{"id":8709,"date":"2026-01-22T14:57:52","date_gmt":"2026-01-22T06:57:52","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=8709"},"modified":"2026-02-06T11:24:01","modified_gmt":"2026-02-06T03:24:01","slug":"pldd-clinical-protocols-1470nm-laser-physics-in-spine-surgery","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/ja\/pldd-clinical-protocols-1470nm-laser-physics-in-spine-surgery.html","title":{"rendered":"PLDD\u81e8\u5e8a\u30d7\u30ed\u30c8\u30b3\u30eb\u810a\u690e\u624b\u8853\u306b\u304a\u3051\u308b1470nm\u30ec\u30fc\u30b6\u30fc\u7269\u7406\u5b66"},"content":{"rendered":"<h2 class=\"wp-block-heading\">1.\u71b1\u529b\u5b66\u7684\u6e1b\u5727PLDD\u3092\u652f\u3048\u308b\u7269\u7406\u5b66<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u306e\u9818\u57df\u3067\u306f <strong>\u4f4e\u4fb5\u8972\u810a\u690e\u624b\u8853<\/strong>, \u7d4c\u76ae\u7684\u30ec\u30fc\u30b6\u30fc\u690e\u9593\u677f\u6e1b\u5727\u8853(PLDD)\u306f\u3001\u5358\u306b\u7d44\u7e54\u3092 \u201c\u713c\u304f \u201d\u3068\u8aa4\u89e3\u3055\u308c\u304c\u3061\u3067\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u810a\u690e\u5916\u79d1\u533b\u3084\u81e8\u5e8a\u7269\u7406\u5b66\u8005\u306b\u3068\u3063\u3066\u3001\u3053\u306e\u624b\u6280\u306f\u6307\u6570\u95a2\u6570\u7684\u306a\u5727\u529b\u306e\u6e1b\u8870\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306e\u6b63\u78ba\u306a\u4f53\u7a4d\u6e1b\u5c11\u306e\u8a13\u7df4\u3067\u3042\u308b\u3002\u6839\u672c\u7684\u306a\u554f\u984c\u306f\u3001\u5358\u306b <em>\u3082\u3057<\/em> \u30ec\u30fc\u30b6\u30fc\u306f\u30d8\u30eb\u30cb\u30a2\u3092\u7e2e\u5c0f\u3055\u305b\u308b\u304c <em>\u306a\u305c<\/em> \u308f\u305a\u304b\u306a\u91cf\u306e\u6e1b\u5c11\u304c\u3001\u75c7\u72b6\u306e\u5927\u5e45\u306a\u7de9\u548c\u306b\u3064\u306a\u304c\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6b6f\u9ac4\u6838\u306e\u6c34\u529b\u539f\u7406<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u690e\u9593\u677f\u306f\u9589\u9396\u6c34\u529b\u30b7\u30b9\u30c6\u30e0\u3068\u3057\u3066\u6a5f\u80fd\u3057\u3066\u3044\u308b\u3002\u9ac4\u6838\u306f\u30d7\u30ed\u30c6\u30aa\u30b0\u30ea\u30ab\u30f3\u3068\u6c34\u306b\u5bcc\u307f\u3001\u9ad8\u3044\u690e\u9593\u677f\u5185\u5727\u3092\u7dad\u6301\u3057\u3066\u3044\u308b\u3002\u9589\u9396\u7a7a\u9593\u306b\u304a\u3051\u308b\u6db2\u5727\u306e\u539f\u7406\u306b\u3088\u308c\u3070\u3001\u6db2\u91cf\u304c\u308f\u305a\u304b\u306b\u5909\u5316\u3059\u308b\u3068\u3001\u5727\u529b\u306f\u4e0d\u91e3\u308a\u5408\u3044\u306b\u5927\u304d\u304f\u4f4e\u4e0b\u3059\u308b\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u81e8\u5e8a\u7814\u7a76\u306b\u3088\u308c\u3070\u3001\u6c17\u5316\u3055\u305b\u308b\u3060\u3051\u3067 <strong>0.5ml\u304b\u30891.0ml<\/strong> \u6838\u7269\u8cea\u306e\u6e1b\u5c11\u306f\u3001\u30c7\u30a3\u30b9\u30af\u306e\u9ad8\u3055\u3084\u6a5f\u68b0\u7684\u5b89\u5b9a\u6027\u3092\u5927\u304d\u304f\u5909\u3048\u308b\u3053\u3068\u306f\u306a\u3044\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u5fae\u5c0f\u5bb9\u7a4d\u306e\u6e1b\u5c11\u306f\u3001\u771f\u7a7a\u52b9\u679c\u3092\u5f15\u304d\u8d77\u3053\u3059\u306b\u306f\u5341\u5206\u3067\u3042\u308b\u3002\u3053\u306e\u8ca0\u5727\u306b\u3088\u308a\u3001\u690e\u9593\u677f\u306e\u30d8\u30eb\u30cb\u30a2\u90e8\u5206\u304c\u4e2d\u5fc3\u306b\u5411\u304b\u3063\u3066\u5f15\u304d\u623b\u3055\u308c\u3001\u795e\u7d4c\u6839\u304b\u3089\u5f15\u304d\u8fbc\u307e\u308c\u308b\u3002\u3053\u308c\u304c <strong>\u7d4c\u76ae\u7684\u30ec\u30fc\u30b6\u30fc\u690e\u9593\u677f\u6e1b\u5727\u8853(PLDD)<\/strong>. .