{"id":43301,"date":"2024-11-06T05:10:52","date_gmt":"2024-11-06T05:10:52","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=43301"},"modified":"2024-11-06T05:10:52","modified_gmt":"2024-11-06T05:10:52","slug":"%e3%80%903868%e3%80%91sound%e7%a0%94%e7%a9%b6%ef%bc%9a%e8%bf%88%e5%90%91%e6%97%a9%e6%9c%9f%e4%b9%b3%e8%85%ba%e7%99%8c%e5%89%8d%e5%93%a8%e6%b7%8b%e5%b7%b4%e7%bb%93%e6%b4%bb%e6%a3%80%e9%99%8d%e7%ba%a7","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=43301","title":{"rendered":"\u30103868\u3011SOUND\u7814\u7a76\uff1a\u8fc8\u5411\u65e9\u671f\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u964d\u7ea7\u7684\u65b0\u7eaa\u5143\u4e4b\u58f0"},"content":{"rendered":"

\u6574\u7406\uff1a\u80bf\u7624\u8d44\u8baf\u6765\u6e90\uff1a\u80bf\u7624\u8d44\u8baf<\/p>\n

\u4e73\u817a\u764c\u60a3\u8005\u814b\u7a9d\u624b\u672f\u7684\u6f14\u53d8\u4ee3\u8868\u4e86\u4e00\u79cd\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u3001\u5faa\u8bc1\u964d\u7ea7\u6cbb\u7597\u7684\u6a21\u5f0f\u3002\u5bf9\u4e8e\u5c0f\u4e73\u817a\u764c (BC) \u4e14\u672f\u524d\u814b\u7a9d\u8d85\u58f0\u68c0\u67e5\u7ed3\u679c\u5448\u9634\u6027\u7684\u60a3\u8005\uff0c\u7701\u7565\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u662f\u5426\u5b89\u5168\uff1f\u53d1\u8868\u5728\u300aJAMA\u300b\u4e0a\u7684SOUND \u968f\u673a\u5bf9\u7167\u7814\u7a76\u7ed9\u4e86\u7b54\u6848\u3002<\/p>\n<\/p>\n

\u4e73\u817a\u764c\u624b\u672f\u7b56\u7565\u7684\u53d8\u8fc1\uff1a\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u7684\u814b\u7a9d\u6cbb\u7597\u8fdb\u5c55 <\/p>\n

