\u5199\u5728\u524d\u9762\uff1a<\/b>\u4e0a\u4e00\u7bc7\u6587\u7ae0\u83b7\u5f97\u4e86\u5f88\u591a\u540c\u9053\u7684\u8ba4\u53ef\uff0c\u56e0\u4e3a\u786e\u5b9ewhipple\u624b\u672f\u6709\u5f88\u591a\u9700\u8981\u6df1\u523b\u7406\u89e3\u7684\u70b9\u3002\u543b\u5408\u90e8\u5206\u4ee5\u540e\u4f1a\u5199\uff0c\u5148\u628a\u5207\u9664\u62a0\u7ec6\u3002\u543b\u5408\u5185\u5bb9\u6709\u70b9\u591a\uff0c\u6bd4\u5982\u80c6\u80a0\u543b\u5408\u5f20\u529b\u5927\u662f\u80a0\u7cfb\u819c\u592a\u77ed\uff1f\u8102\u80aa\u592a\u591a\uff1f\u79bb\u65ad\u4f4d\u7f6e\u4e0d\u591f\u8fdc\uff1f\u4e0a\u63d0\u4f4d\u7f6e\u9009\u7684\u4e0d\u597d\uff1f\u7cfb\u819c\u5207\u9664\u4e0d\u591f\u591a\uff1f\u7b49\u7b49\uff0c\u66f4\u522b\u8bf4\u80f0\u80a0\u543b\u5408\u65b9\u5f0f\u82b1\u6837\u767e\u51fa\uff0c\u4f30\u8ba1\u8fd9\u4e2a\u7248\u672c\u51fa\u6765\u8981\u5f88\u665a\u4e86\u3002<\/p>\n
\u8a00\u5f52\u6b63\u4f20\uff0c\u8fd9\u91cc\u8bb2\u4e00\u4e0b\u94a9\u7a81\u7684\u5207\u9664<\/b><\/p>\n
\u4e00\u3001<\/b>\u94a9\u7a81\u89e3\u5256\uff08\u80f0\u817a\u7cfb\u819c\u89e3\u5256\uff09<\/b><\/p>\n
Meso-pancreatoduodenum<\/b><\/p>\n
mesopancreas<\/b><\/p>\n
Mesopancreatoduodenal Resection<\/b><\/p>\n
\u5728\u7ed3\u76f4\u80a0\u764c\u624b\u672f\u9886\u57df\uff0c\u5f15\u5165\u5982\u5168\u76f4\u80a0\u7cfb\u819c\u5207\u9664\u672f\uff08Total Mesorectal Excision, TME\uff09\u6216\u4f34\u6709\u4e2d\u592e\u8840\u7ba1\u7ed3\u624e\u7684\u5b8c\u5168\u7ed3\u80a0\u7cfb\u819c\u5207\u9664\u672f\uff08Complete Mesocolic Excision, CME\uff09\u7b49\u7cfb\u819c\u95f4\u9699\u624b\u672f\uff0c\u5df2\u88ab\u8bc1\u660e\u80fd\u663e\u8457\u6539\u5584\u624b\u672f\u6548\u679c\u3002\u76f4\u80a0\u7cfb\u819c\u548c\u7ed3\u80a0\u7cfb\u819c\u4f5c\u4e3a\u80da\u80ce\u5b66\u7ec4\u7ec7\u95f4\u9699\uff0c\u5305\u542b\u8840\u7ba1\u3001\u6dcb\u5df4\u7ba1\u3001\u795e\u7ecf\u4ee5\u53ca\u5e38\u89c1\u7684\u6dcb\u5df4\u7ed3\uff0c\u8fd9\u4e9b\u7ed3\u6784\u53ef\u80fd\u6210\u4e3a\u80bf\u7624\u6269\u6563\u7684\u9014\u5f84\u3002\u8fd9\u4e9b\u624b\u672f\u65b9\u6cd5\u91c7\u7528\u7cbe\u7ec6\u7684\u7cfb\u819c\u95f4\u9699\u624b\u672f\u7406\u5ff5\uff0c\u7ed3\u5408\u4e2d\u592e\u8840\u7ba1\u7ed3\u624e\uff0c\u5373\u5b8c\u6574\u5207\u9664\u80bf\u7624\uff0c\u540c\u65f6\u4fdd\u7559\u5b8c\u6574\u7684\u8179\u819c\u548c\u7b4b\u819c\u5305\u88f9\u7684\u7cfb\u819c\u7ec4\u7ec7\uff0c\u4ee5\u53bb\u9664\u6240\u6709\u6f5c\u5728\u7684\u80bf\u7624\u8f6c\u79fb\u901a\u8def\u3002<\/p>\n
\u80f0\u817a\u7cfb\u819c\u6216\u80f0\u5341\u4e8c\u6307\u80a0\u7a7a\u80a0\u7cfb\u819c\uff0c\u5373\u80f0\u5341\u4e8c\u6307\u80a0\u7cfb\u819c\u5207\u9664\u7684\u6709\u6548\u6027\u5df2\u6709\u62a5\u9053\uff0c\u4f46\u8be5\u5207\u9664\u672f\u7684\u6807\u51c6\u7a0b\u5e8f\u5c1a\u672a\u5efa\u7acb\uff0c\u56e0\u4e3a\u80f0\u817a\u7cfb\u819c\u7684\u7cbe\u786e\u89e3\u5256\u8fb9\u754c\u5c1a\u4e0d\u660e\u786e\u3002<\/p>\n<\/p>\n
