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\u7f16\u8005\u6309\uff1a\u5728\u6211\u56fd\uff0c\u7532\u72b6\u817a\u7ed3\u8282\u4e0e\u7532\u72b6\u817a\u764c\u662f\u5185\u5206\u6ccc\u7cfb\u7edf\u91cd\u8981\u75be\u75c5\uff0c\u4e9f\u9700\u89c4\u8303\u5316\u8bca\u6cbb\u3002\u300a\u7532\u72b6\u817a\u7ed3\u8282\u548c\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\u8bca\u6cbb\u6307\u5357(\u7b2c\u4e8c\u7248)\u300b\u7ed3\u5408\u4e86\u6700\u4f73\u7684\u79d1\u5b66\u8bc1\u636e\u53ca\u4e34\u5e8a\u533b\u751f\u7684\u7ecf\u9a8c\uff0c\u5b9e\u7528\u6027\u5f3a\uff0c\u9002\u7528\u4e8e\u4ece\u4e8b\u4e34\u5e8a\u5de5\u4f5c\u7684\u5185\u79d1\u533b\u751f\uff0c\u4e3a\u7532\u72b6\u817a\u7ed3\u8282\u53ca\u7532\u72b6\u817a\u764c\u7ba1\u7406\u63d0\u4f9b\u6700\u65b0\u6307\u5bfc\u5efa\u8bae\u3002\u57282023 \u5357\u4eac\u5927\u5b66\u5185\u5206\u6ccc\u4ee3\u8c22\u8bba\u575b\u4e2d\uff0c\u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u5355\u5fe0\u8273\u6559\u6388\u5bf9\u65b0\u7248\u6307\u5357\u8fdb\u884c\u4e86\u8be6\u5c3d\u7684\u89e3\u8bfb\uff0c\u73b0\u6574\u7406\u5176\u7cbe\u7cb9\uff0c\u4e0e\u5e7f\u5927\u540c\u4ec1\u5171\u52c9\u3002<\/p>\n

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\u8bca\u6cbb\u6307\u5357(\u7b2c\u4e8c\u7248)\u300b\u53d1\u5e03\u5566\uff01<\/p>\n

2012\u5e74\uff0c\u6211\u56fd\u7b2c\u4e00\u7248\u300a\u7532\u72b6\u817a\u7ed3\u8282\u548c\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\u8bca\u6cbb\u6307\u5357\u300b\u53d1\u5e03\uff0c\u8fd9\u90e8\u6307\u5357\u7d27\u5bc6\u8ddf\u8e2a\u4e86\u5f53\u65f6\u56fd\u9645\u5b66\u672f\u548c\u4e34\u5e8a\u524d\u6cbf\uff0c\u5bc6\u5207\u7ed3\u5408\u6211\u56fd\u4e34\u5e8a\u5b9e\u9645\uff0c\u4e3a\u6211\u56fd\u56fd\u6c11\u7684\u7532\u72b6\u817a\u5065\u5eb7\u4e8b\u4e1a\u505a\u51fa\u4e86\u91cd\u8981\u8d21\u732e\u30022012~2022\u5341\u5e74\u95f4\uff0c\u7532\u72b6\u817a\u764c\u9886\u57df\u8fdb\u5c55\u8fc5\u901f\uff0c\u56fd\u9645\u7532\u72b6\u817a\u764c\u6307\u5357\u4e0d\u65ad\u66f4\u65b0\u3002\u4e3a\u987a\u5e94\u7532\u72b6\u817a\u764c\u9886\u57df\u7684\u5b66\u672f\u8fdb\u5c55\u548c\u76f8\u5173\u4e34\u5e8a\u9700\u6c42\uff0c\u7ecf\u76f8\u5173\u5b66\u4f1a\u548c\u4e13\u5bb6\u915d\u917f\uff0c\u300a\u7532\u72b6\u817a\u7ed3\u8282\u548c\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\u8bca\u6cbb\u6307\u5357(\u7b2c\u4e8c\u7248)\u300b[1]<\/sup>\uff08\u7b80\u79f0\u201c\u65b0\u7248\u6307\u5357\u201d\uff09\u75317\u5bb6\u5b66\u4f1a\u7ec4\u7ec7\u4fee\u8ba2\uff0c\u5386\u65f61\u5e74\u4f59\uff0c\u6700\u7ec8\u5b9a\u7a3f\u5e76\u53d1\u5e03\u3002\u65b0\u7248\u6307\u5357\u6309\u7167\u56fd\u9645\u516c\u8ba4\u7684GRADE\u5206\u7ea7\u6807\u51c6\u7ed9\u51fa\u4e86\u660e\u786e\u7684\u63a8\u8350\/\u8bc1\u636e\u8d28\u91cf\u5206\u7ea7\uff0c\u63a8\u8350\u610f\u89c1\u7684\u5236\u5b9a\u8fc7\u7a0b\u79d1\u5b66\u5316\u3001\u4f53\u7cfb\u5316\u3002\u4e0e\u65e7\u7248\u4e2d\u56fd\u6307\u5357\u548c\u56fd\u9645\u6307\u5357\u76f8\u6bd4\uff0c\u65b0\u7248\u6307\u5357\u7eb3\u5165\u4e86\u56fd\u5185\u5916\u6700\u65b0\u5faa\u8bc1\u8bc1\u636e\uff0c\u5e76\u8865\u5145\u4e86\u5927\u91cf\u4e2d\u56fd\u7814\u7a76\uff0c\u4ee5\u671f\u4e3a\u4e34\u5e8a\u63d0\u4f9b\u6743\u5a01\u6027\u6307\u5bfc\u3002<\/p>\n