\u4e73\u817a\u764c\u60a3\u8005\u814b\u7a9d\u624b\u672f\u7684\u6f14\u53d8\u4ee3\u8868\u4e86\u4e00\u79cd\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u3001\u5faa\u8bc1\u964d\u7ea7\u6cbb\u7597\u7684\u6a21\u5f0f\u3002\u4ece40\u591a\u5e74\u524d\u53d1\u8868\u7684\u56fd\u5bb6\u5916\u79d1\u8f85\u52a9\u4e73\u817a\u548c\u80a0\u9053\u9879\u76ee\uff08NSABP\uff09B-04\u8bd5\u9a8c\u5f00\u59cb\uff0c\u8be5\u8bd5\u9a8c\u9996\u6b21\u9610\u660e\u4e86\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u4e3b\u8981\u4f5c\u4e3a\u5206\u671f\u624b\u672f\u7684\u539f\u7406\uff0c\u8be5\u624b\u672f\u7684\u8f68\u8ff9\u4e00\u76f4\u671d\u7740\u4ee5\u4e0b\u65b9\u5411\u7a33\u6b65\u53d1\u5c55\uff1a\u201c\u5c11\u5373\u662f\u591a\u201d\u3002 NSABP B-04 \u4e4b\u540e\uff0c\u63d0\u4f9b\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u52a8\u673a\u6210\u4e3a\u7cbe\u786e\u6dcb\u5df4\u7ed3\u5206\u671f\u548c\u5c40\u90e8\u63a7\u5236\u7684\u5171\u540c\u8981\u6c42\u3002\u8fd9\u79cd\u8303\u5f0f\u4e00\u76f4\u6301\u7eed\u5230\u57fa\u4e8e\u8bc1\u636e\u7684\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u672f\u88ab\u75c5\u6001\u7a0b\u5ea6\u4f4e\u5f97\u591a\u7684\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u65b9\u6cd5\u53d6\u4ee3\uff0c\u4ee5\u5bf9\u4e34\u5e8a\u9634\u6027\u814b\u7a9d\u8fdb\u884c\u75c5\u7406\u5206\u671f\u3002\u5177\u6709\u91cc\u7a0b\u7891\u610f\u4e49\u7684ACOSOG Z0011 \u8bd5\u9a8c\u8fdb\u4e00\u6b65\u524a\u5f31\u4e86\u814b\u7a9d\u6e05\u626b\u672f\u7684\u4f7f\u7528\uff0c\u8be5\u8bd5\u9a8c\u8868\u660e\uff0c\u5373\u4f7f\u6700\u591a\u4e24\u4e2a\u524d\u54e8\u6dcb\u5df4\u7ed3\u5448\u9633\u6027\uff0c\u4e5f\u65e0\u9700\u8fdb\u884cALND\uff0c\u8fd9\u5df2\u6210\u4e3a\u814b\u7a9d\u62a4\u7406\u7684\u65b0\u6807\u51c6\u3002SLNB\u88ab\u89c6\u4e3a\u533a\u5206\u6dcb\u5df4\u7ed3\u9634\u6027\u60a3\u8005\u548c\u9700\u8981\u66f4\u5e7f\u6cdb\u5916\u79d1\u624b\u672f\u7684\u6dcb\u5df4\u7ed3\u53d7\u7d2f\u60a3\u8005\u7684\u53ef\u9760\u65b9\u6cd5\uff0c\u4f46ACOSOG Z0011\u8bd5\u9a8c\u63ed\u793a\u7684ALND\u7f3a\u4e4f\u4f18\u52bf\uff0c\u5f15\u53d1\u4e86\u5173\u4e8e\u662f\u5426\u771f\u7684\u9700\u8981\u5bf9\u814b\u7a9d\u6dcb\u5df4\u7ed3\u8fdb\u884c\u624b\u672f\u5206\u671f\uff0c\u4ee5\u53ca\u5f71\u50cf\u5b66\u662f\u5426\u80fd\u53ef\u9760\u4ee3\u66ff\u624b\u672f\u5206\u671f\u7684\u95ee\u9898\u3002\u8fd9\u4fc3\u4f7f\u4e86SOUND\u8bd5\u9a8c\u7684\u542f\u52a8\uff0c\u65e8\u5728\u8bc4\u4f30\u5bf9\u76f4\u5f84\u22642\u5398\u7c73\u4e14\u672f\u524d\u814b\u7a9d\u8d85\u58f0\u68c0\u67e5\u9634\u6027\u7684BC\u60a3\u8005\u7701\u7565\u814b\u7a9d\u624b\u672f\u7684\u80bf\u7624\u5b66\u5b89\u5168\u6027\u3002<\/p>\n

SOUND\u8bd5\u9a8c\uff1a\u8bc4\u4f30\u7701\u7565\u814b\u7a9d\u624b\u672f\u5728\u65e9\u671f\u4e73\u817a\u764c\u6cbb\u7597\u4e2d\u7684\u5b89\u5168\u6027<\/p>\n

