¿Íµ¤ºî²È¤Î·ªËÜ·°¤µ¤ó(55)¤ÏºòǯËö¤ËÆÍÁ³¡¢ç¹Â¡¤¬¤ó¤Ë¸«Éñ¤ï¤ì¤Þ¤·¤¿¡£°ÊÁ°¤ËÆý¤¬¤ó¼ê½Ñ¤ò¼õ¤±¤¿·ªËܤµ¤ó¤Ç¤¹¤¬¡¢¡ÖÈæ¤Ù¤â¤Î¤Ë¤Ê¤é¤Ê¤¤¤¯¤é¤¤¤ËÂçÊѤǤ·¤¿¡×¤È¶ìÏ«¤ò¿¶¤êÊÖ¤ê¤Þ¤¹¡£¼ê½Ñ¡¢Æþ±¡¤È¤¤¤¦·Ð¸³¤ò·Ð¤Æ¡¢¡ÖËÜÅö¤Ë¼«Ê¬¤Ë¤È¤Ã¤ÆɬÍפʤ³¤È¤ÎÍ¥Àè½ç°Ì¤ò¤Ä¤±¤é¤ì¤ë¤è¤¦¤Ë¤Ê¤Ã¤¿¡×¤ÈÏä·¤Þ¤¹¡£
¡¡
¤¬¤ó¤¬È¯³Ð¤·¤¿¤Î¤Ïºòǯ£±£±·îÃæ½Ü¡£
²½¾ÑÃæ¤Ë¶À¤ò¸«¤Æ¤¤¤Æ¡¢ÌܤÎÃæ¤ÎÇò¤¤Éôʬ¤¬²«¿§¤¤¤³¤È¤Ëµ¤¤Å¤¤¤¿¤Î¤¬¤­¤Ã¤«¤±¤Ç¤¹¡£¡Ö¤â¤·¤ä²«áդǤϡפȻפäơ¢¤«¤«¤ê¤Ä¤±¤Î°å¼Ô¤Ë¹Ô¤Ã¤¿¤éÂç³Øɱ¡¤ò¾Ò²ð¤µ¤ì¡¢¤½¤Î¤Þ¤ÞÆþ±¡¤È¤Ê¤ê¤Þ¤·¤¿¡£

¾¯¤·Á°¤«¤é¡¢ÂÎÃ椬¤«¤æ¤¯¤Ê¤ë¾É¾õ¤¬¤¢¤ê¡¢¥Ù¥Ã¥É¤Ç°ìÈÕÃæ¡¢ÂΤò¤«¤­¤à¤·¤ë¤Û¤É¤À¤Ã¤¿¤ó¤Ç¤¹¤¬¡¢¤½¤Î»þ¤Ï²¿¤«¤Î¥¢¥ì¥ë¥®¡¼¤«¤È»×¤Ã¤Æ¤¤¤Þ¤·¤¿¡£²«áդξɾõ¤Ë¤«¤æ¤ß¤¬¤¢¤ë¤ÈÃΤäƤ¤¤¿¤é¡¢¤â¤Ã¤È°ã¤Ã¤Æ¤¤¤¿¤Î¤Ç¤·¤ç¤¦¤¬¡£

¤½¤Î¤³¤í¤Ï³ä¤È¡ÖÉÔ·ò¹¯¡×¤ÊÀ¸³è¤òÁ÷¤Ã¤Æ¤¤¤Þ¤·¤¿¡££±£°·îËö¤Ë¡Ê¼«¿È¤¬½Ð±é¤¹¤ë²»³Ú¤Î¡Ë¥é¥¤¥Ö¤¬¤¢¤ê¡¢¥ê¥Ï¡¼¥µ¥ë¤ä¤é²¿¤ä¤é¤ÇË»¤·¤«¤Ã¤¿¤ó¤Ç¤¹¤è¡£¤·¤«¤â¡¢£¹·î¤Ë¤ÏÊì¿Æ¤Î°ú¤Ã±Û¤·¤â¤¢¤ê¡¢¼ê³¤­¤ä¤Ê¤ó¤ä¤Ç¥¹¥È¥ì¥¹¤¬¤¿¤Þ¤Ã¤Æ¤¤¤¿»þ´ü¤Ç¤·¤¿¡£