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01<\/p>\n

\u6d41\u884c\u75c5\u5b66\u7279\u5f81<\/p>\n

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\u56fe1. \u6211\u56fd\u7532\u72b6\u817a\u764c\u53d1\u75c5\u7387\u5feb\u901f\u589e\u957f<\/p>\n

02<\/p>\n

\u4e34\u5e8a\u8868\u73b0<\/p>\n

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03<\/p>\n

\u5b9e\u9a8c\u5ba4\u68c0\u67e5<\/p>\n

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04<\/p>\n

\u8d85\u58f0\u68c0\u67e5<\/p>\n

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\u56fe2.  C-TIRADS\u5bf9\u8d85\u58f0\u4e0b\u7ed3\u8282\u8fdb\u884c\u5371\u9669\u6027\u5206\u7c7b<\/p>\n

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05<\/p>\n

\u7ec6\u9488\u62bd\u5438\u6d3b\u68c0\uff08FNAB\uff09<\/p>\n

FNAB\u662f\u901a\u8fc7\u7ec6\u9488\u62bd\u5438\u83b7\u53d6\u7532\u72b6\u817a\u7ed3\u8282\u7684\u75c5\u53d8\u7ec6\u80de\u8fdb\u884c\u75c5\u7406\u5b66\u8bca\u65ad\uff0c\u662f\u672f\u524d\u8bc4\u4f30\u7532\u72b6\u817a\u7ed3\u8282\u51c6\u786e\u3001\u7ecf\u6d4e\u800c\u6709\u6548\u7684\u65b9\u6cd5\u3002\u4f46\u662f\uff0c\u5e76\u975e\u6240\u6709\u7684\u7532\u72b6\u817a\u7ed3\u8282\u90fd\u9700\u8981\u505aFNAB\uff0c\u65b0\u7248\u6307\u5357\u5217\u51fa\u4e86\u8be6\u7ec6\u7684\u9002\u5e94\u8bc1\uff08\u56fe3\uff09\uff0c\u4e3b\u8981\u6839\u636eC-TIRADS\u5206\u7c7b\u3001\u7ed3\u8282\u76f4\u5f84\u548c\u968f\u8bbf\u89c2\u5bdf\u53d8\u5316\u7b49\u6307\u6807\u505a\u51fa\u9009\u62e9\u3002<\/p>\n