\u7814\u7a76\u65b9\u6cd5<\/p>\n

SOUND\u8bd5\u9a8c\u662f\u4e00\u9879\u591a\u4e2d\u5fc33\u671f\u975e\u52a3\u6548\u6027\u968f\u673a\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u4e8e2012\u5e742\u6708\u81f32017\u5e746\u6708\u5728\u610f\u5927\u5229\u3001\u897f\u73ed\u7259\u3001\u745e\u58eb\u548c\u667a\u5229\u768418\u5bb6\u533b\u9662\u8fdb\u884c\u3002\u8bd5\u9a8c\u6ce8\u518c\u4e8e2014\u5e746\u6708\uff0c\u9075\u5faa\u8d6b\u5c14\u8f9b\u57fa\u5ba3\u8a00\uff0c\u6bcf\u4e2a\u53c2\u4e0e\u4e2d\u5fc3\u7684\u673a\u6784\u5ba1\u67e5\u59d4\u5458\u4f1a\u6279\u51c6\u3002\u6240\u6709\u60a3\u8005\u5747\u7b7e\u7f72\u77e5\u60c5\u540c\u610f\u4e66\uff0c\u9075\u5faaCONSORT\u62a5\u544a\u6307\u5357\u3002<\/p>\n

\u7814\u7a76\u4eba\u7fa4 <\/p>\n

\u7b26\u5408\u6761\u4ef6\u7684\u60a3\u8005\u4e3a\u4efb\u4f55\u5e74\u9f84\uff0c\u60a3\u6709\u76f4\u5f84\u22642\u5398\u7c73\u7684\u6d78\u6da6\u6027\u4e73\u817a\u764c\uff0c\u672a\u6d89\u53ca\u814b\u7a9d\u6dcb\u5df4\u7ed3\uff0c\u8ba1\u5212\u63a5\u53d7\u4fdd\u4e73\u624b\u672f\u548c\u653e\u5c04\u6cbb\u7597\u7684\u60a3\u8005\u3002\u672f\u524d\u8d85\u58f0\u68c0\u67e5\u65e0\u6dcb\u5df4\u7ed3\u53d7\u7d2f\uff0c\u82e5\u8d85\u58f0\u68c0\u67e5\u7591\u4f3c\uff0c\u5219\u7ec6\u9488\u62bd\u5438\u6392\u9664\u8f6c\u79fb\u3002\u6392\u9664\u591a\u4e2a\u53ef\u7591\u6dcb\u5df4\u7ed3\u3001\u5e7f\u6cdb\u764c\u75c7\u3001\u53cc\u4fa7\u4e73\u817a\u764c\u3001\u8fdc\u5904\u8f6c\u79fb\u3001\u65e2\u5f80\u764c\u75c7\u3001\u6000\u5b55\u6216\u54fa\u4e73\u4ee5\u53ca\u65e0\u6cd5\u63d0\u4f9b\u77e5\u60c5\u540c\u610f\u6216\u968f\u8bbf\u7684\u60a3\u8005\u3002<\/p>\n

\u8bd5\u9a8c\u7ec8\u70b9\u4e0e\u7edf\u8ba1\u5206\u6790<\/p>\n

\u4e3b\u8981\u7ec8\u70b9\u4e3a\u8fdc\u5904\u65e0\u75c5\u751f\u5b58\u7387\uff08DDFS\uff09\uff0c\u6b21\u8981\u7ec8\u70b9\u5305\u62ec\u8fdc\u5904\u590d\u53d1\u7387\u3001\u814b\u7a9d\u590d\u53d1\u7387\u3001\u65e0\u75c5\u751f\u5b58\u7387\uff08DFS\uff09\u3001\u603b\u751f\u5b58\u671f\uff08OS\uff09\u548c\u8f85\u52a9\u6cbb\u7597\u5efa\u8bae\u3002\u91c7\u7528\u610f\u5411\u6cbb\u7597\u6cd5\u5206\u6790\u6570\u636e\uff0c\u4f7f\u7528\u975e\u53c2\u6570Kaplan-Meier\u6cd5\u4f30\u8ba1\u751f\u5b58\u66f2\u7ebf\uff0c\u91c7\u7528\u5bf9\u6570\u79e9\u68c0\u9a8c\u68c0\u9a8c\u8bc4\u4f30\u751f\u5b58\u5dee\u5f02\u3002<\/p>\n

