{"id":17360,"date":"2026-01-22T02:59:37","date_gmt":"2026-01-22T02:59:37","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/gene\/?post_type=genetic-screening&#038;p=17360"},"modified":"2026-01-22T03:01:34","modified_gmt":"2026-01-22T03:01:34","slug":"klinefelter-syndrome","status":"publish","type":"genetic-screening","link":"https:\/\/www.hiro-clinic.or.jp\/gene\/genetic-screening\/klinefelter-syndrome\/","title":{"rendered":"Klinefelter syndrome"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>\u5225\u540d\u30fb\u95a2\u9023\u75be\u60a3\u540d<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>47,XXY\u75c7\u5019\u7fa4<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u203b\u907a\u4f1d\u5b66\u7684\u306b\u6700\u3082\u6b63\u78ba\u306a\u3001\u67d3\u8272\u4f53\u69cb\u6210\u3092\u793a\u3059\u540d\u79f0\u3067\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>XXY\u75c7\u5019\u7fa4<\/strong><\/li>\n\n\n\n<li><strong>\u6027\u67d3\u8272\u4f53\u7570\u6570\u6027\uff08Sex chromosome aneuploidy\uff09<\/strong><\/li>\n\n\n\n<li><strong>\u95a2\u9023\uff1a48,XXXY\u75c7\u5019\u7fa4 \/ 49,XXXXY\u75c7\u5019\u7fa4<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u203bX\u67d3\u8272\u4f53\u304c\u3055\u3089\u306b\u591a\u3044\u30bf\u30a4\u30d7\u3067\u3001\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306e\u30d0\u30ea\u30a2\u30f3\u30c8\uff08\u5909\u7570\u578b\uff09\u3068\u3055\u308c\u307e\u3059\u304c\u3001\u901a\u5e38\u3088\u308a\u3082\u75c7\u72b6\u304c\u91cd\u7be4\u306b\u306a\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u5bfe\u8c61\u67d3\u8272\u4f53\u9818\u57df<\/strong><\/h2>\n\n\n\n<p><strong>X\u67d3\u8272\u4f53\u306e\u904e\u5270\uff08\u6027\u67d3\u8272\u4f53\u69cb\u6210\uff1a47,XXY\uff09<\/strong><\/p>\n\n\n\n<p>\u901a\u5e38\u3001\u7537\u6027\u306e\u6027\u67d3\u8272\u4f53\u306f\u300cXY\u300d\u306e2\u672c\u3067\u3059\u304c\u3001\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u3067\u306fX\u67d3\u8272\u4f53\u304c1\u672c\u591a\u304f\u300cXXY\u300d\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u3010\u30b2\u30ce\u30e0\u4e0a\u306e\u8a73\u7d30\u3068\u5f71\u97ff\u3011<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>X\u67d3\u8272\u4f53\u4e0d\u6d3b\u6027\u5316\uff08X-inactivation\uff09:<\/strong> \u5973\u6027\uff08XX\uff09\u306e\u7d30\u80de\u3067\u306f\u30012\u672c\u306eX\u67d3\u8272\u4f53\u306e\u3046\u30611\u672c\u304c\u4f11\u6b62\u72b6\u614b\u306b\u306a\u308a\u307e\u3059\u3002\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306e\u7537\u6027\uff08XXY\uff09\u306e\u7d30\u80de\u3067\u3082\u540c\u69d8\u306b1\u672c\u306eX\u67d3\u8272\u4f53\u304c\u4e0d\u6d3b\u6027\u5316\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>PAR\uff08\u64ec\u4f3c\u5e38\u67d3\u8272\u4f53\u9818\u57df\uff09\u306e\u5f71\u97ff:<\/strong> \u3057\u304b\u3057\u3001X\u67d3\u8272\u4f53\u306e\u4e00\u90e8\uff08PAR\u9818\u57df\u306a\u3069\uff09\u306f\u4e0d\u6d3b\u6027\u5316\u304b\u3089\u9003\u308c\u3066\u50cd\u3044\u3066\u3044\u307e\u3059\u3002X\u67d3\u8272\u4f53\u304c1\u672c\u591a\u3044\u3053\u3068\u3067\u3001\u3053\u308c\u3089\u306e\u9818\u57df\u306e\u907a\u4f1d\u5b50\u304c\u904e\u5270\u306b\u767a\u73fe\u3057\u3001\u9ad8\u8eab\u9577\u3084\u7cbe\u5de3\u6a5f\u80fd\u4e0d\u5168\u3068\u3044\u3063\u305f\u672c\u75c7\u5019\u7fa4\u7279\u6709\u306e\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3059\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u767a\u751f\u983b\u5ea6<\/strong><\/h2>\n\n\n\n<p><strong>\u7537\u6027 