¥®¥ã¥ë·Ï¥Õ¥¡¥Ã¥·¥ç¥ó»ï¡Ö¾®°­Ëâageha¡×¤Ê¤É¤Ç³èÌö¤·¤Æ¤¤¤¿¥â¥Ç¥ë¤Î½ãÎø¡ÊSUMIRE¡Ë¤µ¤ó¤¬¡¢Ç¾½Ð·ì¤Î¤¿¤áË´¤¯¤Ê¤Ã¤¿¤³¤È¤¬ÌÀ¤é¤«¤Ë¤Ê¤Ã¤¿¡£¤Þ¤À21ºÐ¤È¤¤¤¦¼ã¤µ¤Ç¤ÎÆÍÁ³¤ÎÈáÊó¤Ë¡¢¸ø¼°¥Ö¥í¥°¤Ë¤Ï¡ÖÍ­¤êÆÀ¤Ê¤¤¡Ä¡×¡Ö¿®¤¸¤¿¤¯¤Ê¤¤¡×¤Ê¤É¡¢¥Õ¥¡¥ó¤ÎÈᤷ¤ß¤ÎÀ¼¤¬»¦Åþ¤·¤Æ¤¤¤ë¡£

¸ø¼°¥µ¥¤¥È¤Îȯɽ¤Ë¤è¤ë¤È¡¢½ãÎø¤µ¤ó¤¬Ë´¤¯¤Ê¤Ã¤¿¤Î¤Ï6·î11Æü¤Î¤³¤È¡£10ÆüÌë¤ËÏ¢Íí¤¬¼è¤ì¤Ê¤¤¤³¤È¤ò¿´ÇÛ¤·¤¿»ö̳½ê¤ÎôÅö¼Ô¤¬¼«Âð¥Þ¥ó¥·¥ç¥ó¤òˬ¤ì¤¿¤È¤³¤í¡¢¼¼Æâ¤ÇǾ½Ð·ì¤Î¤¿¤áË´¤¯¤Ê¤Ã¤Æ¤¤¤¿¤È¤¤¤¦¡£·Ù»¡¤ä¾ÃËɤˤè¤ì¤Ð¡¢»ö·ïÀ­¤Ï¤Ê¤¤¤½¤¦¤À¡£

¸ø¼°¥Ö¥í¥°¡Ö½ãÎøƸÏáפˤÏ5·îº¢¤«¤é¡¢¤¿¤Ó¤¿¤ÓÂÎÄ´ÉÔÎɤòÁʤ¨¤ë¥á¥Ã¥»¡¼¥¸¤¬»Ä¤µ¤ì¤Æ¤¤¤ë¡£5·î8Æü¤Ë¤Ï¡ÖƬÄˤ¬¤·¤Æ¡Äº£Æü°ìÆüÃæƬÄˤ¬¤Ò¤É¤£¡×¡ÖƬ¤¤¤Á¤ã¤£¡×¡¢9Æü¤Ë¤Ï¡Öº£Æü¤â¤Á¤ç¤Ã¤È¥À¥±Æ¬¤¬Äˤ¤¤Î¤Ç¡¢Âç¿Í¤·¤¯¿²¤Æ¼£¤·¤¿¤¤¤È»×¤¤¤Þ¤¹¡×¡¢11Æü¤Ë¤Ï¡ÖƬÄˤ¬¼£¤é¤Ê¤¤¤«¤éɱ¡¤Ë¹Ô¤Ã¤Æ¼£¤·¤Æ¤ë¡×¡Ö¤­¤Ã¤ÈÌô°û¤á¤Ð¼£¤ë¤Ç¤·¤ç¤¦¡×¡£

¤½¤·¤ÆºÇ¸å¤Î¹¹¿·¤È¤Ê¤Ã¤¿6·î2Æü¤Î¥¨¥ó¥È¥ê¡¼¤Ç¤Ï¡¢¡ÖÁ°¤Î¥Ö¥í¥°¤«¤é¡¢¤Á¤ç¤£¤Á¤ç¤£Æ¬Äˤ¤¤È¤«¶ñ¹ç°­¤¤¤Î¤ò¸À¤Ã¤Æ¤¿¤±¤É¡¢¤Á¤ç¤Ã¤È¿ÈÂΤÎÄ´»Ò¤¬°­¤¯¤ÆÃϸµ¤Ë¤Ò¤Ã¤½¤êµ¢¤Ã¤¿¤ê¤·¤Æ¤Þ¤·¤¿¡×¤È¡¢Æ¬Äˤ¬°­²½¤·¤Æ¤¤¤ë¤³¤È¤òÌÀ¤«¤·¤Æ¤¤¤¿¡£
(¡Ö¾®°­Ëâageha¡×¤Ê¤É¤Ç³èÌö¤Î¥â¥Ç¥ë¡¦½ãÎø¤µ¤ó¡¢Ç¾½Ð·ì¤Î¤¿¤á21ºÐ¤Ç»àµî¡£)


