{"id":39811,"date":"2024-08-17T05:10:46","date_gmt":"2024-08-17T05:10:46","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=39811"},"modified":"2024-08-17T05:10:46","modified_gmt":"2024-08-17T05:10:46","slug":"%e7%9b%b4%e5%be%84%e2%89%a42cm-%e8%82%ba%e7%bb%93%e8%8a%82%e8%83%b8%e5%a4%96%e7%a7%91%e5%90%88%e7%90%86%e8%af%8a%e7%96%97%e4%b8%ad%e5%9b%bd%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%86%ef%bc%882024%ef%bc%89","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=39811","title":{"rendered":"\u76f4\u5f84\u22642cm \u80ba\u7ed3\u8282\u80f8\u5916\u79d1\u5408\u7406\u8bca\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\uff09\uff0c\u8981\u70b9\u6574\u7406\uff01"},"content":{"rendered":"

\u968f\u7740\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u6280\u672f\u7684\u5e7f\u6cdb\u5e94\u7528\u548c\u516c\u4f17\u5065\u5eb7\u610f\u8bc6\u7684\u63d0\u9ad8\uff0c\u8d8a\u6765\u8d8a\u591a\u80ba\u7ed3\u8282\u88ab\u65e9\u671f\u53d1\u73b0\u3002\u80ba\u7ed3\u8282\uff0c\u5c24\u5176\u662f\u76f4\u5f84\u22642 cm \u7684\u7ed3\u8282\uff0c\u7531\u4e8e\u5b58\u5728\u8fdb\u5c55\u4e3a\u80ba\u90e8\u80bf\u7624\u6027\u75c5\u53d8\u7684\u53ef\u80fd\uff0c\u5df2\u6210\u4e3a\u4e34\u5e8a\u8bca\u7597\u4e2d\u4e9f\u5f85\u89e3\u51b3\u7684\u95ee\u9898\u3002<\/p>\n

\u672c\u7740\u201c\u4e0d\u8fc7\u5ea6\u201d\u201c\u4e0d\u9519\u8fc7\u201d\u7684\u4e24\u201c\u4e0d\u201d\u539f\u5219\uff0c\u4ee5\u89c4\u8303\u80ba\u7ed3\u8282\u7684\u4e34\u5e8a\u8bca\u7597\u4e3a\u76ee\u6807\uff0c\u4e3b\u8981\u57fa\u4e8e\u5927\u578b\u4e34\u5e8a\u7814\u7a76\u6570\u636e\uff0c\u53c2\u8003\u56fd\u5185\u5916\u6307\u5357\u53ca\u5171\u8bc6\uff0c\u4f1a\u540c\u56fd\u5185\u80f8\u5916\u79d1\u9886\u57df\u8fd1\u767e\u4f4d\u4e13\u5bb6\u53cd\u590d\u5546\u8ba8\u540e\u5236\u5b9a\u300a\u76f4\u5f84\u22642 cm \u80ba\u7ed3\u8282\u80f8\u5916\u79d1\u5408\u7406\u8bca\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\uff09\u300b\uff0c\u5171\u5f62\u6210 29 \u6761\u5171\u8bc6\uff1b\u4e3b\u8981\u6839\u636e\u80ba\u7ed3\u8282\u7684\u5927\u5c0f\u3001\u6210\u5206\u3001\u53d1\u75c5\u90e8\u4f4d\u7b49\u4e0d\u540c\u7279\u5f81\uff0c\u63d0\u51fa\u5177\u6709\u9488\u5bf9\u6027\u7684\u7b5b\u67e5\u3001\u968f\u8bbf\u3001\u8bca\u65ad\u51c6\u5219\uff0c\u4ee5\u53ca\u4e2a\u4f53\u5316\u6cbb\u7597\u3001\u624b\u672f\u65b9\u6848\u53ca\u672f\u540e\u5feb\u901f\u5eb7\u590d\u7684\u63a8\u8350\u3002<\/p>\n

1    \u80ba\u7ed3\u8282\uff08\u22642 cm\uff09\u7684\u7b5b\u67e5\u89c4\u8303<\/p>\n

\u5171\u8bc61\uff1a\u80ba\u90e8LDCT\u4f5c\u4e3a\u7b5b\u67e5\u80ba\u90e8\u80bf\u7624\u7684\u5173\u952e\u68c0\u67e5\uff0c\u63a8\u835040\u5c81\u53ca\u4ee5\u4e0a\u4eba\u7fa4\u6bcf\u5e74\u5b8c\u5584\u80ba\u90e8LDCT\u7b5b\u67e5\uff0c40\u5c81\u4ee5\u4e0b\u4eba\u7fa4\u6bcf2\uff5e5 \u5e74\u5b8c\u5584\u80ba\u90e8LDCT\u7b5b\u67e5(\u2161A)\u3002<\/p>\n