\u56fe3. \u65b0\u7248\u6307\u5357\u4e2dFNAB\u7684\u9002\u5e94\u8bc1<\/p>\n

\u65b0\u7248\u6307\u5357\u91c7\u75282017\u5e74\u7248\u7532\u72b6\u817a\u7ec6\u80de\u75c5\u7406\u5b66Bethesda\u62a5\u544a\u7cfb\u7edf(TBSRTC)\u4f5c\u4e3a\u7532\u72b6\u817aFNAB\u7ec6\u80de\u75c5\u7406\u5b66\u7684\u8bca\u65ad\u5206\u7c7b\uff08\u56fe4\uff09\u3002\u8d85\u58f0\u5f71\u50cf\u53ef\u7591\u6dcb\u5df4\u7ed3\uff0c\u5728\u8fdb\u884cFNAB\u7ec6\u80de\u5b66\u68c0\u67e5\u65f6\uff0c\u53ef\u540c\u65f6\u884c\u6d17\u8131\u6db2\u7684Tg\u6d4b\u5b9a\u3002\u7ecfFNAB\u4ecd\u4e0d\u80fd\u786e\u5b9a\u826f\u6076\u6027\u7684\u7532\u72b6\u817a\u7ed3\u8282\uff0c\u6216\u9700\u8981\u5371\u9669\u5206\u5c42\u7684\u6076\u6027\u7532\u72b6\u817a\u7ed3\u8282\uff0c\u53ef\u4ee5\u5bf9\u7a7f\u523a\u6807\u672c\u8fdb\u884c\u5206\u5b50\u6807\u8bb0\u7269\u68c0\u6d4b\u3002<\/p>\n

\u56fe4. Bethesda\u62a5\u544a\u7cfb\u7edf(TBSRTC)\u5177\u4f53\u5206\u7c7b\u548c\u6076\u6027\u98ce\u9669\u5ea6<\/p>\n

06<\/p>\n

\u968f\u8bbf\u65b9\u6848<\/p>\n

\u76ee\u524d\uff0c\u5bf9\u7532\u72b6\u817a\u7ed3\u8282\u7684\u6700\u4f73\u968f\u8bbf\u9891\u5ea6\u7f3a\u4e4f\u6709\u529b\u8bc1\u636e\uff0c\u901a\u5e38\u7ed3\u5408\u8d85\u58f0\u7279\u5f81\u548c\u7ec6\u80de\u5b66\u7ed3\u679c\u51b3\u5b9a\u3002\u6307\u5357\u5bf93\u79cd\u7279\u6b8a\u60c5\u51b5\u7532\u72b6\u817a\u7ed3\u8282\u7684\u968f\u8bbf\u9891\u5ea6\u505a\u51fa\u4e86\u63a8\u8350\uff1a\u8d85\u58f0\u8868\u73b0\u4e0d\u7b26\u5408FNAB\u6807\u51c6\u7684\u7532\u72b6\u817a\u7ed3\u8282\uff0c\u6bcf\u96946~12\u4e2a\u6708\u968f\u8bbf\uff1b\u6682\u672a\u63a5\u53d7\u6cbb\u7597\u7684\u53ef\u7591\u6076\u6027\u6216\u6076\u6027\u7ed3\u8282\uff0c\u53ef\u4ee5\u7f29\u77ed\u968f\u8bbf\u95f4\u9694\u3002\u7ec6\u80de\u5b66\u826f\u6027\u7684\u7532\u72b6\u817a\u7ed3\u8282\uff0c\u5982\u679c\u8d85\u58f0\u8868\u73b0\u9ad8\u5ea6\u6000\u7591\u6076\u6027\uff0c\u4ecd\u9700\u8981\u572812\u4e2a\u6708\u5185\u518d\u6b21\u884cFNAB\u3002\u51fa\u73b0\u65b0\u7684\u53ef\u7591\u6076\u6027\u8d85\u58f0\u5f81\u8c61\u6216\u4f53\u79ef\u589e\u5927\u8d85\u8fc750\uff05\u7684\u7532\u72b6\u817a\u7ed3\u8282\uff0c\u662fFNAB\u7684\u9002\u5e94\u8bc1\u3002<\/p>\n

