{"id":30732,"date":"2024-04-19T04:01:32","date_gmt":"2024-04-19T04:01:32","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=30732"},"modified":"2024-04-19T04:01:32","modified_gmt":"2024-04-19T04:01:32","slug":"%e3%80%90%e6%8c%87%e5%8d%97%e4%b8%8e%e5%85%b1%e8%af%86%e3%80%91%e5%89%8d%e5%88%97%e8%85%ba%e7%a9%bf%e5%88%ba%e4%b8%ad%e5%9b%bd%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%862022%e5%b9%b4%e7%89%88","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=30732","title":{"rendered":"\u3010\u6307\u5357\u4e0e\u5171\u8bc6\u3011\u524d\u5217\u817a\u7a7f\u523a\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6(2022\u5e74\u7248)"},"content":{"rendered":"

\u4f5c\u8005<\/p>\n

\u4e2d\u534e\u533b\u5b66\u4f1a\u6ccc\u5c3f\u5916\u79d1\u5b66\u5206\u4f1a \u4e2d\u56fd\u524d\u5217\u817a\u764c\u7814\u7a76\u534f\u4f5c\u7ec4<\/p>\n

\u5f15\u7528\u672c\u520a<\/p>\n

\u4e2d\u534e\u533b\u5b66\u4f1a\u6ccc\u5c3f\u5916\u79d1\u5b66\u5206\u4f1a \u4e2d\u56fd\u524d\u5217\u817a\u764c\u7814\u7a76\u534f\u4f5c\u7ec4.\u524d\u5217\u817a\u7a7f\u523a\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6(2022\u5e74\u7248)[J].\u4e2d\u534e\u6ccc\u5c3f\u5916\u79d1\u6742\u5fd7\uff0c2022\uff0c43\uff0811\uff09\uff1a801-806.<\/p>\n

DOI:3760\/cma.j.cn 112330-20221111-00005.<\/p>\n

\u901a\u4fe1\u4f5c\u8005<\/p>\n

\u53f6\u5b9a\u4f1f\uff0cEmail\uff1adwyeli@163.com\uff1b<\/p>\n

\u53f2\u672c\u5eb7\uff0cEmail\uff1abkang68@sdu.edu.cn<\/p>\n

\u8fd1\u5e74\u6765\uff0c\u5728\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u9886\u57df\uff0c\u65b0\u8fdb\u5c55\u5c42\u51fa\u4e0d\u7a77\u3002\u4f8b\u5982\uff0c\u591a\u53c2\u6570\u78c1\u5171\u632f(multi-parametric magnetic resonance imaging\uff0cmpMRI)\u3001\u524d\u5217\u817a\u7279\u5f02\u6027\u819c\u6297\u539f\u6b63\u7535\u5b50\u53d1\u5c04\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf(prostate specific membrane antigen positron emission tomography\/computed tomography,PSMA PET\/CT)\u5728\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u4e2d\u7684\u8fd0\u7528\u7b49\u3002\u4e2d\u56fd\u524d\u5217\u817a\u764c\u7814\u7a76\u534f\u4f5c\u7ec4\u53ec\u96c6\u4e13\u5bb6\uff0c\u67e5\u9605\u6700\u65b0\u6587\u732e\u3001\u76f8\u5173\u6307\u5357\uff0c\u5bf9\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u65b0\u5174\u6280\u672f\u53ca\u5e94\u7528\u6587\u732e\u8fdb\u884c\u6574\u7406\u8ba8\u8bba\uff0c\u5bf92016\u5e74\u53d1\u8868\u7684\u524d\u5217\u817a\u7a7f\u523a\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff3b1\uff3d<\/sup>\u8fdb\u884c\u66f4\u65b0\u3002\u4e3b\u8981\u66f4\u65b0\u5185\u5bb9\u5305\u62ec\uff1a\u589e\u52a0\u7a7f\u523a\u524d\u5f71\u50cf\u5b66\u68c0\u67e5\uff0c\u589e\u52a0\u524d\u5217\u817a\u9776\u5411\u7a7f\u523a\u5185\u5bb9\uff0c\u5bf9\u7a7f\u523a\u6a21\u5f0f\u56fe\u66f4\u65b0\u5e76\u63d0\u51fa\u7a7f\u523a\u4f4d\u70b9\u7edf\u4e00\u547d\u540d\u5efa\u8bae\uff0c\u5bf9\u6709\u4e34\u5e8a\u610f\u4e49\u524d\u5217\u817a\u764c(clinically significant prostate cancer\uff0cCsPCa)\u63d0\u51fa\u660e\u786e\u5b9a\u4e49\uff0c\u66f4\u65b0\u7a7f\u523a\u6307\u5f81\u548c\u5e76\u53d1\u75c7\u9632\u6cbb\u5185\u5bb9\u3002\u65e8\u5728\u4e3a\u4e34\u5e8a\u533b\u751f\u5f00\u5c55\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u63d0\u4f9b\u6307\u5bfc\u610f\u89c1\u3002<\/p>\n<\/p>\n

\u4e00\u3001\u524d\u5217\u817a\u7a7f\u523a\u6307\u5f81\u548c\u7981\u5fcc\u8bc1<\/p>\n

1. \u524d\u5217\u817a\u521d\u6b21\u7a7f\u523a\u6307\u5f81\uff1a\u2460\u524d\u5217\u817a\u7279\u5f02\u6027\u6297\u539f(prostate specific antigen\uff0cPSA)\uff1e10 ng\/ml\uff1b\u2461\u76f4\u80a0\u6307\u68c0\u53d1\u73b0\u524d\u5217\u817a\u53ef\u7591\u7ed3\u8282\uff0c\u4efb\u4f55PSA\u503c\uff1b\u2462\u7ecf\u76f4\u80a0\u8d85\u58f0(transrectal ultrasonography\uff0cTRUS)\u3001MRI\u6216PSMA PET\/CT\u53d1\u73b0\u53ef\u7591\u75c5\u7076\uff0c\u4efb\u4f55PSA\u503c\uff1b\u2463PSA 4~10 ng\/ml\u65f6\uff0cf\/tPSA<0.16\uff0c\u548c\/\u6216PSA\u5bc6\u5ea6(PSAD)>0.15 ng\/ml2<\/sup>\uff0c\u548c\/\u6216PSA\u6bcf\u5e74\u5347\u9ad8\u901f\u7387(PSAV)>0.75 \u03bcg\/L\uff1b\u2464\u5176\u4ed6\u524d\u5217\u817a\u76f8\u5173\u68c0\u6d4b\u7ed3\u679c\u5f02\u5e38\uff0c\u5982\u524d\u5217\u817a\u5065\u5eb7\u6307\u6570(prostate health index\uff0cPHI)\u5f02\u5e38\u5347\u9ad8\uff0c\u5c3f\u6db2\u524d\u5217\u817a\u764c\u6297\u539f3(prostate cancer antigen 3\uff0cPCA3)\u9633\u6027;\u2465\u8f6c\u79fb\u6027\u75c5\u7076\u75c5\u7406\u8bca\u65ad\u63d0\u793a\u524d\u5217\u817a\u764c\u3002<\/p>\n

 2. \u524d\u5217\u817a\u91cd\u590d\u7a7f\u523a\u6307\u5f81\uff1a\u2460\u9996\u6b21\u7a7f\u523a\u6d3b\u68c0\u75c5\u7406\u672a\u89c1\u6076\u6027\u8bc1\u636e\uff0c\u4f46\u53d1\u73b0\u4e0d\u5178\u578b\u5c0f\u817a\u6ce1\u589e\u751f\uff0c\u62163\u9488\u4ee5\u4e0a\u9ad8\u7ea7\u522b\u4e0a\u76ae\u7624\u53d8\uff0c\u5468\u56f4\u53ef\u89c1\u4e0d\u5178\u578b\u817a\u4f53\u5b58\u5728\uff3b2\uff3d<\/sup>; \u2461\u590d\u67e5\u8840\u6e05PSA\u6301\u7eed\u5347\u9ad8\u6216\u5f71\u50cf\u5b66\u968f\u8bbf\u5f02\u5e38;\u2462\u590d\u67e5\u8840\u6e05PSA 4~10 ng\/ml\uff0c\u7ed3\u5408f\/t PSA\u3001PSAD\u3001PSAV\u3001PHI\u3001\u76f4\u80a0\u6307\u68c0\u6216\u5176\u4ed6\u5f71\u50cf\u5b66\u68c0\u67e5\u7ed3\u679c\u5f02\u5e38\u3002<\/p>\n

\u91cd\u590d\u7a7f\u523a\u65f6\u673a\uff1a\u4e24\u6b21\u7a7f\u523a\u7684\u95f4\u9694\u65f6\u95f4\u5c1a\u6709\u4e89\u8bae\uff0c\u672c\u7a7f\u523a\u5171\u8bc6\u63a8\u8350\u95f4\u9694\u81f3\u5c113\u4e2a\u6708\u3002\u91cd\u590d\u7a7f\u523a\u524d\u5efa\u8baempMRI\u68c0\u67e5\uff0c\u5982\u53d1\u73b0\u53ef\u7591\u7076,\u5e94\u5bf9\u53ef\u7591\u7076\u8fdb\u884c\u9776\u5411\u7a7f\u523a\u3002<\/p>\n

3.\u524d\u5217\u817a\u7a7f\u523a\u7684\u7981\u5fcc\u8bc1\uff1a\u2460\u5904\u4e8e\u6025\u6027\u611f\u67d3\u671f\u6216\u53d1\u70ed\u671f\uff1b\u2461\u6709\u9ad8\u8840\u538b\u5371\u8c61\uff1b\u2462\u5904\u4e8e\u5fc3\u529f\u80fd\u4e0d\u5168\u5931\u4ee3\u507f\u671f;\u2463\u6709\u4e25\u91cd\u51fa\u8840\u503e\u5411\u7684\u75be\u75c5\uff1b\u2464\u9ad8\u8840\u538b\u3001\u7cd6\u5c3f\u75c5\u7b49\u5408\u5e76\u75c7\u63a7\u5236\u4e0d\u826f\u6216\u4e0d\u7a33\u5b9a\u671f\uff1b\u2465\u5408\u5e76\u4e25\u91cd\u7684\u5185\u3001\u5916\u75d4\uff0c\u809b\u5468\u6216\u76f4\u80a0\u75c5\u53d8\uff1b\u2466\u4e25\u91cd\u7684\u514d\u75ab\u6291\u5236\u72b6\u6001\uff1b\u2467\u5b58\u5728\u4e25\u91cd\u7684\u5fc3\u7406\u76f8\u5173\u6027\u75be\u75c5\u6216\u7a7f\u523a\u4e0d\u914d\u5408\u8005\u3002<\/p>\n