\u5171\u8bc62\uff1a\u80ba\u7ed3\u8282\u53ef\u65b0\u5b9a\u4e49\u4e3a\u5f71\u50cf\u5b66\u4e0a\u957f\u5f84\u22642 cm\u7684\u5bc6\u5ea6\u589e\u9ad8\u7684\u80ba\u90e8\u75c5\u635f\uff0c\u4e0d\u4f34\u6709\u80ba\u95e8\u6dcb\u5df4\u7ed3\u80bf\u5927\u3001\u80ba\u4e0d\u5f20\u6216\u80f8\u8154\u79ef\u6db2(\u2161B)\u3002<\/p>\n

\u5171\u8bc63: \u53c2\u7167\u7f8e\u56fd\u653e\u5c04\u5b66\u4f1aLung-RADS v2022\u5206\u7ea7\uff0c\u5c06\u80ba\u7ed3\u8282\u5206\u4e3a\u4f4e\u5371\u3001\u4e2d\u5371\u3001\u4e2d\u9ad8\u5371\u3001\u9ad8\u5371\uff0c\u5e76\u91c7\u53d6\u5bf9\u5e94\u7684\u968f\u8bbf\u53ca\u5e72\u9884\u63aa\u65bd(\u2161A)\u3002<\/p>\n

\u5171\u8bc64\uff1a\u80ba\u7ed3\u8282(\u22642 cm)\u968f\u8bbf\u4e2d\u8003\u8651\u51fa\u73b0\u8fdb\u5c55\u7684\u6307\u6807\u5305\u62ec\uff1a\u6700\u5927\u5f84\u589e\u59272mm\uff0c\u5b9e\u6027\u6210\u5206\u589e\u52a0\uff0c\u5bc6\u5ea6\u589e\u9ad8\uff0c\u8840\u7ba1\u3001\u80f8\u819c\u6539\u53d8\u7b49\u9ad8\u5371\u56e0\u7d20\u589e\u52a0(\u2161A)\u3002\u6d3b\u5316\u7684T\u6dcb\u5df4\u7ec6\u80de\u8868\u9762\u8868\u8fbe\u7a0b\u5e8f\u6027\u6b7b\u4ea1\u53d7\u4f531(PD-1)\uff0c\u53ef\u4e0e\u7a0b\u5e8f\u6027\u6b7b\u4ea1\u53d7\u4f53-\u914d\u4f531(PD-L1)\u548c\u914d\u4f532(PD-L2)\u7ed3\u5408\u5bfc\u81f4\u7ec6\u80de\u6d3b\u6027\u53d7\u5230\u6291\u5236\u3002\u9488\u5bf9\u8fd9\u4e00\u673a\u5236\uff0c\u514d\u75ab\u68c0\u67e5\u70b9\u6291\u5236\u5242(\u6297PD-1\u6216\u6297PD-L1)\u901a\u8fc7\u963b\u65ad\u53d7\u4f53\u4e0e\u914d\u4f53\u7684\u7ed3\u5408\uff0c\u4fc3\u8fdbT\u6dcb\u5df4\u7ec6\u80de\u5bf9\u80bf\u7624\u7ec6\u80de\u7684\u6740\u4f24\u4f5c\u7528\u3002<\/p>\n

2    \u80ba\u7ed3\u8282\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

2.1  <6 mm \u80ba\u7ed3\u8282\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc6 5\uff1a\u9996\u6b21\u53d1\u73b0\u5fae\u5c0f pGGN(<6 mm)\u5efa\u8bae\u7ed3\u5408\u5371\u9669\u56e0\u7d20\u51b3\u5b9a\u5e74\u5ea6\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u65e0\u53d8\u5316\uff0c\u5efa\u8bae\u7ee7\u7eed\u5e74\u5ea6\u968f\u8bbf\uff1b\u5982\u590d\u67e5\u540e\u8fdb\u5c55\uff0c\u5efa\u8bae\u7f29\u77ed\u968f\u8bbf\u65f6\u95f4\u95f4\u9694\u81f33\uff5e6 \u4e2a\u6708(\u2161B)\u3002<\/p>\n