\u7814\u7a76\u7ed3\u679c <\/p>\n

\u5728\u610f\u5411\u6cbb\u7597\u5206\u6790\u4e2d\u7eb3\u5165\u7684 1405 \u540d\u5973\u6027\u4e2d\uff0c\u4e2d\u4f4d (IQR) \u5e74\u9f84\u4e3a 60 (52-68) \u5c81\uff0c\u4e2d\u4f4d (IQR) \u80bf\u7624\u5927\u5c0f\u4e3a 1.1 (0.8-1.5) cm\uff0c\u5176\u4e2d1234 \u540d\u60a3\u8005 (87.8%) \uff09\u5177\u6709\u96cc\u6fc0\u7d20\u53d7\u4f53\uff08ER\uff09\u9633\u6027\u4e14\u672a\u8fc7\u5ea6\u8868\u8fbeERBB2\uff08\u4ee5\u524d\u79f0\u4e3aHER2\u6216HER2\/neu\uff09\u7684\u4e73\u817a\u764c\u3002\u6cbb\u7597\u7ec4\u4e4b\u95f4\u7684\u57fa\u7ebf\u7279\u5f81\u76f8\u4f3c\uff08\u88681\uff09\u3002\u5728 SLNB \u7ec4 (n = 708) \u4e2d\uff0c97 \u4f8b\u60a3\u8005 (13.7%) \u814b\u7a9d\u6dcb\u5df4\u7ed3\u9633\u6027\uff0836 \u4f8b [5.1%] \u5b58\u5728\u5fae\u5c0f\u8f6c\u79fb\uff0c61 \u4f8b [8.6%] \u5b58\u5728\u5927\u8f6c\u79fb\uff09\uff0c4 \u4f8b (0.6%) \u5b58\u5728 4 \u4e2a\u6216\u66f4\u591a\u9633\u6027\u6dcb\u5df4\u7ed3\u8282\u70b9\u3002<\/p>\n

\u88681<\/p>\n<\/p>\n

\u4e24\u7ec4\u63a8\u8350\u7684\u8f85\u52a9\u5168\u8eab\u6cbb\u7597\u548c\u653e\u7597\u76f8\u4f3c\uff08\u88682\uff09\u3002<\/p>\n

\u88682<\/p>\n<\/p>\n

\u5728 SLNB \u7ec4\u4e2d\uff0c652 \u540d\u60a3\u8005\uff0892.1%\uff09\u60a3\u6709 ER \u9633\u6027 BC\uff1b\u5176\u4e2d 638 \u4eba\uff0897.9%\uff09\u63a5\u53d7\u4e86\u6fc0\u7d20\u6cbb\u7597\u3002\u5728\u672a\u8fdb\u884c\u814b\u7a9d\u624b\u672f\u7684\u7ec4 (n = 697) \u4e2d\uff0c653 \u540d\u60a3\u8005 (93.7%) \u60a3\u6709 ER \u9633\u6027 BC\uff1b\u5176\u4e2d\uff0c646 \u4eba\uff0898.9%\uff09\u63a5\u53d7\u4e86\u6fc0\u7d20\u6cbb\u7597\u3002\u5728 SLNB \u7ec4\u4e2d\uff0c48 \u540d\u60a3\u8005 (6.8%) \u60a3\u6709ERBB2\u8fc7\u8868\u8fbe BC\uff1b\u5176\u4e2d\uff0c45 \u4eba (93.8%) \u63a5\u53d7\u4e86\u66f2\u59a5\u73e0\u5355\u6297\u6cbb\u7597\u3002\u5728\u672a\u8fdb\u884c\u814b\u7a9d\u624b\u672f\u7684\u7ec4\u4e2d\uff0c47 \u540d\u60a3\u8005 (6.7%) \u60a3\u6709ERBB2\u8fc7\u8868\u8fbe BC\uff1b\u5176\u4e2d\uff0c46 \u4eba (97.9%) \u63a5\u53d7\u4e86\u66f2\u59a5\u73e0\u5355\u6297\u6cbb\u7597\u3002<\/p>\n

