{"id":43273,"date":"2024-11-06T05:10:27","date_gmt":"2024-11-06T05:10:27","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=43273"},"modified":"2024-11-06T05:10:27","modified_gmt":"2024-11-06T05:10:27","slug":"%e3%80%90%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%86%e3%80%91%e6%a4%8e%e5%8a%a8%e8%84%89%e8%b5%b7%e5%a7%8b%e9%83%a8%e7%8b%ad%e7%aa%84%e8%a1%80%e7%ae%a1%e5%86%85%e4%bb%8b%e5%85%a5%e6%b2%bb%e7%96%97%e4%b8%ad","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=43273","title":{"rendered":"\u3010\u4e13\u5bb6\u5171\u8bc6\u3011\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09"},"content":{"rendered":"

\n

\u5f15\u7528\u672c\u6587\uff1a\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u4ecb\u5165\u533b\u5e08\u5206\u4f1a, \u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u795e\u7ecf\u5916\u79d1\u533b\u5e08\u5206\u4f1a\u795e\u7ecf\u4ecb\u5165\u4e13\u4e1a\u59d4\u5458\u4f1a, \u4e2d\u56fd\u5352\u4e2d\u5b66\u4f1a\u795e\u7ecf\u4ecb\u5165\u5206\u4f1a. \u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082024\u7248\uff09[J]. \u4e2d\u534e\u795e\u7ecf\u533b\u5b66\u6742\u5fd7, 2024, 23(10): 973-982.<\/p>\n

DOI: 10.3760\/cma.j.cn115354-20240910-00556.<\/p>\n

\u6458   \u8981<\/p>\n

\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\uff08VAOS\uff09\u662f\u690e\u52a8\u8109\u72ed\u7a84\u6700\u5e38\u89c1\u7684\u7c7b\u578b\uff0c\u5c06\u5bfc\u81f4\u540e\u5faa\u73af\u7cfb\u7edf\u4f9b\u8840\u51cf\u5c11\u6216\u7ee7\u53d1\u690e-\u57fa\u5e95\u52a8\u8109\u6813\u585e\uff0c\u4ea7\u751f\u4e00\u7cfb\u5217\u795e\u7ecf\u7cfb\u7edf\u529f\u80fd\u7f3a\u635f\u7684\u4e34\u5e8a\u8868\u73b0\u3002\u76ee\u524d\u5173\u4e8eVAOS\u6cbb\u7597\u7684\u4e34\u5e8a\u968f\u673a\u5bf9\u7167\u7814\u7a76\u76f8\u5bf9\u8f83\u5c11\uff0c\u5176\u6cbb\u7597\u7ecf\u9a8c\u4e3b\u8981\u6765\u81ea\u51a0\u72b6\u52a8\u8109\u786c\u5316\u6027\u5fc3\u810f\u75c5\u3001\u9888\u52a8\u8109\u72ed\u7a84\u7b49\u75be\u75c5\u7684\u6cbb\u7597\uff0c\u5305\u62ec\u836f\u7269\u6cbb\u7597\u548c\u8840\u8fd0\u91cd\u5efa\u7b49\u3002\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u56e0\u5176\u64cd\u4f5c\u7b80\u4fbf\u3001\u521b\u4f24\u5c0f\u3001\u5b89\u5168\u6027\u9ad8\u7b49\u4f18\u52bf\uff0c\u9010\u6e10\u6210\u4e3aVAOS\u7684\u9996\u9009\u8840\u8fd0\u91cd\u5efa\u7b56\u7565\u3002\u4f46\u8be5\u6280\u672f\u4e34\u5e8a\u5e94\u7528\u4e2d\u4ecd\u5b58\u5728\u624b\u672f\u6307\u5f81\u4e0d\u660e\u786e\u3001\u624b\u672f\u7b56\u7565\u4e0d\u4e00\u81f4\u7b49\u4e0d\u8db3\uff0c\u6545\u672c\u5171\u8bc6\u7ed3\u5408\u6700\u65b0\u4e34\u5e8a\u7814\u7a76\u6210\u679c\u548c\u4e13\u5bb6\u610f\u89c1\uff0c\u5728VAOS\u672f\u524d\u8bc4\u4f30\u3001\u56f4\u624b\u672f\u671f\u7ba1\u7406\u3001\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u7b56\u7565\u3001\u5e76\u53d1\u75c7\u9632\u6cbb\u53ca\u672f\u540e\u968f\u8bbf\u5185\u5bb9\u7b49\u65b9\u9762\u63d0\u51fa\u5982\u4e0b\u610f\u89c1\u53ca\u5efa\u8bae\u3002<\/p>\n

\u524d   \u8a00<\/p>\n

\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\uff08vertebral artery ostium stenosis\uff0cVAOS\uff09\u662f\u6307\u5404\u79cd\u539f\u56e0\u5bfc\u81f4\u7684\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u7ba1\u8154\u53d8\u7a84\u3001\u8840\u6d41\u53d7\u9650\uff0c\u5c06\u5bfc\u81f4\u690e-\u57fa\u5e95\u52a8\u8109\u7cfb\u7edf\u4f9b\u8840\u51cf\u5c11\uff0c\u4ece\u800c\u4ea7\u751f\u4e00\u7cfb\u5217\u540e\u5faa\u73af\u7f3a\u8840\u76f8\u5173\u7684\u795e\u7ecf\u7cfb\u7edf\u529f\u80fd\u7f3a\u635f\u8868\u73b0\uff0c\u5982\u5934\u6655\u3001\u89c6\u7269\u65cb\u8f6c\u3001\u89c6\u7269\u6a21\u7cca\u6216\u53cc\u5f71\u3001\u80a2\u4f53\u6d3b\u52a8\u969c\u788d\u3001\u6784\u97f3\u969c\u788d\u3001\u5171\u6d4e\u5931\u8c03\u7b49[1]<\/sup>\u3002\u540e\u5faa\u73af\u5352\u4e2d\u767b\u8bb0\u7814\u7a76\u7ed3\u679c\u8868\u660e\uff0c\u540e\u5faa\u73af\u7f3a\u8840\u4e8b\u4ef6\u4e2d\u7ea67.9%\u75c5\u4f8b\u4e0eVAOS\u76f4\u63a5\u76f8\u5173\uff08\u52a8\u8109-\u52a8\u8109\u6813\u585e\uff09\uff0c\u7ea64.9%\u75c5\u4f8b\u4e0eVAOS\u53ef\u80fd\u76f8\u5173\uff0c\u65e0\u75c7\u72b6\u6027VAOS\u53d1\u751f\u7387\u7ea6\u4e3a5.4%[2]<\/sup>\u3002\u56de\u987e\u6027\u7814\u7a76\u8868\u660e\uff0c20.2%~31.6%\u884c\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u6025\u6027\u57fa\u5e95\u52a8\u8109\u95ed\u585e\u75c5\u4f8b\u662f\u7531\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\u5904\u8840\u6813\u8131\u843d\u6240\u5bfc\u81f4[3-4]<\/sup>\u3002VAOS\u7684\u6cbb\u7597\u53d6\u51b3\u4e8e\u72ed\u7a84\u7684\u4e25\u91cd\u7a0b\u5ea6\u3001\u4e34\u5e8a\u8868\u73b0\u548c\u8840\u7ba1\u4ee3\u507f\u60c5\u51b5\uff0c\u6cbb\u7597\u65b9\u6cd5\u5305\u62ec\u4e00\u822c\u6cbb\u7597\u3001\u836f\u7269\u6cbb\u7597\u548c\u8840\u8fd0\u91cd\u5efa\uff08\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u3001\u5916\u79d1\u624b\u672f\u6cbb\u7597\uff09\uff0c\u5176\u4e2d\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u56e0\u5176\u521b\u4f24\u5c0f\u3001\u5b89\u5168\u6027\u9ad8\u7b49\u4f18\u52bf\uff0c\u9010\u6e10\u6210\u4e3aVAOS\u7684\u9996\u9009\u8840\u8fd0\u91cd\u5efa\u7b56\u7565\u3002\u4e3a\u8fdb\u4e00\u6b65\u89c4\u8303VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u6d41\u7a0b\u53ca\u64cd\u4f5c\uff0c\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u4ecb\u5165\u533b\u5e08\u5206\u4f1a\u7ec4\u7ec7\u4e13\u5bb6\u8ba8\u8bba\u5e76\u7ed3\u5408\u6700\u65b0\u4e34\u5e8a\u7814\u7a76\u6210\u679c\u5236\u5b9a\u672c\u5171\u8bc6\uff0c\u56f4\u7ed5\u56f4\u624b\u672f\u671f\u7ba1\u7406\u3001\u8840\u8fd0\u91cd\u5efa\u9002\u5e94\u8bc1\u3001\u624b\u672f\u7b56\u7565\u9009\u62e9\u548c\u672f\u540e\u968f\u8bbf\u8fd9\u56db\u4e2a\u65b9\u9762\u63d0\u51fa\u82e5\u5e72\u63a8\u8350\u610f\u89c1\u3002<\/p>\n

\u4e00\u3001\u5171\u8bc6\u5236\u5b9a\u8fc7\u7a0b\u53ca\u65b9\u6cd5\u5b66<\/p>\n

\uff08\u4e00\uff09\u5171\u8bc6\u53d1\u8d77\u673a\u6784\u53ca\u5de5\u4f5c\u6d41\u7a0b<\/p>\n

