{"id":14845,"date":"2026-07-04T19:30:38","date_gmt":"2026-07-04T11:30:38","guid":{"rendered":"https:\/\/fotonmedix.com\/"},"modified":"2026-07-04T19:30:38","modified_gmt":"2026-07-04T11:30:38","slug":"managing-saphenous-vein-tortuosity-in-evlt-without-vessel-perforation","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/ja\/managing-saphenous-vein-tortuosity-in-evlt-without-vessel-perforation.html\/","title":{"rendered":"\u8840\u7ba1\u7a7f\u5b54\u3092\u4f34\u308f\u306a\u3044EVLT\u306b\u304a\u3051\u308b\u4f0f\u5728\u9759\u8108\u306e\u86c7\u884c\u306e\u7ba1\u7406"},"content":{"rendered":"<p class=\"wp-block-paragraph\">EVLT\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642\u306b\u304a\u3044\u3066\u3001\u86c7\u884c\u3057\u305f\u5927\u4f0f\u5728\u9759\u8108\u306e\u75c5\u5909\u90e8\u3092\u6cbb\u7642\u3059\u308b\u306b\u306f\u3001980nm\u306e\u6ce2\u9577\u3068\u7d44\u307f\u5408\u308f\u305b\u305f\u67d4\u8edf\u306a400\u03bcm\u306e\u533b\u7642\u7528\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u30c7\u30ea\u30d0\u30ea\u30fc\u30b7\u30b9\u30c6\u30e0\u304c\u5fc5\u8981\u3067\u3042\u308a\u3001\u3053\u308c\u306b\u3088\u308a\u3001\u5c40\u6240\u7684\u306a\u9759\u8108\u58c1\u306e\u7834\u88c2\u3092\u9632\u304e\u3064\u3064\u3001\u58c1\u5168\u5c64\u306b\u308f\u305f\u308b\u5747\u4e00\u306a\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u5b9f\u73fe\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u66f2\u304c\u308a\u304f\u306d\u3063\u305f\u9759\u8108\u533a\u9593\u3092\u822a\u884c\u3059\u308b\u969b\u306e\u6a5f\u68b0\u7684\u969c\u5bb3<\/h2>\n\n\n\n<p 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\u526f\u4f0f\u5728\u9759\u8108\u3084\u5927\u4f0f\u5728\u9759\u8108\uff08GSV\uff09\u306e\u4e0b3\u5206\u306e1\u306b\u898b\u3089\u308c\u308b\u9ad8\u5ea6\u306b\u86c7\u884c\u3057\u305f\u7d4c\u8def\u306f\u3001\u6a19\u6e96\u7684\u306a\u9759\u8108\u5185\u9001\u9054\u30c7\u30d0\u30a4\u30b9\u306b\u3068\u3063\u3066\u6df1\u523b\u306a\u7269\u7406\u7684\u8ab2\u984c\u3068\u306a\u308b\u3002\u8853\u8005\u304c\u3001\u3053\u3046\u3057\u305f\u6025\u306a\u5c48\u66f2\u90e8\u3092\u786c\u8cea\u3067\u5927\u53e3\u5f84\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u30fb\u30a6\u30a7\u30fc\u30d6\u30ac\u30a4\u30c9\u3092\u9032\u3081\u3088\u3046\u3068\u3059\u308b\u3068\u3001\u305d\u306e\u5148\u7aef\u306f\u5fc5\u7136\u7684\u306b\u8840\u7ba1\u5185\u58c1\u306e\u69cb\u9020\u7684\u306a\u6e7e\u66f2\u90e8\u306b\u63a5\u89e6\u3057\u3066\u3057\u307e\u3046\u3002.<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u81e8\u5e8a\u7684\u306b\u306f\u3001\u3053\u306e\u4e0d\u5747\u8861\u306b\u3088\u308a\u3001\u5c40\u6240\u7684\u306a\u9759\u8108\u58c1\u306e\u7834\u88c2\u3001\u5373\u6642\u306e\u5c40\u6240\u6027\u8840\u816b\u306e\u5f62\u6210\u3001\u8853\u5f8c\u306e\u6fc0\u3057\u3044\u76ae\u4e0b\u51fa\u8840\u304c\u751f\u3058\u3001\u9589\u9396\u304c\u4e0d\u5b8c\u5168\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u306a\u308a\u3001\u6700\u7d42\u7684\u306b\u306f\u9577\u671f\u306b\u308f\u305f\u308b\u5206\u7bc0\u6027\u306e\u518d\u901a\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002.<\/p>\n\n\n\n<pre class=\"wp-block-code\"><code>\u786c\u8cea\u30d5\u30a1\u30a4\u30d0\u30fc\u306b\u3088\u308b\u30a8\u30e9\u30fc\uff08\u7a7f\u5b54\u306e\u30ea\u30b9\u30af\uff09\uff1a\n===================\\\\======  &lt;-- \u9759\u8108\u58c1\n \\\\  * \u30d5\u30a1\u30a4\u30d0\u30fc\u306e\u5148\u7aef\u304c\u7247\u5074\u3092\u62bc\u3057\u4ed8\u3051\u3001\u713c\u640d\u3055\u305b\u308b\n======================\\\\==\n\n\u30d5\u30ec\u30ad\u30b7\u30d6\u30eb\u30fb\u30de\u30a4\u30af\u30ed\u30b3\u30a2\u30fb\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\uff08\u4e2d\u5fc3\u4f4d\u7f6e\uff09\uff1a\n===================\\`----`=  &lt;-- \u9759\u8108\u58c1\u304c\u5b89\u5168\u306b\u5c48\u66f2\n [ 360\u00b0 ] &lt;-- \u653e\u5c04\u72b6\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u304c\u81ea\u52d5\u7684\u306b\u4e2d\u5fc3\u306b\u96c6\u307e\u308b\n===================.