07<\/p>\n

\u6cbb\u7597\u65b9\u6848<\/p>\n

\u591a\u6570\u826f\u6027\u7532\u72b6\u817a\u7ed3\u8282\u4ec5\u9700\u5b9a\u671f\u968f\u8bbf\uff0c\u65e0\u75c7\u72b6\u4e14\u589e\u957f\u4e0d\u5feb\u7684\u826f\u6027\u7ed3\u8282\u65e0\u9700\u7279\u6b8a\u6cbb\u7597\u3002\u8981\u4fdd\u8bc1\u9002\u91cf\u7684\u7898\u6444\u5165\u3002\u5c11\u6570\u60c5\u51b5\u4e0b\uff0c\u53ef\u9009\u62e9\u624b\u672f\u6cbb\u7597\u3001\u6d88\u878d\u6cbb\u7597\u3001131<\/sup>\uff29\u6cbb\u7597\u7b49\uff0c\u65e0\u8bba\u9009\u62e9\u4ec0\u4e48\u65b9\u6cd5\uff0c\u8981\u6709\u5408\u9002\u7684\u9002\u5e94\u8bc1\uff0c\u4e0d\u63a8\u8350TSH\u6291\u5236\u6cbb\u7597\u3002\u826f\u6027\u7532\u72b6\u817a\u7ed3\u8282\u5982\u505a\u624b\u672f\uff0c\u5728\u5b89\u5168\u5207\u9664\u826f\u6027\u7532\u72b6\u817a\u7ed3\u8282\u76ee\u6807\u75c5\u7076\u7684\u540c\u65f6\uff0c\u89c6\u60c5\u51b5\u51b3\u5b9a\u4fdd\u7559\u6b63\u5e38\u7532\u72b6\u817a\u7ec4\u7ec7\u7684\u591a\u5c11\u3002\u82e5\u7ed3\u8282\u5f25\u6f2b\u6027\u5206\u5e03\u4e8e\u53cc\u4fa7\u7532\u72b6\u817a\uff0c\u5bfc\u81f4\u672f\u4e2d\u96be\u4ee5\u4fdd\u7559\u8f83\u591a\u7684\u6b63\u5e38\u7532\u72b6\u817a\u7ec4\u7ec7\u65f6\uff0c\u53ef\u9009\u62e9\u5168\/\u8fd1\u5168\u7532\u72b6\u817a\u5207\u9664\u672f\u3002131<\/sup>\uff29\u4e3b\u8981\u7528\u4e8e\u6cbb\u7597\u6709\u81ea\u4e3b\u6444\u53d6\u529f\u80fd\uff0c\u7279\u522b\u662f\u4f34\u6709\u7532\u4ea2\u7684\u826f\u6027\u7532\u72b6\u817a\u7ed3\u8282\u3002\u6d88\u878d\u6cbb\u7597\u5177\u6709\u7cbe\u51c6\u5b89\u5168\u3001\u7597\u6548\u786e\u5207\u3001\u624b\u672f\u65f6\u95f4\u77ed\u3001\u9888\u90e8\u65e0\u7622\u75d5\u3001\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u4f4e\u3001\u4fdd\u7559\u7532\u72b6\u817a\u529f\u80fd\u7b49\u4f18\u52bf\u3002\u5bf9\u4e8e\u8fdb\u884c\u6027\u589e\u5927\u3001\u6709\u538b\u8feb\u75c7\u72b6\u3001\u5f71\u54cd\u5916\u89c2\u6216\u601d\u60f3\u987e\u8651\u8fc7\u91cd\u5f71\u54cd\u6b63\u5e38\u751f\u6d3b\uff0c\u4e14\u4e0d\u613f\u610f\u63a5\u53d7\u624b\u672f\u7684\u7532\u72b6\u817a\u826f\u6027\u7ed3\u8282\u60a3\u8005\uff0c\u6d88\u878d\u6cbb\u7597\u662f\u4e00\u79cd\u53ef\u9009\u62e9\u7684\u6cbb\u7597\u65b9\u6cd5\u3002\u9700\u8981\u5f3a\u8c03\u7684\u662f\u6d88\u878d\u6cbb\u7597\u524d\u5fc5\u987b\u8fdb\u884cFNAB\u6216CNB\u4e14\u660e\u786e\u7ed3\u8282\u4e3a\u826f\u6027\u3002\u6027\u8d28\u672a\u786e\u5b9a\u7684\u7ed3\u8282\u5305\u62ec\u7ec6\u80de\u5b66\u68c0\u6d4b\u7ed3\u679c\u62a5\u544a\u4e3aTBSRTC \u2162\u548c\u2163\u7c7b\u7ed3\u8282\uff0c\u53ef\u4ee5\u91cd\u590dFNAB\u3001CNB\u6216\u5206\u5b50\u68c0\u6d4b\u8fdb\u4e00\u6b65\u8bc4\u4f30\u7ed3\u8282\u7684\u6076\u6027\u98ce\u9669\uff0c\u6839\u636e\u4e34\u5e8a\u5371\u9669\u56e0\u7d20\u3001\u8d85\u58f0\u7279\u5f81\u4ee5\u53ca\u60a3\u8005\u610f\u613f\u8fdb\u884c\u968f\u8bbf\u6216\u8bca\u65ad\u6027\u5916\u79d1\u624b\u672f\u5207\u9664\u3002\u7efc\u4e0a\u6240\u8ff0\uff0c\u7532\u72b6\u817a\u7ed3\u8282\u7684\u4e34\u5e8a\u8bc4\u4f30\u548c\u5904\u7406\u6d41\u7a0b\u5305\u62ec\u591a\u4e2a\u73af\u8282\u3001\u591a\u6b21\u5224\u65ad\uff0c\u5176\u8981\u70b9\u662f\u8981\u533a\u5206\u7ed3\u8282\u7684\u826f\u6076\u6027\uff0c\u518d\u8fdb\u884c\u9488\u5bf9\u6027\u7684\u6cbb\u7597\u3001\u968f\u8bbf\uff08\u56fe5\uff09\u3002<\/p>\n