\u56fe1 <\/b>\u80f0\u817a\u7cfb\u819c\u7684\u89e3\u5256\u5b66\u5b9a\u4e49\u4f9d\u636e\u65e5\u672c\u764c\u75c7\u5b66\u4f1a\uff08Japan Cancer Society\uff09\u5173\u4e8e\u80f0\u5934\u795e\u7ecf\u4e1b\u7684\u6807\u51c6\u8fdb\u884c\u63cf\u8ff0\u3002\u7f29\u7565\u8bed<\/b>\uff1aPL ph I\u2014\u2014\u80f0\u5934\u795e\u7ecf\u4e1b1\uff08pancreatic head plexus 1\uff09\uff1bPL ph II\u2014\u2014\u80f0\u5934\u795e\u7ecf\u4e1b2\uff08pancreatic head plexus 2\uff09\uff1bPL SMA\u2014\u2014\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\u795e\u7ecf\u4e1b\uff08superior mesenteric artery plexus\uff09\uff1bPL ce\u2014\u2014\u8179\u8154\u795e\u7ecf\u4e1b\uff08celiac plexus\uff09\uff1bGDA\u2014\u2014\u80c3\u5341\u4e8c\u6307\u80a0\u52a8\u8109\uff08gastroduodenal artery\uff09\uff1bSMA\u2014\u2014\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08superior mesenteric artery\uff09\uff1bIPDA\u2014\u2014\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08inferior pancreaticoduodenal artery\uff09\uff1bJA1\u2014\u2014\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\uff08first jejunal artery\uff09\u3002\uff08\u6765\u81ea\uff1aLangenbeck’s Archives of Surgery, 2021, 406(8): 2621-2632.\uff09<\/p>\n
\u56fe2 \u793a\u610f\u56fe\u5c55\u793a\u4e86\u80f0\u5934\u90e8\u80bf\u7624\u7684\u6d78\u6da6\u65b9\u5411\uff0c\u4ee5\u53ca\u4f9b\u8840\u8840\u7ba1\u4e0e\u80f0\u5341\u4e8c\u6307\u80a0\u590d\u5408\u4f53\u7684\u7a7a\u95f4\u5173\u7cfb\u3002\u80c3\u5341\u4e8c\u6307\u80a0\u52a8\u8109\uff08GDA\uff09\u4e3b\u8981\u4f9b\u5e94\u80f0\u5341\u4e8c\u6307\u80a0\u590d\u5408\u4f53\u7684\u524d\u4e0a\u65b9\uff0c\u800c\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\uff08FJA\uff09\u4e3b\u8981\u4f9b\u5e94\u80f0\u5341\u4e8c\u6307\u80a0\u590d\u5408\u4f53\u7684\u540e\u65b9\uff0c\u5e76\u5411\u80f0\u5341\u4e8c\u6307\u80a0\u7cfb\u819c\uff08meso-pancreatoduodenum\uff09\u65b9\u5411\u5ef6\u4f38\u3002\u7f29\u7565\u8bed<\/b>\uff1aCeA\uff0c\u8179\u8154\u52a8\u8109\uff08celiac artery\uff09\uff1bCHA\uff0c\u809d\u603b\u52a8\u8109\uff08common hepatic artery\uff09\uff1bHA\uff0c\u809d\u52a8\u8109\uff08hepatic artery\uff09\uff1bPHA\uff0c\u56fa\u6709\u809d\u52a8\u8109\uff08proper hepatic artery\uff09\uff1bSPA\uff0c\u813e\u52a8\u8109\uff08splenic artery\uff09\uff1bGDA\uff0c\u80c3\u5341\u4e8c\u6307\u80a0\u52a8\u8109\uff08gastroduodenal artery\uff09\uff1bFJA\uff0c\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\uff08first jejunal artery\uff09\uff1bSMA\uff0c\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08superior mesenteric artery\uff09\uff1bSMV\uff0c\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff08superior mesenteric vein\uff09\uff1bIPDA\uff0c\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08inferior pancreaticoduodenal artery\uff09\uff1bCa\uff0c\u764c\uff08carcinoma\uff09\u3002\uff08\u6765\u81ea\uff1aEuropean Journal of Surgical Oncology (EJSO), 2016, 42(5): 698-705.\uff09<\/p>\n
\u56fe3 <\/b>\u80f0\u817a\u53ca\u80f0\u817a\u5341\u4e8c\u6307\u80a0\u7cfb\u819c\u5468\u56f4\u7b4b\u819c\u4e0e\u810f\u5668\u7684\u89e3\u5256\u4f4d\u7f6e\u5173\u7cfb\u3002\u7bad\u5934\u6307\u793aSMA\u4f18\u5148\u5165\u8def\u3002FJA\u5206\u652f\u51faIPDA\uff0c\u5e76\u8d70\u5411\u5341\u4e8c\u6307\u80a0\u548c\u8fd1\u7aef\u7a7a\u80a0\u3002\u7f29\u7565\u8bed\uff1a<\/b>SMA\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08Superior Mesenteric Artery\uff09\uff1bSMV\uff1a\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff08Superior Mesenteric Vein\uff09\uff1bCHA\uff1a\u809d\u603b\u52a8\u8109\uff08Common Hepatic