----.=\n<\/code><\/pre>\n\n\n\n<h2 class=\"wp-block-heading\">\u6a19\u7684\u3092\u7d5e\u3063\u305f\u5185\u76ae\u7d30\u80de\u51dd\u56fa\u306e\u71b1\u529b\u5b66<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u3046\u3057\u305f\u6a5f\u68b0\u7684\u304a\u3088\u3073\u71b1\u7684\u306a\u5408\u4f75\u75c7\u3092\u9632\u3050\u306b\u306f\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u6ce2\u9577\u3068\u69cb\u9020\u7684\u306a\u9001\u9054\u30b7\u30b9\u30c6\u30e0\u306e\u9593\u306b\u6b63\u78ba\u306a\u30d0\u30e9\u30f3\u30b9\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002980nm\u306e\u30ec\u30fc\u30b6\u30fc\u6ce2\u9577\u306f\u3001\u7279\u5b9a\u306e\u8fd1\u8d64\u5916\u5438\u53ce\u5e2f\u306e\u7bc4\u56f2\u5185\u3067\u4f5c\u7528\u3057\u3001\u305d\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u306f\u8840\u7ba1\u5185\u306e\u8840\u6db2\u3068\u5c40\u6240\u7684\u306a\u6c34\u5206\u5b50\u306e\u4e21\u65b9\u3092\u6a19\u7684\u3068\u3057\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6d3b\u6027\u5316\u3055\u308c\u308b\u3068\u3001980nm\u306e\u5149\u5b50\u306f\u3001\u6b8b\u7559\u8840\u6db2\u91cf\u4e2d\u306b\u5b58\u5728\u3059\u308b\u9178\u7d20\u5316\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u304a\u3088\u3073\u8131\u9178\u7d20\u5316\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u5206\u5b50\u3068\u5373\u5ea7\u306b\u76f8\u4e92\u4f5c\u7528\u3057\u307e\u3059\u3002\u3053\u306e\u6025\u901f\u306a\u5438\u53ce\u306b\u3088\u308a\u3001\u5c40\u6240\u7684\u306a\u71b1\u6c17\u6ce1\u304c\u767a\u751f\u3057\u3001\u30df\u30ea\u79d2\u5358\u4f4d\u3067\u8840\u7ba1\u5185\u306e\u6e29\u5ea6\u304c\u6cb8\u70b9\u307e\u3067\u4e0a\u6607\u3057\u307e\u3059\u3002.<\/p>\n\n\n\n<pre class=\"wp-block-code\"><code>\u5149\u30a8\u30cd\u30eb\u30ae\u30fc\u5438\u53ce\u4fc2\u6570\n |\n | [\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u306e\u5438\u53ce] \u2192 980nm \u30d4\u30fc\u30af\n | ____\n | \/    \\\n | \/ \\ [\u6c34\u306e\u5438\u53ce] \u2192 1470nm \u57fa\u6e96\n | \/ \\ ____\n |_________\/__________\\__________\/____\\____\n 400 600 800 1000     1200   \u6ce2\u9577 (nm)\n<\/code><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u6025\u901f\u306a\u6cb8\u9a30\u3092\u3001\u69cb\u9020\u7684\u306a\u7126\u3052\u4ed8\u304d\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u306a\u304f\u9759\u8108\u58c1\u3092\u53ce\u7e2e\u3055\u305b\u308b\u3001\u5236\u5fa1\u3055\u308c\u305f\u6cbb\u7642\u52b9\u679c\u3078\u3068\u5909\u63db\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3053\u306e\u30b7\u30b9\u30c6\u30e0\u306f\u69cb\u9020\u5316\u3055\u308c\u305f\u30d1\u30eb\u30b9\u30c7\u30e5\u30fc\u30c6\u30a3\u30b5\u30a4\u30af\u30eb\u3092\u63a1\u7528\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u30ec\u30fc\u30b6\u30fc\u3092\u30b2\u30fc\u30c8\u5236\u5fa1\u3055\u308c\u305f\u9023\u7d9a\u30e2\u30fc\u30c9\u3001\u3042\u308b\u3044\u306f\u6b63\u78ba\u306b\u30bf\u30a4\u30df\u30f3\u30b0\u3092\u5408\u308f\u305b\u305f\u7e70\u308a\u8fd4\u3057\u30d1\u30eb\u30b9\u30e2\u30fc\u30c9\u3067\u52d5\u4f5c\u3055\u305b\u308b\u3053\u3068\u3067\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u653e\u51fa\u671f\u9593\u304c\u5185\u76ae\u5c64\u306e\u71b1\u7684\u7de9\u548c\u6642\u9593\u3068\u4e00\u81f4\u3059\u308b\u3088\u3046\u306b\u306a\u308b\u3002.