\u56fe5. \u7532\u72b6\u817a\u7ed3\u8282\u7684\u4e34\u5e8a\u8bc4\u4f30\u548c\u5904\u7406\u6d41\u7a0b<\/p>\n

\u5173\u4e8e\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\uff0c\u65b0\u7248\u6307\u5357\u5982\u4f55\u63a8\u8350\uff1f<\/p>\n

\u5173\u4e8e\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\uff08DTC\uff09\uff0c\u65b0\u7248\u6307\u5357\u4ece\u6d41\u884c\u75c5\u5b66\u3001\u5206\u578b\u3001\u6cbb\u7597\u539f\u5219\u7b49\u8fdb\u884c\u4e86\u8be6\u7ec6\u5730\u9610\u8ff0\uff0c\u672c\u6587\u805a\u7126DTC\u672f\u540e\u89c4\u8303\u5316\u7ba1\u7406\u3002DTC\u7684\u89c4\u8303\u5316\u6cbb\u7597\u4e09\u90e8\u66f2\u5305\u62ec\u624b\u672f\u3001\u672f\u540e131<\/sup>\uff29\u6cbb\u7597\u548cTSH\u6291\u5236\u6cbb\u7597\u3002<\/p>\n

01<\/p>\n

\u6982\u8ff0<\/p>\n

\u65b0\u7248\u6307\u5357\u63a8\u8350DTC\u7684\u521d\u59cb\u6cbb\u7597\u65b9\u6848\u4ee5\u89c4\u8303\u5316\u5916\u79d1\u6cbb\u7597\u4e3a\u4e3b\uff0c\u672f\u540e\u6cbb\u7597\u3001\u968f\u8bbf\u5e94\u5b9e\u65bd\u591a\u5b66\u79d1\u3001\u4e2a\u4f53\u5316\u7684\u7ba1\u7406\u3002\u6240\u6709DTC\u60a3\u8005\u5747\u5e94\u8fdb\u884c\u672f\u540eTNM\u5206\u671f\u548c\u521d\u59cb\u590d\u53d1\u98ce\u9669\u5206\u5c42\u3002\u8fd9\u7ed9\u5916\u79d1\u533b\u751f\u63d0\u51fa\u4e86\u66f4\u4e25\u683c\u548c\u89c4\u8303\u7684\u672f\u540e\u8bca\u65ad\u8981\u6c42\u3002<\/p>\n