\u5171\u8bc66\uff1a\u9996\u6b21\u53d1\u73b0\u5fae\u5c0f mGGN(<6 mm)\u5efa\u8bae\u7ed3\u5408\u5371\u9669\u56e0\u7d20\u51b3\u5b9a\u5e74\u5ea6\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u53d8\u5316\uff0c\u5efa\u8bae\u7ee7\u7eed\u5e74\u5ea6\u968f\u8bbf\uff1b\u5982\u590d\u67e5\u540e\u7ed3\u8282\u8fdb\u5c55\uff0c\u5efa\u8bae\u6bcf3\uff5e6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT \u6216\u8bc4\u4f30\u91c7\u7528\u7a7f\u523a\u7b49\u5176\u4ed6\u8f85\u52a9\u8bca\u65ad\u624b\u6bb5(\u2161B)\u3002<\/p>\n

\u5171\u8bc67\uff1a\u9996\u6b21\u53d1\u73b0\u5fae\u5c0f\u5b9e\u6027\u7ed3\u8282(\u4f4e\u5371)(<6 mm)\u5efa\u8bae\u5e74\u5ea6\u968f\u8bbf\u80ba\u90e8 CT(\u2161B)\u3002<\/p>\n

\u5171\u8bc68\uff1a\u9996\u6b21\u53d1\u73b0\u5fae\u5c0f\u5b9e\u6027\u7ed3\u8282(\u9ad8\u5371)(<6 mm)\u5efa\u8bae3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u53d8\u5316\uff0c\u5219\u5ef6\u957f\u81f3 6\uff5e12 \u4e2a\u6708\u968f\u8bbf\uff1b\u5982\u590d\u67e5\u540e\u7ed3\u8282\u8fdb\u5c55\uff0c\u5efa\u8bae\u6bcf3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT \u6216\u8bc4\u4f30\u91c7\u7528\u7a7f\u523a\u7b49\u5176\u4ed6\u8f85\u52a9\u8bca\u65ad\u624b\u6bb5(\u2161B)\u3002<\/p>\n

2.2    6\uff5e10 mm \u80ba\u7ed3\u8282\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc69\uff1a\u9996\u6b21\u53d1\u73b06\uff5e10 mm pGGN\/mGGN\u5efa\u8bae3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u660e\u663e\u53d8\u5316\uff0c\u5efa\u8bae\u6bcf\u534a\u5e74\u590d\u67e5\u80ba\u90e8HRCT\uff1b\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216\u6bcf3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT(\u2161B)\u3002<\/p>\n

\u5171\u8bc610\uff1a\u9996\u6b21\u53d1\u73b06\uff5e10 mm\u5b9e\u6027\u7ed3\u8282(\u4f4e\u5371)\u5efa\u8bae6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u660e\u663e\u53d8\u5316\u5efa\u8bae\u6bcf1\u5e74\u590d\u67e5\u80ba\u90e8HRCT(\u2161B)\u3002<\/p>\n

\u5171\u8bc611\uff1a\u9996\u6b21\u53d1\u73b06\uff5e10 mm \u5b9e\u6027\u7ed3\u8282(\u9ad8\u5371)\u5efa\u8bae1\uff5e3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u660e\u663e\u53d8\u5316\uff0c\u5efa\u8bae\u6bcf6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff1b\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216\u6bcf3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT(\u2161B)\u3002<\/p>\n

2.3    10\uff5e20 mm \u80ba\u7ed3\u8282\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc612\uff1a\u9996\u6b21\u53d1\u73b010\uff5e20 mm pGGN \u5efa\u8bae3\uff5e6 \u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff0c\u5982\u590d\u67e5\u540e\u65e0\u660e\u663e\u53d8\u5316\u6216\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216\u6bcf3\uff5e6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff1b\u5982\u590d\u67e5\u540e\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597(\u2161B)\u3002<\/p>\n

\u5171\u8bc613\uff1a\u9996\u6b21\u53d1\u73b010\uff5e20 mm mGGN\u5efa\u8bae3 \u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT\uff0c\u5982\u590d\u67e5\u540e\u65e0\u660e\u663e\u53d8\u5316\u6216\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216\u6bcf3\uff5e6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT\uff1b\u5982\u590d\u67e5\u540e\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216PET-CT \u7b49\u624b\u6bb5\u8fdb\u4e00\u6b65\u8bc4\u4f30(\u2161B)\u3002<\/p>\n

