ේ⪺
ᄢ⣺≸ߦ߅ߌࠆౝⷞ㏜ᬌᩏ⋥ᓟߩ CT Colonography ߩ↪ᕈ
㊁⢻ర㧝㧕ᷨ㦮ቝ৻㇢㧝㧕የፉᢅᒾ㧝㧕㜞ఝノ㧝㧕ጊፒ㧝㧕㎨↰ᔀ㧝㧕ችᒄᐕ㧝㧕㊁ᱜඳ㧝㧕 ㊁↰⧷ᴦ㧞㧕⿒ဈᱜ㧞㧕ᚲ⾆ੳ㧞㧕 㧝㧕ᕺኼ✚ว∛㒮 ᶖൻེ∛ࡦ࠲㧞㧕ᕺኼ✚ว∛㒮 ✢ㇱ✢⺖ ޣⷐᣦޤ ࡑ࡞࠴ࠬࠗࠬ CT ߩ↹⾰ะߦߟࠇߡ㧘CT Colonography㧔એਅ CTC㧕ߩࠬࠢ࠾ࡦࠣ߳ߩᔕ↪߇ ⇇⊛ߦ߇ߞߡࠆޕᦨㄭߢߪ㧘ᚻⴚ߇ᔅⷐߥᖚ⠪ߦኻߒߡⴚ೨ߩᵈ⣺ᬌᩏߣห╬ߩᖱႎࠍᓧࠄࠇࠆߣߩႎ ๔߇ᢔߐࠇࠆޕᒰ㒮ߢߪ㧘2011 ᐕࠃࠅᄢ⣺ౝⷞ㏜ᬌᩏᤨߦౝⷞ㏜⊛ಾ㒰࿎㔍ߥ∛ᄌ߇ᜰ៰ߐࠇߚ႐วߦߪ㧘 ᬌᩏᓟߦ CTC ࠍᣉⴕߒߡࠆޕ࿁㧘2011 ᐕ 2 1 ᣣ㨪2012 ᐕ 1 31 ᣣߩᦼ㑆ߦᒰ㒮ߢ CTC ࠍᣉⴕߒ ߚ 21 ࠍኻ⽎ߣߒߡ㧘ᄢ⣺ౝⷞ㏜ᬌᩏ⋥ᓟߦ CTC ࠍⴕ߁↪ᕈߦ㑐ߒߡᬌ⸛ߒߚޕౝⷞ㏜ᬌᩏ⚳ੌ߆ࠄ CTCᓇ߹ߢߩᤨ㑆ߪᐔဋ 10.2 ಽ㧔1㧙31㧕ߢ㧘CT ᓇߦࠃࠅ㧘ࡦࡄ▵ォ⒖ 9 㧘㆙㓒ォ⒖ 7 ࠍ ߚޕߘߩᓟᡷߡᵈ⣺ᬌᩏ߇ᔅⷐߢߞߚߩߪ 4 㧔21 ਛ㧕ߢ㧘ߕࠇ߽⋥⣺∛ᄌߢߞߚޕ㗴ߣߥࠆ ว૬∝ߪ․ߦߥ߆ߞߚޕᄢ⣺≸ߦ߅ߌࠆౝⷞ㏜ᬌᩏ⋥ᓟߩ CTC ߪోߦᣉⴕน⢻ߢ㧘ォ⒖ᬌ⚝߽หᤨߦ ⴕ߃ࠆߣ߁ࡔ࠶࠻߽ࠅ㧘ᓟᵈ⣺ᬌᩏߩઍ↪ߣߥߞߡߊน⢻ᕈ߇␜ໂߐࠇߚޕ Key Words㧦ᄢ⣺≸㧘CTC㧘ౝⷞ㏜ ޣߪߓߦޤ CT Colonography㧔એਅ CTC㧕ߪᄢ⣺ࠍࠟࠬߦࠃ ߞߡᒛߐߖߚ⁁ᘒߢ㧘CT ᓇࠍⴕ߁ߎߣߦࠃߞ ߡᓧࠄࠇߚ࠺࠲ߦኻߒ㧘3 ᰴర↹ಣℂࠍⴕߞߡ ⹏ଔߔࠆ↹⸻ᢿᴺߢࠆޕࡑ࡞࠴ࠬࠗࠬ CT ߩ ↹⾰ะߦߟࠇߡ㧘CT Colonography㧔એਅ CTC㧕 ߩࠬࠢ࠾ࡦࠣ߳ߩᔕ↪߇⇇⊛ߦ߇ߞߡࠆ 1㧕㨪3㧕ޕᦨㄭߢߪ㧘ᄢ⣺ౝⷞ㏜ᬌᩏ⋥ᓟߦ CTC ࠍⴕ ߁ߎߣߦࠃߞߡ㧘⦟⾰ߥ↹߇ᓧࠄࠇ㧘∛ᄌߩ⹏ଔ ߦലᨐ⊛ߢࠅ㧘ᚻⴚ߇ᔅⷐߥᖚ⠪ߦኻߒߡⴚ೨ߩ ᵈ⣺ᬌᩏߣห╬ߩᖱႎࠍᓧࠄࠇࠆߣߩႎ๔߇ᢔߐ ࠇࠆ4㧕ޕ߹ߚ㧘หᤨߦ 3D ⴊ▤↹ߣวᚑߔࠆߎߣ ߢᡰ㈩േ⣂ߣߩ㑐ଥ߇⍎ߦߥࠅ㧘⣻⣧㏜ਅᚻⴚᤨ ߥߤߢ㧘navigation ߣߒߡߩᓎഀࠍᨐߚߔߎߣ߽น ⢻ߢࠆޕᒰ㒮ߢ߽㧘2011 ᐕࠃࠅᄢ⣺ౝⷞ㏜ᬌᩏᤨ ߦౝⷞ㏜⊛ಾ㒰࿎㔍ߥ∛ᄌ߇ᜰ៰ߐࠇߚ႐วߦߪ㧘 ᬌᩏᓟߦ CTC ࠍᣉⴕߒߡࠆޕ࿁㧘ᄢ⣺ౝⷞ㏜ ᬌᩏ⋥ᓟߦ CTC ࠍⴕ߁↪ᕈߦ㑐ߒߡᬌ⸛ߒߚޕ ޣኻ⽎ߣᣇᴺޤ 2011ᐕ 2 1 ᣣ㨪2012 ᐕ 1 31 ᣣߩᦼ㑆ߦᒰ 㒮ߢᣉⴕߒߚᄢ⣺ౝⷞ㏜ᬌᩏ 1371 ߩ߁ߜ㧘CTC ࠍᣉⴕߒߚ 21 ࠍኻ⽎ߣߒ㧘retrospective ߦᖚ⠪ ⢛᥊㧘ᬌᩏ⚿ᨐ㧘ว૬∝ߦ㑐ߒߡᬌ⸛ߒߚޕ CTCᓇ߹ߢߩᵹࠇࠍ࿑ 1 ߦ␜ߔޕ߹ߕᄢ⣺ౝⷞ ㏜ᬌᩏߪ room air ߦߡⴕ㧘ౝⷞ㏜⊛ಾ㒰ਇ⢻ߥ⣲ ≌ࠍ⸻ᢿߒߚࠄ㧘ㅢᏱߤ߅ࠅߦ⣲≌ߩ↢ᬌࠍⴕ߁ޕ ߘߩᓟ㧘⣲≌ߩਔߦࡑࠠࡦࠣࠢ࠶ࡊࠍᣉⴕߒ㧘 ౝⷞ㏜ᬌᩏ⚳ੌᓟߦ CT ቶߦ⒖േߒߡ㧘ㅧᓇ CT ᓇࠍⴕ߁ޕ ᓇߪ㧘᧲⦼ࡔ࠺ࠖࠞ࡞ࠪࠬ࠹ࡓ࠭ߩ 0.5mm ࠬ ࠗ ࠬ ෘ ޔ 64 ห ᤨ ᓇ ࡑ ࡞ ࠴ ࠬ ࠗ ࠬ CT Aquilion TSX㧙101A ࠍ↪ߒޔ 1 ߩ᧦ઙߢⴕߞ ߚޕ3 ᰴర↹ಣℂߪ↹⸃ᨆ࠰ࡈ࠻࠙ࠛࠕ AZE Virtual Place 㘑ࠍ↪ߒߚޕޣ