<\/p>\n\n\n\n<p 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class=\"wp-block-heading\">\u9ad8\u5ea6\u306a\u30de\u30a4\u30af\u30ed\u30a2\u30d1\u30fc\u30c1\u30e3\u30d5\u30a1\u30a4\u30d0\u30fc\u306e\u5f62\u72b6<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3088\u3046\u306a\u8907\u96d1\u306a\u89e3\u5256\u5b66\u7684\u69cb\u9020\u5185\u3067\u3053\u306e\u30ec\u30d9\u30eb\u306e\u5236\u5fa1\u3092\u5b9f\u73fe\u3059\u308b\u306b\u306f\u3001\u9001\u9054\u30c4\u30fc\u30eb\u306e\u7269\u7406\u7684\u306a\u8a2d\u8a08\u304c\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u6a19\u6e96\u7684\u306a600\u03bcm\u4ee5\u4e0a\u306e\u30d9\u30a2\u30c1\u30c3\u30d7\u578b\u30ac\u30e9\u30b9\u30d5\u30a1\u30a4\u30d0\u30fc\u30b3\u30a2\u306f\u3001\u65ad\u9762\u5bf8\u6cd5\u304c\u539a\u3044\u305f\u3081\u672c\u8cea\u7684\u306b\u525b\u6027\u304c\u9ad8\u304f\u3001\u305d\u306e\u7d50\u679c\u3001\u66f2\u3052\u534a\u5f84\u304c\u5927\u304d\u304f\u306a\u308a\u3001\u6025\u30ab\u30fc\u30d6\u3092\u30b9\u30e0\u30fc\u30ba\u306b\u8ffd\u5f93\u3059\u308b\u3053\u3068\u304c\u56f0\u96e3\u306b\u306a\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c02\u7528\u306e400\u03bcm\u533b\u7642\u7528\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u30b3\u30a2\u306b\u5207\u308a\u66ff\u3048\u308b\u3053\u3068\u3067\u3001\u30c7\u30ea\u30d0\u30ea\u30fc\u30b7\u30b9\u30c6\u30e0\u306e\u6a5f\u68b0\u7684\u6027\u80fd\u304c\u5287\u7684\u306b\u5909\u5316\u3057\u307e\u3059\u3002\u30b3\u30a2\u5f84\u304c\u5c0f\u3055\u304f\u306a\u308b\u3053\u3068\u3067\u69cb\u9020\u7684\u306a\u67d4\u8edf\u6027\u304c\u9ad8\u307e\u308a\u3001\u30d5\u30a1\u30a4\u30d0\u30fc\u30a2\u30bb\u30f3\u30d6\u30ea\u306e\u6700\u5c0f\u66f2\u3052\u534a\u5f84\u304c\u5c0f\u3055\u304f\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u67d4\u8edf\u6027\u306b\u3088\u308a\u3001\u6ce2\u5c0e\u7ba1\u306f\u3001\u7e4a\u7d30\u306a\u9759\u8108\u58c1\u306b\u904e\u5ea6\u306a\u5916\u5411\u304d\u306e\u6a5f\u68b0\u7684\u5727\u529b\u3092\u52a0\u3048\u308b\u3053\u3068\u306a\u304f\u3001\u89e3\u5256\u5b66\u7684\u306b\u6025\u306a\u66f2\u304c\u308a\u89d2\u3092\u901a\u904e\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b3\u30a2\u30b5\u30a4\u30ba\u3092400\u03bcm\u3068\u5c0f\u3055\u304f\u3059\u308b\u3053\u3068\u3067\u3001\u30ec\u30fc\u30b6\u30fc\u30d3\u30fc\u30e0\u304c\u3088\u308a\u72ed\u3044\u5e7e\u4f55\u5b66\u7684\u30b9\u30dd\u30c3\u30c8\u306b\u96c6\u4e2d\u3057\u3001\u767a\u5149\u9762\u3067\u306e\u51fa\u529b\u7279\u6027\u306b\u3082\u5f71\u97ff\u3092\u4e0e\u3048\u307e\u3059\u3002 \u3053\u306e\u9ad8\u3044\u30a8\u30cd\u30eb\u30ae\u30fc\u96c6\u4e2d\u306b\u3088\u3063\u3066\u5c40\u6240\u7684\u306a\u7d44\u7e54\u306e\u70ad\u5316\u304c\u751f\u3058\u308b\u306e\u3092\u9632\u3050\u305f\u3081\u3001\u30d5\u30a1\u30a4\u30d0\u30fc\u5148\u7aef\u306b\u306f\u30de\u30a4\u30af\u30ed\u30a8\u30f3\u30b8\u30cb\u30a2\u30ea\u30f3\u30b0\u306b\u3088\u308b\u653e\u5c04\u72b6\u767a\u5149\u8a2d\u8a08\u304c\u63a1\u7528\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u8a2d\u8a08\u306b\u3088\u308a\u3001980nm\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u306f\u3001\u76f4\u9032\u3059\u308b\u30d3\u30fc\u30e0\u3067\u306f\u306a\u304f\u3001\u9023\u7d9a\u3057\u305f360\u5ea6\u306e\u30ea\u30f3\u30b0\u30d1\u30bf\u30fc\u30f3\u3067\u5916\u5074\u3078\u3068\u7167\u5c04\u3055\u308c\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u653e\u5c04\u72b6\u306e\u7167\u5c04\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306b\u3088\u308a\u3001\u5f15\u304d\u623b\u3057\u5de5\u7a0b\u4e2d\u306b\u6d41\u4f53\u529b\u5b66\u7684\u306a\u529b\u304c\u50cd\u304d\u3001\u30d5\u30a1\u30a4\u30d0\u30fc\u5148\u7aef\u304c\u9759\u8108\u5185\u8154\u306e\u4e2d\u5fc3\u306b\u81ea\u52d5\u7684\u306b\u4f4d\u7f6e\u6c7a\u3081\u3055\u308c\u307e\u3059\u3002\u305d\u306e\u7d50\u679c\u3001\u6025\u30ab\u30fc\u30d6\u3092\u901a\u904e\u3059\u308b\u5834\u5408\u3067\u3082\u3001\u30ec\u30fc\u30b6\u30fc\u30a8\u30cd\u30eb\u30ae\u30fc\u304c\u9759\u8108\u58c1\u306e\u5185\u5468\u5168\u4f53\u306b\u5747\u4e00\u306b\u5206\u5e03\u3059\u308b\u305f\u3081\u3001\u4f4e\u51fa\u529b\u3067\u3082\u5747\u4e00\u306a\u71b1\u30b7\u30fc\u30eb\u304c\u78ba\u4fdd\u3055\u308c\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u5b9a\u91cf\u7684\u81e8\u5e8a\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u6307\u6a19<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u4ee5\u4e0b\u306e\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u306f\u3001400\u03bcm\u306e\u30de\u30a4\u30af\u30ed\u30e9\u30b8\u30a2\u30eb\u30d5\u30a1\u30a4\u30d0\u30fc\u304a\u3088\u3073980nm\u30ec\u30fc\u30b6\u30fc\u30d7\u30e9\u30c3\u30c8\u30d5\u30a9\u30fc\u30e0\u3092\u7528\u3044\u3066\u3001\u9ad8\u5ea6\u306b\u5c48\u66f2\u3057\u305f\u9759\u8108\u75be\u60a3\u306e\u6cbb\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u8853\u4e2d\u30d1\u30e9\u30e1\u30fc\u30bf\u304a\u3088\u3073\u81e8\u5e8a\u8ee2\u5e30\u306b\u3064\u3044\u3066\u8a73\u8ff0\u3057\u305f\u3082\u306e\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u60a3\u8005\u306e\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u304a\u3088\u3073\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u306e\u75c5\u7406\u6240\u898b<\/strong><\/td><td><strong>\u5bfe\u8c61\u30bb\u30b0\u30e1\u30f3\u30c8\u304a\u3088\u3073\u5bfe\u8c61\u306e\u5c48\u66f2\u5ea6<\/strong><\/td><td><strong>\u30d5\u30a1\u30a4\u30d0\u30fc\u306e\u30b3\u30a2\u304a\u3088\u3073\u5148\u7aef\u90e8\u306e\u69cb\u6210<\/strong><\/td><td><strong>\u9078\u629e\u3055\u308c\u305f\u6ce2\u9577\u3068\u30b3\u30f3\u30bd\u30fc\u30eb\u51fa\u529b<\/strong><\/td><td><strong>\u7dda\u30a8\u30cd\u30eb\u30ae\u30fc\u5bc6\u5ea6\uff08LEED\uff09<\/strong><\/td><td><strong>30\u65e5\u9593\u306e\u81e8\u5e8a\u30fb\u8d85\u97f3\u6ce2\u691c\u67fb\u306e\u5fa9\u7fd2<\/strong><\/td><\/tr><\/thead><tbody><tr><td>59\u6b73\u306e\u7537\u6027\u3001CEAP\u5206\u985eC4a\u3001\u8db3\u9996\u5185\u5074\u306e\u91cd\u5ea6\u306e\u8272\u7d20\u6c88\u7740<\/td><td>\u5de6\u5927\u817f\u9759\u8108\uff08GSV\uff09\u3001\u819d\u4e0b\u90e8\u30013\u304b\u6240\u306e\u6025\u306a\u5c48\u66f2\u3042\u308a\u300128 cm<\/td><td>400\u03bcm\u30b3\u30a2\u3001\u30b9\u30ea\u30e0\u30e9\u30b8\u30a2\u30eb360\u30ea\u30f3\u30b0<\/td><td>980nm\u5358\u4e00\u6ce2\u9577\u6cbb\u7642\u30019W\u9023\u7d9a\u51fa\u529b<\/td><td>1cm\u3042\u305f\u308a60\u30b8\u30e5\u30fc\u30eb\u3001\u624b\u52d5\u9023\u7d9a\u5f15\u304d\u623b\u3057<\/td><td>\u5b8c\u5168\u9589\u585e\u3001\u6591\u72b6\u51fa\u8840\u306a\u3057\u3001\u795e\u7d4c\u611f\u899a\u306f\u6b63\u5e38\u3001\u9759\u8108\u306f3.1 mm\u307e\u3067\u7dda\u7dad\u5316\u3057\u3066\u3044\u308b<\/td><\/tr><tr><td>45\u6b73\u306e\u5973\u6027\u3001CEAP\u5206\u985eC3\u3001\u8457\u3057\u3044\u6d6e\u816b\u3092\u4f34\u3044\u3001\u86c7\u884c\u3057\u305f\u526f\u9759\u8108\u304c\u8a8d\u3081\u3089\u308c\u308b<\/td><td>\u53f3\u524d\u5074\u526f\u4f0f\u5728\u9759\u8108\u300132 cm<\/td><td>400\u03bcm\u30b3\u30a2\u3001\u6eb6\u878d\u30b7\u30ea\u30ab\u88fd\u30e9\u30b8\u30a2\u30eb\u30ad\u30e3\u30c3\u30d7<\/td><td>980nm\u5358\u4e00\u6ce2\u9577\u7642\u6cd5\u30018W\u30d1\u30eb\u30b9\u5f0f\uff08D\/C 