ǾÆâ½Ð·ì(Ǿ½Ð·ì)¤È¤Ï¡¢²¿¤é¤«¤Î¸¶°ø¤Ë¤è¤Ã¤ÆǾ¤ÎÆ°Ì®¤¬Çˤì¤Æ½Ð·ì¤·¡¢Ç¾¼Â¼ÁÆâ¤Ë½Ð·ì(·ì¼ð)¤ò·ÁÀ®¤·¤¿¤â¤Î¤Ç¤¹¡£Èù¾®Æ°Ì®áî¤ÎÇËÎö¤¬µ¯¤³¤ê¡¢¤½¤ì¤Ë³¤¤¤ÆÆó¼¡Åª¤ËȯÀ¸¤¹¤ëÀÅÌ®ÇËþ¤Ê¤É¤¬¸¶°ø¤È¤Ê¤Ã¤ÆǾ½Ð·ì¤òµ¯¤³¤·¤Þ¤¹¡£

Ǿ·ì´É¾ã³²¤Î3Âç¼À´µ¤Ç¤¢¤ë¡¢Ç¾¹¼ºÉ¡¢¤¯¤âËì²¼½Ð·ì¤È¤È¤â¤Ë¡¢Ç¾Æâ½Ð·ì¤Ï¤½¤ÎÆâ¤Î1¤Ä¤Ç¤¹¡£ÉÙ»³¸©¡¢´ä¼ê¸©Ç¾Â´ÃæÅý·×¤Ç¤Ï¡¢Ç¯´Ö10Ëü¿ÍÅö¤¿¤ê50̾Á°¸å¤È¤ÎÊó¹ð¤¬Â¿¤¯¡¢Ç¾Â´ÃæÁ´ÂΤÎ25¡Á30¡óÁ°¸å¤òÀê¤á¤Æ¤¤¤Þ¤¹¡£

°ÊÁ°¤ÏÆüËܤǤÎȯ¾ÉΨ¤¬¡¢²¤Êƽô¹ñ¤ËÈæ¤Ù¤Æ¹â¤¤·¹¸þ¤Ë¤¢¤ê¤Þ¤·¤¿¤¬¡¢À¸³è´Ä¶­¤ÎÊѲ½¤ä¹â·ì°µ´ÉÍý¤ÎÉáµÚ¤È¤È¤â¤Ë¡¢¸º¾¯¤·¤Ä¤Ä¤¢¤ê¤Þ¤¹¡£Á´ÂΤÎȯÀ¸¿ô¤ª¤è¤Ó½Å¾ÉÎã¤Ï¶áǯÌÀ¤é¤«¤Ë¸º¾¯·¹¸þ¤Ë¤¢¤ê¤Þ¤¹¡£Ç¯ÎðÊÌȯ¾ÉΨ¤Ç¤Ï¡¢60¡Á70ºÐÂå¤Ë¥Ô¡¼¥¯¤¬¤¢¤ê¡¢ÃËÀ­¤Ë¿¤¤¤È¤¤¤¦ÆÃħ¤¬¤¢¤ê¤Þ¤¹¡£

¥ê¥¹¥¯¥Õ¥¡¥¯¥¿¡¼¤È¤·¤Æ¤Ï¡¢¹âÎð¡¢À­ÊÌ(ÃËÀ­)¡¢¹â·ì°µ¡¢°û¼ò¡¢·ìÀ¶Ä㥳¥ì¥¹¥Æ¥í¡¼¥ëÃͤʤɤ¬¤¢¤²¤é¤ì¤Þ¤¹¡£¤Þ¤¿¡¢ºÇ¶á¤Ç¤Ï¹³¶Å¸ÇÎÅË¡¡¢¹³·ì¾®ÈÄÎÅË¡¤Ê¤É¤â½ÅÍפȤʤê¤Þ¤¹¡£¤µ¤é¤Ë¡¢¹â·ì°µ¤Ê¤É¤òȼ¤ï¤Ê¤¤Ç¾Æâ½Ð·ì¤Ç¤Ï¡¢¤â¤ä¤â¤äÉ¡¢¥¢¥ß¥í¥¤¥ÉǾ¾É¡¢Å¾°ÜÀ­Ç¾¼ðáç¡¢·ì´É¼ð¤Ê¤É¤¬¹Í¤¨¤é¤ì¤Þ¤¹¡£