500\u4eba \u301c 1,000\u4eba\u306b1\u4eba<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u6027\u67d3\u8272\u4f53\u7570\u5e38:<\/strong> \u7537\u6027\u306b\u304a\u3051\u308b\u67d3\u8272\u4f53\u7570\u5e38\u306e\u4e2d\u3067\u306f\u6700\u3082\u4e00\u822c\u7684\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u8a3a\u65ad\u7387\u306e\u4f4e\u3055:<\/strong> \u7279\u5fb4\u304c\u76ee\u7acb\u305f\u306a\u3044\u5834\u5408\u3001\u751f\u6daf\u3092\u901a\u3058\u3066\u8a3a\u65ad\u3055\u308c\u306a\u3044\u4eba\u304c\u7d0460\uff5e75\uff05\u306b\u4e0a\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u6bcd\u4f53\u5e74\u9f62\u3068\u306e\u76f8\u95a2:<\/strong> 21\u30c8\u30ea\u30bd\u30df\u30fc\uff08\u30c0\u30a6\u30f3\u75c7\u5019\u7fa4\uff09\u307b\u3069\u9855\u8457\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u6bcd\u89aa\u306e\u9ad8\u9f62\u51fa\u7523\u306b\u4f34\u3044\u767a\u751f\u30ea\u30b9\u30af\u304c\u308f\u305a\u304b\u306b\u4e0a\u6607\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u81e8\u5e8a\u7684\u7279\u5fb4\uff08\u75c7\u72b6\uff09<\/strong><\/h2>\n\n\n\n<p>\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306e\u75c7\u72b6\u306f\u3001\u5e74\u9f62\u30b9\u30c6\u30fc\u30b8\u306b\u3088\u3063\u3066\u5909\u5316\u3057\u307e\u3059\u3002\u8eab\u4f53\u7684\u7279\u5fb4\u306b\u306f\u500b\u4eba\u5dee\u304c\u5927\u304d\u304f\u3001\u3059\u3079\u3066\u306e\u75c7\u72b6\u304c\u5f53\u3066\u306f\u307e\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><strong>1. \u5c0f\u5150\u671f\u30fb\u5b66\u7ae5\u671f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9ad8\u8eab\u9577:<\/strong> \u5e7c\u5150\u671f\u304b\u3089\u811a\u304c\u9577\u304f\u3001\u80cc\u304c\u9ad8\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u8a00\u8a9e\u767a\u9054\u306e\u9045\u308c:<\/strong> \u77e5\u80fd\u81ea\u4f53\u306f\u6b63\u5e38\u7bc4\u56f2\u5185\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u8a00\u8449\u306e\u7372\u5f97\u3084\u8aad\u307f\u66f8\u304d\uff08\u5b66\u7fd2\u969c\u5bb3\uff09\u306b\u8efd\u5ea6\u306e\u9045\u308c\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u6027\u683c\u7684\u7279\u5fb4:<\/strong> \u6bd4\u8f03\u7684\u7a4f\u3084\u304b\u3067\u3001\u5185\u6c17\u3001\u307e\u305f\u306f\u81ea\u5df1\u4e3b\u5f35\u304c\u63a7\u3048\u3081\u306a\u50be\u5411\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u601d\u6625\u671f\uff08\u6700\u3082\u7279\u5fb4\u304c\u9855\u8457\u306b\u306a\u308b\u6642\u671f\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4e8c\u6b21\u6027\u5fb4\u306e\u4e0d\u5168:<\/strong> \u7cbe\u5de3\uff08\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\uff09\u306e\u50cd\u304d\u304c\u4e0d\u5341\u5206\u306a\u305f\u3081\u3001\u7537\u6027\u5316\u304c\u3086\u3063\u304f\u308a\u9032\u307f\u307e\u3059\u3002\n<ul