\u305d\u308c\u306f\u8cea\u91cf\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067\u306f\u306a\u304f\u3001\u5727\u529b\u52fe\u914d\u3092\u8abf\u6574\u3059\u308b\u3053\u3068\u306a\u306e\u3060\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2.\u6ce2\u9577\u306e\u9078\u629e\uff1a980nm\u30681470nm\u306e\u4e8c\u5206\u6cd5<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u533b\u7642\u6a5f\u5668\u30e1\u30fc\u30ab\u30fc\u3084\u5916\u79d1\u533b\u306b\u3068\u3063\u3066\u3001\u9069\u5207\u306a\u6ce2\u9577\u3092\u9078\u629e\u3059\u308b\u3053\u3068\u306f\u5b89\u5168\u6027\u306e\u305f\u3081\u306b\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u5149\u5b50\u3068\u767a\u8272\u56e3\u3068\u306e\u76f8\u4e92\u4f5c\u7528\u304c\u71b1\u30d5\u30c3\u30c8\u30d7\u30ea\u30f3\u30c8\u3092\u6c7a\u5b9a\u3059\u308b\u3002.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"890\" height=\"668\" src=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/020.jpg\" alt=\"\" class=\"wp-image-8710\" style=\"width:611px;height:auto\" srcset=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/020.jpg 890w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/020-300x225.jpg 300w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/020-768x576.jpg 768w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/020-16x12.jpg 16w\" sizes=\"auto, (max-width: 890px) 100vw, 890px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">980nm\u304b\u3089\u306e\u9032\u5316<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b74\u53f2\u7684\u306b\u306f <strong>980nm\u30c0\u30a4\u30aa\u30fc\u30c9\u30ec\u30fc\u30b6\u30fc<\/strong> \u306fPLDD\u306e\u4e3b\u529b\u9078\u624b\u3060\u3063\u305f\u3002\u305d\u306e\u5438\u53ce\u4fc2\u6570\u306f\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u3068\u6c34\u306e\u9593\u3067\u30d0\u30e9\u30f3\u30b9\u304c\u3068\u308c\u3066\u3044\u308b\u3002\u52b9\u679c\u7684\u3067\u306f\u3042\u308b\u304c\u3001980nm\u3067\u306f\u6c17\u5316\u3092\u9054\u6210\u3059\u308b\u305f\u3081\u306b\u9ad8\u3044\u51fa\u529b\u5bc6\u5ea6\u304c\u5fc5\u8981\u3068\u306a\u308a\u3001\u96a3\u63a5\u3059\u308b\u7d42\u677f\u3084\u74b0\u72b6\u7dda\u7dad\u75c7\u3078\u306e\u71b1\u62e1\u6563\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3002\u6b63\u3057\u304f\u30d1\u30eb\u30b9\u7167\u5c04\u3057\u306a\u3044\u3068\u3001\u71b1\u62e1\u6563\uff08\u71b1\u58ca\u6b7b\u57df\uff09\u304c\u4e88\u6e2c\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3042\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u6c34\u548c\u7d44\u7e54\u306b\u304a\u3051\u308b1470nm\u306e\u512a\u4f4d\u6027<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u73fe\u4ee3\u306e\u30d7\u30ed\u30c8\u30b3\u30eb\u306f <strong>1470nm\u30c0\u30a4\u30aa\u30fc\u30c9\u30ec\u30fc\u30b6\u30fc<\/strong>. .