\u672c\u5171\u8bc6\u7531\u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u4ecb\u5165\u533b\u5e08\u5206\u4f1a\u53d1\u8d77\u548c\u7ec4\u7ec7\u64b0\u5199\uff0c\u64b0\u5199\u5de5\u4f5c\u81ea2023\u5e7410\u6708\u542f\u52a8\uff0c\u9080\u8bf7\u4e86\u56fd\u5185\u795e\u7ecf\u5916\u79d1\u3001\u795e\u7ecf\u5185\u79d1\u3001\u8840\u7ba1\u5916\u79d1\u3001\u795e\u7ecf\u4ecb\u5165\u79d1\u3001\u653e\u5c04\u4ecb\u5165\u79d1\u7b4999\u4f4d\u4e13\u5bb6\u53c2\u4e0e\u7f16\u5199\u548c\u8ba8\u8bba\u3002\u901a\u8fc7\u6587\u732e\u68c0\u7d22\u3001\u8bc1\u636e\u603b\u7ed3\u53ca\u7ed3\u5408\u4e13\u5bb6\u4e34\u5e8a\u5b9e\u8df5\u7ecf\u9a8c\uff0c\u5f62\u6210\u5171\u8bc6\u6846\u67b6\u53ca\u521d\u62df\u63a8\u8350\u610f\u89c1\u3002\u91c7\u7528\u6539\u826f\u5fb7\u5c14\u83f2\u6cd5\u5bf9\u4e13\u5bb6\u7ec4\u8fdb\u884c2\u8f6e\u4e13\u5bb6\u51fd\u8be2\u53ca1\u8f6e\u7ebf\u4e0b\u8bba\u8bc1\uff0c\u5f62\u6210\u6700\u7ec8\u63a8\u8350\u610f\u89c1\uff0c\u6c47\u603b\u5f97\u5230\u6700\u7ec8\u5171\u8bc6\u5185\u5bb9\u3002<\/p>\n

\uff08\u4e8c\uff09\u6587\u732e\u68c0\u7d22<\/p>\n

\u68c0\u7d22\u6570\u636e\u5e93\u5305\u62ecPubMed\u3001Web of Science\u3001Embase\u3001\u4e2d\u56fd\u77e5\u7f51\u548c\u4e07\u65b9\u6570\u636e\u77e5\u8bc6\u670d\u52a1\u5e73\u53f0\uff1b\u68c0\u7d22\u5173\u952e\u8bcd\u5305\u62ec\u201cvertebral artery ostium stenosis\u3001vertebral artery origine stenosis\u3001vertebral artery ostium\u3001vertebral artery origine\u3001vertebral artery stenosis\u3001endovascular treatment\u3001endovascular intervention treatment\u3001\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u72ed\u7a84\u3001\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u3001\u690e\u52a8\u8109\u72ed\u7a84\u3001\u4ecb\u5165\u6cbb\u7597\u7b49\u201d\u3002\u68c0\u7d22\u65f6\u95f4\u4e3a\u5efa\u5e93\u5f00\u59cb\u81f32024\u5e744\u6708\uff0c\u7eb3\u5165\u6587\u732e\u7c7b\u578b\u5305\u62ec\u4e34\u5e8a\u6307\u5357\u3001\u4e13\u5bb6\u5171\u8bc6\u3001\u7efc\u8ff0\u3001\u835f\u8403\u5206\u6790\u548c\u539f\u521b\u8bba\u8457\uff1b\u5254\u9664\u91cd\u590d\u6587\u732e\u3001\u65e0\u6cd5\u83b7\u53d6\u5168\u6587\u7684\u6587\u732e\u3002<\/p>\n

\uff08\u4e09\uff09\u63a8\u8350\u7b49\u7ea7<\/p>\n

\u672c\u5171\u8bc6\u91c7\u7528\u6539\u826f\u5fb7\u5c14\u83f2\u6cd5\uff0c\u5373\u4e13\u5bb6\u7ec4\u6295\u7968\u7684\u5f62\u5f0f\u51b3\u5b9a\u63a8\u8350\u610f\u89c1\u7684\u5206\u7ea7\uff0c\u6295\u7968\u8bbe\u7f6e5\u4e2a\u9009\u9879\uff1a\uff081\uff09\u5f3a\u63a8\u8350\uff1b\uff082\uff09\u5f31\u63a8\u8350\uff1b\uff083\uff09\u65e0\u660e\u786e\u63a8\u8350\u610f\u89c1\uff1b\uff084\uff09\u5f31\u4e0d\u63a8\u8350\uff1b\uff085\uff09\u5f3a\u4e0d\u63a8\u8350\u3002\u901a\u8fc7\u7edf\u8ba1\u6295\u7968\u7ed3\u679c\u4e2d\u4e0d\u540c\u9009\u9879\u53ca\u7ec4\u5408\u7684\u6295\u7968\u6bd4\u4f8b\uff0c\u5c06\u63a8\u8350\u7b49\u7ea7\u5206\u4e3a\u2160\u3001\u2161\u3001\u2162\u3001\u2163\u7ea7\uff0c\u5177\u4f53\u4ee3\u8868\u610f\u4e49\u89c1\u88681\u3002<\/p>\n<\/p>\n

\u4e8c\u3001\u690e\u52a8\u8109\u6982\u8ff0<\/p>\n

\uff08\u4e00\uff09\u690e\u52a8\u8109\u7684\u89e3\u5256\u7ed3\u6784<\/p>\n

\u690e\u52a8\u8109\u4e00\u822c\u8d77\u81ea\u9501\u9aa8\u4e0b\u52a8\u8109\u4e2d\u6bb5\uff0c\u5411\u4e0a\u7ecf\u7b2c6\u81f3\u7b2c1\u9888\u690e\u7684\u6a2a\u7a81\u5b54\uff0c\u518d\u5411\u540e\u65b9\u7a7f\u8fc7\u6795\u4e0b\u4e09\u89d2\uff0c\u7136\u540e\u901a\u8fc7\u6795\u9aa8\u5927\u5b54\u8fdb\u5165\u9885\u5185\uff1b\u53cc\u4fa7\u690e\u52a8\u8109\u6c47\u5408\u5f62\u6210\u57fa\u5e95\u52a8\u8109\u3002\u690e\u52a8\u8109\u5728\u89e3\u5256\u5b66\u4e0a\u5206\u4e3a\u56db\u6bb5\uff0c\u5206\u522b\u4e3a\u9888\u6bb5\uff08V1\u6bb5\uff09\u3001\u690e\u95f4\u6bb5\uff08V2\u6bb5\uff09\u3001\u6795\u6bb5\uff08V3\u6bb5\uff09\u548c\u9885\u5185\u6bb5\uff08V4\u6bb5\uff09[5]<\/sup>\u3002\u4eba\u7fa4\u4e2d\u7ea611%\u5b58\u5728\u690e\u52a8\u8109\u53d1\u80b2\u4e0d\u826f\uff0c\u5305\u62ec\u690e\u52a8\u8109\u7ea4\u7ec6\u3001\u690e\u52a8\u8109\u4ec5\u4f9b\u8840\u81f3\u5c0f\u8111\u540e\u4e0b\u52a8\u8109\u3001\u690e\u52a8\u8109\u7f3a\u5982\u7b49[6-7\uff0c3]<\/sup>\u3002\u7814\u7a76\u8868\u660e\uff0c\u5b58\u5728\u690e\u52a8\u8109\u53d1\u80b2\u4e0d\u826f\u7684\u4eba\u7fa4\u8111\u5352\u4e2d\u98ce\u9669\u660e\u663e\u589e\u52a0[8-9]<\/sup>\u3002\u690e\u52a8\u8109\u7684\u4fa7\u652f\u4ee3\u507f\u76f8\u5bf9\u8f83\u5f31\uff0c\u4e3b\u8981\u6765\u81ea\u540e\u4ea4\u901a\u52a8\u8109\uff0c\u5176\u6b21\u4e3a\u9888\u5916\u52a8\u8109\u7cfb\u7edf\u4e2d\u6795\u52a8\u8109-\u54bd\u5347\u52a8\u8109\u4e4b\u95f4\u7684\u543b\u5408\u3001\u808b\u9888\u5e72-\u9888\u6df1\u52a8\u8109\u7684\u4fa7\u652f\u543b\u5408\u3001\u7532\u72b6\u9888\u5e72-\u9888\u5347\u52a8\u8109\u7684\u4fa7\u652f\u543b\u5408\u3001\u8109\u7edc\u819c\u52a8\u8109\u4fa7\u652f\u4ee3\u507f\u548c\u53cc\u4fa7\u690e\u52a8\u8109\u95f4\u7684\u808c\u652f\u543b\u5408\u7b49\u3002\u540e\u4ea4\u901a\u52a8\u8109\u53d1\u80b2\u4e0d\u826f\u4f1a\u5f71\u54cd\u690e\u52a8\u8109\u7684\u4fa7\u652f\u4ee3\u507f\uff0c\u53d1\u751f\u540e\u5faa\u73af\u5927\u8840\u7ba1\u95ed\u585e\u65f6\uff0c\u5b58\u5728\u80da\u80ce\u578b\u5927\u8111\u540e\u52a8\u8109\u7684\u60a3\u8005\uff0c\u5176\u5bf9\u540e\u5faa\u73af\u7684\u4fa7\u652f\u4ee3\u507f\u66f4\u4e3a\u8584\u5f31[10]<\/sup>\uff1b\u5176\u4ed6\u4ee3\u507f\u9014\u5f84\u4e3b\u8981\u89c1\u4e8e\u6162\u6027\u690e\u52a8\u8109\u95ed\u585e\u7684\u60a3\u8005\u3002\u4e00\u9879\u7eb3\u5165\u4e8622\u4f8b\u53cc\u4fa7VAOS\u6216\u95ed\u585e\u7684\u7814\u7a76\u8868\u660e\uff1a\u53cc\u4fa7VAOS\u6216\u95ed\u585e\u540e\u53ef\u542f\u52a86\u6761\u4fa7\u652f\u4ee3\u507f\u9014\u5f84\uff0c\u5206\u522b\u4e3a\u540e\u4ea4\u901a\u52a8\u8109\u3001\u9888\u6df1\u52a8\u8109\u3001\u7532\u72b6\u9888\u5e72\u3001\u6795\u52a8\u8109\u3001\u8109\u7edc\u819c\u52a8\u8109\u3001\u53cc\u4fa7\u690e\u52a8\u8109\u95f4\u808c\u652f\u7b49\uff0c\u591a\u79cd\u4ee3\u507f\u9014\u5f84\u53ef\u540c\u65f6\u5b58\u5728[11]<\/sup>\u3002<\/p>\n