02<\/p>\n

\u672f\u540e\u5206\u671f\/\u5206\u5c42<\/p>\n

\u65b0\u7248\u6307\u5357\u91c7\u7528\u4e86\u7531\u7f8e\u56fd\u764c\u75c7\u8054\u5408\u59d4\u5458\u4f1a(AJCC)\u4e0e\u56fd\u9645\u6297\u764c\u8054\u76df(UICC)\u8054\u5408\u5236\u5b9a\u7684\u7b2c\u516b\u7248\u80bf\u7624\u672f\u540eTNM\u5206\u671f\u7cfb\u7edf\uff0c\u57fa\u4e8e\u75c5\u7406\u5b66\u53c2\u6570(pTNM)\u548c\u5e74\u9f84\uff0c\u53ef\u4ee5\u7528\u4e8e\u764c\u75c7\u76f8\u5173\u6b7b\u4ea1\u98ce\u9669\u7684\u8bc4\u4f30\uff08\u56fe6\uff09\u3002<\/p>\n

\u56fe6. \u672f\u540e\u8bc4\u4f30TNM\u5206\u671f\uff08\u7b2c\u516b\u7248AJCC\u6807\u51c6\uff09<\/p>\n

DTC\u672f\u540e\u521d\u59cb\u590d\u53d1\u98ce\u9669\u5206\u5c42\u5305\u62ec\u4f4e\u5371\u3001\u4e2d\u5371\u548c\u9ad8\u5371\uff0c\u65b0\u7248\u6307\u5357\u57282015\u5e74ATA\u521d\u59cb\u590d\u53d1\u98ce\u9669\u5206\u5c42\u57fa\u7840\u4e0a\u8fdb\u884c\u7b80\u5316\uff08\u56fe7\uff09\uff0c\u4ee5\u6307\u5bfc\u4e2a\u4f53\u5316\u7684\u672f\u540e\u7ba1\u7406\u3002<\/p>\n

\u56fe7. \u65b0\u7248\u6307\u5357\u4e2dATA\u521d\u59cb\u590d\u53d1\u98ce\u9669\u5206\u5c42<\/p>\n

03<\/p>\n

131<\/sup>\uff29\u6cbb\u7597<\/p>\n

131<\/sup>\uff29\u6cbb\u7597\u5206\u4e3a\u6e05\u7532\u6cbb\u7597\u3001\u8f85\u52a9\u6cbb\u7597\u548c\u6e05\u7076\u6cbb\u7597\u4e09\u4e2a\u5c42\u6b21\uff0c\u8fd9\u4e09\u79cd\u6cbb\u7597\u65b9\u6848\u4e0d\u662f\u9012\u8fdb\u5173\u7cfb\uff0c\u800c\u662f\u6839\u636eTNM\u5206\u671f\u548c\u521d\u59cb\u590d\u53d1\u98ce\u9669\uff08\u4f4e\u3001\u4e2d\u3001\u9ad8\u5371\uff09\u5206\u5c42\u3001\u672f\u4e2d\u6240\u89c1\u3001\u672f\u540e\u8840\u6e05\u5b66\u53ca\u5f71\u50cf\u5b66\u7684\u7ed3\u679c\uff0c\u7efc\u5408\u8bc4\u4f30\u786e\u5b9a\u51fa\u4e0d\u540c\u7684\u6cbb\u7597\u76ee\u7684\u3002\u6307\u5357\u5efa\u8baeDTC\u60a3\u8005\u624b\u672f\u548c131<\/sup>\uff29\u6cbb\u7597\u540e\uff0c\u6839\u636e\u968f\u8bbf\u8fc7\u7a0b\u4e2d\u83b7\u5f97\u7684\u8840\u6e05\u5b66\u53ca\u5f71\u50cf\u5b66\u7ed3\u679c\uff0c\u5b9e\u65f6\u3001\u52a8\u6001\u5730\u8bc4\u4f30DTC\u75c5\u7076\u6301\u7eed\u5b58\u5728\u6216\u590d\u53d1\u98ce\u9669\u3002<\/p>\n