Âç³Øɱ¡¤Ë¹Ô¤Ã¤¿¤é¥«¥ó¥Õ¥¡¥ì¥ó¥¹¼¼¤Ë¸Æ¤Ð¤ì¤Æ¡¢¡Öç¹Â¡¤Ë¼ðá礬¤¢¤ê¤Þ¤¹¤Í¡£°­À­¤Ç¤¹¡×¤ÈÀë¹ð¤µ¤ì¤Þ¤·¤¿¡£±ê¾É¤òµ¯¤³¤·¤Æ¤¤¤¿¤éÂçÊѤÀ¤Ã¤¿¤½¤¦¤Ç¤¹¤¬¡¢¤½¤ì¤¬¤Ê¤«¤Ã¤¿¤Î¤¬ÉÔ¹¬Ãæ¤Î¹¬¤¤¡££±£²·î¤Ë¹ñΩ¤¬¤ó¥»¥ó¥¿¡¼¤ËÆþ±¡¡££²£°Æü¤Ë¼ê½Ñ¤ò¹Ô¤¤¤Þ¤·¤¿¡£

£±£¶Ç¯Á°¤ËÆý¤¬¤ó¤Ë¤«¤«¤Ã¤¿¤Î¤Ç¡¢¤¬¤ó¤ËÂФ·¤Æ¤Î¶²ÉݤϤ½¤ì¤Û¤É¤Ê¤«¤Ã¤¿¤ó¤Ç¤¹¡£
½Ñ¸å£µÇ¯À¸Â¸Î¨¤È¤¤¤¤¤Þ¤¹¤¬¡¢ËܿͤˤȤäƤߤì¤Ð¡¢¥¼¥í¤«£±£°£°¤«¤·¤«¤Ê¤¤¡£¤½¤ì¤è¤ê¡¢£³Ç¯Á°¤Ë´Î¡¤Î¿ôÃͤ¬°­¤¯¤Ê¤Ã¤Æ¤«¤é¤Ï¿©À¸³è¤ÏÀáÀ©¤·¤Æ¤¤¤¿¤Ä¤â¤ê¤À¤Ã¤¿¤Î¤Ç¡¢¡Ö¤Ê¤¼¤Ê¤ó¤À¤í¤¦¡×¤È¤Ï»×¤¤¤Þ¤·¤¿¡£

Æý¤¬¤ó¤ÈÈæ¤Ù¤Æ¡¢¼ê½Ñ¤È¤½¤Î¸å¤ÏÂçÊѤǤ·¤¿¡£°å»Õ¤«¤é¡Ö²¿¤«Â礭¤Êɵ¤¤ò¤·¤¿¤³¤È¤¬¤¢¤ë¡©¡×¤Èʹ¤«¤ì¡¢¡ÖÀΡ¢Æý¤¬¤ó¤ò¡×¤ÈÅú¤¨¤Þ¤·¤¿¤¬¡¢¡Ö¤½¤ì¤Ï¡¢º£²ó¤ÈÈæ¤Ù¤¿¤é¼ê½Ñ¤Î¤¦¤Á¤ËÆþ¤é¤Ê¤¤¤è¡×¤È¸À¤ï¤ì¤Þ¤·¤¿¡£