\uff08\u4e8c\uff09VAOS\u7684\u75c5\u56e0<\/p>\n

VAOS\u7684\u75c5\u56e0\u4e3b\u8981\u5305\u62ec\u52a8\u8109\u7ca5\u6837\u786c\u5316\u3001\u7ea4\u7ef4\u808c\u53d1\u80b2\u4e0d\u826f\u3001\u8840\u7ba1\u708e\u3001\u5148\u5929\u6027\u53d1\u80b2\u5f02\u5e38\u3001\u653e\u5c04\u6027\u635f\u4f24\u3001\u673a\u68b0\u6027\u635f\u4f24\uff08\u9888\u690e\u9000\u884c\u6027\u53d8\u3001\u5916\u4f24\u3001\u4e3b\u52a8\u8109\u5939\u5c42\u3001\u80f8\u5ed3\u51fa\u53e3\u7efc\u5408\u5f81\u7b49\uff09\u7b49[12]<\/sup>\u3002\u52a8\u8109\u7ca5\u6837\u786c\u5316\u662fVAOS\u6700\u5e38\u89c1\u7684\u75c5\u56e0\uff0c\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u662f\u8840\u7ba1\u5185\u6591\u5757\u5f62\u6210\u548c\u8fdb\u5c55\u7684\u7b2c\u4e8c\u5e38\u89c1\u90e8\u4f4d\uff0c\u4ec5\u6b21\u4e8e\u9888\u52a8\u8109\u5206\u53c9\u90e8[13-14]<\/sup>\u3002<\/p>\n

\uff08\u4e09\uff09VAOS\u72ed\u7a84\u7a0b\u5ea6\u5206\u7ea7<\/p>\n

VAOS\u72ed\u7a84\u7a0b\u5ea6\u7684\u6d4b\u91cf\u4e0e\u8ba1\u7b97\u65b9\u6cd5\u76f8\u5173\u3002\u6570\u5b57\u51cf\u5f71\u8840\u7ba1\u9020\u5f71\uff08digital subtraction angiography\uff0cDSA\uff09\u4e3a\u5224\u65adVAOS\u72ed\u7a84\u7a0b\u5ea6\u7684\u91d1\u6807\u51c6\u3002\u9020\u5f71\u540e\uff0c\u53c2\u7167\u5317\u7f8e\u75c7\u72b6\u6027\u9888\u52a8\u8109\u5185\u819c\u5207\u9664\u8bd5\u9a8c\uff08North American symptomatic carotid endarterectomy trial\uff0cNASCET\uff09\u4e2d\u5173\u4e8e\u9888\u52a8\u8109\u72ed\u7a84\u7684\u6d4b\u91cf\u65b9\u6cd5[15]<\/sup>\uff0c\u516c\u5f0f\u4e3a\u72ed\u7a84\u7387\uff08%\uff09=\uff081-\u6b8b\u4f59\u7ba1\u8154\u76f4\u5f84\uff09\/\u72ed\u7a84\u8fdc\u7aef\u6b63\u5e38\u7ba1\u8154\u76f4\u5f84\u00d7100%\u3002VAOS\u7684\u72ed\u7a84\u7a0b\u5ea6\u5206\u4e3a\uff1a\u8f7b\u5ea6\u72ed\u7a84\uff08\u72ed\u7a84\u7387\u2264\u4e3a49%\uff09\u3001\u4e2d\u5ea6\u72ed\u7a84\uff08\u72ed\u7a84\u7387\u4e3a50%~69%\uff09\u548c\u91cd\u5ea6\u72ed\u7a84\uff08\u72ed\u7a84\u7387\u4e3a70%~99%\uff09\u3002<\/p>\n

\u4e09\u3001VAOS\u7684\u8bca\u65ad<\/p>\n

VAOS\u8bca\u65ad\u4e3b\u8981\u4f9d\u8d56\u4e8e\u4e34\u5e8a\u8868\u73b0\u53ca\u8f85\u52a9\u68c0\u67e5\u3002\u5e38\u7528\u7684\u8f85\u52a9\u68c0\u67e5\u65b9\u6cd5\u5305\u62ec\uff1a\u8840\u7ba1\u8d85\u58f0\u3001\u78c1\u5171\u632f\u8840\u7ba1\u6210\u50cf\uff08magnetic resonance angiography\uff0cMRA\uff09\u3001\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\u8840\u7ba1\u6210\u50cf\uff08computed tomography angiography\uff0cCTA\uff09\u3001DSA\u3001\u9ad8\u5206\u8fa8\u7387MRI\u548c\u5149\u5b66\u76f8\u5e72\u65ad\u5c42\u626b\u63cf\uff08optical coherence tomography\uff0cOCT\uff09\u7b49\uff0c\u8fd9\u4e9b\u6280\u672f\u80fd\u591f\u63d0\u4f9b\u8be6\u7ec6\u7684\u8840\u7ba1\u7ed3\u6784\u4fe1\u606f\uff0c\u4ee5\u8bc4\u4f30\u72ed\u7a84\u90e8\u4f4d\u3001\u72ed\u7a84\u7a0b\u5ea6\u3001\u6591\u5757\u6027\u8d28\u7b49\u3002<\/p>\n

\uff08\u4e00\uff09\u4e34\u5e8a\u8868\u73b0<\/p>\n

VAOS\u5f15\u8d77\u540e\u5faa\u73af\u7f3a\u8840\u5e38\u89c1\u7684\u4e34\u5e8a\u8868\u73b0\u5305\u62ec\u5e73\u8861\u969c\u788d\u3001\u5934\u6655\u3001\u6076\u5fc3\u5455\u5410\u3001\u773c\u7403\u9707\u98a4\u3001\u590d\u89c6\u3001\u541e\u54bd\u56f0\u96be\u3001\u80a2\u4f53\u65e0\u529b\u3001\u610f\u8bc6\u969c\u788d\u3001\u8dcc\u5012\u53d1\u4f5c\u548c\u504f\u76f2\u7b49\uff1b\u8f83\u4e3a\u5c11\u89c1\u7684\u8868\u73b0\u5305\u62ec\u77ed\u6682\u6027\u5168\u9762\u6027\u9057\u5fd8\u3001\u6795\u90e8\u5934\u75db\u548c\u53cc\u4fa7\u8fd0\u52a8\u548c\uff08\u6216\uff09\u611f\u89c9\u969c\u788d[16-18]<\/sup>\u3002\u72ed\u7a84\u90e8\u4f4d\u7684\u6613\u635f\u6591\u5757\u6216\u8005\u8840\u6813\u4e5f\u53ef\u80fd\u8131\u843d\u8fdb\u5165\u5230\u540e\u5faa\u73af\u8840\u7ba1\u4e2d\uff0c\u8fdb\u800c\u5bfc\u81f4\u77ed\u6682\u6027\u8111\u7f3a\u8840\u53d1\u4f5c\u6216\u8005\u540e\u5faa\u73af\u8111\u6897\u6b7b\u3002\u5176\u4e25\u91cd\u7a0b\u5ea6\u53d7\u591a\u79cd\u56e0\u7d20\u5f71\u54cd\uff0c\u5305\u62ec\u72ed\u7a84\u7a0b\u5ea6\u3001\u4fa7\u652f\u4ee3\u507f\u3001\u89e3\u5256\u53d8\u5f02\u53ca\u5371\u9669\u56e0\u7d20\u7b49\uff0c\u4f8b\u5982\u53cc\u4fa7\u690e\u52a8\u8109\u90fd\u5b58\u5728\u75c5\u53d8\u7684\u60a3\u8005\u66f4\u5bb9\u6613\u51fa\u73b0\u76f8\u5173\u4e34\u5e8a\u8868\u73b0[15]<\/sup>\u3002<\/p>\n