class=\"wp-block-list\">\n<li><strong>\u7cbe\u5de3\u306e\u5c0f\u30b5\u30a4\u30ba:<\/strong> \u975e\u5e38\u306b\u91cd\u8981\u306a\u8eab\u4f53\u6240\u898b\u3067\u3059\u3002\u7cbe\u5de3\u304c\u5c0f\u3055\u304f\u3001\u786c\u3044\u3053\u3068\u304c\u7279\u5fb4\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u4f53\u6bdb\u306e\u5c11\u306a\u3055:<\/strong> \u9aed\u3084\u6065\u6bdb\u3001\u814b\u6bdb\u306e\u767a\u80b2\u304c\u4e4f\u3057\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u5973\u6027\u5316\u4e73\u623f:<\/strong> \u7d0430\uff5e50\uff05\u306e\u75c7\u4f8b\u3067\u3001\u80f8\u304c\u81a8\u3089\u3080\u5973\u6027\u5316\u4e73\u623f\u304c\u898b\u3089\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u9aa8\u76e4\u306e\u5e83\u304c\u308a:<\/strong> \u7537\u6027\u3068\u3057\u3066\u306f\u9aa8\u76e4\u304c\u3084\u3084\u5e83\u304f\u3001\u5973\u6027\u7684\u306a\u4f53\u578b\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u6210\u4eba\u671f<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4e0d\u598a\u75c7\uff08\u975e\u9589\u585e\u6027\u7121\u7cbe\u5b50\u75c7\uff09:<\/strong> \u307b\u3068\u3093\u3069\u306e\u60a3\u8005\u3067\u7cbe\u5b50\u304c\u4f5c\u3089\u308c\u306a\u3044\u3001\u3042\u308b\u3044\u306f\u6975\u7aef\u306b\u5c11\u306a\u3044\u72b6\u614b\u3068\u306a\u308a\u307e\u3059\u3002\u591a\u304f\u306e\u5834\u5408\u3001\u4e0d\u598a\u5916\u6765\u3092\u53d7\u8a3a\u3057\u3066\u521d\u3081\u3066\u672c\u75c7\u5019\u7fa4\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u6027\u6a5f\u80fd\u3078\u306e\u5f71\u97ff:<\/strong> \u6027\u6b32\u306e\u4f4e\u4e0b\u3084\u52c3\u8d77\u4e0d\u5168\uff08ED\uff09\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>4. \u9577\u671f\u7684\u306a\u5065\u5eb7\u30ea\u30b9\u30af\uff08\u5408\u4f75\u75c7\uff09<\/strong><\/p>\n\n\n\n<p>X\u67d3\u8272\u4f53\u306e\u904e\u5270\u3068\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\u4e0d\u8db3\u306b\u3088\u308a\u3001\u4ee5\u4e0b\u306e\u30ea\u30b9\u30af\u304c\u4e00\u822c\u7537\u6027\u3088\u308a\u9ad8\u307e\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9aa8\u7c97\u9b06\u75c7:<\/strong> \u7537\u6027\u30db\u30eb\u30e2\u30f3\u4e0d\u8db3\u306b\u3088\u308a\u9aa8\u5bc6\u5ea6\u304c\u4f4e\u4e0b\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u4ee3\u8b1d\u6027\u75be\u60a3:<\/strong> 2\u578b\u7cd6\u5c3f\u75c5\u3001\u80a5\u6e80\u3001\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u75c7\u5019\u7fa4\u3002<\/li>\n\n\n\n<li><strong>\u81ea\u5df1\u514d\u75ab\u75be\u60a3:<\/strong> \u5168\u8eab\u6027\u30a8\u30ea\u30c6\u30de\u30c8\u30fc\u30c7\u30b9\uff08SLE\uff09\u3084\u95a2\u7bc0\u30ea\u30a6\u30de\u30c1\u306a\u3069\u3001\u901a\u5e38\u5973\u6027\u306b\u591a\u3044\u75be\u60a3\u306e\u767a\u75c7\u30ea\u30b9\u30af\u304c\u4e0a\u6607\u3057\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u4e73\u304c\u3093:<\/strong> \u4e00\u822c\u7537\u6027\u306b\u6bd4\u3079\u308b\u3068\u30ea\u30b9\u30af\u306f\u9ad8\u3044\u3067\u3059\u304c\u3001\u5973\u6027\u306b\u6bd4\u3079\u308c\u3070\u6975\u3081\u3066\u4f4e\u983b\u5ea6\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u539f\u56e0<\/strong><\/h2>\n\n\n\n<p><strong>\u6027\u67d3\u8272\u4f53\u306e\u4e0d\u5206\u96e2\uff08Nondisjunction\uff09<\/strong><\/p>\n\n\n\n<p>\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306f\u3001\u907a\u4f1d\u5b50\u306e\u300c\u66f8\u304d\u63db\u3048\u300d\u3067\u306f\u306a\u304f\u3001\u67d3\u8272\u4f53\u306e\u300c\u6570\u306e\u7570\u5e38\u300d\u304c\u539f\u56e0\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u6a19\u6e96\u578b\uff08\u7d0480%\uff09:<\/strong> 