Æý¤¬¤ó¤Ç¤Ï¡¢¼ã¤«¤Ã¤¿¤³¤È¤â¤¢¤Ã¤Æ¼ê½Ñ¤·¤¿È¾Ç¯¸å¤Ë¤Ï¤ª¼ò¤ò°û¤ó¤À¤ê¡¢¤º¤¤¤Ö¤óÉÔÀÝÀ¸¤â¤·¤Þ¤·¤¿¡£¤±¤ì¤É¡¢º£²ó¤Ï¾Ã²½´ï¤Ë¼ê¤ò¤Ä¤±¤ë¡£¡Ö£±Ç¯¤¿¤Ã¤¿¤éÃæ²ÚÎÁÍý¤â¿©¤Ù¤Æ¤¤¤¤¤è¡×¤È¸À¤ï¤ì¤Þ¤·¤¿¤¬¡¢¤½¤Î¤¯¤é¤¤ÂçÊѤʤó¤Ç¤¹¤Í¡£

Ì󣸻þ´Ö¤Î¼ê½Ñ¤¬½ª¤ï¤ê¡¢¤·¤Ð¤é¤¯¤ÏËã¿ì¤¬¸ú¤¤¤Æ¤¤¤¿¤Î¤Ç¡¢Äˤ¯¤Ï¤Ê¤«¤Ã¤¿¤Î¤Ç¤¹¤¬¡¢¤Î¤É¤¬»à¤Ì¤Û¤É³é¤­¤Þ¤·¤¿¡£¤Î¤É¤¬¤«¤¹¤ì¤ÆÀ¼¤¬½Ð¤Ê¤¤¤Î¤Ë¡¢¿å¤ò°û¤Þ¤»¤Æ¤â¤é¤¨¤Ê¤¤¡£ÌÊËÀ¤Ç¿°¤ò¾¯¤·¼¾¤é¤»¤Æ¤¯¤ì¤ë¤ó¤À¤±¤É¡¢°û¤ß¹þ¤ó¤Ç¤Ï¤¤¤±¤Ê¤¤¤ó¤Ç¤¹¡£¤³¤ì¤¬°ìÈÖ¤­¤Ä¤«¤Ã¤¿¤Ç¤¹¤Í¡£·ë¶É¡¢¿å¤¬°û¤á¤¿¤Î¤Ï£±½µ´Ö¸å¡¢¿©»ö¤Ï£±£°Æü¸å¤Ç¤·¤¿¡£

¼ê½Ñ¸å¤ÏÀ¸³è¤¬°ìÊѤ·¤Þ¤·¤¿¡£ÃÙ¤¯¤Æ¤âÌë¤Ï£¸»þȾ¤Ë¤Ï¿²¤ë¤è¤¦¤Ë¤Ê¤Ã¤¿¤·¡¢¿©¤Ùʪ¤â»é¤Ã¤³¤¤¤â¤Î¤Ïµ¤»ý¤Á°­¤¤¡£¤â¤¦¡¢¤ª¼ò¤â°ìÀ¸°û¤Þ¤Ê¤¤¤«¤â¤·¤ì¤Þ¤»¤ó¡£¤â¤Ã¤ÈÊѤï¤Ã¤¿¤Î¤Ï¡¢Êª»ö¤ËÂФ¹¤ë¹Í¤¨Êý¤Ç¤¹¤Í¡£¤¤¤Äɵ¤¤Ë¤Ê¤ë¤«Ê¬¤«¤é¤Ê¤¤¤È»×¤¦¤È¡¢º£¤ä¤ë¤Ù¤­¤³¤È¤ÎÍ¥Àè½ç°Ì¤ò¹Í¤¨¤Æ¤ä¤ë¤è¤¦¤Ë¤Ê¤Ã¤¿¤«¤Ê¡£

