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<title>リウマチ診療の要点と盲点（電子版のみ） | 株式会社文光堂</title>


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<meta name="description" content="近年薬物療法の進歩により，リウマチ診療は大きく変容している．その中で主体的に診療を進める整形外科医にとって，知っておくべきことは多い．　本書では，サージカルアプローチに始まり，診断，薬物療法から，手術手技まで，リウマチ専門医を目指す整形外科医が知っておかねばならない知識を網羅した1冊．　☆図版136点，表組88点，写真528点">

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		<h1 class="catchCopy">整形外科の領域において日常診療に役立つ“コツ”と，陥ってはならない“落とし穴”をまとめた実践的なシリーズ！</h1>
		

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					編集：木村友厚（富山大学教授）
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				<ul class="property"><li class="disc">B5判・316頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2764-4</li><li class="disc">2010年5月21日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="indexes">主要目次</h3></div><section class="current content">近年薬物療法の進歩により，リウマチ診療は大きく変容している．その中で主体的に診療を進める整形外科医にとって，知っておくべきことは多い．<br>本書では，サージカルアプローチに始まり，診断，薬物療法から，手術手技まで，リウマチ専門医を目指す整形外科医が知っておかねばならない知識を網羅した1冊．<br>☆図版136点，表組88点，写真528点</section><section class="indexes">I　リウマチ手術に必要なサージカルアプローチ<br>　　1．上肢（肩・肘・手関節）<br>　　2．下肢（股関節・膝関節・足関節）<br>II　効率的なリウマチ性疾患診断の手順<br>　［スタンダード編］<br>　　1．リウマチ早期診断の要点<br>　　2．関節リウマチの新診断基準<br>　　3．関節リウマチと鑑別すべき疾患・そのポイント<br>　　4．リウマチの疾患活動性をいかに診るか<br>　　5．身体機能障害評価<br>　　6．知らないと困る皮膚症状<br>　　7．注意すべきリウマチ合併症と症候<br>　　8．関節液検査<br>　［応用編］<br>　　1．知っておくべき肺病変と診断のポイント<br>　　2．関節リウマチと間違われる疾患：リウマチ性多発筋痛症<br>　　3．関節リウマチと間違われる疾患：RS3PE症候群<br>　　4．高齢発症関節リウマチ<br>　　5．成人発症Still病<br>　　6．血清反応陰性脊椎関節炎<br>　　7．若年性特発性関節炎<br>　　8．専門医なら知っておくべきリウマチ病態<br>III　関節リウマチの診断評価と治療法決定のABC<br>　［スタンダード編］<br>　　1．単純X線による関節破壊の各種評価法<br>　　2．ここまでみる単純X線所見<br>　　3．関節リウマチMRI所見と診断評価のポイント<br>　　4．超音波でみる関節リウマチ所見<br>　　5．関節リウマチの手術とタイミング<br>　［応用編］<br>　　1．リウマチの3D-CT所見<br>　　2．MRIと関節軟骨所見<br>IV　薬物療法<br>　［スタンダード編］<br>　　1．主要抗リウマチ薬療法の基本と要点<br>　　2．免疫抑制薬<br>　　3．関節リウマチのタイトコントロール<br>　　4．生物学的製剤治療のタイミングと選択<br>　　5．生物学的製剤の副作用予防と対処の基本<br>　［応用編］　<br>　　1．関節リウマチに合併する呼吸器疾患への対処<br>　　2．サイトカイン制御と関節破壊抑制<br>　　3．関節リウマチの骨粗鬆症対策<br>V　リウマチ患者の周術期管理<br>　［スタンダード編］<br>　　1．関節リウマチの周術期管理の要点<br>　　2．免疫抑制薬・生物学的製剤と整形外科手術の留意点<br>　　3．感染対策<br>VI　リウマチ上肢・脊椎の再建手術<br>　［スタンダード編］<br>　　1．肘関節の滑膜切除・関節形成術<br>　　2．表面置換型人工肘関節<br>　　3．半拘束型人工肘関節<br>　　4．modified Sauve-Kapandji法<br>　　5．部分手関節固定術<br>　　6．全手関節固定術<br>　　7．手指伸筋腱断裂の再建の要点<br>　　8．母指変形再建のコツ<br>　［応用編］<br>　　1．リウマチ頚椎病変と外科治療のタイミング<br>　　2．リウマチ頚椎病変に対する術式選択<br>　　3．人工肩関節置換術と再建の要点<br>　　4．Swanson flexible implant<br>　　5．MP用セメントレス表面置換型人工指関節の要点<br>　　6．スワンネック変形の再建<br>　　7．ボタン穴変形の再建<br>　　8．FINE人工肘関節<br>VII　リウマチ下肢の再建手術<br>　［スタンダード編］<br>　　1．人工膝関節全置換術の要点<br>　　2．セメントレス人工膝関節全置換術<br>　　3．人工股関節全置換術の要点<br>　　4．足関節の固定術<br>　　5．足関節の再建術の要点<br>　　6．リウマチ足趾の形成術<br>　　7．滑膜切除術update<br>　［応用編］<br>　　1．高度外反膝に対するTKA<br>　　2．高度骨欠損膝への対応<br>　　3．拘縮膝への対応<br>　　4．膝展開困難例への対応とコツ<br>　　5．膝蓋骨非翻転（PEACE）TKA<br>　　6．人工膝関節周囲骨折の治療<br>　　7．感染人工膝関節に対する手術<br>　　8．両側同時TKAの要点<br>　　9．高度破壊例への対応<br>　　10．impaction bone grafting法併用の人工股関節再置換術の要点（ステム側）<br>　　11．股臼再建十字プレートを用いた再置換術<br>　　12．足三関節固定術と手術の工夫<br>代表的診断基準<br>略語一覧<br>索引</section></article>
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