Æä˼ãǯ¼Ô¤Î½Ð·ì¤Ç¤Ï¡¢Ç¾Æ°ÀÅÌ®´ñ·Á¤Ê¤É¤¬µ¿¤ï¤ì¤Þ¤¹¡£Ç¾Íսзì¤ä¾®Ç¾½Ð·ì¤ò¤­¤¿¤·¡¢·ì´É»£±Æ¤Ç¤â³Îǧ¤Ç¤­¤Ê¤¤occult AVM¤¬½Ð·ì¸»¤È¤Ê¤ëÎã¤â¿¤¤¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£

¤µ¤é¤Ë¡¢Ç¾Æ°Ì®ÇËÎö¤ÏÆÍȯÀ­Æ¬ÄˤÇȯ¾É¤¹¤ëÎ㤬¿¤¤¤Ç¤¹¡£Æ°Ì®áǾÁÈ¿¥¤ËÌþÃå¡¢ËäËפ¹¤ë¤è¤¦¤Ê·ÁÂ֤ξì¹ç¡¢½Ð·ì¤Ï¤¯¤âËì²¼½Ð·ì¤è¤ê¤âǾÆâ½Ð·ì¤¬¼çÂΤȤʤê¤Þ¤¹¡£ÃæÂçǾư̮¡¢Á°ÂçǾư̮ư̮áî¤Ç¿¤¯¤ß¤é¤ì¤Þ¤¹¡£

¹â·ì°µ¤Î´û±ý¤òÍ­¤¹¤ëÎ㤬¿¤¯¡¢ÆüÃ桢ϫºî»þ¤Îȯ¾É¤¹¤ë¤³¤È¤¬Â¿¤¯¡¢¾É¾õ¤È¤·¤Æ¤Ï¡¢ÆÍȯÀ­¤Î°Õ¼±¾ã³²¡¢¶É½êǾ¿À·Ð¾É¾õ¤Çȯ¾É¤·¤Þ¤¹¡£¿À·Ð¾É¾õ¤È¤·¤Æ¤Ï¡¢ÊÒËãáã¤ä¸À¸ì¾ã³²(¼º¸ì¾É¡¢¹½²»¾ã³²)¡¢´ã¾É¾õ(Æ·¹¦ÊѲ½¡¢¶¦Æ±Êл롢´ã¿¶)¤Ê¤É¤¬¤ß¤é¤ì¤Þ¤¹¡£

¤Þ¤¿¡¢Æ¬Äˤä¤á¤Þ¤¤¡¢ÓÒÅǤΤߤÎȯ¾ÉÎã(¾®Ç¾½Ð·ì¡¢Èé¼Á²¼½Ð·ì¤Ê¤É)¤â¤¢¤ê¤Þ¤¹¡£¾É¾õ¤È¤·¤Æ¤Ï¡¢»ý³À­¤Þ¤¿¤Ï¿Ê¹ÔÀ­¤Ë¿ä°Ü¤·¤Þ¤¹¡£ºÆ½Ð·ì¤Ë¤è¤ëµÞ·ã¤ÊÁý°­¤â¤¢¤ê¤Þ¤¹¡£

Ǿ½Ð·ì¤Ï2¡Á3»þ´Ö¤ÇÄä»ß¤·¡¢ÂçÎ̤νзì¤Ç¤ÏǾ¥Ø¥ë¥Ë¥¢¤òµ¯¤³¤·¤Æ»àË´¤Î²ÄǽÀ­¤â¤¢¤ê¤Þ¤¹¡£5mL̤Ëþ¤Î½Ð·ì¤Ï¼«Á³¤ËµÛ¼ý¤µ¤ì¤Þ¤¹¡£5¡Á100mL¤Î·ì¼ð¤Ç¤Ï¡¢·ì¼ðÎ̤˱þ¤¸¤Æ°Õ¼±¾ã³²¡¢ÊÒËãáã¤Ê¤É¤ò¼¨¤·¤Þ¤¹¡£Ç¾Éâ¼ð¤¬²Ã¤ï¤ë¤ÈƬ³¸Æâ°µ¤¬Ð¶¿Ê¤·¡¢Ç¾¥Ø¥ë¥Ë¥¢¤òȯÀ¸¤¹¤ë¤³¤È¤Ë¤Ê¤ê¤Þ¤¹¡£