\uff08\u4e8c\uff09\u8f85\u52a9\u68c0\u67e5<\/p>\n

1. \u8840\u7ba1\u8d85\u58f0\uff1a\u8840\u7ba1\u8d85\u58f0\u662fVAOS\u65e9\u671f\u7b5b\u67e5\u548c\u8bca\u65ad\u4e2d\u6700\u5e38\u7528\u7684\u68c0\u67e5\u624b\u6bb5\uff0c\u5177\u6709\u5b89\u5168\u3001\u65e0\u521b\u3001\u53ef\u91cd\u590d\u3001\u7ecf\u6d4e\u6709\u6548\u7684\u7279\u70b9\u3002\u8840\u7ba1\u8d85\u58f0\u63a2\u67e5\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u65f6\u7531\u4e8e\u53d7\u5230\u9501\u9aa8\u963b\u6321\uff0c\u4e00\u822c\u9700\u8981\u4f7f\u7528\u51f8\u9635\u63a2\u5934\uff1b\u4e0d\u4ec5\u80fd\u63a2\u67e5\u8840\u7ba1\u72ed\u7a84\u7a0b\u5ea6\uff0c\u8fd8\u80fd\u63a2\u67e5\u690e\u52a8\u8109\u8840\u6d41\u65b9\u5411\u3001\u901f\u5ea6\u53ca\u6709\u65e0\u76d7\u8840\uff0c\u5e76\u53ef\u7528\u4e8e\u957f\u671f\u968f\u8bbf\u3002\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u7684\u89e3\u5256\u7ed3\u6784\u8f83\u4e3a\u590d\u6742\uff0c\u8840\u7ba1\u8d70\u884c\u8fc2\u66f2\uff0c\u7ba1\u5f84\u8f83\u5c0f\uff0c\u8d77\u59cb\u90e8\u91cd\u5ea6\u72ed\u7a84\u60a3\u8005\u8d85\u58f0\u68c0\u6d4b\u5177\u6709\u4e00\u5b9a\u7684\u6311\u6218\u6027[19]<\/sup>\u3002<\/p>\n

2. CTA\/MRA\uff1aCTA\u548cMRA\u5728\u8bca\u65adVAOS\u65f6\u5177\u6709\u8f83\u9ad8\u7684\u51c6\u786e\u6027\uff0c\u80fd\u591f\u6e05\u6670\u663e\u793a\u690e\u52a8\u8109\u7684\u8d70\u884c\u3001\u72ed\u7a84\u7a0b\u5ea6\u7b49\u91cd\u8981\u4fe1\u606f[20]<\/sup>\u3002\u7ecf\u8fc7\u540e\u5904\u7406\u7684CTA\u56fe\u50cf\u8fd8\u80fd\u591f\u5b9e\u73b0\u591a\u89d2\u5ea6\u65cb\u8f6c\u548c\u591a\u65b9\u4f4d\u89c2\u5bdf\u3002CTA\u7684\u7f3a\u70b9\u5305\u62ec\uff1a\u96be\u4ee5\u51c6\u786e\u8bc6\u522b\u5e7f\u6cdb\u9499\u5316\u8840\u7ba1\u7684\u7ba1\u8154\u76f4\u5f84[17]<\/sup>\u3001\u9020\u5f71\u5242\u7684\u80be\u810f\u6bd2\u6027\u3001\u8fc7\u654f\u53cd\u5e94\u3001\u5c04\u7ebf\u8f90\u5c04\u7b49\u3002<\/p>\n

\u65f6\u95f4\u98de\u8dc3\u6cd5\u78c1\u5171\u632f\u8840\u7ba1\u6210\u50cf(time of flight MRA\uff0cTOF-MRA)\u662f\u6700\u5e38\u7528\u3001\u65e0\u521b\u4e14\u4e0d\u9700\u5bf9\u6bd4\u5242\u7684\u690e\u52a8\u8109\u6210\u50cf\u65b9\u5f0f\uff0c\u4f46\u6210\u50cf\u8d28\u91cf\u53d7\u5230\u8840\u6d41\u901f\u5ea6\u3001\u8840\u7ba1\u8fc2\u66f2\u7b49\u591a\u79cd\u56e0\u7d20\u7684\u5f71\u54cd\uff0c\u53ef\u80fd\u5938\u5927\u8840\u7ba1\u72ed\u7a84\u7684\u7a0b\u5ea6\uff1b\u800c\u4f7f\u7528\u5bf9\u6bd4\u5242\u7684MRA\u53ef\u4ee5\u63d0\u9ad8\u51c6\u786e\u5ea6[12]<\/sup>\u3002<\/p>\n

\u65e0\u8bbaCTA\u8fd8\u662fMRA\uff0c\u5c3d\u7ba1\u6709\u8f83\u597d\u7684\u7a7a\u95f4\u5206\u8fa8\u7387\uff0c\u4f46\u662f\u7f3a\u4e4f\u65f6\u95f4\u5206\u8fa8\u7387\uff0c\u4e0d\u80fd\u5b9e\u65f6\u5730\u89c2\u5bdfVAOS\u53ca\u8840\u6d41\u60c5\u51b5\u3002<\/p>\n

3. DSA\uff1aDSA\u662f\u8bca\u65adVAOS\u7684\u91d1\u6807\u51c6\uff0c\u6709\u8f83\u597d\u7684\u7a7a\u95f4\u548c\u65f6\u95f4\u5206\u8fa8\u7387\uff0c\u53ef\u5b9e\u65f6\u76d1\u6d4b\u8840\u6d41\u53d8\u5316\uff0c\u6709\u52a9\u4e8e\u7cbe\u51c6\u8bc4\u4f30\u8840\u7ba1\u72ed\u7a84\u7a0b\u5ea6\u548c\u8840\u6d41\u52a8\u529b\u5b66\u53d8\u5316\u53ca\u690e\u52a8\u8109\u8840\u6d41\u4ee3\u507f\u60c5\u51b5\uff0c\u4f46\u5176\u98ce\u9669\u4e5f\u662f\u6240\u6709\u5f71\u50cf\u5b66\u68c0\u67e5\u4e2d\u6700\u9ad8\u7684[21-23]<\/sup>\u3002DSA\u4e00\u822c\u4e0d\u4f5c\u4e3a\u5e38\u89c4\u5f71\u50cf\u5b66\u7b5b\u67e5\u65b9\u6cd5\uff0c\u5f53\u8840\u7ba1\u8d85\u58f0\u3001CTA\u6216MRA\u63d0\u793a\u4e2d-\u91cd\u5ea6VAOS\u62df\u884c\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u65f6\uff0c\u9700\u8981\u884cDSA\u68c0\u67e5\u8fdb\u4e00\u6b65\u51c6\u786e\u8bc4\u4f30\u72ed\u7a84\u7a0b\u5ea6\u53ca\u8840\u6d41\u4ee3\u507f\u6216\u884c\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u3002<\/p>\n

4. \u5176\u4ed6\u5f71\u50cf\u68c0\u67e5\uff1a\u9ad8\u5206\u8fa8\u7387MRI\u548cOCT\u4e5f\u9010\u6b65\u7528\u4e8e\u8bc4\u4f30\u9885\u5185\u3001\u5916\u52a8\u8109\u72ed\u7a84\u7a0b\u5ea6\u53ca\u6591\u5757\u6027\u8d28\uff0c\u5e76\u6307\u5bfc\u6cbb\u7597\u7b56\u7565\u7684\u5236\u5b9a\u3002\u9ad8\u5206\u8fa8\u7387MRI\u5728\u786e\u5b9a\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u7684\u7ec4\u6210\u548c\u7a33\u5b9a\u6027\uff0c\u9274\u522b\u5939\u5c42\u3001\u7ba1\u8154\u5185\u6591\u5757\u957f\u5ea6\u53ca\u6709\u65e0\u8840\u6813\u7b49\u8154\u5185\u5bb9\u7269\u6027\u8d28\u65b9\u9762\u5177\u6709\u663e\u8457\u6027\u4f18\u52bf[24]<\/sup>\u3002OCT\u65e8\u5728\u63d0\u4f9b\u76ee\u6807\u52a8\u8109\u7684\u6a2a\u622a\u9762\u89c6\u56fe\uff0c\u7528\u4e8e\u8bc4\u4f30\u8840\u7ba1\u5185\u76ae\u5b8c\u6574\u6027\u3001\u6591\u5757\u6027\u8d28\uff0c\u540c\u65f6\u8f85\u52a9\u8bc4\u4ef7\u652f\u67b6\u7f6e\u5165\u672f\u540e\u652f\u67b6\u8d34\u58c1\u6027\u3001\u652f\u67b6\u8868\u9762\u7684\u5185\u819c\u589e\u751f\u548c\u518d\u72ed\u7a84\u60c5\u51b5\u7b49[25]<\/sup>\u3002\u968f\u7740\u5f71\u50cf\u6280\u672f\u7684\u53d1\u5c55\uff0c\u591a\u6a21\u5f71\u50cf\u878d\u5408\u6280\u672f\u53ef\u4ee5\u5b9e\u73b0CTA\u3001MRA\u3001DSA\u95f4\u7684\u5f71\u50cf\u878d\u5408\uff0c\u4ece\u800c\u5b9e\u73b0\u672f\u524d\u3001\u672f\u4e2d\u7cbe\u51c6\u8840\u7ba1\u8bc4\u4f30\u5e76\u6307\u5bfc\u6cbb\u7597\u3002<\/p>\n