60%\uff09<\/td><td>1cm\u3042\u305f\u308a52\u30b8\u30e5\u30fc\u30eb\u3001\u81ea\u52d5\u30d7\u30eb\u30d0\u30c3\u30af<\/td><td>100%\uff1a\u30bb\u30b0\u30e1\u30f3\u30c8\u5168\u9577\u306b\u308f\u305f\u308b\u9589\u9396\u3001\u58c1\u7a7f\u5b54\u30bc\u30ed\u3001\u8853\u5f8c\u75bc\u75db\u30b9\u30b3\u30a2\u304c\u6700\u5c0f\u9650<\/td><\/tr><tr><td>67\u6b73\u306e\u7537\u6027\u3001CEAP\u5206\u985eC5\u3001\u6f70\u760d\u7e01\u304c\u6cbb\u7652\u3057\u305f\u72b6\u614b\u3067\u306e\u518d\u767a\u6027\u816b\u8139<\/td><td>\u53f3GSV\u3001\u592a\u3082\u3082\u306e\u4e2d\u592e\u304b\u3089\u3075\u304f\u3089\u306f\u304e\u306e\u4e0a\u90e8\u306b\u304b\u3051\u3066\u306e\u86c7\u884c\u30eb\u30fc\u30d7\u300141 cm<\/td><td>400\u03bcm\u30b3\u30a2\u3001\u30b9\u30ea\u30e0\u30e9\u30b8\u30a2\u30eb360\u30ea\u30f3\u30b0<\/td><td>980nm\u5358\u4e00\u6ce2\u9577\u6cbb\u7642\u300110W \u30b2\u30fc\u30c8\u5236\u5fa1\u9023\u7d9a\u6ce2\uff08CW\uff09<\/td><td>1cm\u3042\u305f\u308a65\u30b8\u30e5\u30fc\u30eb\u3001\u624b\u52d5\u9023\u7d9a\u30d7\u30eb\u30d0\u30c3\u30af<\/td><td>\u4f0f\u5728\u9759\u8108\u30fb\u5927\u817f\u9759\u8108\u5206\u5c90\u90e8\u306e\u5b8c\u5168\u9589\u9396\u3001\u6df1\u90e8\u9759\u8108\u3078\u306e\u6ce2\u53ca\u306a\u3057\u3001\u8853\u5f8c1\u65e5\u76ee\u304b\u3089\u60a3\u8005\u306f\u5b8c\u5168\u306b\u6b69\u884c\u53ef\u80fd<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u8ffd\u8de1\u8abf\u67fb\u306b\u3088\u308a\u3001400\u03bcm\u306e\u9001\u9054\u30c1\u30e3\u30cd\u30eb\u3092\u5229\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u8853\u8005\u306f\u8907\u96d1\u306a\u8840\u7ba1\u7d4c\u8def\u306b\u304a\u3044\u3066\u3082\u512a\u308c\u305f\u81e8\u5e8a\u52b9\u679c\u3092\u7dad\u6301\u3067\u304d\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u67d4\u8edf\u6027\u306b\u512a\u308c\u305f\u30b3\u30a2\u3068\u5747\u4e00\u306a\u534a\u5f84\u65b9\u5411\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u5206\u5e03\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u308a\u3001\u78ba\u5b9f\u306a\u7d44\u7e54\u5909\u6027\u304c\u4fdd\u8a3c\u3055\u308c\u308b\u305f\u3081\u3001\u8840\u7ba1\u7a7f\u5b54\u3084\u8853\u5f8c\u5408\u4f75\u75c7\u3092\u983b\u7e41\u306b\u5f15\u304d\u8d77\u3053\u3059\u9ad8\u51fa\u529b\u8a2d\u5b9a\u3092\u884c\u3046\u5fc5\u8981\u304c\u306a\u304f\u306a\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u9ad8\u6027\u80fd\u30ac\u30e9\u30b9\u30b3\u30a2\u5c0e\u6ce2\u8def\u306e\u88fd\u9020\u57fa\u6e96<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a2\u30af\u30c6\u30a3\u30d6\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u30b1\u30fc\u30d6\u30eb\u3092\u901a\u3058\u3066\u4e00\u8cab\u3057\u305f\u30a8\u30cd\u30eb\u30ae\u30fc\u4f9b\u7d66\u3092\u7dad\u6301\u3059\u308b\u306b\u306f\u3001\u9ad8\u5ea6\u306a\u30ac\u30e9\u30b9\u88fd\u9020\u30d7\u30ed\u30c8\u30b3\u30eb\u3092\u53b3\u683c\u306b\u9075\u5b88\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u9ad8\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u30ec\u30fc\u30b6\u30fc\u5165\u529b\u3092\u4f1d\u9001\u3059\u308b\u3088\u3046\u306b\u8a2d\u8a08\u3055\u308c\u305f\u533b\u7642\u7528\u30b0\u30ec\u30fc\u30c9\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3001\u7279\u6b8a\u306a\u53cd\u5c04\u6027\u30af\u30e9\u30c3\u30c9\u3067\u56f2\u307e\u308c\u305f\u8d85\u9ad8\u7d14\u5ea6\u306e\u5408\u6210\u6eb6\u878d\u30b7\u30ea\u30ab\u30b3\u30a2\u3092\u63a1\u7528\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n\n\n\n<pre class=\"wp-block-code\"><code>+-------------------------------------------------------+\n|  \u5408\u6210\u6eb6\u878d\u77f3\u82f1\u30b3\u30a2\uff08\u4f4eOH\u6210\u5206\uff09 | ---&gt; 980nm\u306e\u30d4\u30fc\u30af\u3092\u6301\u3064\u5149\u5b50\u3092\u900f\u904e\n+-------------------------------------------------------+\n|  \u30d5\u30c3\u7d20\u30c9\u30fc\u30d7\u6eb6\u878d\u30b7\u30ea\u30ab\u30af\u30e9\u30c3\u30c9 | ---&gt; \u5185\u90e8\u53cd\u5c04\u306b\u3088\u308b\u5149\u6f0f\u308c\u3092\u9632\u6b62\n+-------------------------------------------------------+\n|  \u5916\u5c64\u30dd\u30ea\u30a4\u30df\u30c9\u4fdd\u8b77\u30b3\u30fc\u30c6\u30a3\u30f3\u30b0\uff0f\u30d0\u30c3\u30d5\u30a1 | ---&gt; \u9ad8\u3044\u5f15\u5f35\u5f37\u5ea6\u3068\u306d\u3058\u308c\u62b5\u6297\u6027\u3092\u63d0\u4f9b\u3059\u308b\n+-------------------------------------------------------+\n<\/code><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\">980nm\u306e\u900f\u904e\u306b\u6700\u9069\u5316\u3055\u308c\u305f\u30c7\u30d0\u30a4\u30b9\u3092\u69cb\u7bc9\u3059\u308b\u969b\u306b\u306f\u3001\u30b7\u30ea\u30ab\u30de\u30c8\u30ea\u30c3\u30af\u30b9\u5185\u306e\u30d2\u30c9\u30ed\u30ad\u30b7\u30eb\uff08OH\u207b\uff09\u30a4\u30aa\u30f3\u6fc3\u5ea6\u3092\u9069\u5207\u306b\u7ba1\u7406\u3059\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002 980nm\u306e\u3088\u3046\u306a\u7d14\u7c8b\u306a\u8fd1\u8d64\u5916\u6ce2\u9577\u306e\u5834\u5408\u3001\u4f4eOH\u30b7\u30ea\u30ab\u914d\u5408\u3092\u63a1\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u900f\u904e\u52b9\u7387\u3092\u6700\u5927\u5316\u3057\u3001\u5185\u90e8\u3067\u306e\u5149\u5438\u53ce\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u7279\u6b8a\u306a\u30ac\u30e9\u30b9\u30de\u30c8\u30ea\u30c3\u30af\u30b9\u306b\u3088\u308a\u3001\u9577\u6642\u9593\u306e\u4f7f\u7528\u4e2d\u3082\u30d5\u30a1\u30a4\u30d0\u30fc\u30b3\u30a2\u306e\u767a\u71b1\u304c\u6291\u5236\u3055\u308c\u3001\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u51e6\u7f6e\u5168\u4f53\u3092\u901a\u3058\u3066\u5148\u7aef\u90e8\u3067\u306e\u51fa\u529b\u5b89\u5b9a\u6027\u304c\u7dad\u6301\u3055\u308c\u307e\u3059\u3002.<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u4f4e\u54c1\u8cea\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u304c\u5f35\u529b\u4e0b\u3067\u6a5f\u68b0\u7684\u9650\u754c\u3092\u8d85\u3048\u3066\u66f2\u3052\u3089\u308c\u308b\u3068\u3001\u5149\u304c\u30af\u30e9\u30c3\u30c9\u304b\u3089\u6f0f\u308c\u51fa\u3057\u3001\u30b8\u30e3\u30b1\u30c3\u30c8\u306e\u5c40\u6240\u7684\u306a\u6eb6\u878d\u304c\u5373\u5ea7\u306b\u5f15\u304d\u8d77\u3053\u3055\u308c\u307e\u3059\u3002\u9ad8\u5f37\u5ea6\u306e\u30dd\u30ea\u30a4\u30df\u30c9\u30d0\u30c3\u30d5\u30a1\u30fc\u3067\u4fdd\u8b77\u3055\u308c\u305f\u9ad8\u54c1\u8cea\u306a400\u03bcm\u4f4eOH\u30b3\u30a2\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u30c7\u30ea\u30d0\u30ea\u30fc\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u4e00\u8cab\u3057\u305f\u5149\u5b66\u7684\u6027\u80fd\u3092\u7dad\u6301\u3057\u3064\u3064\u3001\u8907\u96d1\u306a\u89e3\u5256\u5b66\u7684\u69cb\u9020\u5185\u3092\u5b89\u5168\u306b\u901a\u904e\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u30b5\u30d7\u30e9\u30a4\u30c1\u30a7\u30fc\u30f3\u3068\u6280\u8853\u30aa\u30da\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u7d71\u5408<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">B2B\u306e\u8abf\u9054\u62c5\u5f53\u8005\u306f\u3001\u7279\u6b8a\u306a\u8840\u7ba1\u7528\u81e8\u5e8a\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u306b\u304a\u3044\u3066\u3001\u306a\u305c\u5f93\u6765\u306e600um\u30b7\u30b9\u30c6\u30e0\u3088\u308a\u3082400um\u306e\u30e9\u30b8\u30a2\u30eb\u30d5\u30a1\u30a4\u30d0\u30fc\u3092\u597d\u3080\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">B2B\u306e\u8abf\u9054\u62c5\u5f53\u8005\u306f\u3001400\u03bcm\u306e\u30e9\u30b8\u30a2\u30eb\u8a2d\u8a08\u3092\u597d\u3093\u3067\u63a1\u7528\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u81e8\u5e8a\u4e0a\u306e\u30ea\u30b9\u30af\u5168\u4f53\u3092\u4f4e\u6e1b\u