°ÊÁ°¤ÏÂç»ö¤Ê¤â¤Î¡¢¤ª¤¤¤·¤¤¤â¤Î¡¢¹¥Êª¤òºÇ¸å¤Ë¼è¤Ã¤Æ¤ª¤¯¤Û¤¦¤Ç¤·¤¿¡£Î㤨¤Ð¡¢Ãåʪ¤¬¹¥¤­¤Ç¤è¤¯Ãå¤ë¤Î¤Ç¤¹¤¬¡¢°ÊÁ°¤Ê¤é¡Ö¤è¤½¹Ô¤­ÍѡפȡÖÉáÃÊÍѡפòʬ¤±¤Æ¤¤¤Þ¤·¤¿¡£¤Ç¤âº£¤Ï¡¢¤½¤ó¤Ê¤â¤Î´Ø·¸¤Ê¤¯¡¢Ãå¤é¤ì¤ë¤¢¤¤¤À¤ËÁ´ÉôÃå¤Á¤ã¤ª¤¦¡¢¤È¡Ê¾Ð¡Ë¡£¤³¤ì¤Þ¤Ç¤Ê¤é¤¿¤á¤é¤¦¤è¤¦¤Ê¤³¤È¤â¤Ç¤­¤ë¤è¤¦¤Ë¤Ê¤ê¤Þ¤·¤¿¡£

ʪ¤¬¼Î¤Æ¤é¤ì¤ë¤è¤¦¤Ë¤â¤Ê¤ê¤Þ¤·¤¿¤Í¡£¤³¤ì¤À¤±À¸¤­¤Æ¤¤¤ë¤È¡¢¤¤¤í¤¤¤íʪ¤¬¤¿¤Þ¤Ã¤Æ¤¯¤ë¤Î¤Ë¼Î¤Æ¤é¤ì¤Ê¤¯¤Ê¤ë¡£»×¤¤½Ð¤ÎÉʤȤ«¤Ê¤é¡¢¤Ê¤ª¤µ¤é¤Ç¤¹¡£

¤Ç¤â¡¢¿Í´Ö¤Ï¤¤¤Ä»à¤Ì¤«Ê¬¤«¤é¤Ê¤¤¡£»ä¤è¤ê¤â¸µµ¤¤À¤Ã¤¿¿Í¤¬»ö¸Î¤Ë¤¢¤Ã¤Æ»à¤ó¤À¤ê¤¹¤ë¡£¤½¤¦»×¤¦¤È¡¢¡Ö¼«Ê¬¤Ë¤È¤Ã¤Æ;ʬ¤Ê¤â¤Î¤Ï¤É¤ó¤É¤ó¤½¤®Íî¤È¤·¤Æ¤¤¤³¤¦¡×¤È¤¤¤¦µ¤»ý¤Á¤Ë¤Ê¤ê¤Þ¤·¤¿¤Í¡£
(ºî²È¡¦·ªËÜ·°¤µ¤ó¡¢¡Öç¹Â¡¤¬¤ó¡×¤ò¸ì¤ë¡Ê¾å¡Ë)


ç¹´â¤Ï¡¢ç¹Â¡¤«¤éȯÀ¸¤·¤¿°­À­¼ðáç(¾åÈéÀ­°­À­¼ðáç)¤Ç¤¹¡£¿Ê¹Ô¤¬Á᤯¡¢¤­¤ï¤á¤Æͽ¸å¤¬°­¤¤¤È¤µ¤ì¤Æ¤¤¤Þ¤¹¡£È¯À¸Î¨¤ÏÌó1,000¿Í¤Ë1¿Í¤Ç¡¢60¡Á70ºÐÂå¤Î¹âÎð¼Ô¤Ë¿¤¯¡¢Áý²Ã·¹¸þ¤Ë¤¢¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£