\u56db\u3001VAOS\u7684\u6cbb\u7597<\/p>\n

\uff08\u4e00\uff09\u836f\u7269\u6cbb\u7597<\/p>\n

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1. \u8840\u8102\u7ba1\u7406\uff1a\u4f9d\u636e\u300a\u4e2d\u56fd\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u8840\u8102\u7ba1\u7406\u6307\u5bfc\u89c4\u8303\u300b\u7684\u5efa\u8bae\uff0cVAOS\u60a3\u8005\u5c5e\u4e8e\u4f34\u6709\u591a\u79cd\u5371\u9669\u56e0\u7d20\u7684\u6781\u9ad8\u5371\u8840\u8102\u5f02\u5e38\u4eba\u7fa4\uff0c\u9700\u8981\u5f3a\u5316\u964d\u8102\uff0c\u5efa\u8bae\u670d\u7528\u4ed6\u6c40\u7c7b\u836f\u7269\uff0c\u5c06\u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\u80c6\u56fa\u9187\u6c34\u5e73\u964d\u4f4e\u81f31.8 mmol\/L\u4ee5\u4e0b[26-28]<\/sup>\u3002\u670d\u7528\u4ed6\u6c40\u7c7b\u836f\u7269\u671f\u95f4\u5b9a\u671f\u76d1\u6d4b\u809d\u529f\u80fd\u3002<\/p>\n

2. \u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\uff1aVAOS\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u8f83\u5c11\uff0c\u5176\u7528\u836f\u7ecf\u9a8c\u4e34\u5e8a\u4e0a\u591a\u57fa\u4e8e\u51a0\u72b6\u52a8\u8109\u3001\u9888\u52a8\u8109\u6216\u9885\u5185\u52a8\u8109\u72ed\u7a84\u7b49\u75be\u75c5\u7684\u6cbb\u7597\u7ecf\u9a8c\u3002\u62df\u884c\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u65f6\uff0c\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\u81f3\u5c11\u4e8e\u672f\u524d72 h\u5f00\u59cb\u5b9e\u65bd\uff1b\u4e34\u65f6\u7ed9\u4e88\u8d1f\u8377\u5242\u91cf\u7684\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u836f\u7269\u6216\u9759\u8109\u7ed9\u4e88\u7cd6\u86cb\u767d\u2161b\/\u2162a\u53d7\u4f53\u62ee\u6297\u5242\u53ef\u4f5c\u4e3a\u672f\u524d\u7528\u836f\u4e0d\u8db372 h\u65f6\u7684\u66ff\u4ee3\u6cbb\u7597[29]<\/sup><\/sup><\/sup>\u30022023\u5e74\u7f8e\u56fd\u795e\u7ecf\u4ecb\u5165\u5916\u79d1\u6807\u51c6\u548c\u6307\u5357\u534f\u4f1a\u53d1\u8868\u7684\u300a\u795e\u7ecf\u4ecb\u5165\u672f\u4e2d\u6297\u8840\u5c0f\u677f\u548c\u6297\u8840\u6813\u836f\u7269\uff1a\u6307\u5357\u66f4\u65b0\u300b[30]<\/sup>\u4e2d\u6307\u51fa\uff0c\u884c\u4ecb\u5165\u624b\u672f\u6cbb\u7597\u7684\u9885\u5185\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u72ed\u7a84\u6216\u9888\u52a8\u8109\u652f\u67b6\u7f6e\u5165\u672f\u540e\uff0c\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\u81f3\u5c11\u5e94\u75283\u4e2a\u6708\u3002\u800c\u690d\u5165\u836f\u7269\u6d82\u5c42\u652f\u67b6\u5efa\u8bae\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u75979~12\u4e2a\u6708\u540e\u6539\u7528\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597[31]<\/sup>\u3002\u6c1f\u5316\u805a\u5408\u7269\u6d82\u5c42\u836f\u7269\u6d17\u8131\u652f\u67b6\u751f\u7269\u76f8\u5bb9\u6027\u8f83\u597d\uff0c\u6709\u7814\u7a76\u663e\u793a\uff0c\u4f7f\u7528\u6c1f\u5316\u805a\u5408\u7269\u6d82\u5c42\u652f\u67b6\u672f\u540e\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u65f6\u95f4\u7f29\u77ed\u81f31~3\u4e2a\u6708\u4e0d\u589e\u52a0\u7f3a\u8840\u98ce\u9669\uff0c\u540c\u65f6\u51cf\u5c11\u4e3b\u8981\u51fa\u8840\u4e8b\u4ef6[32]<\/sup>\u3002\u4f7f\u7528\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\u65f6\uff0c\u5e94\u884c\u8840\u5c0f\u677f\u805a\u96c6\u529f\u80fd\u68c0\u6d4b\u6216\u57fa\u56e0\u68c0\u6d4b\uff0c\u5e76\u5b9a\u671f\u76d1\u6d4b\u8840\u5c0f\u677f\u529f\u80fd\u3002\u5bf9\u4e8e\u963f\u53f8\u5339\u6797\u62b5\u6297\u6216\u4e0d\u8010\u53d7\u7684\u60a3\u8005\uff0c\u5e94\u52a0\u5927\u5242\u91cf\u6216\u66f4\u6362\u836f\u7269\u4ee5\u589e\u5f3a\u5bf9\u8840\u5c0f\u677f\u7684\u6291\u5236[33]<\/sup>\uff1b\u800c\u5bf9\u4e8e\u6c2f\u5421\u683c\u96f7\u62b5\u6297\u7684\u60a3\u8005\uff0c\u53ef\u540c\u65f6\u53c2\u8003\u4e0e\u6c2f\u5421\u683c\u96f7\u4f4e\u53cd\u5e94\u6709\u5173\u7684CYP2C19*2\u7b49\u4f4d\u57fa\u56e0\u591a\u6001\u6027\u68c0\u6d4b\u7ed3\u679c\uff0c\u589e\u52a0\u836f\u7269\u5242\u91cf\u6216\u66f4\u6362\u836f\u7269\u3002<\/p>\n

3. \u6297\u51dd\u6cbb\u7597\uff1a\u8840\u7ba1\u5939\u5c42\u662f\u5bfc\u81f4VAOS\u7684\u5c11\u89c1\u75c5\u56e0\u4e4b\u4e00\uff0c2021\u5e74\u300a\u6b27\u6d32\u5352\u4e2d\u7ec4\u7ec7\u9885\u5916\u548c\u9885\u5185\u52a8\u8109\u5939\u5c42\u7ba1\u7406\u6307\u5357\u300b[34]<\/sup>\u9488\u5bf9\u8fd9\u7c7b\u60a3\u8005\u63a8\u8350\u884c\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6216\u6297\u51dd\u6cbb\u7597\u3002\u76ee\u524d\u5173\u4e8eVAOS\u5408\u5e76\u623f\u98a4\u7684\u836f\u7269\u6cbb\u7597\u7814\u7a76\u8f83\u5c11\uff0c\u56fd\u5185\u5927\u591a\u53c2\u8003\u51a0\u5fc3\u75c5\u5408\u5e76\u5fc3\u623f\u98a4\u52a8\u7684\u56f4\u624b\u672f\u671f\u7528\u836f\u30022020\u5e74\u300a\u51a0\u5fc3\u75c5\u5408\u5e76\u5fc3\u623f\u98a4\u52a8\u60a3\u8005\u6297\u6813\u7ba1\u7406\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u300b[35]<\/sup>\u4e2d\u6307\u5bfc\u610f\u89c1\u63a8\u8350\u56f4\u624b\u672f\u671f\u6297\u51dd+\u53cc\u6297\u7684\u4e09\u8054\u6297\u6813\u6cbb\u7597\uff1b\u5408\u5e76\u623f\u98a4\u7684\u6025\u6027\u51a0\u8109\u7efc\u5408\u5f81\u60a3\u8005\u62df\u884c\u7ecf\u76ae\u51a0\u8109\u4ecb\u5165\u624b\u672f\u65f6\u53ef\u8003\u8651\u91c7\u7528P2Y12<\/sub>\u53d7\u4f53\u62ee\u6297\u5242\u9884\u5904\u7406\uff08\u8d1f\u8377\u5242\u91cf300 mg\uff09\u3002\u9ad8\u7f3a\u8840\/\u8840\u6813\u6813\u585e\u98ce\u9669\u548c\u4f4e\u51fa\u8840\u98ce\u9669\u60a3\u8005\uff0c\u672f\u540e\u4e09\u8054\u6297\u6813\u6cbb\u7597\u4e00\u822c\u4e0d\u8d85\u8fc71\u4e2a\u6708\uff0c\u5728\u60a3\u8005\u51fa\u9662\u65f6\u6539\u4e3a\u53e3\u670d\u6297\u51dd+\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u7684\u53cc\u8054\u7597\u6cd5\uff1b\u672f\u540e1\u5e74\u65f6\u53ef\u505c\u7528\u6297\u8840\u5c0f\u677f\u805a\u96c6\u836f\u7269\uff0c\u4ec5\u6297\u51dd\u6cbb\u7597\u3002\u4f4e\u7f3a\u8840\/\u8840\u6813\u6813\u585e\u98ce\u9669\u548c\u9ad8\u51fa\u8840\u98ce\u9669\u7684\u60a3\u8005\u53ef\u8003\u8651\u5728\u672f\u540e6\u4e2a\u6708\u505c\u7528\u6297\u8840\u5c0f\u677f\u805a\u96c6\u836f\u7269\u3002<\/p>\n