\u4e8c\u3001\u7a7f\u523a\u524d\u7684\u5f71\u50cf\u5b66\u68c0\u67e5<\/p>\n

1.TRUS\uff1aTRUS\u662f\u524d\u5217\u817a\u5e38\u7528\u68c0\u67e5\u65b9\u6cd5\uff0c\u5178\u578b\u524d\u5217\u817a\u764c\u5728\u8d85\u58f0\u56fe\u50cf\u4e0a\u8868\u73b0\u4e3a\u8fb9\u754c\u4e0d\u6e05\u7684\u4f4e\u56de\u58f0\u533a\u3002\u4f46TRUS\u6613\u53d7\u4eba\u4e3a\u7ecf\u9a8c\u548c\u4e3b\u89c2\u5224\u65ad\u5f71\u54cd\uff0c\u5bf9\u524d\u5217\u817a\u764c\u8bca\u65ad\u6548\u80fd\u6709\u9650\uff0c\u9274\u522b\u80bf\u7624\u548c\u975e\u7624\u7ed3\u8282\u8f83\u4e3a\u56f0\u96be\u3002\u56e0\u6b64\uff0c\u884d\u751f\u51fa\u57fa\u4e8e\u5e38\u89c4\u8d85\u58f0\u7684\u65b0\u65b9\u6cd5\uff0c\u5305\u62ec\u591a\u666e\u52d2\u3001\u5f39\u6027\u6210\u50cf\u3001\u8d85\u58f0\u9020\u5f71\u3001\u663e\u5fae\u8d85\u58f0\u7b49\u6280\u672f\uff0c\u8fd9\u4e9b\u591a\u6a21\u5f0f\u7684\u8d85\u58f0\u65b0\u6280\u672f\u53ca\u5176\u7ec4\u5408\u8fd0\u7528\u6709\u6548\u63d0\u9ad8\u4e86\u524d\u5217\u817a\u764c\u8d85\u58f0\u8bca\u65ad\u7684\u654f\u611f\u6027\u53ca\u7279\u5f02\u6027\uff3b3\uff3d<\/sup>\u3002<\/p>\n

2.mpMRI\uff1ampMRI\u662f\u5c06T2\u52a0\u6743\u6210\u50cf\u4e0e\u81f3\u5c11\u4e24\u79cd\u5176\u4ed6\u53c2\u6570\u56fe\u50cf\u7ed3\u5408\u8fdb\u884c\u5f71\u50cf\u63cf\u8ff0\u548c\u5224\u65ad\u7684\u6280\u672f\uff0c\u5305\u62ec\u5f25\u6563\u52a0\u6743\u6210\u50cf(DWI)\u3001\u8868\u89c2\u5f25\u6563\u7cfb\u6570\u6210\u50cf(ADC)\u3001\u52a8\u6001\u5bf9\u6bd4\u589e\u5f3a\u6210\u50cf(DCE)\u7b49\u3002mpMRI\u5bf9\u524d\u5217\u817a\u764c\u7684\u8bca\u65ad\u6548\u80fd\u8f83\u9ad8\uff0c\u654f\u611f\u6027\u4e3a93%\uff0c\u7279\u5f02\u6027\u4e3a41%\uff3b4\uff3d<\/sup>\u30023.0T\u78c1\u5171\u632f\u3001\u5f25\u6563\u654f\u611f\u7cfb\u6570(b\u503c)\u22651 000 s\/mm2<\/sup>\u4ee5\u53ca\u524d\u5217\u817a\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u8bc4\u5206\u7cfb\u7edf(Prostate Imaging Reporting and Data System\uff0cPI-RADS)\u6709\u52a9\u4e8e\u524d\u5217\u817a\u764c\u7684\u9274\u522b\u8bca\u65ad\u3001\u75c5\u7076\u5b9a\u4f4d\u3001\u9776\u5411\u7a7f\u523a\u548c\u5371\u9669\u5206\u7ec4\uff3b5\uff3d<\/sup>\u3002PI-RADS v2.1 \u8bc4\u52063\u30014\u30015\u5206\u5bf9\u5e94\u7684CsPCa\u9633\u6027\u9884\u6d4b\u503c\u5206\u522b\u4e3a16%\u300159%\u300185%\uff3b6\uff3d<\/sup>\u3002<\/p>\n

3.PSMA PET\/CT\uff1aPSMA PET\/CT\u8bca\u65ad\u524d\u5217\u817a\u764c\u7684\u654f\u611f\u6027\u4e3a88%~92%\uff0c\u7279\u5f02\u6027\u4e3a92%~95%\uff3b7\uff3d<\/sup>\u3002PSMA PET\/CT\u5f15\u5bfc\u9776\u5411\u7a7f\u523a\u53ef\u63d0\u9ad8CsPCa\u7684\u68c0\u51fa\u7387\uff0c\u5982\u8054\u5408PSMA PET\/CT\u548cmpMRI\u68c0\u67e5\uff0c\u53ef\u8fdb\u4e00\u6b65\u63d0\u9ad8\u68c0\u51fa\u7387\uff0c\u51c6\u786e\u6027\u53ef\u8fbe83%\uff3b8-9\uff3d<\/sup>\u3002\u5bf9\u4e8e\u65e2\u5f80\u7a7f\u523a\u9634\u6027\u4f46\u4ecd\u9ad8\u5ea6\u6000\u7591\u524d\u5217\u817a\u764c\u7684\u60a3\u8005\uff0c\u91cd\u590d\u6d3b\u68c0\u524d\u884cPSMA PET\/CT\u68c0\u67e5\uff0c\u6709\u52a9\u4e8e\u63d0\u9ad8\u524d\u5217\u817a\u764c\u8bca\u65ad\u6548\u80fd\u3002\u53e6\u9700\u6ce8\u610f\uff0cPSMA PET\/CT\u6210\u672c\u9ad8\u6602\uff0c\u5b9e\u65bd\u524d\u9700\u8981\u548c\u60a3\u8005\u5145\u5206\u6c9f\u901a\u3002<\/p>\n

\u4e09\u3001\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u672f\u7684\u5b9e\u65bd<\/p>\n

1.\u7a7f\u523a\u672f\u524d\u5e38\u89c4\u68c0\u67e5\uff1a\u672f\u524d\u5b8c\u5584\u8840\u5c3f\u4fbf\u5e38\u89c4\u3001\u51dd\u8840\u529f\u80fd\u53ca\u8840\u6e05\u514d\u75ab\u5b66\u68c0\u67e5\uff0c\u8bc4\u4f30\u51fa\u8840\u98ce\u9669\u3002\u672f\u524d\u8bc4\u4f30\u5fc3\u7535\u56fe\u7b49\u68c0\u67e5\uff0c\u9632\u6b62\u6f5c\u5728\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u53d1\u751f\u3002\u672f\u524d\u884c\u76f4\u80a0\u6307\u68c0\uff0c\u8bc4\u4f30\u4f1a\u9634\u3001\u809b\u95e8\u533a\u624b\u672f\u53f2\uff0c\u6709\u65e0\u809b\u7618\u3001\u75d4\u75ae\u7b49\u3002\u5982\u5b58\u5728\u5c3f\u8def\u611f\u67d3\uff0c\u9700\u5148\u63a7\u5236\u611f\u67d3\u518d\u884c\u7a7f\u523a\u3002\u5982\u5408\u5e76\u9ad8\u8840\u538b\u3001\u7cd6\u5c3f\u75c5\uff0c\u5efa\u8bae\u672f\u524d\u63a7\u5236\u8840\u538b\u3001\u8840\u7cd6\u3002<\/p>\n

2.\u9884\u9632\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ca\u80a0\u9053\u51c6\u5907\uff1a\u7ecf\u76f4\u80a0\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u672f\u524d\u63a8\u8350\u53e3\u670d\u6216\u9759\u8109\u9884\u9632\u6027\u4f7f\u7528\u6297\u751f\u7d20\uff0c\u5e38\u7528\u836f\u7269\u4e3a\u55b9\u8bfa\u916e\u7c7b\u6297\u751f\u7d20\u3001\u03b2\u5185\u9170\u80fa\u7c7b\u6297\u751f\u7d20\uff0c\u7597\u7a0b\u4e3a\u7a7f\u523a\u672f\u524d1~3 d\uff0c\u672f\u540e3~5 d\u3002\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u672f\u524d\u4e0d\u9700\u8981\u9884\u9632\u6027\u4f7f\u7528\u6297\u751f\u7d20\u6216\u7a7f\u523a\u524d\u5f53\u5929\u5355\u6b21\u5e94\u7528\u6297\u751f\u7d20\u3002\u7ecf\u76f4\u80a0\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u524d\u9700\u6e05\u6d01\u80a0\u9053\u3002\u5728\u809b\u95e8\u955c\u76f4\u89c6\u4e0b\uff0c\u7898\u4f0f\u704c\u80a0\u6216\u7898\u4f0f\u68c9\u7403\u6d88\u6bd2\u3002\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u524d\u901a\u5e38\u65e0\u9700\u6e05\u6d01\u704c\u80a0\uff0c\u4f46\u7a7f\u523a\u9700\u6392\u7a7a\u7caa\u4fbf\uff0c\u5fc5\u8981\u65f6\u53ef\u4f7f\u7528\u7518\u6cb9\u704c\u80a0\u5242\u704c\u80a0\u3002<\/p>\n

3.\u56f4\u624b\u672f\u671f\u6297\u51dd\u53ca\u6297\u8840\u5c0f\u677f\u836f\u7269\u7684\u4f7f\u7528\uff1a\u5bf9\u4e8e\u5b58\u5728\u5fc3\u8111\u8840\u7ba1\u75be\u75c5\u4e14\u65e2\u5f80\u957f\u671f\u53e3\u670d\u6297\u51dd\u6216\u6297\u8840\u5c0f\u677f\u836f\u7269\u8005\uff0c\u672f\u524d\u5e94\u8bc4\u4f30\u51fa\u8840\u53ca\u5fc3\u8111\u8840\u7ba1\u75be\u75c5\u98ce\u9669\uff0c\u614e\u91cd\u51b3\u5b9a\u76f8\u5173\u836f\u7269\u7684\u4f7f\u7528\u6216\u6682\u505c\uff0c\u5fc5\u8981\u65f6\u53ef\u8003\u8651\u4f4e\u5206\u5b50\u809d\u7d20\u94a0\u66ff\u4ee3\u6cbb\u7597\u3002\u4e00\u822c\u6765\u8bf4\uff0c\u6297\u51dd\u836f\u7269\u5efa\u8bae\u505c\u75283~5 d\uff0c\u963f\u53f8\u5339\u6797\u672f\u524d\u505c\u75283~5 d\uff0c\u6c2f\u5421\u683c\u96f7\u672f\u524d\u505c\u75287 d\uff0c\u53cc\u9999\u8c46\u7d20\u505c\u75284~5 d\uff0c\u567b\u6c2f\u5339\u5b9a\u505c\u752814 d\uff3b10\uff3d<\/sup>\u3002<\/p>\n

4. \u5668\u68b0\u548c\u8bbe\u5907\uff1a\u524d\u5217\u817a\u7a7f\u523a\u67aa\u5e38\u7528\u4e00\u4f53\u5f0f\u3001\u5168\u81ea\u52a8\u53ca\u534a\u81ea\u52a8\u7a7f\u523a\u67aa\u3002\u7a7f\u523a\u9488\u901a\u5e38\u9009\u752818G\u578b\u53f7\uff0c\u957f\u5ea6\u4e3a16~25 cm\u3002\u7a7f\u523a\u9488\u5207\u5272\u7ec4\u7ec7\u957f\u5ea6\u5e94\u6839\u636e\u524d\u5217\u817a\u5927\u5c0f\u9009\u62e9\u4e0d\u540c\u5c04\u7a0b\u3002\u8fd8\u9700B\u8d85\u673a\u3001\u5355\u5e73\u9762\u7aef\u626b\u8d85\u58f0\u63a2\u5934\u6216\u53cc\u5e73\u9762\u8d85\u58f0\u63a2\u5934\uff0c\u7a7f\u523a\u652f\u67b6\u6216\u7a7f\u523a\u6a21\u677f(\u81ea\u7531\u624b\u7a7f\u523a\u4e0d\u9700\u8981)\uff0c\u878d\u5408\u8f6f\u4ef6\u53ca\u76f8\u5e94\u878d\u5408\u8bbe\u5907(\u8ba4\u77e5\u878d\u5408\u53ca\u7cfb\u7edf\u7a7f\u523a\u4e0d\u9700\u8981)\uff0c\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\u7528\u6ce8\u5c04\u5668\u957f\u9488\u5934\u3002<\/p>\n