\u5171\u8bc614\uff1a\u9996\u6b21\u53d1\u73b010\uff5e20 mm\u5b9e\u6027\u7ed3\u8282(\u4f4e\u5371)\uff0c\u5efa\u8bae6\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\u6216PET-CT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u660e\u663e\u53d8\u5316\uff0c\u5efa\u8bae\u6bcf1\u5e74\u590d\u67e5\u80ba\u90e8HRCT(\u2161A)\u3002<\/p>\n

\u5171\u8bc615\uff1a\u9996\u6b21\u53d1\u73b010\uff5e20 mm\u5b9e\u6027\u7ed3\u8282(\u9ad8\u5371)\uff0c\u5efa\u8bae1\u4e2a\u6708\u590d\u67e5\u80ba\u90e8 HRCT \u6216PET-CT\uff0c\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u65e0\u660e\u663e\u53d8\u5316\uff0c\u5efa\u8bae\u5355\u6b21PET-CT\u8bc4\u4f30\u6216\u6bcf3\u4e2a\u6708\u590d\u67e5\u80ba\u90e8HRCT\uff1b\u5982\u968f\u8bbf\u540e\u7ed3\u8282\u8fdb\u5c55\uff0c\u5efa\u8bae\u624b\u672f\u6cbb\u7597\u6216PET-CT\u7b49\u624b\u6bb5\u8fdb\u4e00\u6b65\u8bc4\u4f30(\u2161A)\u3002<\/p>\n

\u5171\u8bc6 5\uff5e15 \u603b\u7ed3\u4e8e\u8868 1\uff5e3\u3002<\/p>\n

\u88681 \u9996\u6b21\u53d1\u73b0\u80ba\u90e8\u7ed3\u8282\u6839\u636e\u7ed3\u8282\u5927\u5c0f\u3001\u6210\u5206\u7684\u968f\u8bbf\u6216\u6cbb\u7597\u63a8\u8350<\/p>\n

pGGN:\u7eaf\u78e8\u73bb\u7483\u7ed3\u8282\uff1bmGGN:\u6df7\u5408\u78e8\u73bb\u7483\u7ed3\u8282\uff1bSN:\u5b9e\u6027\u7ed3\u8282\uff1bPET-CT\uff1a\u6b63\u7535\u5b50\u53d1\u5c04\u578b\u65ad\u5c42\u663e\u50cf\uff1b\u4f4e\u5371\uff1a\u6839\u636eLung-RADS v2022\u5206\u7ea7\u4e2d\u5371\u53ca\u4ee5\u4e0b\uff1b\u9ad8\u5371\uff1a\u6839\u636eLung-RADS v2022\u5206\u7ea7\u4e2d\u9ad8\u5371\u53ca\u4ee5\u4e0a<\/p>\n

\u88682 \u968f\u8bbf\u540e\u65e0\u660e\u663e\u53d8\u5316\u7684\u80ba\u90e8\u7ed3\u8282\u6839\u636e\u7ed3\u8282\u5927\u5c0f\u3001\u6210\u5206\u7684\u968f\u8bbf\u6216\u6cbb\u7597\u63a8\u8350<\/p>\n

pGGN:\u7eaf\u78e8\u73bb\u7483\u7ed3\u8282\uff1bmGGN:\u6df7\u5408\u78e8\u73bb\u7483\u7ed3\u8282\uff1bSN:\u5b9e\u6027\u7ed3\u8282\uff1bPET-CT:\u6b63\u7535\u5b50\u53d1\u5c04\u578b\u65ad\u5c42\u663e\u50cf<\/p>\n

\u88683 \u968f\u8bbf\u540e\u8fdb\u5c55(\u53c2\u8003\u5171\u8bc64)\u7684\u80ba\u90e8\u7ed3\u8282\u6839\u636e\u7ed3\u8282\u5927\u5c0f\u3001\u6210\u5206\u7684\u968f\u8bbf\u6216\u6cbb\u7597\u63a8\u8350<\/p>\n

pGGN:\u7eaf\u78e8\u73bb\u7483\u7ed3\u8282\uff1bmGGN:\u6df7\u5408\u78e8\u73bb\u7483\u7ed3\u8282\uff1bSN:\u5b9e\u6027\u7ed3\u8282\uff1bPET-CT:\u6b63\u7535\u5b50\u53d1\u5c04\u578b\u65ad\u5c42\u663e\u50cf<\/p>\n