VAOS\u56f4\u624b\u672f\u671f\u836f\u7269\u6cbb\u7597\u63a8\u8350\u610f\u89c1\uff1a\uff081\uff09VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u672f\u524d\u5e94\u53e3\u670d\u963f\u53f8\u5339\u6797\u548c\u6c2f\u5421\u683c\u96f7\u81f3\u5c1172 h\uff1bVAOS\u91d1\u5c5e\u88f8\u652f\u67b6\u690d\u5165\u672f\u540e\u670d\u7528\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u836f\u72691~3\u4e2a\u6708\u540e\u6539\u7528\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\uff1b\u836f\u7269\u6d17\u8131\u652f\u67b6\u690d\u5165\u672f\u540e\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u75973~6\u4e2a\u6708\u540e\u6539\u7528\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u6cbb\u7597\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002\uff082\uff09\u5408\u5e76\u623f\u98a4\u6216\u74e3\u819c\u75c5\u65f6\uff0c\u672f\u524d\u4e88\u4ee5\u53e3\u670d\u6297\u51dd+\u53cc\u8054\u6297\u8840\u5c0f\u677f\u805a\u96c6\u7684\u4e09\u8054\u6cbb\u7597\uff1b\u9ad8\u7f3a\u8840\/\u8840\u6813\u98ce\u9669\u548c\u4f4e\u51fa\u8840\u98ce\u9669\u60a3\u8005\uff0c\u672f\u540e1\u4e2a\u6708\u6539\u4e3a\u53e3\u670d\u6297\u51dd+\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u7684\u53cc\u8054\u7597\u6cd5\uff0c\u672f\u540e12\u4e2a\u6708\u6539\u4e3a\u5355\u4e00\u6297\u51dd\u6cbb\u7597\u6216\u4e2a\u4f53\u5316\u7ee7\u7eed\u53cc\u8054\u6cbb\u7597\uff1b\u4f4e\u7f3a\u8840\/\u8840\u6813\u98ce\u9669\u548c\u9ad8\u51fa\u8840\u98ce\u9669\u8005\uff0c\u51fa\u9662\u540e\u5373\u6539\u4e3a\u53e3\u670d\u6297\u51dd+\u5355\u4e00\u6297\u8840\u5c0f\u677f\u805a\u96c6\u7684\u53cc\u8054\u7597\u6cd5\uff0c\u672f\u540e6\u4e2a\u6708\u505c\u7528\u6297\u8840\u5c0f\u677f\u805a\u96c6\u836f\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002<\/p>\n

\uff08\u4e8c\uff09\u8840\u8fd0\u91cd\u5efa<\/p>\n

\u7814\u7a76\u8868\u660e\uff0c\u75c7\u72b6\u6027\u690e\u52a8\u8109\u72ed\u7a84\u5373\u4f7f\u7ed9\u4e88\u89c4\u8303\u7684\u836f\u7269\u6cbb\u7597\u517690 d\u8111\u5352\u4e2d\u590d\u53d1\u98ce\u9669\u4ecd\u9ad8\u8fbe25%[36]<\/sup>\u30022017\u5e74\u6b27\u6d32\u5352\u4e2d\u7ec4\u7ec7\u3001\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u4f1a\u548c\u6b27\u6d32\u8840\u7ba1\u5916\u79d1\u534f\u4f1a\u5408\u4f5c\u5236\u5b9a\u7684\u300a\u5916\u5468\u52a8\u8109\u75be\u75c5\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\u300b[37]<\/sup>\u4e2d\u6307\u51fa\uff0c\u75c7\u72b6\u6027VAOS\u72ed\u7a84\u7a0b\u5ea6\u226550%\u4e14\u7ed9\u4e88\u6700\u4f73\u836f\u7269\u6cbb\u7597\u540e\u4ecd\u51fa\u73b0\u540e\u5faa\u73af\u7f3a\u8840\u4e8b\u4ef6\u65f6\uff0c\u5efa\u8bae\u884c\u8840\u8fd0\u91cd\u5efa\u3002\u65e0\u75c7\u72b6\u6027VAOS\u8840\u8fd0\u91cd\u5efa\u5b58\u5728\u4e89\u8bae\u3002\u6b27\u6d32\u8840\u7ba1\u5916\u79d1\u5b66\u4f1a2023\u5e74\u53d1\u5e03\u7684\u300a\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u9888\u52a8\u8109\u548c\u690e\u52a8\u8109\u75be\u75c5\u7ba1\u7406\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u300b[38]<\/sup>\u5bf9\u4e8e\u65e0\u75c7\u72b6\u6027\u690e\u52a8\u8109\u72ed\u7a84\u60a3\u8005\u4e0d\u63a8\u8350\u884c\u624b\u672f\u6cbb\u7597\u3002\u4e00\u9879\u7eb3\u5165\u4e863 717\u4f8b\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u75be\u75c5\u60a3\u8005\u7684\u7814\u7a76\u4e2d7.6%\u7684\u60a3\u8005\u7ecf\u591a\u666e\u52d2\u8d85\u58f0\u8bca\u65ad\u4e3a\u65e0\u75c7\u72b6\u6027\u690e\u52a8\u8109\u72ed\u7a84\u4e14\u72ed\u7a84\u7a0b\u5ea6>50%\uff0c\u8be5\u7ec4\u4eba\u7fa4\u5e73\u57474.6\u5e74\u968f\u8bbf\u4e2d\u5e74\u8111\u5352\u4e2d\u98ce\u9669\u4e3a0.4%\uff0c\u9ad8\u4e8e\u65e0\u690e\u52a8\u8109\u72ed\u7a84\u4eba\u7fa4\uff08\u5e74\u8111\u5352\u4e2d\u98ce\u9669<0.1%\uff09\uff1b\u800c\u4e14\uff0c\u5e74\u8111\u5352\u4e2d\u98ce\u9669\u56e0\u53cc\u4fa7\u690e\u52a8\u8109\u72ed\u7a84\u6216\u5408\u5e76\u9888\u52a8\u8109\u72ed\u7a84\u800c\u660e\u663e\u589e\u52a0[39]<\/sup>\u3002\u6545\u65e0\u75c7\u72b6\u6027VAOS\u5982\u5b58\u5728\u4e25\u91cd\u5f71\u54cd\u690e\u52a8\u8109\u8840\u4f9b\u3001\u524d\u5faa\u73af\u5927\u8840\u7ba1\u5b58\u5728\u91cd\u5ea6\u72ed\u7a84\/\u95ed\u585e\u75c5\u53d8\u9700\u8981\u7531\u540e\u5faa\u73af\u4ee3\u507f\u4f9b\u8840\uff0c\u6216\u540e\u4ea4\u901a\u52a8\u8109\u7f3a\u5982\u7b49\u60c5\u51b5\uff0c\u4ea6\u53ef\u8003\u8651\u884c\u8840\u8fd0\u91cd\u5efa[5]<\/sup>\u3002\u8840\u8fd0\u91cd\u5efa\u65b9\u6cd5\u5305\u62ec\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u548c\u5916\u79d1\u624b\u672f\u6cbb\u7597\uff0c\u76ee\u524d\u5c1a\u7f3a\u4e4f\u8fd9\u4e24\u79cd\u8840\u8fd0\u91cd\u5efa\u65b9\u5f0f\u6cbb\u7597VAOS\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e[40]<\/sup>\u3002<\/p>\n

VAOS\u8840\u8fd0\u91cd\u5efa\u6307\u5f81\u63a8\u8350\u610f\u89c1\uff1a\u75c7\u72b6\u6027VAOS\u72ed\u7a84\u7387\u226550%\u4e14\u6700\u4f73\u836f\u7269\u6cbb\u7597\u57fa\u7840\u4e0a\u4ecd\u53d1\u751f\u7f3a\u8840\u4e8b\u4ef6\uff0c\u6216\u65e0\u75c7\u72b6\u6027VAOS\u72ed\u7a84\u7387\u226570%\uff0c\u5b58\u5728\u4e0b\u8ff0\u60c5\u51b5\u4e4b\u4e00\u65f6\u53ef\u8003\u8651\u884c\u8840\u8fd0\u91cd\u5efa\uff1a\uff081\uff09\u5bf9\u4fa7\u690e\u52a8\u8109\u5b58\u5728\u53d1\u80b2\u4e0d\u826f\uff08\u7ea4\u7ec6\u3001\u7f3a\u5982\u3001\u4e0d\u6c47\u5165\u57fa\u5e95\u52a8\u8109\u7b49\uff09\uff1b\uff082\uff09\u540e\u4ea4\u901a\u52a8\u8109\u7f3a\u5982\u6216Willis\u73af\u4ee3\u507f\u4e0d\u826f\uff1b\uff083\uff09\u524d\u5faa\u73af\u8840\u7ba1\u91cd\u5ea6\u72ed\u7a84\u6216\u95ed\u585e\u9700\u8981\u540e\u5faa\u73af\u4ee3\u507f\u4f9b\u8840\u3002\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\u3002<\/p>\n

1. VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u5e38\u7528\u5165\u8def\uff1a\u7ecf\u6861\u52a8\u8109\u5165\u8def\u548c\u7ecf\u80a1\u52a8\u8109\u5165\u8def\u662f\u8be5\u672f\u5f0f\u4e24\u79cd\u5e38\u7528\u5165\u8def\u3002\u8fd1\u5e74\u6765\u7ecf\u6861\u52a8\u8109\u5165\u8def\u884c\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u7684\u7814\u7a76\u62a5\u9053\u9010\u6e10\u589e\u591a[42-44]<\/sup>\u3002\u4e0e\u7ecf\u80a1\u52a8\u8109\u5165\u8def\u76f8\u6bd4\uff0c\u7ecf\u6861\u52a8\u8109\u5165\u8def\u6cbb\u7597VAOS\u5177\u6709\u5b9a\u4f4d\u51c6\u786e\u3001\u901a\u8def\u7a33\u5b9a\u6027\u5f3a\u3001\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u4f4e\u7b49\u4f18\u70b9[45-46]<\/sup>\u3002\u4e00\u822c\u9009\u62e9\u540c\u4fa7\u6861\u52a8\u8109\uff0c\u7a7f\u523a\u6210\u529f\u540e\u7f6e\u51656Fr\u6861\u52a8\u8109\u9798\u3002\u5f53\u690e\u52a8\u8109\u5f00\u53e3\u4f4d\u7f6e\u8f83\u4f4e\u4e14\u690e\u52a8\u8109\u4e0e\u9501\u9aa8\u4e0b\u52a8\u8109\u5448\u9510\u89d2\u3001\u540c\u4fa7\u6861\u52a8\u8109\u5165\u8def\u6cbb\u7597VAOS\u64cd\u4f5c\u56f0\u96be\u65f6\uff0c\u53ef\u4ee5\u9009\u62e9\u7ecf\u5bf9\u4fa7\u6861\u52a8\u8109\u7a7f\u523a\u5165\u8def\u6216\u7ecf\u80a1\u52a8\u8109\u7a7f\u523a\u5165\u8def\u3002<\/p>\n

2. VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u7b56\u7565\uff1a\u4e3b\u8981\u5305\u62ec\u7403\u56ca\u6269\u5f20\u672f\u548c\u652f\u67b6\u690d\u5165\u672f\u4e24\u79cd\u3002\u7403\u56ca\u6269\u5f20\u672f\u6700\u5927\u7684\u4f18\u70b9\u662f\u6280\u672f\u6d41\u7a0b\u7b80\u5355\uff0c\u65e0\u690d\u5165\u7269\uff1b\u7f3a\u70b9\u662f\u5355\u7eaf\u7403\u56ca\u6269\u5f20\u672f\u540e\u8840\u7ba1\u5f39\u6027\u56de\u7f29\u3001\u8840\u7ba1\u5939\u5c42\u7b49\u5bfc\u81f4\u518d\u72ed\u7a84\u53d1\u751f\u7387\u8f83\u9ad8[47]<\/sup>\u3002\u76ee\u524d\u6709\u5355\u7eaf\u836f\u7269\u7403\u56ca\u6269\u5f20\u6cbb\u7597VAOS\u7684\u62a5\u9053[48-49]<\/sup>\u3002\u4e00\u9879\u7eb3\u5165\u4e867\u9879\u7814\u7a76\u7684\u7cfb\u7edf\u56de\u987e\u5206\u6790\u7ed3\u679c\u8868\u660e\uff0c\u63a5\u53d7\u5355\u7eaf\u836f\u7269\u7403\u56ca\u6269\u5f20\u7684VAOS\u60a3\u8005\u672f\u540e\u518d\u72ed\u7a84\u7387\u4e3a11.9%[50]<\/sup>\u3002\u867d\u7136\u4e0e\u88f8\u7403\u56ca\u76f8\u6bd4\uff0c\u836f\u7269\u7403\u56ca\u53ef\u964d\u4f4eVAOS\u672f\u540e\u518d\u72ed\u7a84\u7387\uff0c\u4f46\u7531\u4e8e\u8840\u7ba1\u4e2d\u819c\u5f39\u6027\u86cb\u767d\u548c\u5e73\u6ed1\u808c\u542b\u91cf\u8f83\u9ad8\uff0c\u4ecd\u5b58\u5728\u8840\u7ba1\u5f39\u6027\u56de\u7f29\u3001\u52a8\u8109\u5939\u5c42\u548c\u518d\u72ed\u7a84\u98ce\u9669\u3002<\/p>\n

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\uff084\uff09\u8fdc\u7aef\u6813\u585e\u53ca\u652f\u67b6\u5185\u8840\u6813\uff1a\u8fdc\u7aef\u6813\u585e\u662f\u6307\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u672f\u4e2d\u6591\u5757\u53d7\u5230\u673a\u68b0\u523a\u6fc0\u8131\u843d\u8fdb\u800c\u9020\u6210\u8fdc\u7aef\u8840\u7ba1\u7684\u95ed\u585e\u3002\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u6591\u5757\u901a\u5e38\u4e3a\u73af\u5f62\u6216\u5411\u5fc3\u6027\uff0c\u652f\u67b6\u690d\u5165\u65f6\u4e00\u822c\u4e0d\u4f1a\u51fa\u73b0\u6591\u5757\u8131\u843d\uff0c\u4f46\u5728\u5bfc\u4e1d\u5bfc\u7ba1\u901a\u8fc7\u72ed\u7a84\u90e8\u4f4d\uff0c\u6216\u5728\u7403\u56ca\u6269\u5f20\u91ca\u653e\u652f\u67b6\u65f6\uff0c\u7531\u4e8e\u7403\u56ca\u6269\u5f20\u65f6\u5bf9\u6591\u5757\u7684\u6324\u538b\u4f5c\u7528\u53ef\u80fd\u4f1a\u589e\u52a0\u6813\u5b50\u8131\u843d\u3001\u8fdc\u7aef\u6813\u585e\u7684\u98ce\u9669[67]<\/sup>\u3002\u6b64\u5916\uff0c\u652f\u67b6\u690d\u5165\u540e\u5b58\u5728\u6025\u6027\u6216\u4e9a\u6025\u6027\u8840\u6813\u5f62\u6210\u7684\u98ce\u9669\uff0c\u5bfc\u81f4\u652f\u67b6\u5185\u72ed\u7a84\u6216\u95ed\u585e\u3002\u5f53\u6813\u5b50\u8131\u843d\u5bfc\u81f4\u5927\u8840\u7ba1\u95ed\u585e\u65f6\uff0c\u53ef\u91c7\u53d6\u52a8\u8109\u5185\u6eb6\u6813\u6216\u53d6\u6813\u6cbb\u7597[68]<\/sup>\u3002\u672f\u4e2d\u53d1\u751f\u652f\u67b6\u5185\u8840\u6813\u53ef\u4e88\u4ee5\u63a5\u89e6\u6eb6\u6813\u3001\u9759\u8109\u5e94\u7528\u6297\u8840\u5c0f\u677f\u3001\u7403\u56ca\u6269\u5f20\u6216\u518d\u690d\u5165\u4e00\u679a\u652f\u67b6\u3002<\/p>\n

VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u63a8\u8350\u610f\u89c1\uff1a\uff081\uff09VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u4f18\u5148\u9009\u62e9\u690d\u5165\u836f\u7269\u6d17\u8131\u690e\u52a8\u8109\u652f\u67b6\uff1b\u652f\u67b6\u9009\u62e9\u4ee5\u72ed\u7a84\u8fdc\u7aef\u6b63\u5e38\u7ba1\u8154\u76f4\u5f84\u76841.0~1.1\u500d\u3001\u5b8c\u5168\u8986\u76d6\u75c5\u53d8\u4e14\u957f\u5ea6\u8f83\u77ed\u7684\u652f\u67b6\u4e3a\u5b9c\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002\uff082\uff09\u6861\u52a8\u8109\u5165\u8def\u7a7f\u523a\u6210\u529f\u7f6e\u7ba1\u540e\uff0c\u53ef\u7ed9\u4e88\u8840\u7ba1\u8212\u5f20\u5242\u51cf\u5c11\u8840\u7ba1\u75c9\u631b\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002\uff083\uff09\u652f\u67b6\u690d\u5165\u672f\u524d\u4e00\u822c\u4e0d\u9700\u8981\u7403\u56ca\u9884\u6269\u5f20\uff1b\u5c40\u90e8\u91cd\u5ea6\u72ed\u7a84\u81f4\u652f\u67b6\u901a\u8fc7\u56f0\u96be\u6216\u9499\u5316\u660e\u663e\u65f6\uff0c\u5efa\u8bae\u7ed9\u4e88\u7403\u56ca\u9884\u6269\u5f20\u4ee5\u51cf\u5c11\u652f\u67b6\u690d\u5165\u65f6\u79fb\u4f4d\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002<\/p>\n

4. VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u672f\u540e\u7ba1\u7406\uff1aVAOS\u672f\u540e\u5373\u523b\u5e94\u884c\u672f\u4e2d\u5e73\u677fCT\u6216\u5934\u9885CT\u68c0\u67e5\uff0c\u660e\u786e\u6709\u65e0\u9885\u5185\u51fa\u8840\u3002\u51fa\u73b0\u795e\u7ecf\u529f\u80fd\u969c\u788d\u65f6\uff0c\u5e94\u53ca\u65f6\u590d\u67e5\u5934\u9885CT\uff1b\u5fc5\u8981\u65f6\u5b8c\u5584\u8840\u7ba1\u68c0\u67e5\uff0c\u8bc4\u4f30\u9776\u8840\u7ba1\u60c5\u51b5\u3002<\/p>\n