\u603b\u4f53\u800c\u8a00\uff0cSLNB \u7ec4\u4e2d\u6709 142 \u540d\u5973\u6027\uff0820.1%\uff09\u63a5\u53d7\u5316\u7597\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u6709 122 \u540d\u5973\u6027\uff0817.5%\uff09\u63a5\u53d7\u5316\u7597\uff0c\u800c SLNB \u7ec4\u6709 694 \u540d\u5973\u6027\uff0898.0%\uff09\u63a5\u53d7\u5316\u7597\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u6709 680 \u540d\u5973\u6027\uff0897.6%\uff09\u63a5\u53d7\u5316\u7597\u3002\u624b\u672f\u7ec4\u63a5\u53d7\u653e\u5c04\u6cbb\u7597\u3002\u603b\u5171\u670976\u540d\u60a3\u8005\uff08SLNB \u7ec4\uff09\u548c75\u540d\u60a3\u8005\uff0810.8%\uff09\u5728\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e2d\u63a5\u53d7\u4e86\u90e8\u5206\u4e73\u623f\u653e\u7597\u3002SLNB \u7ec4\u4e2d\u5171\u6709 24 \u540d\u60a3\u8005\uff083.4%\uff09\u548c\u975e\u814b\u7a9d\u624b\u672f\u7ec4\u4e2d\u7684 39 \u540d\u60a3\u8005\uff085.6%\uff09\u63a5\u53d7\u4e86\u672f\u4e2d ELIOT \u5347\u538b\uff0812 Gy\uff09\uff0c\u968f\u540e\u8fdb\u884c\u4e86\u5927\u5206\u5272\u7597\u7a0b\u7684\u5168\u4e73\u817a\u653e\u7597\uff0837.05 Gy\uff09\u3002\u3002\u603b\u5171\u6709 593 \u540d\u60a3\u8005\uff08SLNB \u7ec4\uff09\u548c 565 \u540d\u60a3\u8005\uff0881.1%\uff09\u5728\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e2d\u63a5\u53d7\u4e86\u5168\u4e73\u817a\u653e\u7597\uff0c\u5e76\u6839\u636e\u4e0d\u540c\u5730\u533a\u5e94\u7528\u7684\u62a4\u7406\u6807\u51c6\uff0c\u57283\u81f35\u5468\u5185\u8fdb\u884c\u4e86\u5e38\u89c4\u5206\u5272\u3002 <\/p>\n

SLNB \u7ec4\u75be\u75c5\u8bc4\u4f30\u7684\u4e2d\u4f4d (IQR) \u968f\u8bbf\u65f6\u95f4\u4e3a5.7(5.0-6.8)\u5e74\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a5.7(5.0-6.6)\u5e74\u3002SLNB \u7ec4\u751f\u547d\u72b6\u6001\u8bc4\u4f30\u7684\u4e2d\u4f4d(IQR)\u968f\u8bbf\u65f6\u95f4\u4e3a5.8 (5.0-6.9)\u5e74\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a 5.8(5.0-6.8)\u5e74\u3002\u968f\u8bbf\u671f\u95f4\uff0cSLNB\u7ec4\u53d1\u751f\u5c40\u90e8\u590d\u53d112\u4f8b\uff081.7%\uff09\u3001\u8fdc\u5904\u8f6c\u79fb 13 \u4f8b\uff081.8%\uff09\u3001\u6b7b\u4ea1 21 \u4f8b\uff083.0%\uff09\uff0c\u5c40\u90e8\u590d\u53d111\u4f8b\uff081.6%\uff09\u3001\u8fdc\u5904\u8f6c\u79fb14\u4f8b\uff082.0%\uff09\u3002\u672a\u8fdb\u884c\u814b\u7a9d\u624b\u672f\u7ec4\u53d1\u751f\u8fdc\u5904\u8f6c\u79fb\uff0c\u6b7b\u4ea1 18 \u4f8b\uff082.6%\uff09\uff08\u8868 3\uff09\u3002<\/p>\n