5. \u9ebb\u9189\u65b9\u5f0f\uff1a\u7ecf\u76f4\u80a0\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u63a8\u8350\u76f4\u80a0\u5185\u8868\u9762\u9ebb\u9189\uff0c\u5229\u591a\u5361\u56e0\u6216\u4e01\u5361\u56e0\u80f6\u6d46\u76f4\u63a5\u6d82\u62b9\u76f4\u80a0\u9ecf\u819c\uff0c\u8054\u5408\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\u53ef\u53d6\u5f97\u66f4\u597d\u7684\u6548\u679c\uff3b11\uff3d<\/sup>\u3002\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u9009\u62e9\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\u8054\u5408\u9634\u90e8\u795e\u7ecf\u963b\u6ede\u3002\u6709\u7814\u7a76\u53d1\u73b0\u5728\u4f1a\u9634\u533a\u76ae\u4e0b\u53ca\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\u4e0b\uff0c\u53ef\u987a\u5229\u5f00\u5c55mpMRI\u878d\u5408\u81ea\u7531\u624b\u7ecf\u4f1a\u9634\u7a7f\u523a\uff3b12\uff3d<\/sup>\u3002\u524d\u5217\u817a\u9776\u5411\u7a7f\u523a\u6d3b\u68c0\uff0c\u5c24\u5176\u662f\u8f6f\u4ef6\u878d\u5408\u9776\u5411\u7a7f\u523a\uff0c\u63a8\u8350\u5168\u9ebb\u6216\u8170\u9ebb\u3002\u4f46\u60a3\u8005\u5b58\u5728\u9ebb\u9189\u98ce\u9669\uff0c\u4e14\u8d39\u7528\u8f83\u9ad8\uff0c\u672f\u524d\u9700\u5b8c\u5584\u76f8\u5173\u68c0\u67e5\uff0c\u56e0\u6b64\uff0c\u5efa\u8bae\u90e8\u5206\u6709\u6761\u4ef6\u7684\u5355\u4f4d\u5f00\u5c55\u3002<\/p>\n

\u56db\u3001\u7a7f\u523a\u65b9\u5f0f<\/p>\n

1.\u7ecf\u76f4\u80a0\u524d\u5217\u817a\u7cfb\u7edf\u7a7f\u523a\uff1a\u8be5\u65b9\u6cd5\u5bf9\u9ebb\u9189\u3001\u8d85\u58f0\u53ca\u7a7f\u523a\u5668\u68b0\u8981\u6c42\u8f83\u4f4e\uff0c\u6b65\u9aa4\u7b80\u5355\uff0c\u8017\u65f6\u77ed\uff0c\u5b66\u4e60\u66f2\u7ebf\u77ed\uff0c\u4e14\u60a3\u8005\u75db\u611f\u76f8\u5bf9\u8f83\u8f7b\uff0c\u8010\u53d7\u6027\u826f\u597d,\u662f\u76ee\u524d\u6211\u56fd\u5927\u90e8\u5206\u533b\u9662\u5e38\u7528\u7684\u524d\u5217\u817a\u7a7f\u523a\u65b9\u6cd5\u3002\u63a8\u8350\u91c7\u7528\u53cc\u5e73\u9762\u8d85\u58f0\u63a2\u5934\uff0c\u53ef\u540c\u65f6\u63a2\u67e5\u524d\u5217\u817a\u7684\u6a2a\u65ad\u9762\u548c\u77e2\u72b6\u9762\uff0c\u5e76\u53ef\u5b9e\u65f6\u76d1\u63a7\u7a7f\u523a\u8fdb\u9488\u53ca\u51fb\u53d1\u5168\u8fc7\u7a0b\u3002\u5173\u4e8e\u7a7f\u523a\u9488\u6570\uff0c\u65e9\u671f\u91c7\u75286\u9488\u7a7f\u523a\u6cd5,\u4f46\u5176\u7a7f\u523a\u9488\u6570\u8f83\u5c11,\u4f4d\u70b9\u8986\u76d6\u4e0d\u5168\u9762, \u9633\u6027\u7387\u4ec520%~30%\uff0c\u6f0f\u8bca\u7387\u4e3a20%~25%\uff0c\u76ee\u524d\u5df2\u4e0d\u4f5c\u4e3a\u7cfb\u7edf\u7a7f\u523a\u63a8\u8350\u3002\u5bf9\u4e8e\u524d\u5217\u817a\u4f53\u79ef\u4e3a30 ml\u5de6\u53f3\u8005\uff0c\u63a8\u8350\u7a7f\u523a\u4e0d\u5c11\u4e8e8\u9488\u7684\u7a7f\u523a\u6d3b\u68c0\u3002\u5bf9\u4e8e\u66f4\u5927\u4f53\u79ef\u7684\u524d\u5217\u817a\uff0c\u5219\u63a8\u835010~12\u9488\uff0c\u53ef\u63d0\u9ad8\u80bf\u7624\u68c0\u51fa\u7387\u4e14\u4e0d\u589e\u52a0\u7a7f\u523a\u5e76\u53d1\u75c7\u3002>12\u9488\u7684\u7cfb\u7edf\u7a7f\u523a\u5728\u9633\u6027\u7387\u83b7\u76ca\u548c\u4e0d\u589e\u52a0\u5e76\u53d1\u75c7\u4e0a\u5b58\u5728\u4e89\u8bae\u3002\u7ecf\u76f4\u80a0\u524d\u5217\u817a\u7a7f\u523a\u5c40\u9650\u6027\uff1a\u7a7f\u523a\u540e\u611f\u67d3\u53d1\u751f\u7387\u8f83\u9ad8\uff0c\u5b58\u5728\u76f4\u80a0\u51fa\u8840\u98ce\u9669\uff0c\u521d\u5b66\u8005\u5bb9\u6613\u9057\u6f0f\u524d\u5217\u817a\u5c16\u90e8\u4ee5\u53ca\u524d\u534a\u533a\u3002<\/p>\n

2.\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7cfb\u7edf\u7a7f\u523a\uff1a\u76f8\u6bd4\u7ecf\u76f4\u80a0\u7a7f\u523a\uff0c\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u611f\u67d3\u98ce\u9669\u5c0f\uff0c\u76f4\u80a0\u51fa\u8840\u5c11\uff0c\u5bf9\u524d\u5217\u817a\u5c16\u90e8\u548c\u79fb\u884c\u533a\u7684\u80bf\u7624\u68c0\u51fa\u7387\u9ad8\uff0c\u76ee\u524d\u8d8a\u6765\u8d8a\u53d7\u5230\u91cd\u89c6\uff0c\u6709\u5b66\u8005\u63d0\u51fa\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u5e94\u9996\u9009\u7ecf\u4f1a\u9634\u9014\u5f84\uff3b13\uff3d<\/sup>\u3002\u7ecf\u4f1a\u9634\u7a7f\u523a\u4e3b\u8981\u5305\u62ec3\u79cd\u65b9\u5f0f\uff1a\u7a7f\u523a\u652f\u67b6\u5f15\u5bfc\u4e0b\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u3001\u7a7f\u523a\u6a21\u677f\u5f15\u5bfc\u4e0b\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u3001\u81ea\u7531\u624b\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u3002\u6bcf\u79cd\u65b9\u6cd5\u5404\u6709\u4f18\u7f3a\u70b9\uff0c\u5404\u4e2d\u5fc3\u53ef\u6839\u636e\u5b9e\u9645\u60c5\u51b5\u5f00\u5c55\u3002\u2460\u7a7f\u523a\u652f\u67b6\u5f15\u5bfc\u4e0b\u7ecf\u4f1a\u9634\u7a7f\u523a\u6700\u5927\u7684\u4f18\u52bf\u662f\u786e\u4fdd\u7a7f\u523a\u9488\u4e0e\u8d85\u58f0\u63a2\u5934\u5904\u5728\u540c\u4e00\u4e2a\u5e73\u9762\uff0c\u7a7f\u523a\u9488\u65f6\u523b\u5904\u5728\u8d85\u58f0\u89c6\u91ce\u5185\uff0c\u672f\u8005\u65e0\u9700\u65f6\u523b\u8c03\u6574\u63a2\u5934\u53ca\u7a7f\u523a\u9488\u7684\u89d2\u5ea6\u3002\u4f46\u56e0\u4e3a\u6709\u652f\u67b6\u9650\u5236\uff0c\u89d2\u5ea6\u548c\u65b9\u5411\u8c03\u6574\u4e0d\u591f\u7075\u6d3b\u3002\u2461\u6a21\u677f\u7a7f\u523a\u5177\u6709\u53ef\u5b9a\u4f4d\u7684\u7f51\u683c\uff0c\u53ef\u6eaf\u6e90\u7a7f\u523a\u70b9\u3002\u4f46\u6a21\u677f\u7a7f\u523a\u9650\u5236\u4e86\u7a7f\u523a\u70b9\u53ca\u7a7f\u523a\u9488\u65b9\u5411\uff0c\u5bf9\u7279\u5b9a\u533a\u57df\u7684\u524d\u5217\u817a\u7a7f\u523a\u4e5f\u53ef\u80fd\u5b58\u5728\u5f71\u54cd\uff0c\u4f8b\u5982\u803b\u9aa8\u8054\u5408\u540e\u65b9\u7684\u524d\u5217\u817a\u8179\u4fa7\u533a\u57df\u3002\u2462\u81ea\u7531\u624b\u7a7f\u523a\u7531\u4e8e\u6ca1\u6709\u6a21\u677f\u7b49\u9650\u5236\uff0c\u7a7f\u523a\u66f4\u52a0\u7075\u6d3b\u3001\u8fc5\u901f\uff0c\u4f46\u7f3a\u4e4f\u5b9a\u4f4d\u6807\u8bc6\uff0c\u7a7f\u523a\u8fdb\u9488\u66f4\u591a\u4f9d\u8d56\u672f\u8005\u7684\u7ecf\u9a8c\u3002<\/p>\n