3057\u3001\u904b\u7528\u4e0a\u306e\u9593\u63a5\u8cbb\u3092\u524a\u6e1b\u3067\u304d\u308b\u305f\u3081\u3067\u3059\u3002\u4e00\u65b9\u3001\u5927\u53e3\u5f84\u306e600\u03bcm\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u525b\u6027\u304c\u9ad8\u3044\u305f\u3081\u3001\u8853\u4e2d\u306e\u9759\u8108\u58c1\u7a7f\u5b54\u306e\u767a\u751f\u7387\u304c\u9ad8\u304f\u306a\u308a\u3001\u305d\u306e\u7d50\u679c\u3001\u81e8\u5e8a\u4e0a\u306e\u8ce0\u511f\u8acb\u6c42\u306b\u3064\u306a\u304c\u308b\u6050\u308c\u304c\u3042\u308a\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">400\u03bcm\u30b3\u30a2\u304c\u6301\u3064\u512a\u308c\u305f\u67d4\u8edf\u6027\u306b\u3088\u308a\u3001\u3053\u3046\u3057\u305f\u6280\u8853\u7684\u306a\u4e0d\u5177\u5408\u304c\u6700\u5c0f\u9650\u306b\u6291\u3048\u3089\u308c\u3001\u60a3\u8005\u306e\u5408\u4f75\u75c7\u767a\u751f\u7387\u304c\u5927\u5e45\u306b\u4f4e\u4e0b\u3057\u3001\u8cbb\u7528\u306e\u304b\u304b\u308b\u8853\u5f8c\u306e\u518d\u51e6\u7f6e\u306e\u5fc5\u8981\u6027\u3082\u6e1b\u5c11\u3057\u307e\u3059\u3002\u5927\u898f\u6a21\u306a\u81e8\u5e8a\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u306b\u304a\u3044\u3066\u306f\u3001\u6a19\u6e96\u5316\u3055\u308c\u305f400\u03bcm\u306e\u5728\u5eab\u3078\u306e\u5207\u308a\u66ff\u3048\u306b\u3088\u308a\u3001\u30b5\u30d7\u30e9\u30a4\u30c1\u30a7\u30fc\u30f3\u306e\u4e88\u6e2c\u53ef\u80fd\u6027\u304c\u6700\u9069\u5316\u3055\u308c\u3001\u6975\u3081\u3066\u4fe1\u983c\u6027\u306e\u9ad8\u3044\u6cbb\u7642\u6210\u679c\u304c\u78ba\u4fdd\u3055\u308c\u307e\u3059\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">980nm\u306e\u6ce2\u9577\u306f\u3001\u9ad8\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u9759\u8108\u5185\u6cbb\u7642\u306b\u3057\u3070\u3057\u3070\u4f34\u3046\u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7\uff08DVT\uff09\u306e\u30ea\u30b9\u30af\u3092\u3001\u3069\u306e\u3088\u3046\u306b\u9632\u3050\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u9759\u8108\u5185\u6cbb\u7642\u306b\u304a\u3051\u308b\u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7\uff08DVT\uff09\u306e\u30ea\u30b9\u30af\u306f\u3001\u901a\u5e38\u3001\u5927\u4f0f\u5728\u9759\u8108\u3068\u5927\u817f\u9759\u8108\u306e\u5408\u6d41\u90e8\uff08SFJ\uff09\u306b\u304a\u3044\u3066\u3001\u904e\u5270\u306a\u71b1\u304c\u6df1\u90e8\u9759\u8108\u7cfb\u3078\u3068\u4e0a\u65b9\u306b\u4f1d\u64ad\u3059\u308b\u3053\u3068\u306b\u8d77\u56e0\u3057\u307e\u3059\u3002\u6ce2\u9577980nm\u306e\u5149\u306f\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u3092\u52b9\u7387\u7684\u306b\u6a19\u7684\u3068\u3057\u3001\u7ba1\u8154\u5185\u306b\u6975\u3081\u3066\u5c40\u6240\u7684\u306a\u51dd\u56fa\u9818\u57df\u3092\u5f62\u6210\u3059\u308b\u3053\u3068\u3067\u3001\u8840\u7ba1\u3092\u8fc5\u901f\u306b\u9589\u9396\u3057\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u6a19\u7684\u3092\u7d5e\u3063\u305f\u30a8\u30cd\u30eb\u30ae\u30fc\u5206\u5e03\u3068400\u03bcm\u306e\u30e9\u30b8\u30a2\u30eb\u30d5\u30a1\u30a4\u30d0\u30fc\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u3067\u3001\u8853\u8005\u306f\u30b3\u30f3\u30bd\u30fc\u30eb\u3067\u306e\u51fa\u529b\u30ec\u30d9\u30eb\u3092\u4e0b\u3052\u3064\u3064\u3001\u5b8c\u5168\u306a\u9589\u9396\u3092\u5b9f\u73fe\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u7dcf\u30a8\u30cd\u30eb\u30ae\u30fc\u51fa\u529b\u3092\u5236\u9650\u3059\u308b\u3053\u3068\u3067\u3001\u5927\u817f\u9759\u8108\u3078\u306e\u71b1\u306e\u6d41\u51fa\u3092\u9632\u304e\u3001\u6df1\u90e8\u9759\u8108\u69cb\u9020\u3092\u5076\u767a\u7684\u306a\u71b1\u640d\u50b7\u304b\u3089\u4fdd\u8b77\u3057\u307e\u3059\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