\u3053\u306e\u6ce2\u9577\u306f\u6c34\u306e\u5438\u53ce\u66f2\u7dda\u306e\u30d4\u30fc\u30af\u306b\u4f4d\u7f6e\u3057\u3001\u6c34\u4e2d\u3067\u306e\u5438\u53ce\u306f980nm\u3088\u308a\u7d0440\u500d\u9ad8\u3044\u3002\u9ac4\u6838\u306f\u4e3b\u306b\u6c34\u3067\u3042\u308b\u305f\u3081\uff08\u5065\u5eb7\u306a\u690e\u9593\u677f\u3067\u306f\u7d0480-85%\u3001\u5909\u6027\u3057\u305f\u690e\u9593\u677f\u3067\u306f\u305d\u308c\u4ee5\u4e0b\uff09\u30011470nm\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\u306f\u30d5\u30a1\u30a4\u30d0\u30fc\u5148\u7aef\u3067\u307b\u307c\u5373\u5ea7\u306b\u5438\u53ce\u3055\u308c\u308b\u3002.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u76e3\u7981\uff1a<\/strong> \u30a8\u30cd\u30eb\u30ae\u30fc\u306f\u9060\u304f\u307e\u3067\u4f1d\u308f\u3089\u306a\u3044\u3002\u6c17\u5316\u306f\u4f4e\u3044\u51fa\u529b\u8a2d\u5b9a\u3067\u52b9\u7387\u7684\u306b\u884c\u308f\u308c\u308b\u3002.<\/li>\n\n\n\n<li><strong>\u5b89\u5168\u3060\uff1a<\/strong> \u71b1\u306f\u6c34\u5206\u306e\u591a\u3044\u6838\u306b\u9589\u3058\u8fbc\u3081\u3089\u308c\u308b\u305f\u3081\u3001\u690e\u4f53\u7d42\u677f\u3078\u306e\u71b1\u640d\u50b7\u306e\u30ea\u30b9\u30af\u306f\u5287\u7684\u306b\u6e1b\u5c11\u3059\u308b\u3002.<\/li>\n\n\n\n<li><strong>\u52b9\u80fd\uff1a<\/strong> \u3053\u308c\u306b\u3088\u308a\u3001\u5916\u5074\u306e\u74b0\u72b6\u819c\u306e\u69cb\u9020\u7684\u5b8c\u5168\u6027\u3092\u640d\u306a\u3046\u3053\u3068\u306a\u304f\u3001\u5185\u5074\u306e\u6838\u3092\u6b63\u78ba\u306b\u300c\u5f6b\u523b\u300d\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">3.\u81e8\u5e8a\u30b1\u30fc\u30b9\u30b9\u30bf\u30c7\u30a3\uff1aL4-L5\u5dfb\u304d\u8fbc\u307f\u30d8\u30eb\u30cb\u30a2<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u75c7\u4f8b\u306f\u30011470nm\u30b7\u30b9\u30c6\u30e0\u3092\u7528\u3044\u305fPLDD\u3092\u3001\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u9069\u7528\u3057\u305f\u4f8b\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u60a3\u8005\u306e\u30d7\u30ed\u30d5\u30a3\u30fc\u30eb<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4eba\u53e3\u7d71\u8a08\uff1a<\/strong> 45\u6b73\u7537\u6027\u3001\u30bd\u30d5\u30c8\u30a6\u30a7\u30a2\u30fb\u30a8\u30f3\u30b8\u30cb\u30a2\u3002.<\/li>\n\n\n\n<li><strong>\u4e3b\u306a\u4e0d\u6e80<\/strong> \u5de6\u811a\uff08L5\u76ae\u819a\u5206\u7bc0\uff09\u306b\u653e\u6563\u3059\u308b\u6162\u6027\u8170\u75db\u304c6\u30f5\u6708\u9593\u6301\u7d9a\u3002VAS\u30b9\u30b3\u30a2\uff1a8\/10\u3002.<\/li>\n\n\n\n<li><strong>\u795e\u7d4c\u5b66\uff1a<\/strong> \u5de640\u5ea6\u3067\u306eSLR\uff08Straight Leg Raise\uff09\u967d\u6027\u3002\u904b\u52d5\u969c\u5bb3\u306a\u3057\uff08\u7b4b\u529b5\/5\uff09\u3002\u5de6\u6bcd\u8dbe\u306b\u8efd\u5ea6\u306e\u77e5\u899a\u4f4e\u4e0b\u3002.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e88\u5099\u8a3a\u65ad\uff1a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MRI\u306b\u3088\u308a\u3001L4-L5\u306b\u5de6\u508d\u4e2d\u5fc3\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u304c\u3042\u308a\u3001L5\u795e\u7d4c\u6839\u3092\u5727\u8feb\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u305f\u3002\u690e\u9593\u677f\u306e\u9ad8\u3055\u306f\u4fdd\u305f\u308c\u3066\u304a\u308a\u3001\u77f3\u7070\u5316\u3084\u5206\u96e2\u7247\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\uff08PLDD\u306e\u7981\u5fcc\uff09\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6cbb\u7642\u6226\u7565\uff1a<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">400\u30df\u30af\u30ed\u30f3\u306e\u77f3\u82f1\u30d5\u30a1\u30a4\u30d0\u30fc\u3092\u7528\u3044\u305f1470