3.\u9776\u5411\u7a7f\u523a\uff1a\u901a\u5e38\u6307mpMRI\u4e0eTRUS\u878d\u5408\u5f15\u5bfc\u524d\u5217\u817a\u9776\u5411\u7a7f\u523a\uff0c\u662f\u76ee\u524d\u8bca\u65ad\u524d\u5217\u817a\u764c\u7cbe\u51c6\u3001\u6709\u6548\u7684\u65b9\u6cd5\uff0c\u80fd\u660e\u663e\u63d0\u9ad8CsPCa\u7684\u68c0\u51fa\u7387\uff3b14\uff3d<\/sup>\u3002\u9776\u5411\u7a7f\u523a\u53ef\u4ee5\u7ecf\u76f4\u80a0\u5b9e\u65bd\uff0c\u4e5f\u53ef\u4ee5\u7ecf\u4f1a\u9634\u5b9e\u65bd\u3002\u76ee\u524d\u5c1a\u6ca1\u6709\u8db3\u591f\u8bc1\u636e\u663e\u793a\u4e24\u7c7b\u9776\u5411\u7a7f\u523a\u7684\u4f18\u52a3\u6027\u3002\u8fd1\u671f\u6709\u7814\u7a76\u8868\u660e\uff0c\u7ecf\u4f1a\u9634\u9776\u5411\u7a7f\u523a\u53ef\u4ee5\u66f4\u597d\u5730\u68c0\u51faCsPCa\uff0c\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u8f83\u4f4e\uff3b15\uff3d<\/sup>\u3002\u540c\u65f6\uff0c\u7ecf\u4f1a\u9634\u9776\u5411\u7a7f\u523a\u5b9e\u65f6\u8d85\u58f0\u56fe\u50cf\u4e0empMRI\u7b49\u5f71\u50cf\u56fe\u50cf\u66f4\u8d34\u5207\uff0c\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u8fd0\u7528\u66f4\u5e7f\u3002\u672c\u7a7f\u523a\u5171\u8bc6\u63a8\u8350\u9776\u5411\u7a7f\u523a\u9700\u8981\u8054\u5408\u7cfb\u7edf\u7a7f\u523a\uff0c\u6709\u5229\u4e8e\u63d0\u9ad8\u524d\u5217\u817a\u764c\uff0c\u7279\u522b\u662fCsPCa\u7684\u68c0\u51fa\u7387\u3002<\/p>\n

(1)\u8ba4\u77e5\u878d\u5408\u9776\u5411\u7a7f\u523a\uff1a\u7a7f\u523a\u672f\u524d\u9605\u8bfbMRI\u56fe\u50cf\uff0c\u660e\u786e\u53ef\u7591\u75c5\u7076\u4f4d\u7f6e\uff0c\u5728TRUS\u68c0\u67e5\u8fc7\u7a0b\u4e2d\uff0c\u4e3b\u89c2\u4e0a\u5c06\u53ef\u7591\u75c5\u7076\u548cTRUS\u56fe\u50cf\u76f8\u878d\u5408\uff0c\u5f15\u5bfc\u524d\u5217\u817a\u7a7f\u523a\u8fc7\u7a0b\u3002\u8ba4\u77e5\u878d\u5408\u9776\u5411\u7a7f\u523a\u4e0d\u9700\u8981\u989d\u5916\u7684\u786c\u4ef6\u8bbe\u5907\u548c\u8f6f\u4ef6\uff0c\u64cd\u4f5c\u7b80\u5355\u5feb\u901f\u3001\u6210\u672c\u8f83\u4f4e\u3002\u6709\u7814\u7a76\u5c06\u8ba4\u77e5\u878d\u5408\u4e0eMRI\/TRUS\u8f6f\u4ef6\u878d\u5408\u9776\u5411\u7a7f\u523a\u8fdb\u884c\u6bd4\u8f83\uff0c\u53d1\u73b0\u4e24\u79cd\u6280\u672f\u4e4b\u95f4\u80bf\u7624\u8bca\u65ad\u7387\u65e0\u663e\u8457\u5dee\u5f02\uff0c\u4e8c\u8005\u7ed3\u5408\u5219\u53ef\u63d0\u9ad8\u8bca\u65ad\u7387\uff3b16\uff3d<\/sup>\u3002\u533b\u751f\u5728\u7ecf\u8fc7\u8ba4\u77e5\u878d\u5408\u7cfb\u7edf\u5b66\u4e60\u540e\uff0c\u5176\u7a7f\u523a\u7684\u7cbe\u51c6\u6027\u660e\u663e\u63d0\u9ad8\uff0c\u975e\u5e38\u9002\u5408\u57fa\u5c42\u533b\u9662\u5f00\u5c55\u3002\u4f46\u8be5\u6280\u672f\u4f9d\u8d56\u4e8e\u672f\u8005\u7684\u7ecf\u9a8c\uff0c\u53d7\u4e3b\u89c2\u5f71\u54cd\u8f83\u5927\u3002<\/p>\n

(2)MRI\/TRUS\u8f6f\u4ef6\u878d\u5408\u9776\u5411\u7a7f\u523a\uff1a \u7a7f\u523a\u672f\u524d\u901a\u8fc7\u878d\u5408\u8f6f\u4ef6\u52fe\u52d2MRI\u56fe\u50cf\u4e0a\u7684\u524d\u5217\u817a\u8f6e\u5ed3\u548c\u53ef\u7591\u9776\u75c5\u7076\uff0c\u672f\u4e2d\u5c06\u8be5MRI\u56fe\u50cf\u4e0eTRUS\u56fe\u50cf\u8fdb\u884c\u914d\u51c6\u3001\u878d\u5408\u5e76\u9501\u5b9a\uff0c\u5728\u5b9e\u65f6TRUS\u5f15\u5bfc\u4e0b\u5bf9\u53ef\u7591\u9776\u75c5\u7076\u8fdb\u884c\u7cbe\u786e\u7a7f\u523a\u3002\u8be5\u65b9\u6cd5\u75c5\u7076\u5b9a\u4f4d\u7cbe\u786e\uff0c\u7a7f\u523a\u9776\u533a\u53ef\u6eaf\u6e90\uff0c\u53ef\u51cf\u5c11\u7a7f\u523a\u9488\u6570\uff0c\u63d0\u9ad8CsPCa\u7684\u68c0\u51fa\u7387\u3002\u8f6f\u4ef6\u878d\u5408\u7684\u4e0d\u8db3\u5728\u4e8e\uff1aMRI\/TRUS\u8f6f\u4ef6\u878d\u5408\u9776\u5411\u7a7f\u523a\u9700\u8981\u989d\u5916\u7684\u8bbe\u5907\u5e76\u8fdb\u884c\u4e13\u95e8\u57f9\u8bad\uff0c\u9700\u8981\u66f4\u9ad8\u6210\u672c\u548c\u66f4\u957f\u5b66\u4e60\u66f2\u7ebf\u3002\u6b64\u5916,\u7a7f\u523a\u524d\u9700\u8981\u5f71\u50cf\u878d\u5408\u64cd\u4f5c\uff0c\u6b65\u9aa4\u8f83\u8ba4\u77e5\u878d\u5408\u590d\u6742\uff0c\u4e14\u7a7f\u523a\u65f6\u95f4\u5ef6\u957f\u3002<\/p>\n

(3)MRI\u76f4\u63a5\u5f15\u5bfc\u7a7f\u523a\uff1aMRI\u76f4\u63a5\u5f15\u5bfc\u7a7f\u523a\u4e5f\u79f0MRI-MRI\u878d\u5408\u9776\u5411\u7a7f\u523a\uff0c\u662f\u6307\u60a3\u8005\u9884\u5148\u5b8c\u6210MRI\u68c0\u67e5\uff0c\u653e\u5c04\u79d1\u533b\u751f\u5c06\u4e4b\u524d\u663e\u793a\u53ef\u7591\u75c5\u7076\u7684MRI\u6570\u636e\u4e0e\u5b9e\u65f6\u626b\u63cf\u7684MRI\u6570\u636e\u76f8\u878d\u5408\uff0c\u7ecf\u4f1a\u9634\u6216\u8005\u7ecf\u76f4\u80a0\u9014\u5f84\u8fdb\u884c\u53ef\u7591\u533a\u57df\u7684\u9776\u5411\u7a7f\u523a\u3002\u8be5\u65b9\u6cd5\u654f\u611f\u6027\u9ad8\u3001\u7279\u5f02\u6027\u9ad8\u3002\u901a\u5e38\u53ea\u8fdb\u884c\u9776\u5411\u7a7f\u523a\uff0c\u7a7f\u523a\u9488\u6570\u5c11\u3002\u7814\u7a76\u8868\u660eMRI\u76f4\u63a5\u5f15\u5bfc\u7a7f\u523a\u5728\u5355\u9488\u9633\u6027\u7387\u4ee5\u53caCsPCa\u68c0\u51fa\u7387\u4e0a\u8f83\u7cfb\u7edf\u7a7f\u523a\u6709\u4f18\u52bf\uff3b17\uff3d<\/sup>\u3002\u4f46\u7a7f\u523a\u8fc7\u7a0b\u9700\u8981\u5728MRI\u68c0\u67e5\u5ba4\u5185\u8fdb\u884c\uff0c\u8017\u65f6\u957f\u4e14\u9700\u7279\u6b8a\u4e13\u7528\u7a7f\u523a\u8bbe\u5907\uff0c\u4ef7\u683c\u6602\u8d35\uff0c\u76ee\u524d\u5728\u4e34\u5e8a\u8bca\u7597\u4e2d\u5e94\u7528\u53d7\u9650\u3002<\/p>\n

(4)\u591a\u6a21\u5f0f\u8d85\u58f0\u9776\u5411\u7a7f\u523a\uff1a\u4f34\u968f\u8d85\u58f0\u8bbe\u5907\u7684\u5347\u7ea7\u548c\u8d85\u58f0\u6280\u672f\u7684\u66f4\u65b0\uff0c\u51fa\u73b0\u4e86\u4ee5\u5f39\u6027\u6210\u50cf\u3001\u4e09\u7ef4\u6210\u50cf\u4ee5\u53ca\u8d85\u58f0\u9020\u5f71\u4e3a\u4ee3\u8868\u7684\u591a\u6a21\u5f0f\u8d85\u58f0\u6280\u672f\uff0c\u5229\u7528\u8fd9\u4e9b\u8d85\u58f0\u6280\u672f\u53ca\u5176\u7ec4\u5408\u65b9\u5f0f\u8fdb\u884c\u9776\u5411\u7a7f\u523a\u53ef\u660e\u663e\u63d0\u9ad8\u7a7f\u523a\u9633\u6027\u7387\u548cCsPCa\u7684\u68c0\u51fa\u7387\u3002<\/p>\n

(5)\u5176\u4ed6\u9776\u5411\u7a7f\u523a\uff1a\u5177\u5907\u7a7f\u523a\u6307\u5f81\u4f46\u65e2\u5f80\u7ecf\u5386\u76f4\u80a0\u764cMiles\u624b\u672f\u6216\u5176\u4ed6\u6d89\u53ca\u809b\u95e8\u624b\u672f\u7684\u60a3\u8005\uff0c\u5e38\u89c4\u7ecf\u76f4\u80a0\u6216\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u65e0\u6cd5\u987a\u5229\u5b9e\u65bd\uff0c\u63a8\u8350\u7ecf\u4f1a\u9634\u90e8\u76ae\u80a4\u7684\u7aef\u626b\u5f0f\u8d85\u58f0\u63a2\u5934\u5f15\u5bfc\u4e0b\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u3002\u4e5f\u53ef\u9884\u5148\u884cmpMRI\u6216\u8005PSMA PET\/CT\u68c0\u67e5\uff0c\u660e\u786e\u53ef\u7591\u75c5\u7076\uff0c\u5728CT\u626b\u63cf\u5b9e\u65f6\u5f15\u5bfc\u4e0b\uff0c\u7ecf\u81c0\u90e8\u808c\u7fa4\u8fdb\u884c\u8ba4\u77e5\u878d\u5408\u9776\u5411\u7a7f\u523a\u3002\u7814\u7a76\u8868\u660e\uff0c\u7ecf\u81c0\u90e8\u9776\u5411\u7a7f\u523a\u8f83\u7cfb\u7edf\u7a7f\u523a\uff0c\u80fd\u63d0\u9ad8CsPCa\u7684\u8bca\u65ad\u6548\u80fd\uff3b18\uff3d<\/sup>\u3002\u8be5\u9879\u6280\u672f\u9700\u8981\u6709\u7ecf\u9a8c\u7684\u672f\u8005\u5b9e\u65bd\uff0c\u907f\u514d\u76f4\u80a0\u6216\u8005\u5468\u56f4\u8840\u7ba1\u635f\u4f24\u3002<\/p>\n