2.4    \u80ba\u7ed3\u8282\u4f4d\u7f6e\u76f8\u5173\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc616\uff1a\u80f8\u819c\u4e0b\u7ed3\u8282\uff0c\u5982\u8003\u8651\u6076\u6027\u53ef\u80fd\uff0c\u53ef\u63d0\u5347\u624b\u672f\u4f18\u5148\u7ea7\u3002\u6df1\u90e8\u7ed3\u8282\uff0c\u5982\u8003\u8651\u6076\u6027\u5ea6\u4e0d\u9ad8\uff0c\u5efa\u8bae\u964d\u4f4e\u624b\u672f\u4f18\u5148\u7ea7\u3002\u90e8\u5206\u4f18\u52bf\u7ed3\u8282\u6954\u5f62\u5207\u9664\u624b\u672f\uff0c\u53ef\u8bc4\u4f30\u884c\u65e0\u7ba1(\u514d\u80f8\u8154\u5f15\u6d41\u7ba1\u3001\u5bfc\u5c3f\u7ba1\u3001\u6c14\u7ba1\u63d2\u7ba1\u7b49)\u624b\u672f\uff0c\u751a\u81f3\u65e5\u95f4\u624b\u672f(\u2161A)\u3002<\/p>\n

2.5    \u80ba\u7ed3\u8282 CT \u503c\u76f8\u5173\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc617\uff1a\u5728\u8584\u5c42 CT(1\uff5e2 mm \u5c42\u539a)\u80ba\u7a97\u4e2d\uff0c\u5e73\u5747CT\u503c>-300 Hu\u7684pGGN\uff0c\u5efa\u8bae\u63d0\u9ad8\u624b\u672f\u4f18\u5148\u7ea7\uff1b\u5e73\u5747CT \u503c<-600 Hu \u7684pGGN\u5efa\u8bae\u4f18\u5148\u4fdd\u5b88\u6cbb\u7597(\u2161B)\u3002<\/p>\n

3    \u80ba\u7ed3\u8282\u624b\u672f\u6cbb\u7597\u89c4\u8303\u5316\u63a8\u8350<\/p>\n

\u5171\u8bc618\uff1a\u80ba\u53f6\u5207\u9664\u52a0\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\u662f\u6cbb\u7597\u53ef\u5207\u9664\u975e\u5c0f\u7ec6\u80de\u80ba\u764c\u7684\u6807\u51c6\u672f\u5f0f\uff0c\u5728\u5916\u79d1\u6280\u672f\u53ef\u884c\u4e14\u4e0d\u8fdd\u53cd\u80bf\u7624\u6cbb\u7597\u6807\u51c6\u7684\u524d\u63d0\u4e0b\uff0c\u5efa\u8bae\u53ef\u4f18\u5148\u91c7\u7528\u5fae\u521b\u624b\u672f(\u5305\u62ec\u80f8\u8154\u955c\u624b\u672f\u3001\u673a\u5668\u4eba\u8f85\u52a9\u624b\u672f)(\u2161A)\u3002<\/p>\n

\u5171\u8bc619\uff1a\u5bf9\u4f4d\u4e8e\u80ba\u59161\/3\u3001\u76f4\u5f84\u22642 cm\uff0cCTR\u22640.25 \u7684GGN \u9996\u9009\u6954\u5f62\u5207\u9664\uff0c\u52a0\u6216\u4e0d\u52a0\u80ba\u95e8\u6dcb\u5df4\u7ed3\u91c7\u6837(\u2161A)\u3002<\/p>\n

\u5171\u8bc620\uff1a\u5bf9\u4f4d\u4e8e\u80ba\u59161\/3\u3001\u76f4\u5f84\u22642 cm\uff0cCTR>0.25 \u4e14<0.5 \u7684\u80ba\u7ed3\u8282\u53ef\u9009\u62e9\u80ba\u6954\u5f62\u5207\u9664\u672f\u6216\u80ba\u6bb5\u5207\u9664\uff0c\u52a0\u80ba\u95e8\u548c\u80ba\u5185\u6dcb\u5df4\u7ed3\u6e05\u626b\uff0c\u4e0d\u5f3a\u5236\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\uff1b\u5f53\u51fa\u73b0\u5207\u7f18\u4e0d\u8db3\u6216\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u65f6\uff0c\u5e94\u884c\u80ba\u53f6\u5207\u9664(\u2161B)\u3002<\/p>\n

\u5171\u8bc621\uff1a\u5bf9\u4f4d\u4e8e\u80ba\u51852\/3\u3001\u76f4\u5f84\u22642 cm\u3001CTR\u22640.5\uff0c\u9996\u9009\u80ba\u6bb5\u5207\u9664\u52a0\u80ba\u95e8\u548c\u80ba\u5185\u6dcb\u5df4\u7ed3\u6e05\u626b\uff0c\u4e0d\u5f3a\u5236\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\uff1b\u5f53\u51fa\u73b0\u5207\u7f18\u4e0d\u8db3\u6216\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u65f6\uff0c\u5e94\u8fdb\u884c\u80ba\u53f6\u5207\u9664(\u2161B)\u3002<\/p>\n