⚿ᨐޤ ฦ∝ࠍ 2 ߦ␜ߔޕ ᖚ⠪⢛᥊ߪᐔဋᐕ㦂 72.5 ᱦ㧔51́87㧕ߢ㧘↵ᅚ Ყ 13㧦8㧘ᬌᩏ⋡⊛ߣߒߡ∝⁁♖ᩏ 16 ⸻ᢿᓟ ⚫ 3 ᬌ⸻ੑᰴ 2 ߢߞߚޕ ౝⷞ㏜ᬌᩏ⚳ੌ߆ࠄ CTC ᓇ߹ߢߩᤨ㑆ߪᐔဋ 10.2ಽ㧔1㧙31㧕ޕCT ᓇߦࠃࠅ㧘ࡦࡄ▵ォ⒖ 9 㧘㆙㓒ォ⒖ 7 ࠍߚޕ∛ᦼ㧔ᄢ⣺≸ขࠅᛒ ⷙ⚂㧕ߪ StageΣ/Τ/Υa/Υb/Φ㧩2/3/4/5/7 ߢߞ ߚޕਥߥ⣲≌භㇱߪ⋤⣺(C)/ⴕ⚿⣺(A)/ᮮⴕ⚿ ⣺(T)/ਅⴕ⚿⣺(D)/S ⁁⚿⣺(S)/⋥⣺ S ⁁ㇱ(Rs)/ㇱ ⋥⣺(Ra)/ਅㇱ⋥⣺(Rb) =3/5/1/4/3/2/2/1 ޕߘߩᓟ ᡷߡᵈ⣺ᬌᩏࠍⴕߞߚߩߪ 4 ߢ㧘ߕࠇ߽⋥⣺ ∛ᄌߢߞߚ㧔࿑ 2㧕ޕ㗴ߣߥࠆว૬∝ߪ․ߦ - 60 -ߥ߆ߞߚޕ ࿑ 1 CTC ᓇߩᵹࠇ 1 ᓇ᧦ઙ
⭠ෆど㙾᳨ᰝ
⭘⒆䛾୧ഃ䛻䝬䞊䜻䞁䜾䜽䝸䝑䝥
ෆど㙾ⓗษ㝖⬟䛺⭘⒆䜢デ᩿
㻯㼀ᐊ䛻⛣ື
㐀ᙳ㻯㼀ᙳ
㻟ḟඖ⏬ീฎ⌮
room air
¾
⏝ᶵჾ
㻭㼝㼡㼕㼘㼕㼛㼚 䠰䠯䠴䠉㻝㻜㻝䠝
㻔ᮾⰪ䝯䝕䜱䜹䝹䝅䝇䝔䝮䝈㻕
¾ ᙳ᮲௳ ⟶㟁ᅽ 㻝㻞㻜㻷㼂䠈⟶㟁ὶ 㼂㼛㼘㼡㼙㻱㻯 㻔㻟㻜㻜㻙㻡㻜㻜㼙㻭㻕㻌㻌㻌㻌㻌
᳨ฟჾᵓᡂ 㻜㻚㻡㼙㼙㽢㻢㻠ิ䠈䝇䝷䜲䝇ཌ 㻝㼙㼙
䝇䜻䝱䞁㛫 ⣙㻝㻜㼟㼑㼏㻚
䝦䝸䜹䝹䝢䝑䝏 㻜㻚㻤㻞㻤
¾ 㐀ᙳ
ὀධ㏿ᗘ 㻠㻚㻜㼙㼘㻛㼟䠈⥲㔞 㻝㻜㻜㼙㼘
ὀධ㛤ጞ 㻾㼑㼍㼘㻌㼜㼞㼑㼜䜢⏝䚹
ᶓ㝸⭷䝺䝧䝹䛷ື⬦ෆ䛻䠮䠫䠥䜢タᐃ䚹
㻝㻡㻜䠤䠱ୖ᪼䜢䝖䝸䜺䞊䛸䛧㻡⛊ᚋ䛻ື⬦┦䚸
㻞㻜⛊ᚋ䛻㛛⬦┦䜢ᙳ䚹