4.\u9971\u548c\u7a7f\u523a\uff1a\u901a\u5e38\u662f\u6307\uff1e20\u9488\u7684\u7cfb\u7edf\u7a7f\u523a\u3002\u91cd\u590d\u7a7f\u523a\u6d3b\u68c0\u6216\u9884\u5148\u8bc4\u4f30\u5224\u5b9a\u60a3\u8005\u524d\u5217\u817a\u4f53\u79ef\u8f83\u5927\u65f6\u8003\u8651\u8be5\u9879\u7b56\u7565\u3002\u7531\u4e8e\u7a7f\u523a\u9488\u6570\u8f83\u591a\uff0c\u63a8\u8350\u5728\u9759\u8109\u6216\u5168\u9ebb\u4e0b\u8fdb\u884c\uff0c\u60a3\u8005\u7684\u8212\u9002\u6027\u66f4\u597d\uff0c\u4e5f\u80fd\u66f4\u597d\u5730\u628a\u63e1\u9971\u548c\u7a7f\u523a\u8fc7\u7a0b\u7684\u7a7f\u523a\u70b9\u5e03\u5c40\u3002\u9971\u548c\u7a7f\u523a\u7684\u9633\u6027\u7387\u80fd\u4e00\u5b9a\u7a0b\u5ea6\u63d0\u9ad8\uff0c\u4f46\u9700\u8981\u6ce8\u610f\u9971\u548c\u7a7f\u523a\u5e76\u4e0d\u4f18\u4e8e\u7a7f\u523a\u9488\u6570\u66f4\u5c11\u7684\u878d\u5408\u9776\u5411\u7a7f\u523a\uff0c\u4e14\u7a7f\u523a\u5e76\u53d1\u75c7\u98ce\u9669\u8f83\u9ad8\u3002<\/p>\n

\u4e94\u3001\u7a7f\u523a\u4f4d\u70b9<\/p>\n

1.\u7a7f\u523a\u9488\u6570\u53ca\u5e03\u5c40\uff1a\u7cfb\u7edf\u7a7f\u523a\u65e9\u671f\u91c7\u75286\u9488\u7a7f\u523a\u6cd5\uff0c\u5305\u62ec\u524d\u5217\u817a\u5de6\u53f3\u53f6\u5c16\u90e8\u3001\u4e2d\u90e8\u548c\u57fa\u5e95\u90e8\u54041\u9488\u3002\u7531\u4e8e\u7a7f\u523a\u9633\u6027\u7387\u8f83\u4f4e\uff0c\u76ee\u524d\u4f7f\u7528\u8f83\u5c11\u3002\u901a\u8fc7\u589e\u52a0\u7a7f\u523a\u4f4d\u70b9\uff0c\u8c03\u6574\u7a7f\u523a\u4f4d\u7f6e\uff0c\u9010\u6b65\u5f62\u6210\u4ee510~12\u9488\u4e3a\u4e3b\u7684\u7a7f\u523a\u65b9\u6cd5\u3002\u5bf9\u4e8e\u7279\u522b\u5927\u7684\u817a\u4f53\uff0c\u53ef\u6839\u636e\u5b9e\u9645\u4f53\u79ef\u589e\u52a0\u7a7f\u523a\u9488\u65702~4\u9488\uff0c\u7279\u522b\u662f\u5bb9\u6613\u9057\u6f0f\u7684\u524d\u5217\u817a\u5c16\u90e8\u548c\u8179\u524d\u4fa7\uff1b\u5982\u524d\u5217\u817a\u4f53\u79ef\u8f83\u5c0f\uff0c\u53ef\u914c\u60c5\u51cf\u5c11\u9488\u6570\u3002\u8981\u907f\u514d\u7a7f\u523a\u5230\u6bd7\u90bb\u7ec4\u7ec7\uff0c\u5f15\u8d77\u5e76\u53d1\u75c7\u3002\u9776\u5411\u7a7f\u523a\uff0c\u5efa\u8bae\u6bcf\u4e2a\u9776\u533a\u9488\u65703~5\u9488\u3002\u5e38\u752812\u9488\u7ecf\u76f4\u80a0\u548c\u7ecf\u4f1a\u9634\u7a7f\u523a\u6a21\u5f0f\u56fe\u89c1\u56fe1\u548c\u56fe2\u3002<\/p>\n<\/p>\n

2.\u7a7f\u523a\u4f4d\u70b9\u547d\u540d\uff1a\u4ee5\u5f80\u524d\u5217\u817a\u7a7f\u523a\u4f4d\u70b9\u7684\u547d\u540d\u4e0d\u540c\u533b\u9662\u5404\u4e0d\u76f8\u540c\uff0c\u4ee5\u524d\u5217\u817a\u5185\u90e8\u5206\u533a\u3001\u7a7a\u95f4\u65b9\u4f4d\u3001\u6a21\u62df\u65f6\u949f\u70b9\u4f4d\u7b49\u65b9\u6cd5\u4e3a\u5e38\u89c1\u3002\u4f46\u4e0d\u540c\u547d\u540d\u89c4\u5219\u5728\u5b66\u672f\u4ea4\u6d41\u3001\u4e34\u5e8a\u51b3\u7b56\u5236\u8ba2(\u5982\u5207\u9664\u8303\u56f4\u3001\u5c40\u90e8\u6d88\u878d\u6cbb\u7597\u5b9a\u4f4d)\u4e2d\u5b58\u5728\u5c40\u9650\u6027\u3002\u63a8\u8350\u4ee5\u524d\u5217\u817a\u5916-\u5185\u3001\u524d-\u540e\u3001\u5c16-\u5e95\u7b49\u7a7a\u95f4\u65b9\u4f4d\u6765\u547d\u540d\u5e76\u5b9a\u4f4d\u3002\u672c\u7a7f\u523a\u5171\u8bc6\u4e13\u5bb6\u7ec4\u672c\u7740\u5206\u5e03\u5408\u7406\u3001\u5b9a\u4f4d\u6e05\u6670\u3001\u5bb9\u6613\u4ea4\u6d41\u7684\u539f\u5219\uff0c\u63d0\u51fa\u4e00\u79cd\u5e38\u7528\u768412\u9488\u7a7f\u523a\u4f4d\u70b9\u547d\u540d\u65b9\u6cd5\u3002\u90e8\u5206\u533b\u9662\u4e5f\u53ef\u81ea\u884c\u63d0\u51fa\u4f4d\u70b9\u547d\u540d\u65b9\u6cd5\uff0c\u4f46\u9700\u8981\u5bf9\u7a7f\u523a\u4f4d\u70b9\u6709\u660e\u786e\u5b9a\u4f4d\u5e76\u5bb9\u6613\u7406\u89e3\u3002<\/p>\n

\u7ecf\u76f4\u80a0\u7a7f\u523a\uff1a\u5de6\u5e95\u5916\u3001\u5de6\u5e95\u5185\u3001\u5de6\u4e2d\u5916\u3001\u5de6\u4e2d\u5185\u3001\u5de6\u5c16\u5916\u3001\u5de6\u5c16\u5185\u3001\u53f3\u5e95\u5916\u3001\u53f3\u5e95\u5185\u3001\u53f3\u4e2d\u5916\u3001\u53f3\u4e2d\u5185\u3001\u53f3\u5c16\u5916\u3001\u53f3\u5c16\u5185\u3002<\/p>\n

\u7ecf\u4f1a\u9634\u7a7f\u523a\uff1a \u5de6\u524d\u5916\u3001\u5de6\u524d\u5185\u3001\u5de6\u4e2d\u5916\u3001\u5de6\u4e2d\u5185\u3001\u5de6\u540e\u5916\u3001\u5de6\u540e\u5185\u3001\u53f3\u524d\u5916\u3001\u53f3\u524d\u5185\u3001\u53f3\u4e2d\u5916\u3001\u53f3\u4e2d\u5185\u3001\u53f3\u540e\u5916\u3001\u53f3\u540e\u5185\u3002<\/p>\n

\u9776\u533a\uff1a\u9776\u533a1\u3001 \u9776\u533a2\u3001 \u9776\u533a3\u7b49\u3002<\/p>\n

\u516d\u3001\u7a7f\u523a\u6b65\u9aa4<\/p>\n

1.\u7ecf\u76f4\u80a0\u7a7f\u523a\u63a8\u8350\u64cd\u4f5c\u6b65\u9aa4\uff1a\u2460\u5982\u9884\u5148\u5b8c\u6210mpMRI\u68c0\u67e5\uff0c\u9700\u4e86\u89e3\u5f71\u50cf\u56fe\u50cf\u4e0a\u524d\u5217\u817a\u5927\u5c0f\u548c\u5f62\u6001\uff0c\u5982\u6709\u53ef\u7591\u75c5\u7076\uff0c\u5b9a\u4f4d\u9776\u533a\uff1b\u2461\u60a3\u8005\u53d6\u5de6\u4fa7\u5367\u4f4d\uff0c\u81c0\u90e8\u671d\u5411\u672f\u8005\uff0c\u5e38\u89c4\u6d88\u6bd2\u94fa\u5dfe\uff1b\u2462\u5c06\u809b\u95e8\u955c\u6d82\u62b9\u77f3\u8721\u6cb9\u540e\u63d2\u5165\u809b\u95e8\u3001\u62d4\u4e0b\u5185\u82af\uff0c\u4ee5\u7898\u4f0f\u704c\u80a0\u6216\u7898\u4f0f\u68c9\u7403\u6d88\u6bd2\u76f4\u80a0\u58c1\uff1b\u2463\u6ce8\u5165\u5229\u591a\u5361\u56e0\/\u4e01\u5361\u56e0\u80f6\u6d46\u8fdb\u884c\u76f4\u80a0\u9ecf\u819c\u8868\u9762\u9ebb\u9189\uff0c\u5fc5\u8981\u65f6\u589e\u52a0\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\uff1b\u2464\u5728\u76f4\u80a0\u8d85\u58f0\u63a2\u5934\u7684\u6676\u4f53\u9762\u6d82\u62b9\u8026\u5408\u5242\uff0c\u5957\u4e0a\u65e0\u83cc\u4fdd\u62a4\u5957\uff0c\u63a2\u5934\u7f13\u7f13\u7f6e\u5165\u76f4\u80a0\u63a2\u67e5\uff0c\u6df1\u5ea66~10 cm\uff0c\u4f7f\u58f0\u675f\u6307\u5411\u524d\u5217\u817a\u65b9\u5411\uff1b\u2465\u6839\u636e\u524d\u5217\u817a\u8d85\u58f0\u56fe\u50cf\uff0c\u8bb0\u5f55\u524d\u5217\u817a\u5404\u5f84\u7ebf\u957f\u5ea6\uff0c\u8ba1\u7b97\u524d\u5217\u817a\u4f53\u79ef\u3002\u89c2\u5bdf\u524d\u5217\u817a\u5f02\u5e38\u56de\u58f0\u4fe1\u53f7\uff0c\u5e76\u8bb0\u5f55\u5f02\u5e38\u56de\u58f0\u4f4d\u7f6e\u3001\u5927\u5c0f\uff1b\u2466\u5229\u7528\u53cc\u5e73\u9762\u8d85\u58f0\u56fe\u50cf\uff0c\u8c03\u6574\u63a2\u5934\u4f4d\u7f6e\uff0c\u6539\u53d8\u7a7f\u523a\u5f15\u5bfc\u7ebf\u6307\u5411\uff0c\u6839\u636e\u4e0a\u8ff0\u524d\u5217\u817a\u7a7f\u523a\u9488\u6570\u548c\u5e03\u5c40\u8fdb\u884c\u7a7f\u523a\u3002\u5982\u8fdb\u884c\u9776\u5411\u7a7f\u523a\u8054\u5408\u7cfb\u7edf\u7a7f\u523a\uff0c\u5efa\u8bae\u5148\u884c\u9776\u5411\u7a7f\u523a\uff0c\u540e\u884c\u7cfb\u7edf\u7a7f\u523a\uff1b\u2467\u4ece\u7a7f\u523a\u67aa\u4e0a\u53d6\u4e0b\u6d3b\u68c0\u6807\u672c\uff0c\u5bf9\u6807\u672c\u672b\u7aef\u8fdb\u884c\u67d3\u8272\uff0c\u4ee5\u533a\u5206\u6807\u672c\u5934\u7aef\u548c\u5c3e\u7aef\uff0c\u540e\u5c06\u6807\u672c\u653e\u5165\u542b4%\u7532\u919b\u6807\u672c\u74f6\u4e2d\uff1b\u2468\u7a7f\u523a\u5b8c\u6bd5\uff0c\u53d6\u51fa\u63a2\u5934\uff0c\u63d2\u5165\u809b\u95e8\u955c\uff0c\u7898\u4f0f\u68c9\u7403\u6d88\u6bd2\u76f4\u80a0\u7a7f\u523a\u533a\u3002\u89c2\u5bdf\u76f4\u80a0\u58c1\uff0c\u5982\u6709\u660e\u786e\u51fa\u8840\u70b9\uff0c\u9996\u9009\u538b\u8feb\u6b62\u8840\u3002\u5f85\u76f4\u80a0\u58c1\u65e0\u660e\u786e\u51fa\u8840\u540e\uff0c\u585e\u5165\u65e0\u83cc\u5e72\u71e5\u7eb1\u5e03\uff0c4~6 h\u540e\u53d6\u51fa\uff0c\u89c2\u5bdf\u7eb1\u5e03\u8868\u9762\u6709\u65e0\u660e\u663e\u8840\u67d3\u3002<\/p>\n