\u5171\u8bc622\uff1a\u5bf9\u76f4\u5f84\u22642 cm\u3001CTR>0.5\uff0c\u53ef\u9009\u62e9\u80ba\u6bb5\u5207\u9664\u672f\u6216\u80ba\u53f6\u5207\u9664\u52a0\u80ba\u95e8\u548c\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b(\u2161B)\u3002<\/p>\n

\u5171\u8bc6 23\uff1a\u7eaf\u78e8\u73bb\u7483\u80ba\u90e8\u7ed3\u8282\u6954\u5f62\u5207\u9664\u51b0\u51bb\u5207\u7247\u8bc1\u5b9e\u5207\u7f18\u9634\u6027\uff0c\u65e0\u7624\u5207\u7f18\u5e94\u81f3\u5c11>5 mm\u3002\u542b\u5b9e\u6027\u6210\u5206\u80ba\u90e8\u7ed3\u8282\u6954\u5f62\u5207\u9664\u51b0\u51bb\u5207\u7247\u8bc1\u5b9e\u5207\u7f18\u9634\u6027\uff0c\u65e0\u7624\u5207\u7f18\u5e94\u5927\u4e8e\u80bf\u7624\u6700\u5927\u76f4\u5f84\uff08\u2161A\uff09\u3002<\/p>\n

\u5171\u8bc6 24\uff1a\u60a3\u8005\u5168\u8eab\u72b6\u51b5\u65e0\u6cd5\u8010\u53d7\u80ba\u53f6\u5207\u9664\u672f\u6216\u624b\u672f\u98ce\u9669\u8fc7\u9ad8\uff0c\u7ecf\u7efc\u5408\u8bc4\u4f30\u540e\uff0c\u53ef\u9009\u62e9\u59a5\u534f\u6027\u80ba\u6954\u5f62\u5207\u9664\u672f\uff0c\u672f\u540e\u8f85\u4ee5\u5176\u4ed6\u975e\u624b\u672f\u6cbb\u7597\u65b9\u6848\u3002\u5982\u65e0\u6cd5\u8010\u53d7\u4efb\u4f55\u624b\u672f\uff0c\u5219\u5efa\u8bae\u7a7f\u523a\u3001\u6c14\u7ba1\u955c\u6d3b\u68c0\u7b49\u65b9\u6cd5\u660e\u786e\u75c5\u7406\u540e\uff0c\u6839\u636e\u76f8\u5e94\u7ed3\u679c\u884c\u4fdd\u5b88\u6cbb\u7597\uff08\u2161A\uff09\u3002<\/p>\n

4    \u591a\u53d1\u80ba\u7ed3\u8282\u89c4\u8303\u5316\u8bca\u7597\u63a8\u8350<\/p>\n

\u5171\u8bc625\uff1a\u540c\u65f6\u591a\u53d1\u80ba\u90e8\u9ad8\u5371\u5b9e\u6027\u7ed3\u8282(0.6\uff5e2.0 cm)\uff0c\u5efa\u8bae\u4ee5\u660e\u786e\u8bca\u65ad\u4e3a\u9996\u8981\u76ee\u6807\uff0c\u53ef\u9009\u62e9 PET-CT\u3001\u7a7f\u523a\u75c5\u7406\u6d3b\u68c0\u3001\u624b\u672f\u6d3b\u68c0\u4ee5\u53ca\u7ed3\u5408\u5206\u5b50\u9057\u4f20\u5b66\u68c0\u6d4b\u7b49\u505a\u51fa\u8bca\u65ad\uff0c\u6839\u636e\u8bca\u65ad\u8fdb\u884c\u5bf9\u5e94\u6cbb\u7597(\u2160A)\u3002<\/p>\n