¸¶°ø¤È¤·¤Æ¤Ï¡¢¹â·ì°µÀ­Ç¾½Ð·ì¤¬60¡Á80¡ó¤Ç¤¢¤ë¤È¤¤¤ï¤ì¤Æ¤¤¤Þ¤¹¡£¤½¤Î¾¡¢Ç¾Æ°Ì®áǾưÀÅÌ®´ñ·Á¡¢·ì´É¼ð¡¢Ç¾¥¢¥ß¥í¥¤¥É·ì´É¾ã³²¡¢Ç¾¼ðáç¡¢½Ð·ìÀ­ÁÇ°ø¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¡£

¹â·ì°µ¾É°Ê³°ÌÀ¤é¤«¤Ê¸¶°øÉÂÊѤ¬¤Ê¤¤½Ð·ì¤Ç¤Ï¡¢Éô°ÌÊÌÉÑÅÙ¤ÇÈï³Ì40¡Á60¡ó¡¢»ë¾²20¡Á30¡ó¡¢Ç¾ÍÕ¡¢¾®Ç¾¡¢¶¶¤¬³Æ¡¹5¡Á10¡ó¤È¤Ê¤Ã¤Æ¤¤¤Þ¤¹¡£Èï³Ì½Ð·ì¤Ç¤Ï¡¢ÂЦ¤ÎÊÒËãáã¡¢¸À¸ì¾ã³²(¼º¸ì¾É¡¢¹½²»¾ã³²)¡¢´ã¾É¾õ(ÉÂÁã¤òâˤඦƱÊлë)¤¬ÆÃħŪ¤Ç¤¹¡£

»ë¾É½Ð·ì¤Ç¤Ï¡¢ÂЦ¤Î´¶³Ð¾ã³²¡¢ÉÔÁ´ÊÒËãáã¡¢¿âľÊý¸þÃí»ëËãá㡢Ʊ̾À­È¾ÌդʤɤòÀ¸¤¸¤Þ¤¹¡£·ì¼ð¤¬Â礭¤¤¾ì¹ç¤äÃæǾ¤Ë¿ÊŸ¤·¤¿¾ì¹ç¤Ë¤Ï¡¢½Å¾ÉÅÙ¤¬Áý¤·¤Æ¤­¤Þ¤¹¡£

·à¾É·¿½Ð·ì¤Ç¤Ï¡¢È¯¾É¿ôÆü°ÊÆâ¤Î»àË´Î㤬¿¤¤¤Ç¤¹¡£»à°ø¤Ï¡¢¶¶½Ð·ì¤Ë¤ß¤é¤ì¤ëǾ´´¤ÎľÀÜ»½ý¡¢Æó¼¡Åª¤ËȯÀ¸¤¹¤ëǾ¼ðı¡¦Ç¾¤Ø¥ë¥Ë¥¢¤Ë¤è¤ëǾ´´°µÇ÷¤Ê¤É¤¬¤¢¤²¤é¤ì¤Þ¤¹¡£

ͽ¸å¤Ï¡¢½Ð·ì¤ÎÉô°Ì¡¢Â礭¤µ¤Ë¤è¤ê·è¤Þ¤ê¤Þ¤¹¡£¤¿¤È¤¨¤Ð¡¢Èï³Ì½Ð·ì¤Ë¤è¤ëÊÒËãáã¤ÏÆâÊñ¤ÎÇËþ¡¢°µÇ÷¤Ë¤è¤ê½Ð¸½¤·¤Þ¤¹¤¬¡¢°µÇ÷¤Î¤ß¤Î¾ì¹ç¤Ë¤Ï®¤ä¤«¤Ë²þÁ±¤·¤Þ¤¹¡£¤Ç¤¹¤¬¡¢ÇËþ¤·¤¿¾ì¹ç¤Î²óÉü¤Ë¤Ï¸Â³¦¤¬¤¢¤ê¡¢Æä˾å»è¡¦¼ê¤Îµ¡Ç½²óÉü¤ÏÉÔÎɤȤʤäƤ¤¤Þ¤¹¡£