2.\u7ecf\u4f1a\u9634\u7a7f\u523a\u63a8\u8350\u64cd\u4f5c\u6b65\u9aa4\uff1a\u2460\u5982\u9884\u5148\u5b8c\u6210mpMRI\u7b49\u68c0\u67e5\uff0c\u9700\u4e86\u89e3\u5f71\u50cf\u56fe\u50cf\u4e0a\u524d\u5217\u817a\u5927\u5c0f\u548c\u5f62\u6001\uff0c\u5982\u6709\u53ef\u7591\u75c5\u7076\uff0c\u5b9a\u4f4d\u9776\u533a\uff1b\u2461\u60a3\u8005\u53d6\u622a\u77f3\u4f4d\uff0c\u5c06\u9634\u56ca\u6258\u8d77\uff0c\u5e38\u89c4\u6d88\u6bd2\u94fa\u5dfe\uff1b\u2462\u5e94\u7528\u7ea620 ml\u76841%\u5229\u591a\u5361\u56e0\uff0c\u5148\u884c\u76ae\u4e0b\u795e\u7ecf\u963b\u6ede\uff0c\u8303\u56f4\u5efa\u8bae\u8d85\u8fc7\u7a7f\u523a\u7684\u8303\u56f4\uff1b\u2463\u5728\u76f4\u80a0\u8d85\u58f0\u63a2\u5934\u7684\u6676\u4f53\u9762\u6d82\u62b9\u8d85\u58f0\u8026\u5408\u5242\uff0c\u5957\u4e0a\u65e0\u83cc\u4fdd\u62a4\u5957\uff0c\u63a2\u5934\u7f13\u7f13\u7f6e\u5165\u76f4\u80a0\u3002\u8d85\u58f0\u76d1\u89c6\u4e0b\u884c\u524d\u5217\u817a\u5468\u56f4\u795e\u7ecf\u963b\u6ede\uff1b\u2464\u6839\u636e\u524d\u5217\u817a\u8d85\u58f0\u56fe\u50cf\uff0c\u8bb0\u5f55\u524d\u5217\u817a\u5404\u5f84\u7ebf\u957f\u5ea6\uff0c\u8ba1\u7b97\u524d\u5217\u817a\u4f53\u79ef\u3002\u89c2\u5bdf\u524d\u5217\u817a\u5f02\u5e38\u56de\u58f0\u4fe1\u53f7\uff0c\u5e76\u8bb0\u5f55\u5f02\u5e38\u56de\u58f0\u4f4d\u7f6e\u3001\u5927\u5c0f\uff1b\u2465\u6839\u636e\u4e0a\u8ff0\u524d\u5217\u817a\u7a7f\u523a\u9488\u6570\u548c\u5e03\u5c40\u8fdb\u884c\u7a7f\u523a\u3002\u5982\u8fdb\u884c\u9776\u5411\u7a7f\u523a\u8054\u5408\u7cfb\u7edf\u7a7f\u523a\uff0c\u5efa\u8bae\u5148\u884c\u9776\u5411\u7a7f\u523a\uff0c\u540e\u884c\u7cfb\u7edf\u7a7f\u523a\uff1b\u2466\u4ece\u7a7f\u523a\u67aa\u4e0a\u53d6\u4e0b\u6d3b\u68c0\u6807\u672c\uff0c\u5bf9\u6807\u672c\u672b\u7aef\u8fdb\u884c\u67d3\u8272\uff0c\u4ee5\u533a\u5206\u6807\u672c\u5934\u7aef\u548c\u5c3e\u7aef\uff0c\u7136\u540e\u5c06\u6807\u672c\u653e\u5165\u542b4%\u7532\u919b\u7684\u6807\u672c\u74f6\u4e2d\uff1b\u2467\u7a7f\u523a\u7ed3\u675f\u540e\u89c2\u5bdf\u4f1a\u9634\u76ae\u80a4\u662f\u5426\u6709\u8840\u80bf\uff0c\u4e88\u7eb1\u5e03\u52a0\u538b\u5305\u624e\u4f1a\u9634\u7a7f\u523a\u90e8\u4f4d\u3002\u89c2\u5bdf\u5c3f\u9053\u5916\u53e3\u662f\u5426\u6709\u6e17\u8840\uff0c\u5982\u6709\u4e25\u91cd\u8840\u5c3f\uff0c\u5efa\u8bae\u7559\u7f6e\u4e09\u8154\u5bfc\u5c3f\u7ba1\u5e76\u884c\u8180\u80f1\u51b2\u6d17\u3002<\/p>\n

\u4e03\u3001\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u7684\u89c4\u8303\u5316\u75c5\u7406\u8bca\u65ad<\/p>\n

1.\u89c4\u8303\u7684\u75c5\u7406\u62a5\u544a\uff1a\u9700\u5305\u542b\u60a3\u8005\u59d3\u540d\u3001\u6027\u522b\u3001\u5e74\u9f84\u3001\u8eab\u4efd\u8bc1\u53f7\u7b49\uff1b\u6807\u672c\u7c7b\u578b\u6807\u6ce8\u4e3a\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\uff0c\u89c4\u8303\u7684\u7a7f\u523a\u4f4d\u70b9\u540d\u79f0\uff1b\u5404\u81ea\u7a7f\u523a\u4f4d\u70b9\u7684\u7ec4\u7ec7\u5b66\u7c7b\u578b\u3001Gleason\u8bc4\u5206\u3001WHO\/ISUP\u5206\u7ea7\u5206\u7ec4\u3001\u80bf\u7624\u7ec4\u7ec7\u5b9a\u91cf\u6216\u6bd4\u4f8b\uff1b\u6709\u65e0\u8840\u7ba1\u3001\u6dcb\u5df4\u7ba1\u3001\u795e\u7ecf\u675f\u4fb5\u72af\u60c5\u51b5\uff0c\u7279\u5b9a\u533a\u57df(\u7cbe\u56ca\u817a\u3001\u6dcb\u5df4\u7ed3\u3001\u5468\u56f4\u8102\u80aa\u7ec4\u7ec7)\u7a7f\u523a\u53d7\u7d2f\u60c5\u51b5\uff1b\u5982\u6709\u514d\u75ab\u7ec4\u5316\u67d3\u8272\u68c0\u67e5\uff0c\u8fd8\u9700\u62a5\u544a\u76f8\u5173\u67d3\u8272\u7ed3\u679c\u3002<\/p>\n

2.CsPCa\uff1a\u6839\u636e\u7a7f\u523a\u75c5\u7406\uff3b19-20\uff3d<\/sup>\uff0c\u5c06Gleason\u8bc4\u5206\u22657\u5206(\u5373ISUP\u5206\u7ea7\u5206\u7ec4\u22652\u7ec4)\u5b9a\u4e49\u4e3aCsPCa\u3002\u90e8\u5206\u6587\u732e\u4e5f\u5c06Gleason\u8bc4\u52066\u5206(ISUP\u5206\u7ea7\u5206\u7ec41\u7ec4)\u4e14\u4efb\u610f\u4e00\u6761\u7ec4\u7ec7\u4e2d\u80bf\u7624\u957f\u5ea6\u22656 mm\u5b9a\u4e49\u4e3aCsPCa\u3002\u4e0d\u6ee1\u8db3CsPCa\u5b9a\u4e49\u8005\uff0c\u5219\u5f52\u7c7b\u4e3a\u4e34\u5e8a\u65e0\u610f\u4e49\u524d\u5217\u817a\u764c\u3002<\/p>\n

\u516b\u3001\u7a7f\u523a\u76f8\u5173\u5e76\u53d1\u75c7\u53ca\u5904\u7406<\/p>\n

\u5e38\u89c1\u5e76\u53d1\u75c7\u5305\u62ec\u51fa\u8840\u3001\u611f\u67d3\u3001\u8ff7\u8d70\u795e\u7ecf\u53cd\u5c04\u3001\u6025\u6027\u5c3f\u6f74\u7559\u3001\u52c3\u8d77\u529f\u80fd\u969c\u788d\u3001\u9644\u777e\u708e\u7b49\u3002<\/p>\n

