306b\u304a\u60a9\u307f\u306e\u65b9\u306f\u3001\u304a\u6c17\u8efd\u306b\u5f53\u9662\u307e\u3067\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u25a0\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u533b\u79d1\u3011\uff08\u30a2\u30ec\u30eb\u30ae\u30fc\u81a0\u539f\u75c5\u30ea\u30a6\u30de\u30c1\u5185\u79d1\u30fb\u7dcf\u5408\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u30fb\u80f8\u75db\u3084\u72ed\u5fc3\u75c7\u30fb\u51a0\u52d5\u8108\u75be\u60a3\u30ea\u30b9\u30af\u7ba1\u7406\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u5185\u79d1\u30fb\u767a\u71b1\u5916\u6765\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit\" target=\"_blank\" rel=\"noopener\">https:\/\/melmo-app.com\/clinic\/673d5e08785f0f0030870bdb\/reservation?method=visit<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 <strong>\u3010\u6b6f\u79d1\u3011\uff08\u6839\u7ba1\u6cbb\u7642\u30fb\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u30fb\u30d7\u30ed\u306b\u3088\u308b\u53e3\u8154\u30b1\u30a2\u30fb\u611f\u67d3\u4e88\u9632\u6b6f\u79d1\u30fb\u4e00\u822c\u6b6f\u79d1\u306a\u3069\uff09WEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/strong> \u203b\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u3001\u571f\u66dc\u65e5\u5348\u5f8c2\u6642\uff0814\u6642\uff09\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002 <a href=\"http:\/\/www.gomidental-kashiwa.com\/reservation\/\" target=\"_blank\" rel=\"noopener\">http:\/\/www.gomidental-kashiwa.com\/reservation\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>\u304a\u96fb\u8a71\u3067\u306e\u3054\u4e88\u7d04\u30fb\u304a\u554f\u3044\u5408\u308f\u305b\uff08\u304a\u85ac\u306e\u76f8\u8ac7\u30fb\u5065\u5eb7\u8a3a\u65ad\u30fb\u30ef\u30af\u30c1\u30f3\u306a\u3069\uff09<\/strong> \u3010\u533b\u79d1\u3011\uff1a04-7196-7531 \u3010\u6b6f\u79d1\u3011\uff1a04-7191-7081<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfe5 <strong>\u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af \u30a2\u30af\u30bb\u30b9<\/strong> \u3012277-0902 \u5343\u8449\u770c\u67cf\u5e02\u5927\u4e95764-1\uff08\u5927\u4e95\u4ea4\u5dee\u70b9\u8fd1\u304f\u3001\u99d0\u8eca\u5834\u5b8c\u5099\uff09 \u30d0\u30b9\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u5343\u4ee3\u7530\u5e38\u78d0\u7dda \u67cf\u99c5\u6771\u53e3 \u6771\u6b66\u30d0\u30b91\u756a\u4e57\u5834\uff08\u300c\u6cbc\u5357\u8eca\u5eab\u300d\u300c\u5c0f\u91ce\u585a\u53f0\u300d\u300c\u624b\u8cc0\u306e\u4e18\u516c\u5712\u300d\u300c\u5e03\u702c\u300d\u884c\u304d\uff09\u3088\u308a\u30d0\u30b915\u5206 \u300c\u5927\u4e95\u300d\u4e0b\u8eca \u5f92\u6b691\u5206 \u8eca\u3067\u304a\u8d8a\u3057\u306e\u65b9\uff1a\u67cf\u99c5\u3088\u308a\u7d0415\u5206<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-426.png\" alt=\"\" class=\"wp-image-8158\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-426.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-426-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-426-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-427.png\" alt=\"\" class=\"wp-image-8159\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-427.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-427-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-427-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-428.png\" alt=\"\" class=\"wp-image-8160\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-428.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-428-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-428-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-429.png\" alt=\"\" class=\"wp-image-8161\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-429.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-429-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-429-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-430.png\" alt=\"\" class=\"wp-image-8162\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-430.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-430-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-430-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-431.png\" alt=\"\" class=\"wp-image-8163\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-431.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-431-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-431-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-432.png\" alt=\"\" class=\"wp-image-8164\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-432.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-432-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-432-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-433.png\" alt=\"\" class=\"wp-image-8165\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-433.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-433-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-433-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-434.png\" alt=\"\" class=\"wp-image-8166\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-434.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-434-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-434-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-435.png\" alt=\"\" class=\"wp-image-8167\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-435.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-435-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-435-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-436.png\" alt=\"\" class=\"wp-image-8168\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-436.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-436-767x428.png 767w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-436-400x223.png 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-437.png\" alt=\"\" class=\"wp-image-8169\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-437.