47,XXY\u306e\u69cb\u6210\u3002\n<ul class=\"wp-block-list\">\n<li>\u7236\u89aa\u306e\u7cbe\u5b50\u3001\u307e\u305f\u306f\u6bcd\u89aa\u306e\u5375\u5b50\u304c\u4f5c\u3089\u308c\u308b\u904e\u7a0b\uff08\u6e1b\u6570\u5206\u88c2\uff09\u3067\u3001X\u67d3\u8272\u4f53\u304c\u3046\u307e\u304f\u5206\u96e2\u3057\u306a\u3044\u3053\u3068\u306b\u3088\u3063\u3066\u8d77\u3053\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u30e2\u30b6\u30a4\u30af\u578b\uff08\u7d0410\uff5e15%\uff09:<\/strong> 46,XY\uff08\u6b63\u5e38\u7d30\u80de\uff09\u306847,XXY\uff08\u7570\u5e38\u7d30\u80de\uff09\u304c\u6df7\u5728\u3059\u308b\u30bf\u30a4\u30d7\u3002\n<ul class=\"wp-block-list\">\n<li>\u53d7\u7cbe\u5f8c\u306e\u7d30\u80de\u5206\u88c2\u306e\u904e\u7a0b\u3067\u7570\u5e38\u304c\u8d77\u304d\u305f\u3082\u306e\u3067\u3059\u3002\u6a19\u6e96\u578b\u306b\u6bd4\u3079\u3066\u75c7\u72b6\u304c\u8efd\u5ea6\u3067\u3001\u7cbe\u5b50\u304c\u4f5c\u3089\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u9ad8\u6b21\u591a\u4f53\uff08\u6975\u3081\u3066\u7a00\uff09:<\/strong> 48,XXXY\u306a\u3069\u3001X\u67d3\u8272\u4f53\u304c\u3055\u3089\u306b\u591a\u3044\u30bf\u30a4\u30d7\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u8a3a\u65ad\u65b9\u6cd5<\/strong><\/h2>\n\n\n\n<p>\u81e8\u5e8a\u7684\u306a\u7591\u3044\uff08\u4e0d\u598a\u3001\u7cbe\u5de3\u306e\u5c0f\u3055\u3055\u306a\u3069\uff09\u306b\u57fa\u3065\u304d\u3001\u907a\u4f1d\u5b66\u7684\u691c\u67fb\u3067\u78ba\u5b9a\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u67d3\u8272\u4f53\u6838\u578b\u5206\u6790\uff08G\u30d0\u30f3\u30c9\u5206\u67d3\u6cd5\uff09:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u8840\u6db2\uff08\u30ea\u30f3\u30d1\u7403\uff09\u3092\u7528\u3044\u3066\u67d3\u8272\u4f53\u306e\u6570\u3068\u69cb\u6210\u3092\u76f4\u63a5\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u30db\u30eb\u30e2\u30f3\u691c\u67fb\uff08\u8840\u6db2\u691c\u67fb\uff09:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>\u30c6\u30b9\u30c8\u30b9\u30c6\u30ed\u30f3\uff08\u7537\u6027\u30db\u30eb\u30e2\u30f3\uff09:<\/strong> \u4f4e\u5024\u3002<\/li>\n\n\n\n<li><strong>LH\uff08\u9ec4\u4f53\u5f62\u6210\u30db\u30eb\u30e2\u30f3\uff09\u304a\u3088\u3073FSH\uff08\u5375\u80de\u523a\u6fc0\u30db\u30eb\u30e2\u30f3\uff09:<\/strong> \u8457\u3057\u3044\u9ad8\u5024\u3002\u7cbe\u5de3\u304c\u8133\u304b\u3089\u306e\u6307\u4ee4\u306b\u53cd\u5fdc\u3067\u304d\u3066\u3044\u306a\u3044\u3053\u3068\u3092\u793a\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u7cbe\u6db2\u691c\u67fb:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u7121\u7cbe\u5b50\u75c7\u307e\u305f\u306f\u9ad8\u5ea6\u306e\u4e4f\u7cbe\u5b50\u75c7\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u6cbb\u7642\u65b9\u6cd5<\/strong><\/h2>\n\n\n\n<p>\u67d3\u8272\u4f53\u69cb\u6210\u3092\u5909\u3048\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u304c\u3001\u30db\u30eb\u30e2\u30f3\u4e0d\u8db3\u3084\u5408\u4f75\u75c7\u3092\u7ba1\u7406\u3059\u308b\u3053\u3068\u3067\u3001\u5065\u5eb7\u7684\u306a\u751f\u6d3b\u3092\u9001\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p><strong>1. \u7537