2 ∝ ࿑ 2 ⣲≌ߩභㇱߣⴚ೨ᵈ⣺ᬌᩏߩ㑐ଥ ᖺ㱋 ᛶ ᳨ᰝ┠ⓗ ᙳ䜎䛷䛾㛫㻔ศ㻕 ⾡๓ὀ⭠ 㒊 䝸䞁䝟⠇㌿⛣ 㐲㝸㌿⛣ ᮇ 㻝 㻣㻤 F デ᩿ᚋ⤂ 㻥 㽢 T 㽢 ⫢ 䊣 㻞 㻡㻝 M ≧⢭ᰝ 㻟㻝 㽢 A 䛒䜚 㽢 Ϫ㹠 㻟 㻤㻣 F デ᩿ᚋ⤂ 㻝㻡 㽢 Ra 㽢 㽢 Ϫ㹠 㻠 㻤㻞 M ≧⢭ᰝ 㻡 㽢 A 㽢 㽢 䊠 㻡 㻣㻤 M 㻞ḟ᳨デ 㻞㻝 㽢 S 㽢 㽢 䊠 㻢 㻢㻠 M ≧⢭ᰝ 㻞㻜 䛒䜚 Ra 㽢 㽢 Ϫa 㻣 㻣㻝 F ≧⢭ᰝ 㻝㻜 㽢 A 㽢 㽢 䊡 㻤 㻤㻜 F デ᩿ᚋ⤂ 㻡 㽢 A 䛒䜚 㽢 Ϫa 㻥 㻣㻢 M ≧⢭ᰝ 㻟 㽢 C 䛒䜚 ⫢䞉⭡⭷ 䊣 㻝㻜 㻣㻝 F ≧⢭ᰝ 㻞 㽢 D 㽢 ⫢ 䊣 㻝㻝 㻤㻞 M 㻞ḟ᳨デ 㻞 㽢 S 㽢 ⫢ 䊣 㻝㻞 㻢㻟 F ≧⢭ᰝ 㻠 㽢 A 䛒䜚 㽢 Ϫ㹠 㻝㻟 㻢㻟 M ≧⢭ᰝ 㻝㻡 㽢 D 䛒䜚 ⫢䞉⭁䞉㛛⬦ 䊣 㻝㻠 㻣㻤 M ≧⢭ᰝ 㻝㻝 䛒䜚 Rs 㽢 㽢 Ϫa 㻝㻡 㻤㻢 M ≧⢭ᰝ 㻝 㽢 A㹼C 㽢 ⥙ 䊣 㻝㻢 㻣㻤 M ≧⢭ᰝ 㻠 㽢 C,S 㽢 㽢 䊡 㻝㻣 㻣㻟 F ≧⢭ᰝ 㻝㻤 㽢 D 䛒䜚 ⫢ 䊣 㻝㻤 㻢㻣 M ≧⢭ᰝ 㻥 㽢 S 㽢 㽢 䊡 㻝㻥 㻣㻠 M ≧⢭ᰝ 㻣 㽢 D 䛒䜚 㽢 Ϫ㹠 㻞㻜 㻢㻟 M ≧⢭ᰝ 㻥 䛒䜚 Rs 䛒䜚 㽢 Ϫ㹠 㻞㻝 㻡㻣 F ≧⢭ᰝ 㻝㻟 䛒䜚 Rb 䛒䜚 㽢 Ϫa
0
1
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3
4
5
6
Ra
Rb
Rs
S
D
T
A
C
ᚲせ
せ
䠄ᩘ䠅
䠄㒊䠅
⾡๓ὀ⭠᳨ᰝ
- 62 -ޣ∝ޤ ∝ 16㧔 2㧕ࠍឭ␜ߔࠆޕ 78ᱦ↵ᕈߢ㧘⽺ⴊߩ♖ᩏ⋡⊛ߦ TCF ࠍᣉⴕߒߚ ∝ߢࠆޕⴕ⚿⣺ߦ 1 ဳ⣲≌ࠍ㧘߹ߕ↢ᬌ ࠍᣉⴕޕญߪ fiber ߩㅢㆊ߇ਇน⢻ߢߞߚߚ ⢂㐷ߩߺࡑࠠࡦࠣࠢ࠶ࡊࠍⴕߞߚޕߘߩᓟޔ S⁁⚿⣺ߦ߽ 