\u88683<\/p>\n<\/p>\n

SLNB \u7ec4\u7684 5 \u5e74 DDFS \u4e3a 97.7%\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a 98.0%\uff08\u5bf9\u6570\u79e9\u68c0\u9a8cP= .67\uff09\uff08\u56fe 2 A\uff09\u3002\u5728\u8bc4\u4f30 5 \u5e74 DDFS \u975e\u52a3\u6548\u6027\u7684\u4e3b\u8981\u5047\u8bbe\u65f6\uff0c\u6211\u4eec\u53d1\u73b0\u7701\u7565\u814b\u7a9d\u624b\u672f\u5e76\u4e0d\u52a3\u4e8e SLNB\uff08\u98ce\u9669\u6bd4\uff0c0.84\uff1b90% CI\uff0c0.45-1.54\uff1b\u975e\u52a3\u6548\u6027P=0.02\uff09\u3002SLNB \u7ec4\u7684 5 \u5e74 DFS \u4e3a 94.7%\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a 93.9%\uff08\u5bf9\u6570\u79e9\u68c0\u9a8cP \u2009= 0.30\uff09\uff08\u56fe 2 B\uff09\u3002SLNB \u7ec4\u7684 5 \u5e74 OS \u4e3a 98.2%\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a 98.4%\uff08\u5bf9\u6570\u79e9\u68c0\u9a8cP \u2009= 0.72\uff09\uff08\u56fe 2C\uff09\u3002<\/p>\n<\/p>\n

\u56fe2<\/p>\n

SLNB \u7ec4\u7684 5 \u5e74\u8fdc\u5904\u8f6c\u79fb\u7d2f\u8ba1\u53d1\u751f\u7387\u4e3a 2.3%\uff0c\u65e0\u814b\u7a9d\u624b\u672f\u7ec4\u4e3a 1.9%\uff08Gray P \u2009= .69\uff09\uff08\u56fe3\uff09\u3002\u4e24\u7ec4\u814b\u7a9d\u590d\u53d1\u7684 5 \u5e74\u7d2f\u79ef\u53d1\u751f\u7387\u4e3a 0.4%\uff08Gray P \u2009= .91\uff09\uff08\u56fe4\uff09\u3002<\/p>\n

\u56fe3<\/p>\n<\/p>\n

\u56fe4<\/p>\n

\u7814\u7a76\u7ed3\u8bba<\/p>\n

\u5bf9\u4e8e\u5c0f\u4e73\u817a\u764c (BC)\u4e14\u814b\u7a9d\u6dcb\u5df4\u7ed3\u8d85\u58f0\u68c0\u67e5\u7ed3\u679c\u9634\u6027\u7684\u60a3\u8005\uff0c\u7701\u7565\u814b\u7a9d\u624b\u672f\u5e76\u4e0d\u52a3\u4e8e SLNB\u3002\u8fd9\u4e9b\u7ed3\u679c\u8868\u660e\uff0c\u53ea\u8981\u7f3a\u4e4f\u75c5\u7406\u4fe1\u606f\u4e0d\u5f71\u54cd\u672f\u540e\u6cbb\u7597\u8ba1\u5212\uff0c\u5177\u6709\u8fd9\u4e9b\u7279\u5f81\u7684\u60a3\u8005\u5c31\u53ef\u4ee5\u5b89\u5168\u5730\u907f\u514d\u8fdb\u884c\u814b\u7a9d\u624b\u672f\u3002<\/p>\n

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

[1] Khan SA. Sentinel Node Biopsy for Early Breast Cancer\u2014A SOUND for De-escalation. JAMA Oncol. 2023;9(11):1501\u20131503.[2] Gentilini OD, Botteri E, Sangalli C, et al. Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA Oncol. 2023;9(11):1557\u20131564.<\/p>\n

\u8d23\u4efb\u7f16\u8f91\uff1a\u80bf\u7624\u8d44\u8baf-Annie \u6392\u7248\u7f16\u8f91\uff1a\u80bf\u7624\u8d44\u8baf-Awa<\/p>\n","protected":false},"excerpt":{"rendered":"

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