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		<h1 class="catchCopy">世界屈指の色素レーザー治療数を誇る著者が，35年の奥義を伝授！</h1>
		

		<h1 class="title">パルス色素レーザー治療スプリーム<span class="version"></span></h1>
		<h2 class="subTitle">形成外科医・皮膚科医のために</h2>

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					著：葛西健一郎（葛西形成外科）
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				<ul class="property"><li class="disc">B5判・244頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-2638-8</li><li class="disc">2024年8月19日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="preface">序文</h3><h3 class="indexes">主要目次</h3></div><section class="current content">パルス色素レーザー治療の基本と実践を，豊富な症例写真を用いて解説！毛細血管奇形（CM）と乳児血管腫（IH）の治療を中心に，適応から照射方法・エンドポイント，合併症への対応まで，（おそらく）世界で一番レーザー治療を行ってきた著者が，35年間考え，実践してきた経験と知恵を余すことなく披露した．実際の治療内容・経過を具体的に解説した症例集は必見．葛西先生ならではのコツとワザが詰まった，高みを目指す形成外科医・皮膚科医に向けた至高の一冊．</section><section class="preface">序　文<br><br>　1988年，関西医科大学形成外科に，日本で初めて量産型パルス色素レーザー（Candela社SPTL-1）が納入されたときに，当時の小川豊教授から担当者を拝命したことが，筆者が初めてレーザーというものに触れるきっかけとなった．筆者はそれ以来35年間，形成外科医として人生の大部分をレーザーとともに過ごすことになる．<br>　これまで，文光堂から「シミの治療」「Qルビーレーザー」「炭酸ガスレーザー」「ピコ秒レーザー」「脱毛レーザー」と，5冊のテキストを出版させていただいたが，実はこの「色素レーザー」こそ，本当は，一番初めに出さなければいけないと思いながら，実現できていなかった．その理由は，このレーザーは一番奥が深く，「こうすればよい」という簡明な答えの出しにくいレーザーだからである．実は筆者は10年ほど前にも，色素レーザーについて書き始めたことがある．そのとき，全国の有力な先生方にどんなパラメーターで照射しているのか尋ねたところ，実に千差万別いろいろなやり方を教えていただいて，逆に困ってしまった．こうするべしという「絶対的に正しい」やり方など存在しないし，よその病院では「どんなやり方で」「どこまで」治療できているのかなどは，全くわからないのである．何をどう書いたらよいのかわからなくなってしまい，原稿はそのまま塩漬けになってしまった．<br>　その間にも，迷いながらもPDL治療は続けていた．ありがたいことに，膨大な数の患者が来てくれたおかげで，経験を積むことができた．大阪のレセプト審査員の先生には「大阪のレーザーのレセプトは半分以上が先生のクリニックからです」と教えてもらったことがある．なぜ，この方法が一番良いのかはわからないが，とにかく「こうするのが最善だろう」という方法が固まってきたので，それをまとめてみようと思い直したのが本書の内容である．<br>　日本は，おそらく世界で唯一の，健康保険でCMやIHをPDL治療できる国である．だから，たぶん治療件数も世界で最も多いと考えられる．筆者のクリニックが日本で最も治療件数が多いとしたら，それは世界で最も多いと考えてよいと思われる．そこでどんなことをやっているのかを出版するのも，それはそれで意味があると，開き直ることにした．本書は筆者が35年間考えてやってきたことを残さず公開している．読者には，参考になる点だけつまんでいただければそれでよいと思っている．何も，この考え方ややり方が最善だと主張するつもりはない．ただ「筆者はこう思う」ということである．<br><br>　2024年7月　酷暑の大阪にて<br>　葛西健一郎</section><section class="indexes">Ⅰ─パルス色素レーザー治療の基本<br>　1．パルス色素レーザーの歴史<br>　2．パルス色素レーザーの理論<br>　3．現在用いられている機械の種類と冷却装置<br>　4．パラメーター<br>　5．今後の展望<br>　6．血管腫のISSVA分類<br><br>Ⅱ─パルス色素レーザーによる毛細血管奇形（CM）治療<br>　1．毛細血管奇形の治療理論<br>　2．適応・説明・準備<br>　3．麻酔<br>　4．照射方法とエンドポイント<br>　5．術後処置<br>　6．繰り返し照射のタイミング<br>　7．合併症とその対処<br>　8．サーモンパッチ・ウンナ母斑<br>　9．症例集（毛細血管奇形）<br><br>Ⅲ─パルス色素レーザーによる乳児血管腫（IH）治療<br>　1．乳児血管腫の概念<br>　2．説明・準備<br>　3．照射方法とエンドポイント<br>　4．繰り返し照射のタイミング<br>　5．終了のタイミングとフォロー<br>　6．合併症<br>　7．症例集（乳児血管腫）<br><br>Ⅳ─パルス色素レーザーのその他の応用<br>　1．毛細血管拡張症<br>　2．酒皶<br>　3．クモ状血管腫<br>　4．被角血管腫<br>　5．老人性血管腫<br>　6．動静脈奇形（AVM）<br>　7．下肢静脈<br>　8．蛇行状血管腫<br>　9．先天性血管拡張性大理石様皮斑<br>　10．先天性血管腫<br>　11．尋常性疣贅<br>　12．ニキビ（尋常性痤瘡）<br>　13．瘢痕・ケロイド<br>　14．美容への応用<br>　15．PDL治療の適応ではない疾患（1）顔面毛包性紅斑黒皮症（北村病）<br>　16．PDL治療の適応ではない疾患（2）房状細胞腫<br><br>索　引</section></article>
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