\u5171\u8bc626\uff1a\u540c\u65f6\u6027\u591a\u53d1\u80ba\u90e8 GGN\uff0c\u5982\u5b58\u5728\u9ad8\u5371\u75c5\u7076\uff0c\u5e94\u4ee5\u5207\u9664\u9ad8\u5371\u75c5\u7076\u4e3a\u4e3b\u8981\u76ee\u6807\uff0c\u5728\u7b26\u5408\u80bf\u7624\u5b66\u539f\u5219\u57fa\u7840\u4e0a\uff0c\u4ee5\u5c3d\u53ef\u80fd\u4fdd\u7559\u80ba\u529f\u80fd\u4e3a\u5b9c\uff0c\u800c\u4e0d\u5e94\u4ee5\u5207\u9664\u6240\u6709\u7ed3\u8282\u4e3a\u76ee\u6807\uff0c\u4f18\u5148\u63a8\u8350\u4e9a\u80ba\u53f6\u5207\u9664\uff0c\u4e0d\u63a8\u8350\u884c\u5168\u80ba\u5207\u9664\u672f(\u2160B)\u3002<\/p>\n

\u5171\u8bc627\uff1a\u53cc\u4fa7\u540c\u65f6\u591a\u53d1\u80ba\u90e8GGN\uff0c\u8c28\u614e\u9009\u62e9\u540c\u671f\u624b\u672f\uff0c\u540c\u671f\u624b\u672f\u65f6\u5e94\u5148\u884c\u624b\u672f\u5207\u9664\u8303\u56f4\u8f83\u5c0f\u7684\u4e00\u4fa7\uff0c\u4ee5\u786e\u4fdd\u5bf9\u4fa7\u624b\u672f\u7684\u5b89\u5168\u5b9e\u65bd\uff1b\u5206\u671f\u624b\u672f\u65f6\u5219\u5e94\u5148\u5207\u9664\u4e3b\u75c5\u7076\uff0c\u4e8c\u671f\u95f4\u96946\uff5e8\u5468\u53ca\u4ee5\u4e0a\u518d\u884c\u5bf9\u4fa7\u624b\u672f(\u2161B)\u3002<\/p>\n

5    \u80ba\u7ed3\u8282\u672f\u540e\u5eb7\u590d\u8bca\u7597\u89c4\u8303\u5316\u63a8\u8350<\/p>\n

\u5171\u8bc628\uff1a\u56f4\u672f\u671f\u5efa\u8bae\u53ef\u5728\u5b89\u5168\u7684\u524d\u63d0\u4e0b\uff0c\u5229\u7528\u6570\u5b57\u8bca\u7597\u6280\u672f\uff0c\u9075\u5faa ERAS \u7406\u5ff5\uff0c\u8fbe\u5230\u672f\u540e\u65e9\u671f\u5eb7\u590d(IA)\u3002<\/p>\n

\u5171\u8bc629\uff1a\u6db2\u4f53\u6d3b\u68c0\u3001MRD \u7b49\u65b0\u6280\u672f\u6709\u5229\u4e8e\u65e9\u671f\u8bc6\u522b\u80ba\u90e8\u80bf\u7624\u590d\u53d1(\u2161B)\u3002<\/p>\n

\u9644\u5f55 1\uff1a<\/p>\n

(1)\u5bf9\u4e8e\u75c5\u7406\u63d0\u793a\u975e\u5c0f\u7ec6\u80de\u80ba\u764c\u542b\u5fae\u4e73\u5934\u3001\u5b9e\u6027\u4e9a\u578b\u3001\u590d\u6742\u817a\u4f53\u7ed3\u6784\u3001\u4f4e\u5206\u5316\u6216\u672a\u5206\u5316\u6210\u5206\u7b49\u590d\u53d1\u9ad8\u5371\u56e0\u7d20\uff0c\u53ca\u4e3b\u75c5\u7076\u5468\u56f4\u5b58\u5728\u8109\u7ba1\u764c\u6813\u3001\u80f8\u819c\u4fb5\u72af\u3001\u5fae\u536b\u661f\u8f6c\u79fb\u7076\u3001\u6c14\u8154\u64ad\u6563\u7b49\u80bf\u7624\u5206\u671f\u5347\u7ea7\u60c5\u51b5\uff0c\u5efa\u8bae\u884c\u80ba\u53f6\u5207\u9664\u672f\u52a0\u80ba\u95e8\u53ca\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\u3002\u4f46\u672f\u4e2d\u51b0\u51bb\u68c0\u67e5\u5f88\u96be\u83b7\u53d6\u5168\u9762\u7684\u80bf\u7624\u9ad8\u5371\u56e0\u7d20\uff0c\u53ca\u65f6\u6307\u5bfc\u672f\u4e2d\u624b\u672f\u65b9\u5f0f\u9009\u62e9\u5b58\u5728\u4e00\u5b9a\u96be\u5ea6\uff0c\u6709\u5f85\u66f4\u591a\u672f\u4e2d\u9ad8\u5371\u6307\u6807\u7684\u786e\u5b9a\uff0c\u66f4\u597d\u5730\u786e\u5b9a\u624b\u672f\u7b49\u7ea7\u3002<\/p>\n