nm\u306e\u30c0\u30a4\u30aa\u30fc\u30c9\u30ec\u30fc\u30b6\u30fc\u306b\u3088\u308b\u900f\u8996\u4e0b\u3067\u306ePLDD\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u624b\u8853\u30d1\u30e9\u30e1\u30fc\u30bf\u30fc\u3068\u624b\u9806<\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u30b9\u30c6\u30c3\u30d7<\/strong><\/td><td><strong>\u30a2\u30af\u30b7\u30e7\u30f3<\/strong><\/td><td><strong>\u6280\u8853\u30d1\u30e9\u30e1\u30fc\u30bf\u30fc<\/strong><\/td><td><strong>\u81e8\u5e8a\u7684\u6839\u62e0<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>1.\u30a2\u30af\u30bb\u30b9<\/strong><\/td><td>\u5c40\u6240\u9ebb\u9154\u3068\u91dd\u306e\u914d\u7f6e<\/td><td>18G\u91dd\u3001\u5f8c\u5916\u5074\u30a2\u30d7\u30ed\u30fc\u30c1\uff08Kambin\u306e\u4e09\u89d2\u5f62\uff09\u3002.<\/td><td>\u795e\u7d4c\u6839\u304b\u3089\u51fa\u308b\u306e\u3092\u907f\u3051\u308b\u3002\u900f\u8996\u3067\u91dd\u5148\u304c\u9ac4\u6838\u306e\u4e2d\u5fc3\u306b\u3042\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3002.<\/td><\/tr><tr><td><strong>2.\u30d5\u30a1\u30a4\u30d0\u30fc\u633f\u5165<\/strong><\/td><td>\u30d5\u30a1\u30a4\u30d0\u30fc\u6e2c\u5b9a<\/td><td>400\u00b5m\u306e\u30d9\u30a2\u30d5\u30a1\u30a4\u30d0\u30fc\u3002\u5148\u7aef\u306f\u30cb\u30fc\u30c9\u30eb\u30d9\u30d9\u30eb\u304b\u30892mm\u306f\u307f\u51fa\u3057\u3066\u3044\u308b\u3002.<\/td><td>\u30ec\u30fc\u30b6\u30fc\u30a8\u30cd\u30eb\u30ae\u30fc\u304c\u91dd\u8ef8\u3067\u306f\u306a\u304f\u3001\u6838\u306b\u76f4\u63a5\u5c4a\u304f\u3088\u3046\u306b\u3059\u308b\u3002.<\/td><\/tr><tr><td><strong>3.\u6c17\u5316<\/strong><\/td><td>\u30a8\u30cd\u30eb\u30ae\u30fc\u4f9b\u7d66\uff08\u30d1\u30eb\u30b9\u30fb\u30e2\u30fc\u30c9\uff09<\/td><td><strong>\u30d1\u30ef\u30fc\u3060\uff1a<\/strong> 5.0\u30ef\u30c3\u30c8<br><strong>\u30d1\u30eb\u30b9\u306e\u6301\u7d9a\u6642\u9593\uff1a<\/strong> 1.0\u79d2 \u30aa\u30f3 \/ 1.0\u79d2 \u30aa\u30d5<br><strong>\u6ce2\u9577\uff1a<\/strong> 1470nm<\/td><td><strong>\u30d1\u30eb\u30b9\u30fb\u30e2\u30fc\u30c9<\/strong> \u306f\u71b1\u7de9\u548c\u3092\u53ef\u80fd\u306b\u3059\u308b\u3002\u9023\u7d9a\u7684\u306a\u30a6\u30a7\u30fc\u30d6\u306f\u904e\u5ea6\u306e\u71b1\u84c4\u7a4d\uff08\u70ad\u5316\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059\u3002.<\/td><\/tr><tr><td><strong>4.\u7dcf\u6295\u4e0e\u91cf<\/strong><\/td><td>\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u84c4\u7a4d<\/td><td><strong>\u7dcf\u5408\u30a8\u30cd\u30eb\u30ae\u30fc\uff1a<\/strong> 1200\u30b8\u30e5\u30fc\u30eb<br><strong>\u30d1\u30eb\u30b9\u306e\u6570<\/strong> \u7d04240<\/td><td>\u690e\u9593\u677f\u306e\u76f4\u5f84\u306b\u57fa\u3065\u304f\u7dda\u91cf\u3002\u4e00\u822c\u7684\u306a\u30eb\u30fc\u30eb\uff1a\u8170\u690e\u690e\u9593\u677f\u306b\u306f\uff5e1000\uff5e1500J\u3002.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u8853\u4e2d\u306e\u89b3\u5bdf\u3068\u56de\u5fa9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u624b\u6280\u4e2d\u3001\u30ec\u30fc\u30b6\u30fc\u304c\u4f5c\u52d5\u3059\u308b\u3068\u3001\u5c0f\u3055\u306a\u6c17\u6ce1\uff08\u6c17\u5316\uff09\u304c\u900f\u8996\u3067\u78ba\u8a8d\u3067\u304d\u305f\uff08\u300c\u30d0\u30ad\u30e5\u30fc\u30e0\u30b5\u30a4\u30f3\u300d\uff09\u3002\u60a3\u8005\u306f\u3001\u6700\u521d\u306f\u75db\u307f\u306e\u518d\u73fe\uff08concordant pain\uff09\u3092\u5831\u544a\u3057\u3001\u305d\u306e\u5f8c\u3001\u5727\u529b\u304c\u4e0b\u304c\u308b\u3068\u3059\u3050\u306b\u7de9\u548c\u3057\u305f\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u624b\u8853\u5f8c\u306e\u7d4c\u904e\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>1\u65e5\u76ee<\/strong> \u8853\u5f8c2\u6642\u9593\u3067\u9000\u9662\u3002VAS\u30b9\u30b3\u30a2\u306f4\/10\uff08\u7a7f\u523a\u90e8\u4f4d\u306e\u75db\u307f\uff09\u306b\u6e1b\u5c11\u3002.