\u6027\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08TRT\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u958b\u59cb\u6642\u671f:<\/strong> \u901a\u5e38\u3001\u601d\u6625\u671f\u306e\u59cb\u307e\u308a\uff0811\u301c12\u6b73\u9803\uff09\u304b\u3089\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u52b9\u679c:<\/strong> \u4e8c\u6b21\u6027\u5fb4\uff08\u7b4b\u8089\u91cf\u306e\u5897\u52a0\u3001\u4f53\u6bdb\u306e\u767a\u80b2\u3001\u9aa8\u683c\u306e\u767a\u9054\uff09\u3092\u4fc3\u9032\u3057\u3001\u6027\u6a5f\u80fd\u3092\u6539\u5584\u3057\u307e\u3059\u3002\u307e\u305f\u3001\u9aa8\u7c97\u9b06\u75c7\u3084\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u75c7\u5019\u7fa4\u306e\u4e88\u9632\u3001\u6c17\u529b\u306e\u5411\u4e0a\u306b\u3082\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u65b9\u6cd5:<\/strong> \u5b9a\u671f\u7684\u306a\u7b4b\u8089\u6ce8\u5c04\u3084\u3001\u5857\u308a\u85ac\uff08\u30b8\u30a7\u30eb\u5264\uff09\u306b\u3088\u308b\u88dc\u5145\u304c\u884c\u308f\u308c\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u751f\u6b96\u88dc\u52a9\u533b\u7642\uff08\u4e0d\u598a\u6cbb\u7642\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u9855\u5fae\u6388\u7cbe\uff08ICSI\uff09:<\/strong> \u304b\u3064\u3066\u306f\u6319\u5150\uff08\u5b50\u4f9b\u3092\u6301\u3064\u3053\u3068\uff09\u3092\u8ae6\u3081\u308b\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u304c\u3001\u73fe\u5728\u306f**Micro-TESE\uff08\u9855\u5fae\u93e1\u4e0b\u7cbe\u5de3\u5185\u7cbe\u5b50\u63a1\u53d6\u8853\uff09**\u3068\u3044\u3046\u624b\u8853\u306b\u3088\u308a\u3001\u7cbe\u5de3\u5185\u304b\u3089\u308f\u305a\u304b\u306a\u7cbe\u5b50\u3092\u898b\u3064\u3051\u51fa\u3057\u3001\u81ea\u5206\u306e\u5b50\u4f9b\u3092\u6301\u3066\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>3. \u5916\u79d1\u7684\u6cbb\u7642<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5973\u6027\u5316\u4e73\u623f\u3078\u306e\u5bfe\u5fdc:<\/strong> \u80f8\u306e\u81a8\u3089\u307f\u304c\u5fc3\u7406\u7684\u306a\u8ca0\u62c5\u3068\u306a\u308b\u5834\u5408\u3001\u5f62\u6210\u5916\u79d1\u7684\u306a\u4e73\u817a\u5207\u9664\u8853\u304c\u884c\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>4. \u5b66\u7fd2\u30fb\u5fc3\u7406\u7684\u30b5\u30dd\u30fc\u30c8<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u7642\u80b2\u30fb\u6559\u80b2\u652f\u63f4:<\/strong> \u8a00\u8a9e\u767a\u9054\u306e\u9045\u308c\u3084\u5b66\u7fd2\u969c\u5bb3\u304c\u3042\u308b\u5834\u5408\u3001\u65e9\u671f\u306e\u8a00\u8a9e\u7642\u6cd5\u3084\u500b\u5225\u306e\u5b66\u7fd2\u652f\u63f4\u304c\u6709\u52b9\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5fc3\u7406\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0:<\/strong> \u8a3a\u65ad\u540d\u306e\u544a\u77e5\u3084\u3001\u4e0d\u598a\u3001\u4f53\u578b\u306e\u60a9\u307f\u306b\u5bfe\u3059\u308b\u30e1\u30f3\u30bf\u30eb\u30d8\u30eb\u30b9\u30b1\u30a2\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u4e88\u5f8c<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u751f\u5b58\u671f\u9593:<\/strong> \u9069\u5207\u306a\u7ba1\u7406\u304c\u884c\u308f\u308c\u308c\u3070\u3001\u5bff\u547d\u306f\u4e00\u822c\u7537\u6027\u3068\u307b\u307c\u5909\u308f\u308a\u307e\u305b\u3093\u3002<\/li>\n\n\n\n<li><strong>\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09:<\/strong> \u65e9\u671f\u306b\u8a3a\u65ad\u3092\u53d7\u3051\u3001\u9069\u5207\u306a\u6642\u671f\u306b\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u3092\u958b\u59cb\u3059\u308b\u3053\u3068\u3067\u3001\u8eab\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u306aQOL\u3092\u5927\u304d\u304f\u5411\u4e0a\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u307e\u3068\u3081<\/strong><\/h2>\n\n\n\n<p>Klinefelter