(2)\u75c5\u7406\u7c7b\u578b\u4e3a\u5c0f\u7ec6\u80de\u764c\u7684\u80ba\u90e8\u7ed3\u8282(\u22642 cm)\uff0c\u6839\u636e\u76ee\u524d\u7f8e\u56fd\u56fd\u7acb\u7efc\u5408\u764c\u75c7\u7f51\u7edc(NCCN)\u5c0f\u7ec6\u80de\u80ba\u764c\u8bca\u7597\u89c4\u8303\u63a8\u8350\uff0c\u5efa\u8bae\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u6216PETCT\u5168\u8eab\u8bc4\u4f30\uff0c\u5982\u6dcb\u5df4\u7ed3\u6ca1\u6709\u660e\u663e\u8f6c\u79fb(\u2160\uff5e\u2161A \u671f)\uff0c\u4ecd\u5efa\u8bae\u884c\u80ba\u53f6\u5207\u9664\u52a0\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\u3002\u5982\u6dcb\u5df4\u7ed3\u5b58\u5728\u8f6c\u79fb(\u2161B\u671f\u4ee5\u4e0a)\uff0c\u6cbb\u7597\u65b9\u6848\u6ca1\u6709\u5b8c\u5168\u7edf\u4e00\uff0c\u90e8\u5206\u5b66\u8005\u8ba4\u4e3a\u80ba\u53f6\u5207\u9664\u672f\u53ca\u7eb5\u9694\u6dcb\u5df4\u7ed3\u6e05\u626b\u4ecd\u6709\u8f83\u597d\u6cbb\u7597\u610f\u4e49\uff0c\u53ef\u6839\u636e\u8be5\u4e89\u8bae\u505a\u66f4\u591a\u7814\u7a76\u660e\u786e\u3002<\/p>\n

(3)\u6570\u5b57\u7597\u6cd5\u4e0d\u4ec5\u80fd\u7ed9\u60a3\u8005\u63d0\u4f9b\u4e2a\u6027\u5316\u3001\u5b9a\u5236\u5316\u7684\u6cbb\u7597\u65b9\u6848\uff0c\u4e5f\u80fd\u7ed9\u533b\u7597\u4eba\u5458\u5e26\u6765\u66f4\u591a\u7684\u521b\u65b0\u5b9e\u8df5\u673a\u4f1a\uff0c\u4e3a\u4f18\u5316\u4e34\u5e8a\u7ed3\u679c\u3001\u52a9\u529b\u4e34\u5e8a\u79d1\u7814\u63d0\u4f9b\u5b9d\u8d35\u6750\u6599\u3002\u6709\u5f85\u66f4\u591a\u7684\u4e34\u5e8a\u5b9e\u8df5\u53ca\u53d1\u5c55\u3002<\/p>\n

\u53c2\u8003\u6587\u732e\uff1a<\/p>\n

[1]\u80e1\u575a,\u652f\u4fee\u76ca,\u5218\u4f26\u65ed,\u7b49.\u76f4\u5f84\u22642cm\u80ba\u7ed3\u8282\u80f8\u5916\u79d1\u5408\u7406\u8bca\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\uff09[J\/OL].\u4e2d\u56fd\u80f8\u5fc3\u8840\u7ba1\u5916\u79d1\u4e34\u5e8a\u6742\u5fd7,1-13[2024-07-19].<\/p>\n

\u25cf \u4e00\u5468\u51e0\u6b21\u6027\u884c\u4e3a\u624d\u4f1a\u5f97HPV\uff1f\u611f\u67d3HPV\u4f1a\u5f97\u5bab\u9888\u764c\u5417\uff1f<\/p>\n

\u25cf \u4e73\u817a\u7ed3\u8282\u3001\u80ba\u7ed3\u8282\u3001\u7532\u72b6\u817a\u7ed3\u8282…\u7684RADS\u5206\u7ea7\uff0c\u90fd\u603b\u7ed3\u597d\u4e86\uff01<\/p>\n

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\u25cf \u80ba\u817a\u764c\u4e0e\u9cde\u764c\u514d\u75ab\u7ec4\u5316\u6307\u6807\u5982\u4f55\u9274\u522b\uff1f\u90fd\u603b\u7ed3\u597d\u4e86\uff01<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

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