ç¹Â¡¤Ïç¹±Õ¤ò»ºÀ¸¤¹¤ëÁ£Ë¼¡¢ç¹±Õ¤ò±¿¤Öç¹´É¡¢¤ª¤è¤ÓÆâʬÈçÁ£¤Ç¤¢¤ë¥é¥ó¥²¥ë¥Ï¥ó¥¹Åç¤Ê¤É¤«¤é¤Ê¤ê¤Þ¤¹¤¬¡¢ç¹´â¤ÎÌó90%¤Ï繴ɤ«¤éȯÀ¸¤¹¤ëç¹´É´â¡Êductal cell carcinoma¡Ë¤Ç¡¢Ä̾ï¡Öç¹´â¡×¤È¤¤¤¨¤Ðç¹´É´â¤ò»Ø¤·¤Þ¤¹¡£ç¹Â¡¤ÎÃæ¤Ç¤â¡¢ç¹Æ¬Éô´â¤¬Ìó2/3¤Ç¿¤¯¡¢¼þ°ÏÁÈ¿¥¤Ø¿»½á¤·¤Æ¤¤¤­¤Þ¤¹¡£¸«¤Ä¤«¤ê¤Ë¤¯¤¯(¸¡¿Ç¤Ê¤É¤Ç¤ÏÉáÄÌ¡¢¤¢¤Þ¤êç¹Â¡´â¤òµ¿¤Ã¤Æ¸¡ºº¤ò¤¹¤ë¡¢¤È¤¤¤¦¤³¤È¤â¾¯¤Ê¤¤¤¿¤á)¡¢¿ÇÃÇ»þ¤Ë¤Ï¤Û¤È¤ó¤É¤¬¿Ê¹Ô´â¤Ç¤¹¡£

½éȯ¾É¾õ¤È¤·¤Æ¤Ï̵ÄËÀ­¤Î²«áÕ¤¬Â¿¤¯¡¢ÈéÉ沫À÷¤È¤È¤â¤Ë±¦¾åÊ¢Éô¤ËÃÀǹ¤ò¿¨ÃΤ·¤Þ¤¹¡£´ðËÜŪ¤Ë¡¢²«áդϡ¤·ìÃæ¤Î¥Ó¥ê¥ë¥Ó¥óÇ»ÅÙ¤¬£²¡Ý£³mg/dL¤òĶ¤¨¤ëÄøÅ٤ˤʤë¤Èµ¤¤Å¤«¤ì¤ë¤è¤¦¤Ë¤Ê¤ê¤Þ¤¹¡£²«áդǤϡ¢²«¿§Ä´¤ÎÇòÌܤäÈéÉæ¤ÈƱ»þ¤Ë³ì¿§Ç¢¤òÁʤ¨¡¢´µ¼Ô¤µ¤ó¤Ë¤è¤Ã¤Æ¤ÏÇ¢¤Î¿§¤ÎÊѲ½¤ò¼çÁʤËÍ象¤¹¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£·ªËܤµ¤ó¤Î¤è¤¦¤ËÈéÉæ¤ÎáڤߤòÁʤ¨¤ë¾ì¹ç¤â¤¢¤ê¡¢²«áդνÅÍפÊħ¸õ¤Î1¤Ä¤È¤Ê¤Ã¤Æ¤¤¤Þ¤¹¡£

¾¤Ë¤â¡¢Ê¢ÄË¡¢ÂνŸº¾¯¡¢²«áÕ¡¢ÂÑÅüǽ°Û¾ï¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¤¬¡¢½é´ü¤Ë¤Ï̵¾É¾õ¤Î¤³¤È¤¬Â¿¤¤¤¿¤á¡¢È¯¸«¤¬ÃÙ¤ì¤ä¤¹¤¤¤È¤µ¤ì¤Æ¤¤¤Þ¤¹¡£¿Ê¹Ô´â¤Ë¤Ê¤ë¤ÈÇØÉôÄË¡¢Ê¢ÄË¡¢²¼Î¡¤¬½Ð¸½¤·¤Þ¤¹¡£Ãæ¤Ç¤â¡¢ç¹Â¡¤Î¾ã³²¤Ë¤è¤ë2ǯ°ÊÆâ¤ÎÅüÇ¢ÉÂȯ¾É¡¢µÞ·ã¤ÊÂνŸº¾¯¤ÏÍ­ÎϤʿÇÃǤμê³Ý¤«¤ê¤È¤Ê¤ê¤Þ¤¹¡£