<\/li>\n\n\n\n<li><strong>\u7b2c2\u9031<\/strong> \u653e\u6563\u6027\u4e0b\u80a2\u75db\u306f\u5b8c\u5168\u306b\u6d88\u5931\u3002SLR\u306f80\u5ea6\u307e\u3067\u9670\u6027\u3002.<\/li>\n\n\n\n<li><strong>3\u30f6\u6708\u76ee\uff08\u7d50\u8ad6\uff09\uff1a<\/strong> MRI\u306f\u30d8\u30eb\u30cb\u30a2\u306e\u8f2a\u90ed\u306e\u5f8c\u9000\u3092\u793a\u3057\u305f\u3002\u6838\u306e\u4fe1\u53f7\u5f37\u5ea6\u306f\u5065\u5eb7\u306a\u307e\u307e\u3067\u3042\u3063\u305f\u3002\u60a3\u8005\u306fVAS\u30b9\u30b3\u30a20\/10\u3067\u5b8c\u5168\u306a\u6d3b\u52d5\u306b\u5fa9\u5e30\u3057\u305f\u3002.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u30af\u30ea\u30cb\u30ab\u30eb\u30fb\u30ce\u30fc\u30c8<\/strong> \u3053\u306e\u6210\u529f\u306f\u3001\u30d8\u30eb\u30cb\u30a2\u304c \u201c\u5c01\u3058\u8fbc\u3081\u3089\u308c\u305f \u201d\u3068\u3044\u3046\u6027\u8cea\u306b\u4f9d\u5b58\u3057\u3066\u3044\u305f\u3002\u3082\u3057\u74b0\u819c\u304c\u7834\u88c2\uff08\u62bc\u3057\u51fa\u3057\uff09\u3057\u3066\u3044\u305f\u3089\u3001\u958b\u653e\u7cfb\u3067\u306f\u6cb9\u5727\u6a5f\u69cb\u304c\u6545\u969c\u3059\u308b\u305f\u3081\u3001PLDD\u306f\u52b9\u679c\u304c\u306a\u304b\u3063\u305f\u3060\u308d\u3046\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4.\u9ad8\u6027\u80fdPLDD\u306e\u8a2d\u5099\u57fa\u6e96<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u5916\u79d1\u533b\u306b\u3068\u3063\u3066 <strong><a href=\"https:\/\/fotonmedix.com\/ja\/category\/product\/\"   title=\"\u88fd\u54c1\u7d39\u4ecb\"  data-wpil-monitor-id=\"2305\">\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642\u5668<\/a><\/strong> \u306f\u624b\u306e\u5ef6\u9577\u3067\u3042\u308b\u3002\u30c0\u30a4\u30aa\u30fc\u30c9\u3068\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u306e\u54c1\u8cea\u304c\u624b\u8853\u306e\u7cbe\u5ea6\u3092\u6c7a\u5b9a\u3059\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u89e6\u899a\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">400\u30df\u30af\u30ed\u30f3\u307e\u305f\u306f600\u30df\u30af\u30ed\u30f3\u306e\u5149\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3001\u633f\u5165\u6642\u306b\u74b0\u72b6\u30d5\u30a1\u30a4\u30d0\u30fc\u3092\u8cab\u901a\u3059\u308b\u306e\u306b\u5341\u5206\u306a\u525b\u6027\u3068\u3001\u6838\u3092\u30ca\u30d3\u30b2\u30fc\u30c8\u3059\u308b\u306e\u306b\u5341\u5206\u306a\u67d4\u8edf\u6027\u3092\u5099\u3048\u3066\u3044\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u4f4e\u54c1\u8cea\u306e\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u3001\u30b3\u30cd\u30af\u30bf\u30fc\u3067\u306e\u300c\u30ea\u30fc\u30af\u300d\u3084\u5148\u7aef\u90e8\u306e\u52a3\u5316\u306b\u60a9\u307e\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5b89\u5b9a\u3057\u305f\u30d1\u30ef\u30fc\u306e\u4f9b\u7d66\u306b\u3064\u306a\u304c\u3089\u306a\u3044\u3002\u7121\u83cc\u3067\u4f1d\u9001\u52b9\u7387\u306e\