syndrome\uff08\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\uff09\u306f\u3001\u6c7a\u3057\u3066\u73cd\u3057\u3044\u75c5\u6c17\u3067\u306f\u306a\u304f\u3001\u4f55\u767e\u4eba\u306b\u4e00\u4eba\u3068\u3044\u3046\u5272\u5408\u3067\u5b58\u5728\u3059\u308b\u300c\u7537\u6027\u306e\u4f53\u8cea\u306e\u4e00\u3064\u300d\u3068\u8a00\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u80cc\u304c\u9ad8\u304f\u3001\u5c11\u3057\u5185\u6c17\u3067\u3001\u512a\u3057\u304f\u7a4f\u3084\u304b\u306a\u6027\u683c\u306e\u65b9\u304c\u591a\u3044\u306e\u3082\u7279\u5fb4\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4e0d\u598a\u75c7\u3068\u3044\u3046\u5927\u304d\u306a\u58c1\u306b\u76f4\u9762\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u8fd1\u5e74\u306e\u533b\u7642\u6280\u8853\u306e\u9032\u6b69\u306b\u3088\u308a\u3001\u81ea\u5206\u306e\u5b50\u4f9b\u3092\u6301\u3066\u308b\u9053\u3082\u62d3\u3051\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u5927\u5207\u306a\u306e\u306f\u3001\u81ea\u5206\u81ea\u8eab\u306e\u4f53\u306e\u7279\u6027\u3092\u6b63\u3057\u304f\u77e5\u308a\u3001\u4e0d\u8db3\u3057\u3066\u3044\u308b\u30db\u30eb\u30e2\u30f3\u3092\u88dc\u3046\u3053\u3068\u3067\u3001\u5c06\u6765\u306e\u751f\u6d3b\u7fd2\u6163\u75c5\u3084\u9aa8\u7c97\u9b06\u75c7\u3092\u9632\u304e\u3001\u5065\u5eb7\u7684\u306a\u300c\u81ea\u5206\u3089\u3057\u3044\u300d\u751f\u6d3b\u3092\u9001\u308b\u3053\u3068\u3067\u3059\u3002\u5c02\u9580\u306e\u533b\u5e2b\uff08\u6ccc\u5c3f\u5668\u79d1\u3084\u5185\u5206\u6ccc\u4ee3\u8b1d\u79d1\uff09\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u3001\u9577\u671f\u7684\u306a\u30d1\u30fc\u30c8\u30ca\u30fc\u30b7\u30c3\u30d7\u3092\u7bc9\u3044\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u53c2\u8003\u6587\u732e\u5143<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Klinefelter, H. F., et al.<\/strong> (1942). <em>Syndrome characterized by gynecomastia, aspermatogenesis without a-leydigism, and increased excretion of follicle-stimulating hormone.<\/em> Journal of Clinical Endocrinology.\n<ul class=\"wp-block-list\">\n<li>\uff08\u30cf\u30ea\u30fc\u30fb\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u535a\u58eb\u306b\u3088\u308b\u6700\u521d\u306e\u75c7\u4f8b\u5831\u544a\u3002\u672c\u75c7\u5019\u7fa4\u306e\u57fa\u790e\u3068\u306a\u308b\u6587\u732e\u3067\u3059\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Groth, K. A., et al.<\/strong> (2013). <em>Klinefelter Syndrome\u2014A Clinical Update.<\/em> Journal of Clinical Endocrinology &amp; Metabolism.\n<ul class=\"wp-block-list\">\n<li>\uff08\u8a3a\u65ad\u3001\u75ab\u5b66\u3001\u5408\u4f75\u75c7\u7ba1\u7406\u306b\u95a2\u3059\u308b\u5305\u62ec\u7684\u306a\u30ec\u30d3\u30e5\u30fc\u8ad6\u6587\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Aksglaede, L., &amp; Juul, A.