04<\/p>\n

\u7597\u6548\u8bc4\u4f30<\/p>\n

DTC\u672f\u540e\u968f\u8bbf\u5305\u62ec\u8840\u6e05\u5b66\u6307\u6807\u548c\u7ed3\u6784\u6307\u6807\u3002\u8840\u6e05Tg\u548c\u7532\u72b6\u817a\u7403\u86cb\u767d\u6297\u4f53\uff08TgAb\uff09\u6c34\u5e73\u53ef\u5728\u4e00\u5b9a\u7a0b\u5ea6\u4e0a\u53cd\u6620\u673a\u4f53\u7532\u72b6\u817a\u7ec4\u7ec7\u7684\u6b8b\u7559\u91cf\uff0c\u662f\u8bc4\u4f30\u80bf\u7624\u6709\u65e0\u6b8b\u7559\u6216\u590d\u53d1\u7684\u6307\u6807\u3002\u6307\u5357\u63a8\u8350DTC\u672f\u540e\u5e94\u540c\u65f6\u68c0\u6d4b\u8840\u6e05Tg\u4e0eTgAb\uff0c\u52a8\u6001\u6bd4\u8f83\u987b\u91c7\u7528\u540c\u4e00\u68c0\u6d4b\u8bd5\u5242\u548c\u65b9\u6cd5\u3002\u7ed3\u6784\u53d8\u5316\u4e3b\u8981\u901a\u8fc7\u8d85\u58f0\u8bc4\u4f30\u3002DTC\u968f\u8bbf\u671f\u95f4\u5e94\u5b9a\u671f\u8fdb\u884c\u9888\u90e8\u8d85\u58f0\u68c0\u67e5\uff0c\u5fc5\u8981\u65f6\u505a\u6838\u7d20\u626b\u63cf\u3001CT\u6216PET-CT\u7b49\u68c0\u67e5\u3002DTC\u672f\u540e\u7597\u6548\u8bc4\u4f30\u8fd8\u8981\u7ed3\u5408\u521d\u59cb\u6cbb\u7597\u65b9\u6848\uff0c\u901a\u8fc7\u8840\u6e05Tg\u3001TgAb\u548c\u5f71\u54cd\u5b66\u68c0\u67e5\u505a\u51fa\u5224\u65ad\u3002\uff08\u56fe8\uff09<\/p>\n

\u56fe8. \u4e0d\u540c\u521d\u59cb\u6cbb\u7597\u7684DTC\u60a3\u8005\u7684\u7597\u6548\u8bc4\u4f30\u6807\u51c6<\/p>\n

05<\/p>\n

\uff34SH\u6291\u5236\u6cbb\u7597<\/p>\n

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\u56fe10. DTC\u7684\u4e34\u5e8a\u5904\u7406\u6d41\u7a0b<\/p>\n

\u7ed3\u8bed<\/p>\n

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

1. \u7532\u72b6\u817a\u7ed3\u8282\u548c\u5206\u5316\u578b\u7532\u72b6\u817a\u764c\u8bca\u6cbb\u6307\u5357(\u7b2c\u4e8c\u7248).\u4e2d\u534e\u5185\u5206\u6ccc\u4ee3\u8c22\u6742\u5fd7.2023,39(3):181-226.2. Li Y, et al. Thyroid.2020,30(4): 568-579.3. Wang J,et al.Endocrine. 2020 Apr;68(1):163-173.<\/p>\n

END<\/p>\n

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