u9ad8\u3044\u77f3\u82f1\u30d5\u30a1\u30a4\u30d0\u30fc\u306f\u8b72\u308c\u306a\u3044\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u96fb\u529b\u5b89\u5b9a\u6027\u3068\u30d1\u30eb\u30b9\u5e45<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u88c5\u7f6e\u306f\u5b89\u5b9a\u3057\u305f\u30ef\u30c3\u30c8\u51fa\u529b\u3092\u7dad\u6301\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002PLDD\u3067\u306f\u30012\uff5e3\u30ef\u30c3\u30c8\u306e\u5909\u52d5\u304c\u6c17\u5316\u3068\u70ad\u5316\u306e\u5206\u304b\u308c\u76ee\u306b\u306a\u308b\u3002\u30bd\u30d5\u30c8\u30a6\u30a7\u30a2\u306f\u3001\u6b63\u78ba\u306a\u30d1\u30eb\u30b9\u6301\u7d9a\u6642\u9593\u306e\u8a2d\u5b9a\uff08\u4f8b\u3048\u3070\u30010.5\u79d2\u304b\u30893\u79d2\uff09\u3092\u53ef\u80fd\u306b\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u71b1\u7de9\u548c\u6642\u9593\u300d\uff08\u30d1\u30eb\u30b9\u3068\u30d1\u30eb\u30b9\u306e\u9593\u9694\uff09\u306b\u3088\u3063\u3066\u7d44\u7e54\u304c\u51b7\u5374\u3055\u308c\u3001\u7d2f\u7a4d\u7684\u306a\u71b1\u640d\u50b7\u3092\u9632\u3050\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u6d17\u7df4\u3055\u308c\u305f <strong><a href=\"https:\/\/fotonmedix.com\/ja\/category\/product\/\"   title=\"\u88fd\u54c1\u7d39\u4ecb\"  data-wpil-monitor-id=\"2306\">\u30af\u30e9\u30b94\u30ec\u30fc\u30b6\u30fc<\/a><\/strong> \u30b7\u30b9\u30c6\u30e0\u306f\u3053\u306e\u30c7\u30e5\u30fc\u30c6\u30a3\u30fb\u30b5\u30a4\u30af\u30eb\u3092\u81ea\u52d5\u7684\u306b\u7ba1\u7406\u3059\u308b\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5.\u6574\u5f62\u5916\u79d1\u30ef\u30fc\u30af\u30d5\u30ed\u30fc\u3078\u306ePLDD\u306e\u7d71\u5408<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">PLDD\u306f\u3001\u4fdd\u5b58\u7642\u6cd5\uff08\u7406\u5b66\u7642\u6cd5\u3001\u786c\u819c\u5916\u30b9\u30c6\u30ed\u30a4\u30c9\uff09\u3068\u89b3\u8840\u7684\u624b\u8853\uff08\u5fae\u5c0f\u690e\u9593\u677f\u5207\u9664\u8853\uff09\u306e\u4e2d\u9593\u306b\u4f4d\u7f6e\u3059\u308b\u30e6\u30cb\u30fc\u30af\u306a\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u60a3\u8005\u9078\u629e\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PLDD\u306b\u304a\u3051\u308b\u5931\u6557\u306e \u201c\u7406\u7531 \u201d\u306f\u3001\u307b\u3068\u3093\u3069\u306e\u5834\u5408\u3001\u60a3\u8005\u306e\u9078\u629e\u30df\u30b9\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>\u30c7\u30a3\u30b9\u30af\u306f\u5165\u3063\u3066\u3044\u307e\u3059\u304b\uff1f<\/strong> \u30a4\u30a8\u30b9\u306a\u3089\u2192PLDD\u5019\u88dc\u3002\u3044\u3044\u3048\uff08\u9694\u96e2\u3055\u308c\u3066\u3044\u308b\uff09\u306e\u5834\u5408\u2192\u5fae\u5c0f\u5186\u677f\u5207\u9664\u8853\u3002.<\/li>\n\n\n\n<li><strong>\u30c7\u30a3\u30b9\u30af\u306e\u9ad8\u3055\u306f\u4fdd\u305f\u308c\u3066\u3044\u307e\u3059\u304b\uff1f<\/strong> \u690e\u9593\u677f\u304c\u6f70\u308c\u3066\u3044\u308b\u5834\u5408\uff08\uff1c50%\uff09\u3001\u84b8\u767a\u3059\u308b\u6838\u304c\u4e0d\u5341\u5206\u3067\u3042\u308b\u3002.<\/li>\n\n\n\n<li><strong>\u72ed\u7a84\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<\/strong> \u9aa8\u6027\u72ed\u7a84\u306f\u8edf\u7d44\u7e54\u30ec\u30fc\u30b6\u30fc\u3067\u306f\u6cbb\u7642\u3067\u304d\u306a\u3044\u3002.