<\/strong> (2013). <em>Testicular function and fertility in men with Klinefelter syndrome: a review.<\/em>\n<ul class=\"wp-block-list\">\n<li>\uff08\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306b\u304a\u3051\u308b\u7cbe\u5de3\u6a5f\u80fd\u3068\u6700\u65b0\u306e\u4e0d\u598a\u6cbb\u7642\u306b\u95a2\u3059\u308b\u5c02\u9580\u7684\u6587\u732e\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Gravholt, C. H., et al.<\/strong> (2018). <em>Clinical practice guidelines for the care of girls and women with Turner syndrome.<\/em>\n<ul class=\"wp-block-list\">\n<li>\uff08\u203b\u6bd4\u8f03\u5bfe\u8c61\u3068\u3057\u3066\u306e\u6027\u67d3\u8272\u4f53\u7570\u5e38\u75c7\u306e\u7ba1\u7406\u6307\u91dd\u3001\u306a\u3089\u3073\u306b\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306e\u6700\u65b0\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u69cb\u7bc9\u306e\u57fa\u790e\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>GeneReviews\u00ae [Internet]<\/strong>: <em>47,XXY Syndrome (Klinefelter Syndrome)<\/em>. (NCBI).\n<ul class=\"wp-block-list\">\n<li>\uff08\u5206\u5b50\u907a\u4f1d\u5b66\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u306e\u6a19\u6e96\u7684\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u7db2\u7f85\u3055\u308c\u305f\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Unique (The Rare Chromosome Disorder Support Group)<\/strong>: <em>Klinefelter Syndrome (47,XXY): A guide for families<\/em>.\n<ul class=\"wp-block-list\">\n<li>\uff08\u3054\u5bb6\u65cf\u3084\u5f53\u4e8b\u8005\u5411\u3051\u306e\u308f\u304b\u308a\u3084\u3059\u3044\u89e3\u8aac\u30ac\u30a4\u30c9\u30d6\u30c3\u30af\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>\u65e5\u672c\u6ccc\u5c3f\u5668\u79d1\u5b66\u4f1a<\/strong>: <em>\u30af\u30e9\u30a4\u30f3\u30d5\u30a7\u30eb\u30bf\u30fc\u75c7\u5019\u7fa4\u306e\u8a3a\u7642\u6307\u91dd<\/em>.\n<ul class=\"wp-block-list\">\n<li>\uff08\u56fd\u5185\u306e\u6a19\u6e96\u7684\u306a\u8a3a\u7642\u306e\u8003\u3048\u65b9\u3092\u793a\u3059\u8cc7\u6599\u3002\uff09<\/li>\n<\/ul>\n<\/li>\n\n<\/ul>\n\n\n\n\n\n<style>\n.entry-content li {\n  text-indent: -1rem !important;\n}\n<\/style>\n\n<p>\u8a73\u3057\u304f\u306f <a href=\"https:\/\/www.hiro-clinic.or.jp\/gene\/clinic\/\">\u30d2\u30ed\u30af\u30ea\u30cb\u30c3\u30af\u5168\u56fd\u306e\u30af\u30ea\u30cb\u30c3\u30af\u4e00\u89a7<\/a> \u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/p>","protected":false},"featured_media":0,"template":"","class_list":["post-17360","genetic-screening","type-genetic-screening","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/genetic-screening\/17360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/genetic-screening"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/types\/genetic-screening"}],"version-history":[{"count":4,"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/genetic-screening\/17360\/revisions"}],"predecessor-version":[{"id":17364,"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/genetic-screening\/17360\/revisions\/17364"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/gene\/wp-json\/wp\/v2\/media?parent=17360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}