3 ဳߩ⣲≌∛ᄌࠍ㧘↢ᬌᓟ㧘∛ᄌ ߩਔߦࡑࠠࡦࠣࠢ࠶ࡇࡦࠣࠍⴕߞߚޕߘߒߡ㧘 ⚂ 4 ಽߢ CT ቶ߳⒖േߒᓇࠍⴕߞߚޕCT ߪ ࠄ߆ߥࡦࡄ▵ォ⒖㧘㆙㓒ォ⒖ࠍߥ߆ߞߚޕ ᓇᓟ㧘3 ᰴర↹ಣℂࠍⴕߞߚߣߎࠈ㧘⣲≌ߩ⟎ 㑐ଥ߇ಽ߆ࠅߦߊ߆ߞߚ߽ߩ߇ߪߞ߈ࠅߣߒߡ㧘 ⴕ⚿⣺ߩ⣲≌ߣ S ⁁⚿⣺ߩ⣲≌߇ㅪ⛯ߒߡࠆน⢻ ᕈ߇␜ໂߐࠇߚ㧔࿑ 3㧕ޕᓟᣣ㧘㐿⣻ᚻⴚࠍⴕߞߚߣ ߎࠈⴚ೨ߩ੍ᗐㅢࠅ⣲≌ߪㅪ⛯ߒߡ߅ࠅ㧘ⴕ⚿⣺ ේ⊒ߩ⣲≌߇ S ⁁⚿⣺߳⋥ធᶐẢߒߡߚ∝ߢ ߞߚޕ ޣ⠨ኤޤ ᓥ᧪㧘ᄢ⣺≸ߩᴦ≮೨ᬌᩏߦߪหᤨߦ∛ℂ⸻ᢿ߽ ⴕ߁ߎߣ߇น⢻ߥౝⷞ㏜ᬌᩏ㧘ォ⒖ᬌ⚝߇ⴕ߃ࠆㅧ ᓇ CT ᬌᩏ߿ PET ᬌᩏ㧘∛ᄌㇱߩ⏕߿ᄢ⣺ߩ ⴕ߇ᛠីน⢻ߥᵈ⣺ᬌᩏ߇ⴕࠊࠇߡߚޕCTC ߪᄢ ⣺ࠍࠟࠬߦࠃߞߡᒛߐߖߚ⁁ᘒߢ㧘CT ᓇࠍⴕ ߁ߎߣߦࠃߞߡᓧࠄࠇߚ࠺࠲ߦኻߒ㧘3 ᰴర↹ ಣℂࠍⴕߞߡ⹏ଔߔࠆ↹⸻ᢿᴺ5㧕ߢࠆ߇㧘ㄭᐕ 㧘ⴚ೨ߩᵈ⣺ᬌᩏߣห╬ߩᖱႎࠍᓧࠆߎߣ߇น⢻ߣ ߩႎ๔߇ࠄࠇࠆ 6㧕ޕᚻⴚ߇ᔅⷐߥᄢ⣺≸ߩᖚ⠪ ߦኻߒߡ㧘ⴚ೨ߩォ⒖ᬌ⚝ߩᬌᩏߪᔅ㗇ߢࠆ߇㧘 CTC ᤨߦㅧᓇࠍ↪ߔࠆߎߣߦࠃߞߡォ⒖ᬌ⚝ ߽หᤨߦⴕ߁ߎߣ߇น⢻ߢࠆޕߟ߹ࠅ㧘ㅧᓇࠍ ↪ߒߚ CTC ߪᓥ᧪ߩ CT ᬌᩏߣᵈ⣺ᬌᩏߩੑߟߩ ᓎഀࠍᜂߞߡࠆߣ߃ࠆޕ߹ߚ㧘ᵈ⣺ᬌᩏߢߪⴊ ▤ߣ⣲≌ߩ⟎㑐ଥߪਇߢࠆ߇㧘ㅧᓇࠍ↪ ߒߚ CTC ߢࠇ߫⣲≌ߩᡰ㈩േ⣂߿㕒⣂ߣߩ⟎ 㑐ଥ߇⍎ߣߥࠅ⣻⣧㏜ਅᚻⴚࠍⴕ߁ᤨߦߪ㧘 navigation ߣߒߡߩᓎഀࠍᨐߚߔߎߣ߽น⢻ߢ ࠆ7㧕8㧕ޕ ᵈ⣺ᬌᩏߩઍࠊࠅߦ CTC ࠍⴕ߁߽߁৻ߟߩࡔ ࠶࠻ߣߒߡߪ㧘ᬌᩏᣣࠍౝⷞ㏜ᬌᩏߣหᣣߦⴕ߃ࠆ ߣ߁ߎߣ߇ߍࠄࠇࠆޕᄢ⣺ౝⷞ㏜ᬌᩏߣᵈ⣺ᬌ ᩏࠍⴕ߁႐วߪ㧘ߘࠇߙࠇޘߦ㘩㒢߿ਅߦ ࠃࠆ೨ಣ⟎߇ᔅⷐߢࠆ߇㧘ౝⷞ㏜ᬌᩏ⋥ᓟߦ CTC ࠍⴕ߃߫㧘ౝⷞ㏜ߦࠃࠆ㓚ኂ‛ߩๆᒁ߿ㅍ᳇ߦࠃࠆ น⢻ߢࠆޕ ߎߎߢ㧘ᒰ㒮ߦߡ CTC ࠍᣉⴕߒߚ 21 ࠍᬌ⸛ߒ ߡߺࠆߣ㧘ォ⒖ᬌ⚝ߦ㑐ߒߡߪㅢᏱߩㅧᓇ CT ࠍⴕ ߞߚߎߣߣห╬ߩᬌᩏߢ߽ࠆߚ⹏ଔߣߒߡߪ․ ߦ㗴ߥߊ㧘ᓟᣣᡷ CT ᬌᩏ߇ᔅⷐߥ∝ߪ ߥ߆ߞߚޕߒ߆ߒ㧘ᵈ⣺ᬌᩏߦ㑐ߒߡߪ߃߫㧘ᓟ ᣣᡷߡᬌᩏ߇ᔅⷐߢߞߚ∝ࠍ 4 ߚޕో ߡ⋥⣺∛ᄌߢࠅ㧘ߎࠇߪ㧘⋥⣺ߢㅢㆊ㓚ኂࠍ߅ߎ ߒߡࠆࠃ߁ߥ∝ߢߪ㧘ⓨ᳇߇⣺▤ోߦ߈ࠊ ߚࠄߕߦోߩឬ߇ਇ⦟ߢߞߚࠅ㧘∛ᄌㇱ߇ ᛠីߒߠࠄߊᚻⴚᣇᴺቯߦㅊടᬌᩏ߇ᔅⷐߢߞ ߚߚߣ⠨߃ࠄࠇߚޕౝⷞ㏜ᬌᩏࠍ room air ߢⴕߞ ߡࠆߚ߆㧘⋥⣺એᄖߩ∛ᄌߢߪឬਇ⦟ߩ∝ ߪߡ߅ࠄߕ㧘30 ಽ⒟ᐲߢࠇ߫ᤨ㑆ߦࠃࠆᓇ㗀 ߪᲧセ⊛ዋߥ߽ߩߣᕁࠊࠇߚޕ ߹ߣࠆߣ㧘ౝⷞ㏜ᬌᩏ⋥ᓟߩ CTC ߩࡔ࠶࠻ ߣߒߡߪ㧘ᵈ⣺ᬌᩏࠍߦᣉⴕߔࠆߎߣߣᲧセߔࠇ ߫㧘೨ಣ⟎࿁ᢙ߿ᣣᢙ⊛ߥᖚ⠪⽶ᜂߩᷫዋ߇ߍࠄ ࠇ㧘ߐࠄߦォ⒖ᬌ⚝㧘ⴊ▤⟎ߩᛠី߽ⴕ߁ߎߣ߇ ߢ߈ߡ㧘ⵍ߫ߊߩᷫዋߦ߽ߟߥ߇ࠆߣ⸒߃ࠆޕ࠺ࡔ ࠶࠻ߣߒߡߪ㧘↹ߩౣ᭴ᚑߩߚߩࡢࠢࠬ࠹ ࡚ࠪࡦߩዉ⾌↪߿ᤨ㑆⊛ߥ⽶ᜂߥߤ߇ߍࠄࠇ ࠆ㧔 3㧕ޕ ޣ⚿⺆ޤ ᄢ⣺≸ߦ߅ߌࠆౝⷞ㏜ᬌᩏ⋥ᓟߩ CTC ߪోߦ ᣉⴕน⢻ߢ㧘ォ⒖ᬌ⚝߽หᤨߦⴕ߃ࠆߣ߁ࡔ࠶ ࠻߽ࠅ㧘ᓟ㧘ᵈ⣺ᬌᩏߩઍ↪ߣߥߞߡߊน⢻ ᕈ߇␜ໂߐࠇߚޕߒ߆ߒ㧘⋥⣺∛ᄌߦ㑐ߒߡߪ㧘⣺ ▤ోߦࠟࠬ߇ࠄߕឬਇ⦟ߩߎߣ߇ࠅᵈᗧ߇ ᔅⷐߢࠆޕ ޣᢥ₂ޤ
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