¾åÊ¢ÉôÄË¡¢ÇØÉôÄˤ¬Â³¤­¡¢Â¾¤Î¾åÊ¢Éô¼À´µ¤¬½ü³°¤Ç¤­¤¿¾ì¹ç¤Ç¤Ï¡¢ç¹´â¤òǰƬ¤ËÃÖ¤¤¤Æ¸¡ºº¤ò¿Ê¤á¤ëɬÍפ¬¤¢¤ê¤Þ¤¹¡£

ɬÍפʸ¡ºº¤È¤·¤Æ¤Ï¡¢°Ê²¼¤Î¤è¤¦¤Ê¤â¤Î¤¬¤¢¤ê¤Þ¤¹¡£
¤Þ¤º·ì±ÕÀ¸²½³Ø¸¡ºº¤Ç¤Ï¡¢²«áÕ¤ÎÄøÅÙ¤ÈʹԤ·¤Æ·ìÀ¶Áí¥Ó¥ê¥ë¥Ó¥óÃͤξ徺¤òǧ¤á¤Þ¤¹¡£ÊĺÉÀ­²«áÕ¤«Èݤ«¤Ï¡¢Ä¾ÀÜ¥Ó¥ê¥ë¥Ó¥ó¤¬Í¥°Ì¤ËÁý²Ã¤·¤Æ¤¤¤ë¤«¤É¤¦¤«¤Ç´ÕÊ̤Ǥ­¤Þ¤¹¡£

¥¹¥¯¥ê¡¼¥Ë¥ó¥°¤È¤·¤ÆÊ¢Éô¥¨¥³¡¼¤¬Í­ÍѤǤ¢¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹(­¡ç¹Â¡¤«¤é½½Æó»ØIJ¤Ë¾Ã²½±Õ¤òÁ÷¤ë¤¿¤á¤Î¼ç繴ɤÎľ·Â¤¬2.5mm°Ê¾å(Ä̾ï2mm°Ê²¼)¡¢­¢ç¹Â¡¤Ëľ·Â3cm°Ê²¼¤Î¾®¤µ¤ÊÂÞ¤¬¤¢¤ë¡¢¤È¤¤¤Ã¤¿ÆÃħ¤Ê¤É)¡£

¤Þ¤¿¡¢¶Éºß¿ÇÃÇ¡¢¼ê½ÑŬ±þ¤òȽÄꤹ¤ë¤Ë¤ÏCT¤¬Í­ÍѤǤ¹¡£Ë³·ìÀ­(·ì´É¤Ë˳¤·¤¤)¤Î¼ðáç¤Ç¤¢¤ë¤¿¤á¡¢Â¤±ÆCT¤Ë¤ÆÄãµÛ¼ý°è¤È¤·¤ÆÁ¯ÌÀ¤ËÉÁ½Ð¤µ¤ì¤Þ¤¹¡£CT¤Ç¤Ï¡¢ç¹Á°ÌÌ¡¢¸åÌ̤ؤμðáç¤Î¿»½á¤ÎÄøÅÙ¡¢ÌçÌ®¤ä¾åIJ´ÖËìÆ°Ì®¤Ø¤Î¿»½á¤Î̵ͭ¡¢Å¾°Ü¥ê¥ó¥ÑÀá¤Î̵ͭ¤âȽÄê¤Ç¤­¤Þ¤¹¡£