¼£ÎŤȤ·¤Æ¤Ï¡¢°Ê²¼¤Î¤è¤¦¤Ê¤â¤Î¤¬¤¢¤ê¤Þ¤¹¡£
¼£ÎŤȤ·¤Æ¤Ï¡¢°ìÈÌŪ¤ËǾ°µ¹ß²¼Ìô(ǾÉâ¼ð¤Î½üµî)¤È¤·¤Æ¥°¥ê¥»¥ª¡¼¥ë¡¢¥Þ¥ó¥Ë¥È¡¼¥ë¤Ê¤É¤¬ÍѤ¤¤é¤ì¡¢»ß·ìÌô(·ì´É¶¯²½Ìô¤ª¤è¤Ó¹³¥×¥é¥¹¥ß¥óÌô)¤¬ÍѤ¤¤é¤ì¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£

½Ð·ì¤È¿ÇÃǤµ¤ì¤¿¾ì¹ç¤Ë¤Ï¡¢ÀѶËŪ¤Ê¹ß°µ¤ò¤¹¤Ù¤­¤Ç¤¢¤ë¤È¹Í¤¨¤é¤ì¤Þ¤¹¡£¼ý½Ì´ü°µ¤¬180mHg°Ê¾å¡¢³ÈÄ¥´ü°µ¤¬105mmHg°Ê¾å¤Ç¤¢¤ì¤Ð¡¢Ãí¼ÍÌô¤Ë¤è¤ë¹ß°µ¤ò¹Ô¤¤¤Þ¤¹¡£ÌÜɸ¤ÏºÇ¹â·ì°µ150mHgÁ°¸å¤Ç¤¹¡£¥Ë¥È¥í¥°¥ê¥»¥ê¥ó(¥ß¥ê¥¹¥í¡¼¥ë)¤ä±ö»À¥¸¥ë¥Á¥¢¥¼¥à(¥Ø¥ë¥Ù¥Ã¥µ¡¼)¡¢±ö»À¥Ë¥«¥ë¥¸¥Ô¥ó(¥Ù¥ë¥¸¥Ô¥ó)¤Ê¤É¤òÍѤ¤¤ë¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£

¤¿¤À¤·¡¢¥Ù¥ë¥¸¥Ô¥ó¤Ï¡¢Æ¬³¸Æâ½Ð·ì¤¬»ß¤Þ¤Ã¤¿¤³¤È¤ò³Îǧ¤·¤Æ»ÈÍѤ¹¤ë¤Ù¤­¤È¤µ¤ì¤Æ¤¤¤Þ¤¹(°ìÈÌŪ¤Ë¤Ïȯ¾É6»þ´Ö¸å)¡£Æ±»þ¤ËǾ°µ¹ß²¼Ìô¤ÎÅêÍ¿¤¬Ë¾¤Þ¤·¤¯¡¢¥°¥ê¥»¥ª¡¼¥ë¤òÍѤ¤¤Þ¤¹¡£

³°²ÊŪ¼£ÎŤȤ·¤Æ¤Ï¡¢¿À·Ð¾É¾õ¡¢·ì¼ðÎ̤ò´ð½à¤È¤¹¤ë¥¬¥¤¥É¥é¥¤¥ó¤¬¼¨¤µ¤ì¤Æ¤ª¤ê¡¢Èï³Ì¡¢¾®Ç¾¡¢Ç¾Íսз줬¤è¤¤Å¬±þ¤Ç¤¢¤ë¤È¤µ¤ì¤Æ¤¤¤Þ¤¹¡£¶ñÂÎŪ¤Ë¤Ï¡¢
­¡¿À·Ð¾É¾õ¤¬°­²½¤·¤Ä¤Ä¤¢¤ë¾®Ç¾½Ð·ì¤ä
­¢Èï³Ì¡¢Èé¼Á²¼¤Î50mL°Ê¾å¤Î·ì¼ð
­£Ç¾¼¼Æâ½Ð·ì¤ÇµÞÀ­¿åƬ¾É¤ò¼¨¤¹¤â¤Î

¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¡£

¼ÂºÝ¤Ë¤Ï¡¢½Ð·ìÉô°Ì¡¢·ì¼ðÎÌ¡¢¿À·Ð³ØŪ½Å¾ÉÅ٤ʤɤòÁí¹çŪ¤ËȽÃǤ·¤Æ¼ê½ÑŬ±þ¤ò·è¤á¤Þ¤¹¡£¤â¤ä¤â¤äÉ¡¢·ì´É´ñ·Á¤Ê¤É¤Ë¤è¤ë½Ð·ì¤â¤¢¤ê¡¢³°²Ê¼£ÎŤËÀèΩ¤Ã¤Æ¤Ï¡¢¤Ç¤­¤ë¤À¤±MRI/MRA¤Ê¤É¤ò»£±Æ¤·¤Æ¤«¤éȽÃǤ·¤Þ¤¹¡£

°ìÈÌŪ¤Ë¤Ï¡¢·ì¼ðÎ̤¬10mL°Ê²¼¤Ç¿À·Ð¾É¾õ¤¬·ÚÈù¤ÊÎã¤ä¡¢Ç¾´´Éô½Ð·ì¤Ç¤Ï¡¢³°²Ê¼£ÎŤÎŬ±þ¤Ï¤¢¤ê¤Þ¤»¤ó¡£µÕ¤Ë¡¢¾åµ­¤Î¤è¤¦¤ÊȽÃÇ´ð½à¤òËþ¤¿¤¹¾ì¹ç¡¢»Ü¹Ô¤¹¤ë¤³¤È¤È¤Ê¤ê¤Þ¤¹¡£

¼£ÎÅË¡¤È¤·¤Æ¤Ï¡¢·ì¼ð½üµî½Ñ¤È¤·¤Æ
1)³«Æ¬½Ñ
2)CTÄê°ÌŪ·ì¼ð½üµî
3)Æâ»ë¶ÀŪ·ì¼ð½üµî
4)CT fluoroscopy²¼·ì¼ð½üµî¤ÎÈ󿯽±ÅªÊýË¡

¤Þ¤¿¤Ï¡¢Ç¾¼¼Æâ¥É¥ì¥Ê¡¼¥¸¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¡£

½Ð·ìľ¸å¤Ï¡¢·ì¼ð½üµî¤ª¤è¤Ó½Ð·ìÅÀ»ß·ì¤òÌÜŪ¤È¤¹¤ë³«Æ¬½Ñ¤ò¹Ô¤¤¤Þ¤¹¡£·ì¼ð½üµî¤Î¤ß¤òÌÜŪ¤È¤¹¤ë¾ì¹ç¤Ë¤Ï¡¢Äê°ÌŪ·ì¼ðµÛ°ú½Ñ¤òȯ¾É4¡Á7ÆüÌܺ¢¤Ë¹Ô¤¤¤Þ¤¹¡£

ǾÆâ½Ð·ì¤Ç¤ÏµßÌ¿¤Ç¤­¤Æ¤â¡¢ÊÒËãáã¤ä¸À¸ì¾ã³²¤Ê¤É¤¬ÌäÂê¤È¤Ê¤ë¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£¤½¤Î¤¿¤á¡¢ÀѶËŪ¤ËÁá´ü¤«¤é¥ê¥Ï¥Ó¥ê¥Æ¡¼¥·¥ç¥ó¤ò¹Ô¤¦É¬Íפ¬¤¢¤ê¤Þ¤¹¡£

ƬÄˤ¬Á°Ãû¤È¤·¤Æ¤¢¤Ã¤¿¤¤¤¦¤³¤È¤Ç¡¢Áá¤á¤Ë¼õ¿Ç¤µ¤ì¤Æ¤¤¤¿¤é·ë²Ì¤â°Û¤Ê¤Ã¤Æ¤¤¤¿¤Î¤Ç¤Ï¤Ê¤¤¤«¡¢¤È¹Í¤¨¤é¤ì¤Þ¤¹¡£²ù¤ä¤ó¤Ç¤â»ÅÊý¤Ï¤Ê¤¤¤«¤â¤·¤ì¤Þ¤»¤ó¤¬¡¢¤´Ì½Ê¡¤ò¤ªµ§¤ê¤·¤¿¤¤¤È»×¤ï¤ì¤Þ¤¹¡£

¡Ú´ØÏ¢µ­»ö¡Û
ͭ̾¿Í¤Î¾ÉÎ㽸

ǾÆâ½Ð·ì¤ÇË´¤¯¤Ê¤ë¡Ý»ÔÀî½à´ÆÆÄ

¾®Ç¾½Ð·ì¤Ç¡¢Ä¹¤¯Â³¤¯¤á¤Þ¤¤¤¬À¸¤¸¤¿69ºÐÃËÀ­