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u3088\u3046\u306a\u53b3\u683c\u306a\u57fa\u6e96\u3092\u5b88\u308b\u3053\u3068\u3067\u3001PLDD\u306e\u6210\u529f\u7387\u306f80-85%\u306b\u8fd1\u3065\u304d\u3001\u958b\u8179\u624b\u8853\u306b\u4f34\u3046\u7622\u75d5\u7d44\u7e54\u306e\u5f62\u6210\u306a\u3057\u306b\u3001\u8fc5\u901f\u306a\u8077\u5834\u5fa9\u5e30\u304c\u53ef\u80fd\u3068\u306a\u308b\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6.\u7d50\u8ad6<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u306e\u6709\u52b9\u6027 <strong>\u7d4c\u76ae\u7684\u30ec\u30fc\u30b6\u30fc\u690e\u9593\u677f\u6e1b\u5727\u8853<\/strong> \u306f\u71b1\u529b\u5b66\u3068\u6d41\u4f53\u529b\u5b66\u306e\u6cd5\u5247\u306b\u57fa\u3065\u3044\u3066\u3044\u308b\u30021470nm\u306e\u6ce2\u9577\u304c\u5206\u5b50\u30ec\u30d9\u30eb\u3067\u6b63\u78ba\u306a\u5916\u79d1\u7528\u30e1\u30b9\u3068\u3057\u3066\u6a5f\u80fd\u3059\u308b\u3001\u7e4a\u7d30\u306a\u624b\u9806\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8fd1\u4ee3\u7684\u306a\u533b\u7642\u65bd\u8a2d\u306b\u3068\u3063\u3066\u3001PLDD\u306e\u63d0\u4f9b\u306f\u6b21\u306e\u3088\u3046\u306a\u30b3\u30df\u30c3\u30c8\u30e1\u30f3\u30c8\u3092\u610f\u5473\u3059\u308b\u3002 <strong>\u4f4e\u4fb5\u8972\u810a\u690e\u624b\u8853<\/strong> \u7d44\u7e54\u6e29\u5b58\u3092\u512a\u5148\u3057\u305f\u9078\u629e\u80a2\u3002\u3053\u308c\u306f\u3059\u3079\u3066\u306e\u810a\u690e\u624b\u8853\u306b\u53d6\u3063\u3066\u4ee3\u308f\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u304c\u3001\u6b63\u3057\u304f\u9078\u629e\u3055\u308c\u305f\u60a3\u8005\u306b\u306f\u3001\u6a5f\u68b0\u7684\u5727\u8feb\u306b\u5bfe\u3059\u308b\u7269\u7406\u5b66\u306b\u57fa\u3065\u3044\u305f\u30a8\u30ec\u30ac\u30f3\u30c8\u306a\u89e3\u6c7a\u7b56\u3092\u63d0\u4f9b\u3059\u308b\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u3088\u304f\u3042\u308b\u8cea\u554f\u81e8\u5e8a\u306b\u95a2\u3059\u308b\u304a\u554f\u3044\u5408\u308f\u305b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Q:\u810a\u690e\u306e\u7528\u9014\u3067980nm\u3088\u308a1470nm\u304c\u597d\u307e\u308c\u308b\u306e\u306f\u306a\u305c\u3067\u3059\u304b\uff1f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A: 1470nm\u306f\u6c34\u4e2d\u3067\u306e\u5438\u53ce\u7387\u304c\u306f\u308b\u304b\u306b\u9ad8\u3044\u3002\u810a\u690e\u690e\u9593\u677f\u6838\u306f\u307b\u3068\u3093\u3069\u304c\u6c34\u3067\u3042\u308b\u305f\u3081\u30011470nm\u306f\u4f4e\u51fa\u529b\u8a2d\u5b9a\u3067\u52b9\u7387\u7684\u306a\u6c17\u5316\u3092\u53ef\u80fd\u306b\u3057\u3001980nm\u306b\u6bd4\u3079\u3066\u5468\u56f2\u306e\u795e\u7d4c\u3084\u7d42\u677f\u3092\u71b1\u3067\u640d\u50b7\u3059\u308b\u30ea\u30b9\u30af\u3092\u5927\u5e45\u306b\u4f4e\u6e1b\u3057\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q: PLDD\u3067\u690e\u9593\u677f\u306e\u5206\u96e2\u7247\u3092\u6cbb\u7642\u3067\u304d\u307e\u3059\u304b\uff1f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A: \u3044\u3044\u3048\u3002PLDD\u306f\u3001\u30c7\u30a3\u30b9\u30af\u5185\u90e8\u306e\u5727\u529b\u3092\u4e0b\u3052\u3066\u7a81\u8d77\u3092\u300c\u5438\u3044\u623b\u3059\u300d\u3053\u3068\u306b\u4f9d\u5b58\u3057\u3066\u3044\u307e\u3059\u3002\u7834\u7247\u304c\u6298\u308c\u305f\uff08\u5c01\u3058\u8fbc\u3081\u3089\u308c\u305f\uff09\u5834\u5408\u3001\u305d\u306e\u7834\u7247\u306f\u3082\u306f\u3084\u30c7\u30a3\u30b9\u30af\u30bb\u30f3\u30bf\u30fc\u3068\u6cb9\u5727\u3067\u3064\u306a\u304c\u3063\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u5727\u529b\u3092\u4e0b\u3052\u3066\u3082\u7834\u7247\u306b\u306f\u5f71\u97ff\u3057\u307e\u305b\u3093\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q: \u30d1\u30eb\u30b9\u30fb\u30e2\u30fc\u30c9\u3067\u306f\u306a\u304f\u9023\u7d9a\u6ce2\uff08CW\uff09\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u306e\u4e3b\u306a\u30ea\u30b9\u30af\u306f\u4f55\u3067\u3059\u304b\uff1f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A: \u9023\u7d9a\u6ce2\u306e\u7167\u5c04\u306f\u6025\u6fc0\u306a\u71b1\u306e\u84c4\u7a4d\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u7d44\u7e54\u306e\u70ad\u5316\uff08\u70ad\u5316\uff09\u3001\u690e\u9aa8\u3084\u795e\u7d4c\u6839\u306e\u71b1\u58ca\u6b7b\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u30d1\u30eb\u30b9\u30e2\u30fc\u30c9\u3067\u306f\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u30d0\u30fc\u30b9\u30c8\u9593\u306b\u7d44\u7e54\u3092\u51b7\u5374\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Q:\u624b\u8853\u306f\u60a3\u8005\u306b\u3068\u3063\u3066\u82e6\u75db\u3067\u3059\u304b\uff1f<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A: \u5c40\u6240\u9ebb\u9154\u3067\u884c\u3044\u307e\u3059\u3002\u60a3\u8005\u306f\u899a\u9192\u3057\u3066\u3044\u308b\u306e\u3067\u3001\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u304c\u5f97\u3089\u308c\u307e\u3059\u3002\u30ec\u30fc\u30b6\u30fc\u3092\u7167\u5c04\u3057\u3066\u3044\u308b\u9593\u3001\u5727\u8feb\u611f\u3092\u611f\u3058\u305f\u308a\u3001\u811a\u306e\u75db\u307f\u304c\u77ed\u6642\u9593\u518d\u73fe\u3055\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u30ec\u30fc\u30b6\u30fc\u304c\u6b63\u3057\u3044\u75c5\u5909\u90e8\u4f4d\u306b\u4f5c\u7528\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u78ba\u8a8d\u3059\u308b\u306e\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002.<\/p>","protected":false},"excerpt":{"rendered":"<p>1. Thermodynamic Decompression: The Physics Behind PLDD In the realm of minimally invasive spine surgery, Percutaneous Laser Disc Decompression (PLDD) is often misunderstood as simply &#8220;burning&#8221; tissue. For the spinal surgeon and clinical physicist, however, the procedure is an exercise in precise volume reduction to achieve exponential pressure decay. The fundamental question is not merely if the laser reduces the herniation, but why a minute reduction in volume translates to significant symptom relief. The Hydraulic Principle of the Nucleus Pulposus The intervertebral disc functions as a closed hydraulic system. The nucleus pulposus is rich in proteoglycans and water, maintaining high intradiscal pressure. According to the principle of hydraulic pressure in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"themepark_post_bcolor":"#f5f5f5","themepark_post_width":"1022px","themepark_post_img":"","themepark_post_img_po":"left","themepark_post_img_re":false,"themepark_post_img_cover":false,"themepark_post_img_fixed":false,"themepark_post_hide_title":false,"themepark_post_main_b":"","themepark_post_main_p":100,"themepark_paddingblock":false,"slim_seo":{"title":"PLDD Clinical Protocols: 1470nm Laser Physics in Spine Surgery - FotonMedix","description":"1. 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