¼ðáç¥Þ¡¼¥«¡¼¤È¤·¤Æ¤Ï¡¢CA19-9¤¬¤¢¤ê¡¢Ìó80¡ó¤Î¥±¡¼¥¹¤ÇÍÛÀ­²½(ÍÛÀ­Î¨¤Ï60¡Á80¡ó¤È¹â¤¤)¤·¡¢Í­ÍѤʼðáç¥Þ¡¼¥«¡¼¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£Æäˡ¢½ÑÁ°¤Ë¼ðáç¥Þ¡¼¥«¡¼¤¬¹âÃͤξÉÎã¤Ç¤Ï¼ðáç¤ÎÀÚ½ü¤Ë¤è¤ê¼ðáç¥Þ¡¼¥«¡¼¤ÏÄã²¼¤¹¤ë¤Î¤Ç¡¢½Ñ¸å¤ËºÆȯ¤Î¥â¥Ë¥¿¡¼¤È¤·¤ÆÍ­ÍѤȤʤê¤Þ¤¹¡£¤Ç¤¹¤¬¡¢¼ðáç·Â¤¬1.0cm°Ê²¼¤Îç¹´â¤Ç¤ÎÍÛÀ­Î¨¤ÏÄ㤯¡¢Áá´ü¿ÇÃǤÎÍ­ÍÑÀ­¤ÏÄ㤤¤È¹Í¤¨¤é¤ì¤Þ¤¹¡£

¾¤Ë¤â¡¢Æâ»ë¶ÀŪµÕ¹ÔÀ­ç¹ÃÀ´É¤±Æ¡ÊERCP¡Ë¤¬¹Ô¤ï¤ì¡¢ç¹´É¤Î¶¹ºõ¤äÊĺɤòǧ¤á¤Þ¤¹¡£´ÕÊ̤¹¤ë¤Ù¤­¼À´µ¤È¤·¤Æ¤Ï¡¢ËýÀ­ç¹±ê¡¢Æä˼ðáî·ÁÀ®À­ËýÀ­ç¹±ê¤¬´ÕÊ̤ÎÂоݤȤʤê¤Þ¤¹¡£

³ÎÄê¿ÇÃǤȤ·¤Æ¤Ï¡¢ç¹±ÕºÙ˦¿Ç¤Ç´âºÙ˦¤¬¸¡½Ð¤µ¤ì¤Þ¤¹¡£¤Þ¤¿¡¢³Æ¼ï¤Î²èÁü¿ÇÃǤǼðáî¤Î¿»½á½ê¸«¤¬ÌÀ¤é¤«¤È¤Ê¤ê¡¢ÆäËÃÀ´É¡¢°ß½½Æó»ØIJÊÉ¡¢Ì®´É¤Ø¤Î¿»½á½ê¸«¤â»²¹Í¤Ë¤Ê¤ê¤Þ¤¹¡£

Æý´â¡¢¤½¤·¤Æç¹´â¤Îȯ¾É¤È¤¤¤¦Âçɤò´µ¤¤¤Ê¤¬¤é¤â¼¹É®¤ò³¤±¤Æ¤¤¤é¤Ã¤·¤ã¤ê¡¢¤·¤«¤âÁ°¸þ¤­¤ËÀ¸¤­¤Æ¤¤¤é¤Ã¤·¤ã¤ëÍͻҤˡ¢Èó¾ï¤Ë¿´ÂǤ¿¤ì¤Þ¤·¤¿¡£¡Ö¼«Ê¬¤¬´â¤Ë¤Ê¤Ã¤¿¤é¡Ä¡×¤È¹Í¤¨¤¿¾ì¹ç¡¢·ªËÜÀèÀ¸¤Î¤è¤¦¤Ë²Ì¤¿¤·¤Æª¤¨¤é¤ì¤ë¤Î¤«¡¢Á°¤ò¸þ¤¤¤Æ¤¤¤é¤ì¤ë¤Î¤«¡¢ÍÍ¡¹¤Ê¤³¤È¤ò¹Í¤¨¤µ¤»¤é¤ì¤ë¥¤¥ó¥¿¥Ó¥å¡¼¤Ç¤·¤¿¡£

¡Ú´ØÏ¢µ­»ö¡Û
ͭ̾¿Í¤Î¾ÉÎ㽸

Æý´â¤Ë¤Ê¤Ã¤¿µ­¼Ô¡Ý°å³Ø½ñ¤ÈƮɵ­