">980nm\u306e\u30ec\u30fc\u30b6\u30fc\u30b3\u30f3\u30bd\u30fc\u30eb\u3068\u7d44\u307f\u5408\u308f\u305b\u3066\u5b89\u5168\u306b\u52d5\u4f5c\u3055\u305b\u308b\u305f\u3081\u306b\u306f\u3001400\u03bcm\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3069\u306e\u3088\u3046\u306a\u54c1\u8cea\u7ba1\u7406\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304b\uff1f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b89\u5168\u306a\u81e8\u5e8a\u904b\u7528\u3092\u78ba\u4fdd\u3057\u3001\u6a5f\u5668\u306e\u640d\u50b7\u3092\u9632\u3050\u305f\u3081\u3001\u30b5\u30fc\u30c9\u30d1\u30fc\u30c6\u30a3\u88fd\u306e\u533b\u7642\u7528\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3001\u4ee5\u4e0b\u306e3\u3064\u306e\u53b3\u683c\u306a\u6280\u8853\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u504f\u5fc3\u304a\u3088\u3073\u4f4d\u7f6e\u5408\u308f\u305b\u306e\u78ba\u8a8d\uff1a<\/strong> \u30d3\u30fc\u30e0\u5206\u5e03\u306e\u4e0d\u5747\u4e00\u3092\u9632\u304e\u3001SMA-905\u63a5\u7d9a\u30dd\u30fc\u30c8\u306b\u304a\u3044\u3066\u6b63\u78ba\u306a\u767a\u5c04\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u5185\u90e8\u306e400\u03bcm\u30b7\u30ea\u30ab\u30b3\u30a2\u3092\u3001\u305d\u306e\u5916\u5074\u306e\u30af\u30e9\u30c3\u30c9\u5c64\u306e\u4e2d\u5fc3\u306b\u5b8c\u5168\u306b\u4f4d\u7f6e\u5408\u308f\u305b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002.<\/li>\n\n\n\n<li><strong>\u5f15\u5f35\u5f37\u5ea6\u304a\u3088\u3073\u66f2\u3052\u8a66\u9a13\uff1a<\/strong> \u3059\u3079\u3066\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u30ed\u30c3\u30c8\u306f\u3001\u53b3\u683c\u306a\u8010\u30b9\u30c8\u30ec\u30b9\u8a66\u9a13\u3092\u53d7\u3051\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u8a66\u9a13\u3067\u306f\u3001\u30b1\u30fc\u30d6\u30eb\u306b\u5f35\u529b\u3092\u304b\u3051\u306a\u304c\u3089\u72ed\u3044\u66f2\u7387\u534a\u5f84\u3067\u66f2\u3052\u3001\u4f7f\u7528\u4e2d\u306b\u30dd\u30ea\u30a4\u30df\u30c9\u30b8\u30e3\u30b1\u30c3\u30c8\u304c\u5fae\u5c0f\u4e80\u88c2\u306e\u767a\u751f\u3092\u9632\u3050\u3053\u3068\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002.<\/li>\n\n\n\n<li><strong>\u5149\u4f1d\u9001\u306e\u691c\u8a3c\uff1a<\/strong> \u3053\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3001980nm\u306e\u6ce2\u9577\u306b\u304a\u3044\u306695%\u4ee5\u4e0a\u306e\u5185\u90e8\u4f1d\u9001\u52b9\u7387\u3092\u767a\u63ee\u3057\u3001\u30d7\u30ed\u30b0\u30e9\u30e0\u3055\u308c\u305f\u30b3\u30f3\u30bd\u30fc\u30eb\u306e\u51fa\u529b\u3068\u6cbb\u7642\u7528\u30c1\u30c3\u30d7\u3067\u306e\u51fa\u529b\u304c\u4e00\u81f4\u3059\u308b\u3053\u3068\u3092\u4fdd\u8a3c\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002.<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Navigating tortuous great saphenous vein segments during EVLT laser procedures requires a flexible 400um medical fiber optics delivery system paired with a 980nm wavelength to achieve uniform transmural ablation while preventing localized vein wall rupture. Mechanical Obstacles in Navigating Tortuous Venous Segments Vascular specialists frequently encounter extreme anatomical variations when treating advanced superficial venous reflux. Highly tortuous channels within the accessory saphenous veins or the lower third of the great saphenous vein (GSV) present severe physical challenges for standard endovenous delivery devices. When an operator attempts to advance a rigid, large-diameter fiber waveguide through these sharp angulations, the distal tip inevitably impacts the structural curves of the internal vessel wall. 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