1.\u51fa\u8840\uff1a\u8840\u5c3f\u3001\u8840\u4fbf\u3001\u5c40\u90e8\u8840\u80bf\u53ca\u8fdc\u671f\u8840\u7cbe\u662f\u672f\u540e\u51fa\u8840\u7684\u8868\u73b0\u3002\u8840\u5c3f\u8f83\u4e3a\u5e38\u89c1\uff0c\u53d1\u751f\u7387\u4e3a10.4%~14.0%\u3002\u7a7f\u523a\u672f\u524d\u505c\u7528\u6297\u51dd\u8840\u7c7b\u836f\u7269, \u7a7f\u523a\u65f6\u907f\u5f00\u5c3f\u9053\u53ef\u51cf\u5c11\u7a7f\u523a\u672f\u540e\u8840\u5c3f\u7684\u53d1\u751f\u3002\u51fa\u73b0\u4e25\u91cd\u8840\u5c3f\u65f6\u53ef\u7559\u7f6e\u4e09\u8154\u5bfc\u5c3f\u7ba1\u7275\u5f15\u538b\u8feb\u6b62\u8840\uff0c\u8180\u80f1\u955c\u4e0b\u51b2\u6d17\u8840\u5757\uff0c\u7535\u51dd\u6b62\u8840\uff0c\u6301\u7eed\u8180\u80f1\u51b2\u6d17\u5e76\u5e94\u7528\u6b62\u8840\u836f\u7269\u3002\u8840\u4fbf\u591a\u6570\u4e3a\u7ecf\u76f4\u80a0\u7a7f\u523a\u540e\u51fa\u73b0\uff0c\u7a7f\u523a\u65f6\u907f\u514d\u635f\u4f24\u76f4\u80a0\u9ecf\u819c\uff0c\u7a7f\u523a\u540e\u5e38\u89c4\u586b\u585e\u7eb1\u5e03\u5e76\u52a0\u538b\u6b62\u8840\uff0c\u53ef\u660e\u663e\u51cf\u5c11\u8840\u4fbf\u7684\u53d1\u751f\u3002\u76f4\u80a0\u5927\u51fa\u8840\u8f83\u4e3a\u7f55\u89c1\uff0c\u5fc5\u8981\u65f6\u53ef\u8003\u8651\u76f4\u80a0\u955c\u4e0b\u7535\u51dd\u6b62\u8840\u3002\u8840\u7cbe\u662f\u5e38\u89c1\u7684\u7a7f\u523a\u540e\u5e76\u53d1\u75c7\uff0c\u5927\u591a\u75c7\u72b6\u8f7b\u5fae\uff0c\u901a\u5e38\u5728\u6570\u6b21\u5c04\u7cbe\u540e\u6d88\u5931\u3002\u4f1a\u9634\u76ae\u4e0b\u8840\u80bf\u4e5f\u662f\u51fa\u8840\u5e76\u53d1\u75c7\u4e4b\u4e00\uff0c\u53ef\u5148\u8fdb\u884c\u52a0\u538b\u5305\u624e\u5e76\u51cf\u5c11\u6d3b\u52a8\uff0c\u63a7\u5236\u8840\u80bf\u7684\u53d1\u5c55\u3002\u60c5\u51b5\u4e25\u91cd\u65f6\u53ef\u624b\u672f\u6e05\u9664\u8840\u80bf\u3002<\/p>\n

2.\u611f\u67d3\uff1a\u7ecf\u76f4\u80a0\u7a7f\u523a\u611f\u67d3\u53d1\u751f\u7387\u4e3a1.2%~5.6%\uff0c\u7ecf\u4f1a\u9634\u7a7f\u523a\u611f\u67d3\u53d1\u751f\u7387\u4e3a0.8%~3.3%\uff3b21\uff3d<\/sup>\u3002\u8868\u73b0\u4e3a\u5c3f\u8def\u611f\u67d3\u3001\u8840\u884c\u611f\u67d3\u3001\u7cbe\u56ca\u708e\u3001\u9644\u777e\u708e\u7b49\u3002\u4e25\u91cd\u611f\u67d3\u53ef\u81f4\u611f\u67d3\u6027\u4f11\u514b\uff0c\u751a\u81f3\u6b7b\u4ea1\u3002\u5e94\u9002\u65f6\u8c03\u6574\u6216\u9009\u62e9\u654f\u611f\u6297\u751f\u7d20\uff0c\u5e76\u53ca\u65f6\u884c\u8840\u3001\u5c3f\u7ec6\u83cc\u57f9\u517b\u53ca\u836f\u654f\u68c0\u6d4b\u3002<\/p>\n

3.\u8ff7\u8d70\u795e\u7ecf\u53cd\u5c04\uff1a\u60a3\u8005\u8fc7\u5ea6\u7d27\u5f20\u548c\u4e0d\u9002\u53ef\u81f4\u8ff7\u8d70\u795e\u7ecf\u53cd\u5c04\uff0c\u53d1\u751f\u7387\u4e3a1.4%~5.3%\uff3b22\uff3d<\/sup>\u3002\u4f1a\u51fa\u73b0\u5934\u6655\u3001\u5168\u8eab\u51b7\u6c57\u3001\u9762\u8272\u82cd\u767d\u3001\u6076\u5fc3\u5455\u5410\u3001\u5fc3\u52a8\u8fc7\u7f13\u3001\u8840\u538b\u4e0b\u964d\u7b49\u75c7\u72b6\u3002\u5f53\u51fa\u73b0\u8ff7\u8d70\u795e\u7ecf\u53cd\u5c04\u65f6\uff0c\u5e94\u7acb\u523b\u505c\u6b62\u64cd\u4f5c\uff0c\u5e76\u5c06\u60a3\u8005\u8c03\u6574\u4e3a\u5934\u4f4e\u8db3\u9ad8\u4f4d\uff0c\u9002\u65f6\u7ed9\u4e88\u9759\u8109\u8865\u6db2\uff0c\u5fc5\u8981\u65f6\u53ef\u52a0\u7528\u963f\u6258\u54c1\uff0c\u591a\u53ef\u7f13\u89e3\u75c7\u72b6\u3002<\/p>\n

4.\u6025\u6027\u5c3f\u6f74\u7559\uff1a\u53d1\u751f\u7387\u4e3a6%~25%\uff3b23\uff3d<\/sup>\u3002\u4e0e\u5e74\u9f84\u8f83\u5927\u3001\u524d\u5217\u817a\u80a5\u5927\u3001\u7a7f\u523a\u9488\u6570\u591a\u3001\u7a7f\u523a\u540e\u6c34\u80bf\u3001\u7cbe\u795e\u7d27\u5f20\u53ca\u7a7f\u523a\u51fa\u8840\u7b49\u6709\u5173\u3002\u6025\u6027\u5c3f\u6f74\u7559\u9700\u8981\u7559\u7f6e\u5c3f\u7ba1\uff0c\u5e76\u53e3\u670d\u03b1\u53d7\u4f53\u963b\u6ede\u5242\u53ca\u6297\u751f\u7d20\u3002<\/p>\n

5.\u52c3\u8d77\u529f\u80fd\u969c\u788d\uff1a\u53ef\u80fd\u4e0e\u7a7f\u523a\u5bfc\u81f4\u795e\u7ecf\u8840\u7ba1\u675f\u53d7\u635f\u6216\u7a7f\u523a\u5f15\u8d77\u7684\u6c34\u80bf\u6216\u8840\u80bf\u5bf9\u795e\u7ecf\u8840\u7ba1\u675f\u538b\u8feb\u7b49\u6709\u5173\u3002\u7a7f\u523a\u672f\u540e\u53d1\u751f\u7684\u52c3\u8d77\u529f\u80fd\u969c\u788d\u901a\u5e38\u662f\u77ed\u6682\u6027\u7684\uff0c\u5728\u7a7f\u523a\u540e3~6\u4e2a\u6708\u52c3\u8d77\u529f\u80fd\u4f1a\u6062\u590d\u5230\u7a7f\u523a\u524d\u6c34\u5e73\u3002<\/p>\n

6.\u5176\u4ed6\u4e25\u91cd\u5e76\u53d1\u75c7\uff1a\u5f25\u6563\u6027\u8840\u7ba1\u5185\u51dd\u8840(disseminated intravascular coagulation\uff0cDIC)\uff0c\u53d1\u751f\u7387\u4f4e\uff3b24\uff3d<\/sup>\u3002\u8868\u73b0\u4e3a\u6301\u7eed\u8840\u5c3f\u6216\u7a7f\u523a\u90e8\u4f4d\u4e0d\u65ad\u6e17\u8840\u53ca\u8840\u6db2\u4e0d\u51dd\u56fa\u6216\u591a\u53d1\u51fa\u8840\u503e\u5411\u3001\u4e0d\u660e\u6027\u4f4e\u8840\u538b\u6216\u4f11\u514b\u7b49\u3002DIC\u7684\u5904\u7406\u4e3a\u7ef4\u6301\u8840\u6d41\u704c\u6ce8\uff0c\u79ef\u6781\u6cbb\u7597\u4f11\u514b\uff0c\u7ea0\u6b63\u4f4e\u8840\u5bb9\u91cf\u3002\u63a8\u8350\u8f93\u6ce8\u8840\u5c0f\u677f\u548c\u65b0\u9c9c\u8840\u6d46\uff0c\u8fd8\u53ef\u8003\u8651\u8054\u5408\u5e94\u7528\u7ea4\u6eb6\u6291\u5236\u5242\u3001\u51dd\u8840\u56e0\u5b50\u7b49\u3002<\/p>\n

\u4e5d\u3001\u524d\u5217\u817a\u7a7f\u523a\u7684\u5c55\u671b<\/p>\n

\u591a\u79cd\u65b0\u578b\u5f71\u50cf\u6280\u672f\u8054\u5408\u8fd0\u7528\u662f\u524d\u5217\u817a\u7cbe\u51c6\u7a7f\u523a\u7684\u53d1\u5c55\u8d8b\u52bf\u3002\u4ee5mpMRI\u548cPSMA PET\/CT\u4e3a\u4ee3\u8868\u7684\u5f71\u50cf\u6280\u672f\u5728\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u9886\u57df\u5df2\u9010\u6b65\u6df1\u5165\uff0c\u4e5f\u51fa\u73b0PSMA PET\/MRI\u76f4\u63a5\u6216\u95f4\u63a5\u878d\u5408\u9776\u5411\u7a7f\u523a\uff0c\u5176\u8bca\u65ad\u6548\u80fd\uff0c\u76f8\u6bd4\u4e8e\u5355\u4e00\u5f71\u50cf\u66f4\u5177\u4f18\u52bf\uff3b25\uff3d<\/sup>\u3002\u5728\u5b9e\u8df5\u9886\u57df\uff0c\u51fa\u73b0\u4e86\u673a\u5668\u4eba\u8f85\u52a9\u7ecf\u4f1a\u9634\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u5f15\u5bfc\u8bbe\u5907\uff0c\u80fd\u591f\u81ea\u52a8\u5b9a\u4f4d\u9776\u5411\u7a7f\u523a\u548c\u7cfb\u7edf\u7a7f\u523a\u4f4d\u70b9\uff0c\u5e76\u5f15\u5bfc\u76f8\u5e94\u7a7f\u523a\u8fc7\u7a0b\u3002\u76f8\u5173\u7814\u7a76\u7ed3\u679c\u8868\u660e\uff0c\u8fd9\u7c7b\u673a\u5668\u4eba\u64cd\u4f5c\u7cfb\u7edf\u53ef\u505a\u5230\u9ad8\u7cbe\u5ea6\u3001\u81ea\u884c\u5e03\u5c40\u7a7f\u523a\u4f4d\u70b9\u7b49\u4f18\u52bf\uff0c\u65e0\u8bba\u7cfb\u7edf\u7a7f\u523a\u8fd8\u662f\u9776\u5411\u7a7f\u523a\uff0c\u5728CsPCa\u8bca\u65ad\u6548\u7387\u4e0a\u4e0e\u76ee\u524d\u5e38\u89c4\u7cfb\u7edf\u7a7f\u523a\u548c\u9776\u5411\u7a7f\u523a\u7c7b\u4f3c\u6216\u66f4\u4f18\uff3b26\uff3d<\/sup>\u3002\u4eba\u5de5\u667a\u80fd\u5728\u524d\u5217\u817a\u764c\u75c5\u7406\u8bca\u65ad\u4e0a\u5df2\u5d2d\u9732\u5934\u89d2\uff0c\u968f\u7740\u6280\u672f\u66f4\u65b0\u548c\u667a\u80fd\u7b97\u6cd5\u53e0\u8fdb\uff0c\u8fd8\u53ef\u4ee5\u9488\u5bf9\u524d\u5217\u817aMRI\u3001CT\u6216\u8d85\u58f0\u56fe\u50cf\u8fdb\u884c\u667a\u80fd\u5206\u5272\u9274\u522b\uff0c\u5e76\u5bf9\u53ef\u7591\u4f4d\u70b9\u8fdb\u884c\u6807\u8bb0\uff0c\u505a\u5230\u9776\u70b9\u7684\u81ea\u52a8\u5316\u8bc6\u522b\uff0c\u5e76\u80fd\u5bf9\u524d\u5217\u817a\u5185\u5f02\u8d28\u6027\u75c5\u7076\u8fdb\u884c\u8bc4\u4f30\u3002\u901a\u8fc7\u5bf9\u60a3\u8005\u57fa\u7840\u4fe1\u606f\u7684\u8ba1\u7b97\uff0c\u6784\u5efa\u7a7f\u523a\u9633\u6027\u9884\u6d4b\u6a21\u578b\uff0c\u6307\u5bfc\u7a7f\u523a\u51b3\u7b56\u7684\u5236\u8ba2\uff3b27\uff3d<\/sup>\u3002<\/p>\n