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-437-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-437-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-438.png\" alt=\"\" class=\"wp-image-8170\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-438.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-438-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-438-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-439.png\" alt=\"\" class=\"wp-image-8171\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-439.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-439-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-439-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-440.png\" alt=\"\" class=\"wp-image-8172\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-440.png 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-440-400x223.png 400w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/08\/image-440-767x428.png 767w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Emil Nielsen Holck, Niels R. Holm, David Hildick-Smith, et al. &#8220;Percutaneous coronary intervention versus coronary artery bypass grafting for unprotected left main stenosis: 10-year final results from the randomised, open-label, noninferiority NOBLE trial.&#8221; <em>The Lancet<\/em>. 2026; 407(10534): 1374-1382.<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u25a0\u95a2\u9023\u8a18\u4e8b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. \u51a0\u52d5\u8108\u75be\u60a3\u3084\u52d5\u8108\u786c\u5316\u306e\u6839\u672c\u539f\u56e0\u3068\u306a\u308b\u300c\u8102\u8cea\u7570\u5e38\u75c7\u30fb\u7cd6\u5c3f\u75c5\u30fb\u9ad8\u8840\u5727\u300d\u3092\u7dcf\u5408\u7684\u306b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3057\u305f\u3044\u65b9\u3078<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5de6\u51a0\u52d5\u8108\u4e3b\u5e79\u90e8\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u91cd\u7be4\u306a\u8840\u7ba1\u72ed\u7a84\u3092\u9632\u3050\u305f\u3081\u306e\u5927\u539f\u5247\u306f\u3001\u81ea\u899a\u75c7\u72b6\u306e\u306a\u3044\u521d\u671f\u6bb5\u968e\u304b\u3089\u52d5\u8108\u786c\u5316\u306e\u82bd\u3092\u6458\u3080\u3053\u3068\u3067\u3059\u3002\u8840\u6db2\u4e2d\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3084\u4e2d\u6027\u8102\u80aa\u3001\u8840\u7cd6\u5024\u3001\u8840\u5727\u306e\u6570\u5024\u3092\u5b9a\u671f\u7684\u306b\u628a\u63e1\u3057\u3001\u8840\u7ba1\u306e\u5065\u5eb7\u3092\u5b88\u308b\u305f\u3081\u306e\u67cf\u5e02\u7279\u5b9a\u5065\u5eb7\u8a3a\u67fb\uff08\u7279\u5b9a\u5065\u8a3a\uff09\u306e\u6d3b\u7528\u6cd5\u306b\u3064\u3044\u3066\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u5185\u79d1\u306f\u571f\u66dc\u65e5\u308217\u6642\u307e\u3067\u8a3a\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"RH38bixu8S\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/\">\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u30102026\u5e74\u5ea6\u7248\u3011\u67cf\u5e02\u7279\u5b9a\u5065\u8a3a\uff08\u5065\u5eb7\u8a3a\u65ad\uff09\u306f\u3044\u3064\u304b\u3089\uff1f\u5bfe\u8c61\u8005\u30fb\u8cbb\u7528\u30fb\u6301\u3061\u7269\u3092\u67cf\u5e02\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u304c\u89e3\u8aac\u201d \u2014 \u67cf\u4e94\u5473\u6b6f\u79d1\u5185\u79d1\u30ea\u30a6\u30de\u30c1\u30af\u30ea\u30cb\u30c3\u30af\u30d6\u30ed\u30b0\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4765\/embed\/#?secret=B4vzI3PxyQ#?secret=RH38bixu8S\" data-secret=\"RH38bixu8S\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. \u8840\u7ba1\u5185\u76ae\u3092\u50b7\u3064\u3051\u308b\u4e00\u904e\u6027\u83cc\u8840\u75c7\u3092\u9632\u304e\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6c34\u969b\u3067\u4e88\u9632\u3057\u305f\u3044\u65b9\u3078\uff08\u533b\u79d1\u6b6f\u79d1\u9023\u643a\uff09<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u51a0\u52d5\u8108\u306b\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3055\u308c\u305f\u60a3\u8005\u69d8\u3084\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u62b1\u3048\u308b\u65b9\u306b\u3068\u3063\u3066\u3001\u304a\u53e3\u306e\u4e2d\u306e\u6162\u6027\u708e\u75c7\uff08\u6b6f\u5468\u75c5\uff09\u306f\u8840\u7ba1\u5185\u76ae\u3092\u7d76\u3048\u305a\u523a\u6fc0\u3059\u308b\u91cd\u5927\u306a\u30ea\u30b9\u30af\u56e0\u5b50\u3067\u3059\u3002\u6bce\u65e5\u306e\u30cf\u30df\u30ac\u30ad\u3067\u306f\u843d\u3068\u3057\u304d\u308c\u306a\u3044\u6b6f\u5468\u30dd\u30b1\u30c3\u30c8\u306e\u7d30\u83cc\uff08\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\uff09\u3092\u30d7\u30ed\u306e\u5c02\u9580\u5668\u5177\u3067\u6839\u3053\u305d\u304e\u9664\u53bb\u3057\u3001\u8840\u6d41\u3078\u306e\u7d30\u83cc\u4fb5\u5165\uff08\u83cc\u8840\u75c7\uff09\u3092\u30b7\u30e3\u30c3\u30c8\u30a2\u30a6\u30c8\u3059\u308b\u5f53\u9662\u72ec\u81ea\u306e\u533b\u79d1\u6b6f\u79d1\u9023\u643a\u30a2\u30d7\u30ed\u30fc\u30c1PMTC\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002\u5f53\u9662\u306e\u6b6f\u79d1\u306f\u571f\u66dc\u65e5\u5348\u5f8c14\u6642\u307e\u3067\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"V5pfIOVFZp\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-5383\/\">\u3010\u67cf\u6211\u5b6b\u5b50\u5e02\u30fb\u6b6f\u79d1\u3011\u3046\u304c\u3044\u85ac\u3067\u306f\u843d\u3061\u306a\u3044\u300c\u30d0\u30a4\u30aa\u30d5\u30a3\u30eb\u30e0\u300d\u306e\u6050\u6016\uff1aPMTC\uff08\u30d7\u30ed\u306e\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\uff09\u3067\u3080\u3057\u6b6f\u30fb\u6b6f\u5468\u75c5\u3092\u5fb9\u5e95\u4e88\u9632\uff5e\u6839\u7ba1\u6cbb\u7642\u5c02\u9580\u533b\u304c\u89e3\u8aac\uff5e<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" 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