5. VAOS\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u672f\u540e\u968f\u8bbf\uff1a\u5e94\u91cd\u70b9\u5173\u6ce8\u652f\u67b6\u690d\u5165\u540e\u6709\u65e0\u652f\u67b6\u5185\u518d\u72ed\u7a84\u6216\u95ed\u585e\uff0c\u4ee5\u53ca\u6709\u65e0\u652f\u67b6\u65ad\u88c2\u3002\u4e00\u9879\u7eb3\u5165\u4e86300\u4f8bVAOS\u652f\u67b6\u690d\u5165\u60a3\u8005\u7684\u968f\u8bbf\u7814\u7a76\u663e\u793a\uff0c\u5e73\u5747\u968f\u8bbf12\u4e2a\u6708\u540e\u518d\u72ed\u7a84\u7387\u4e3a26%[69]<\/sup>\u3002\u4e00\u9879\u835f\u8403\u5206\u6790\u8868\u660e\uff0cVAOS\u652f\u67b6\u690d\u5165\u540e\u518d\u72ed\u7a84\u7387\u4e3a18.5%\uff08253\/1 368\uff09[70]<\/sup>\u3002\u5f71\u54cd\u652f\u67b6\u690d\u5165\u540e\u518d\u72ed\u7a84\u76f8\u5173\u7684\u56e0\u7d20\u5305\u62ec\u672f\u540e\u9776\u8840\u7ba1\u76f4\u5f84\u7684\u5927\u5c0f\u4ee5\u53ca\u6240\u690d\u5165\u652f\u67b6\u7c7b\u578b\u3002\u56fd\u5185\u4e00\u9879\u7814\u7a76\u663e\u793a\u672f\u540e\u690e\u52a8\u8109\u76f4\u5f84\u6bcf\u589e\u52a00.1 mm\uff0c\u518d\u72ed\u7a84\u7387\u7684\u5371\u9669\u6027\u51cf\u5c1153.8%\uff1b\u4e0e\u91d1\u5c5e\u88f8\u652f\u67b6\u76f8\u6bd4\uff0c\u836f\u7269\u6d17\u8131\u652f\u67b6\u690d\u5165\u540e\u518d\u72ed\u7a84\u98ce\u9669\u663e\u8457\u964d\u4f4e[71]<\/sup>\u3002<\/p>\n

\u652f\u67b6\u5185\u518d\u72ed\u7a84\u4e3b\u8981\u53d1\u751f\u4e8e\u672f\u540e1\u5e74\u5185\uff0c\u5efa\u8bae\u672f\u540e\u7b2c3\u30016\u548c12\u4e2a\u6708\u8fdb\u884c\u5f71\u50cf\u5b66\u968f\u8bbf\uff0c\u968f\u540e\u5efa\u8bae\u6bcf\u534a\u5e74\u8fdb\u884c\u968f\u8bbf\uff0c\u4ee5\u8bc4\u4f30\u6709\u65e0\u518d\u72ed\u7a84\u53d1\u751f[5\uff0c14]<\/sup>\u3002\u65e0\u75c7\u72b6\u3001<50%\u518d\u72ed\u7a84\u7684\u60a3\u8005\u7ee7\u7eed\u836f\u7269\u6cbb\u7597\uff0c\u5b9a\u671f\u968f\u8bbf\uff1b\u518d\u72ed\u7a84\u7a0b\u5ea6>50%\u65f6\u53ef\u884c\u836f\u7269\u7403\u56ca\u6269\u5f20\u6216\u518d\u6b21\u690d\u5165\u652f\u67b6\u3002\u53d1\u751f\u652f\u67b6\u5185\u95ed\u585e\u65f6\uff0c\u53ef\u8003\u8651\u884c\u95ed\u585e\u5f00\u901a\u672f\uff0c\u5305\u62ec\u7403\u56ca\u6269\u5f20\u672f\u3001\u652f\u67b6\u690d\u5165\u672f\u6216\u5916\u79d1\u624b\u672f\u7b49\u3002<\/p>\n

\u652f\u67b6\u65ad\u88c2\u662fVAOS\u652f\u67b6\u690d\u5165\u672f\u540e\u5c11\u89c1\u7684\u8fdc\u671f\u5e76\u53d1\u75c7\u3002\u7814\u7a76\u62a5\u9053\u652f\u67b6\u690d\u5165\u540e\u65ad\u88c2\u53d1\u751f\u7387\u4e3a4%~25%\uff0c\u53d1\u751f\u7387\u968f\u7740\u968f\u8bbf\u65f6\u95f4\u7684\u5ef6\u957f\u800c\u589e\u9ad8[53-54]<\/sup>\u3002\u5c40\u90e8\u4e25\u91cd\u9499\u5316\u3001\u8840\u7ba1\u6210\u89d2\u660e\u663e\u6216\u626d\u66f2\u53ca\u91d1\u5c5e\u75b2\u52b3\u3001\u652f\u67b6\u8fc7\u5ea6\u6269\u5f20\u7b49\u662f\u5bfc\u81f4\u652f\u67b6\u690d\u5165\u540e\u65ad\u88c2\u7684\u4e3b\u8981\u5371\u9669\u56e0\u7d20[54]<\/sup>\u3002\u82e5\u652f\u67b6\u65ad\u88c2\u4e0d\u5f71\u54cd\u8840\u6d41\u6216\u65e0\u75c7\u72b6\uff0c\u7ee7\u7eed\u836f\u7269\u6cbb\u7597\u5e76\u5b9a\u671f\u5f71\u50cf\u968f\u8bbf\uff1b\u82e5\u652f\u67b6\u65ad\u88c2\u660e\u663e\u5f71\u54cd\u690e\u52a8\u8109\u524d\u5411\u8840\u6d41\u6216\u51fa\u73b0\u76f8\u5173\u7f3a\u8840\u4e8b\u4ef6\uff0c\u9700\u8981\u518d\u6b21\u624b\u672f\u6cbb\u7597\uff0c\u5305\u62ec\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u672f\u3001\u5916\u79d1\u624b\u672f[54]<\/sup>\u3002<\/p>\n

VAOS\u968f\u8bbf\u63a8\u8350\u610f\u89c1\uff1a\u652f\u67b6\u690d\u5165\u672f\u540e\u518d\u72ed\u7a84\/\u95ed\u585e\u6216\u652f\u67b6\u65ad\u88c2\u65f6\uff0c\u82e5\u8840\u6d41\u4e0d\u53d7\u9650\uff0c\u5efa\u8bae\u7ee7\u7eed\u53e3\u670d\u836f\u7269\u6cbb\u7597\uff0c\u5b9a\u671f\u590d\u67e5\u8840\u7ba1\u8d85\u58f0\u6216CTA\uff1b\u82e5\u8840\u6d41\u53d7\u9650\uff0c\u5efa\u8bae\u518d\u6b21\u884c\u8840\u7ba1\u5185\u4ecb\u5165\u6cbb\u7597\u6216\u5916\u79d1\u624b\u672f\u6cbb\u7597\uff08\u63a8\u8350\u7b49\u7ea7\uff1a\u2161\u7ea7\uff09\u3002<\/p>\n

6. \u5916\u79d1\u624b\u672f\uff1aVAOS\u7684\u5916\u79d1\u624b\u672f\u5305\u62ec\u690e\u52a8\u8109\u5185\u819c\u5265\u8131\u672f\u3001\u690e\u52a8\u8109\u8f6c\u4f4d\u672f\u3001\u690e\u52a8\u8109\u642d\u6865\u672f\u3001\u590d\u5408\u624b\u672f\u7b49\u3002\u7814\u7a76\u8868\u660e\uff0c\u5916\u79d1\u624b\u672f\u5bf9VAOS\u75c7\u72b6\u6539\u5584\u7387\u9ad8\uff0c\u8840\u7ba1\u957f\u671f\u901a\u7545\u7387\u8f83\u9ad8[72]<\/sup>\u3002\u4f46\u5916\u79d1\u624b\u672f\u53d7\u624b\u672f\u5207\u53e3\u3001\u5c40\u90e8\u89e3\u5256\u7b49\u5f71\u54cd\uff0c\u64cd\u4f5c\u96be\u5ea6\u8f83\u5927\u3002Ma\u7b49[73]<\/sup>\u3001Choi\u7b49[74]<\/sup>\u5206\u522b\u62a5\u9053\u4e86\u5e94\u7528\u590d\u5408\u624b\u672f\u65b9\u6cd5\u6cbb\u7597\u690e\u52a8\u8109\u8d77\u59cb\u90e8\u957f\u8282\u6bb5\u72ed\u7a84\/\u95ed\u585e\u548c\u75c7\u72b6\u6027VAOS\u4ecb\u5165\u6cbb\u7597\u56f0\u96be\u7684\u75c5\u4f8b\uff0c\u8868\u660e\u590d\u5408\u624b\u672f\u662f\u4e00\u79cd\u5b89\u5168\u53ef\u884c\u7684\u65b9\u6cd5\u3002<\/p>\n

\u4e94\u3001\u5c0f\u7ed3\u53ca\u5c55\u671b<\/p>\n

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