\u514d\u7a7f\u523a\u884c\u524d\u5217\u817a\u764c\u6839\u6cbb\u6027\u6cbb\u7597\u662f\u672a\u6765\u524d\u5217\u817a\u764c\u7814\u7a76\u7684\u70ed\u70b9\u9886\u57df\u3002\u521d\u6b65\u7814\u7a76\u7ed3\u679c\u8868\u660e\uff0c\u9009\u62e9\u5408\u9002\u7684\u60a3\u8005\uff0c\u5408\u7406\u5229\u7528PSMA PET\/CT\u53campMRI\u7b49\u672f\u524d\u5f71\u50cf\u5b66\u8d44\u6599\uff0c\u7ed3\u5408\u60a3\u8005PSA\u7b49\u57fa\u7840\u4fe1\u606f\uff0c\u5728\u672a\u884c\u524d\u5217\u817a\u7a7f\u523a\u6d3b\u68c0\u800c\u76f4\u63a5\u884c\u6839\u6cbb\u6027\u524d\u5217\u817a\u5207\u9664\u672f\u7684\u60a3\u8005\u4e2d\uff0c\u6700\u7ec8\u75c5\u7406\u8bca\u65ad\u6076\u6027\u80bf\u7624\u7684\u6bd4\u4f8b\u63a5\u8fd1100%\uff3b28\uff3d<\/sup>\u3002\u4f46\u514d\u7a7f\u523a\u7b56\u7565\u610f\u5473\u7740\u65e0\u6cd5\u5728\u6cbb\u7597\u524d\u660e\u786e\u8bc4\u4f30\u60a3\u8005\u7684\u5206\u671f\u5206\u7ea7\uff0c\u4e5f\u65e0\u6cd5\u4f5c\u4e3a\u5176\u4ed6\u6cbb\u7597\u624b\u6bb5(\u6dcb\u5df4\u7ed3\u6e05\u626b\u3001\u653e\u7597\u6216\u5185\u5206\u6ccc\u6cbb\u7597\u7b49)\u5b9e\u65bd\u7684\u75c5\u7406\u57fa\u7840\uff0c\u56e0\u6b64\u8fd9\u4e00\u9886\u57df\u4f9d\u7136\u5b58\u5728\u8f83\u5927\u4e89\u8bae\u3002<\/p>\n

\u6307\u5bfc\u4e13\u5bb6\uff1a<\/p>\n

\u53f6\u5b9a\u4f1f(\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662)\uff0c\u6797\u5929\u6b46(\u4e2d\u5c71\u5927\u5b66\u5b59\u9038\u4ed9\u7eaa\u5ff5\u533b\u9662)\uff0c\u4f55\u5fd7\u5d69(\u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662)\uff0c\u9ad8\u65ed(\u4e0a\u6d77\u957f\u6d77\u533b\u9662)\uff0c\u53f2\u672c\u5eb7(\u5c71\u4e1c\u5927\u5b66\u9f50\u9c81\u533b\u9662)\uff0c\u90b9\u9752(\u6c5f\u82cf\u7701\u80bf\u7624\u533b\u9662)<\/p>\n

\u6267\u7b14\u4e13\u5bb6\uff1a<\/p>\n

\u6797\u56fd\u6587(\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662)\uff0c\u9648\u5b88\u81fb(\u5c71\u4e1c\u5927\u5b66\u9f50\u9c81\u533b\u9662)<\/p>\n

\u5de5\u4f5c\u79d8\u4e66\uff1a<\/p>\n

\u6731\u8000(\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662)<\/p>\n

\u53c2\u4e0e\u8ba8\u8bba\u548c\u5ba1\u5b9a\u4e13\u5bb6\uff08\u6309\u5355\u4f4d\u6c49\u8bed\u62fc\u97f3\u6392\u5e8f\uff09\uff1a<\/p>\n

\u5b89\u5fbd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\uff08\u6881\u671d\u671d\uff09\uff0c\u5317\u4eac\u5927\u5b66\u7b2c\u4e00\u533b\u9662\uff08\u4f55\u5fd7\u5d69\uff09\uff0c\u91cd\u5e86\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff08\u5218\u5357\uff09\uff0c\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\uff08\u82df\u6b23\uff09\uff0c\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff08\u6797\u56fd\u6587\u3001\u6731\u8000\u3001\u53f6\u5b9a\u4f1f\uff09\uff0c\u5e7f\u897f\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff08\u8499\u6e05\u8d35\uff09\uff0c\u8d35\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u533b\u9662\uff08\u8c37\u6c5f\uff09\uff0c\u54c8\u5c14\u6ee8\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u56db\u533b\u9662\uff08\u5f90\u4e07\u6d77\uff09\uff0c\u6cb3\u5317\u533b\u79d1\u5927\u5b66\u7b2c\u56db\u533b\u9662\uff08\u5f20\u7231\u8389\uff09\uff0c\u6e56\u5317\u7701\u80bf\u7624\u533b\u9662\uff08\u9b4f\u5c11\u5fe0\uff09\uff0c\u534e\u4e2d\u79d1\u6280\u5927\u5b66\u540c\u6d4e\u533b\u5b66\u9662\u9644\u5c5e\u540c\u6d4e\u533b\u9662\uff08\u80e1\u5fd7\u5168\uff09\uff0c\u5409\u6797\u5927\u5b66\u7b2c\u4e00\u533b\u9662\uff08\u738b\u6625\u559c\uff09\uff0c\u6c5f\u82cf\u7701\u80bf\u7624\u533b\u9662\uff08\u90b9\u9752\uff09\uff0c\u6c5f\u897f\u7701\u80bf\u7624\u533b\u9662\uff08\u6d82\u65b0\u534e\uff09\uff0c\u89e3\u653e\u519b\u603b\u533b\u9662\uff08\u738b\u4fdd\u519b\uff09\uff0c\u5170\u5dde\u5927\u5b66\u7b2c\u4e8c\u533b\u9662\uff08\u5cb3\u4e2d\u747e\uff09\uff0c\u8fbd\u5b81\u7701\u80bf\u7624\u533b\u9662\uff08\u80e1\u6ee8\uff09\uff0c\u5c71\u4e1c\u5927\u5b66\u9f50\u9c81\u533b\u9662\uff08\u9648\u5b88\u81fb\u3001\u53f2\u672c\u5eb7\uff09\uff0c\u5c71\u4e1c\u7b2c\u4e00\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff08\u8fb9\u5bb6\u76db\uff09\uff0c\u5c71\u897f\u7701\u80bf\u7624\u533b\u9662\uff08\u9648\u60e0\u5e86\uff09\uff0c\u4e0a\u6d77\u957f\u6d77\u533b\u9662\uff08\u9ad8\u65ed\uff09\uff0c\u56db\u5ddd\u5927\u5b66\u534e\u897f\u533b\u9662\uff08\u9b4f\u5f3a\uff09\uff0c\u56db\u5ddd\u7701\u80bf\u7624\u533b\u9662\uff08\u5ed6\u6d2a\uff09\uff0c\u5929\u6d25\u533b\u79d1\u5927\u5b66\u7b2c\u4e8c\u533b\u9662\uff08\u725b\u8fdc\u6770\uff09\uff0c\u897f\u5b89\u4ea4\u901a\u5927\u5b66\u7b2c\u4e8c\u9644\u5c5e\u533b\u9662\uff08\u79cd\u94c1\uff09\uff0c\u897f\u5b89\u4ea4\u901a\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff08\u674e\u78ca\uff09\uff0c\u53a6\u95e8\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\uff08\u90a2\u91d1\u6625\uff09\uff0c\u65b0\u7586\u7ef4\u543e\u5c14\u81ea\u6cbb\u533a\u80bf\u7624\u533b\u9662\uff08\u9648\u9e4f\uff09\uff0c\u4e91\u5357\u7701\u80bf\u7624\u533b\u9662\uff08\u738b\u542f\u6797\uff09\uff0c\u6d59\u6c5f\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\uff08\u91d1\u767e\u51b6\uff09\uff0c\u90d1\u5dde\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff08\u5f20\u96ea\u57f9\uff09\uff0c\u4e2d\u56fd\u79d1\u5b66\u9662\u5927\u5b66\u9644\u5c5e\u80bf\u7624\u533b\u9662\uff08\u6731\u7ecd\u5174\uff09\uff0c\u4e2d\u5357\u5927\u5b66\u6e58\u96c5\u533b\u9662\uff08\u9f50\u7433\uff09\uff0c\u4e2d\u5c71\u5927\u5b66\u5b59\u9038\u4ed9\u7eaa\u5ff5\u533b\u9662\uff08\u6797\u5929\u6b46\uff09\uff0c\u4e2d\u5c71\u5927\u5b66\u80bf\u7624\u9632\u6cbb\u4e2d\u5fc3\uff08\u5468\u82b3\u575a\uff09<\/p>\n

\u539f\u521b\u58f0\u660e<\/p>\n

\u300a\u4e2d\u534e\u6ccc\u5c3f\u5916\u79d1\u6742\u5fd7\u300b\u516c\u4f17\u8ba2\u9605\u53f7<\/p>\n","protected":false},"excerpt":{"rendered":"

\u4f5c\u8005 \u4e2d\u534e\u533b\u5b66\u4f1a\u6ccc\u5c3f\u5916\u79d1\u5b66\u5206\u4f1a \u4e2d\u56fd\u524d\u5217\u817a\u764c\u7814\u7a76\u534f\u4f5c\u7ec4 \u5f15\u7528\u672c\u520a \u4e2d\u534e\u533b\u5b66\u4f1a\u6ccc\u5c3f … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-30732","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/30732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=30732"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/30732\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30732"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30732"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}