Artery\uff09\uff1bFJA\uff1a\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\uff08First Jejunal Artery\uff09\uff1bFJV\uff1a\u7b2c\u4e00\u7a7a\u80a0\u9759\u8109\uff08First Jejunal Vein\uff09\uff1bIPDA\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08Inferior Pancreaticoduodenal Artery\uff09\uff1bGB\uff1a\u80c6\u56ca\uff08Gall Bladder\uff09\uff1bCa\uff1a\u80c6\u9053\u764c\uff08Biliary Tract Cancer\uff09\u3002\uff08\u6765\u81ea\uff1aLangenbeck’s archives of surgery, 2016, 401: 463-469.\uff09<\/p>\n
\u4e8c\u3001<\/b>\u5728\u8179\u8154\u955c\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f(LPD)\u4e2d\uff0c\u91c7\u7528\u8fd1\u4fa7\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff08proximal-dorsal jejunal vein\uff0cPDJV)\u9884\u5206\u79bb\u6cd5\u4ece\u53f3\u4fa7\u9760\u8fd1\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109<\/b><\/p>\n
artery-first approach\u52a8\u8109\u4f18\u5148\u5165\u8def<\/b>\uff0c\u5373\u4f18\u5148\u7ed3\u624e\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08inferior pancreaticoduodenal artery, IPDA\uff09\uff0c\u636e\u62a5\u9053\u53ef\u6709\u6548\u51cf\u5c11\u80f0\u817a\u5145\u8840\uff0c\u5e76\u5728\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\u4e2d\u51cf\u5c11\u672f\u4e2d\u51fa\u8840\u91cf\u3002<\/p>\n
\uff08Surgical endoscopy, 2018, 32: 4044-4051.\uff09\u6587\u7ae0\u8ba4\u4e3aPDJV\u662f\u5b89\u5168\u89e3\u5256\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u9759\u8109\uff08inferior pancreaticoduodenal vein\uff0cIPDV\uff09\u7684\u826f\u597d\u6807\u5fd7\uff0c\u9884\u5148\u9694\u79bbPDJV\u5c06\u6709\u52a9\u4e8e\u5728\u4e0d\u635f\u4f24IPDV\u7684\u60c5\u51b5\u4e0b\u89e3\u5256IPDA\u3002<\/p>\n<\/p>\n
\u56fe4 <\/b>PDJV\u8d77\u81eaSMV\u7684\u80cc\u4fa7\uff0c\u5e76\u5f15\u6d41IPDVs\u3002\u8be5\u9759\u8109\u4f4d\u4e8eIPDA\u6839\u90e8\u7684\u53f3\u4e0b\u65b9\u3002\u7f29\u7387\u8bed\uff1a<\/b>PDJV: \u8fd1\u4fa7\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff0cSMA\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff0cSMV\uff1a\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff0cIPDA\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0a\u52a8\u8109\uff0cIPDV\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u9759\u8109\uff0cFJA\uff1a\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\u3002<\/p>\n<\/p>\n
\u56fe5 <\/b>A\u4f7f\u7528\u53f3\u4fa7SMA\u5165\u8def\uff0c\u66b4\u9732PDJV\uff0c\u5e76\u5206\u79bbIPDVs\u3002B\u5207\u5f00\u80a0\u7cfb\u819c\uff0c\u79bb\u65adFJA\uff0c\u7136\u540e\u5728\u6839\u90e8\u5207\u65adIPDA\u3002C\u4ec5\u4f7f\u7528\u5de6\u4fa7SMA\u5165\u8def\u5207\u65adTreitz\u97e7\u5e26\u3002\u7f29\u7565\u8bed\uff1a<\/b>PDJV: \u8fd1\u4fa7\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff0cSMA\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff0cSMV\uff1a\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff0cIPDA\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0a\u52a8\u8109\uff0cIPDV\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u9759\u8109\uff0cFJA\uff1a\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\u3002UP\uff1a\u94a9\u7a81\uff0cFJV\uff1a\u7b2c\u4e00\u7a7a\u80a0\u9759\u8109\u3002<\/p>\n<\/p>\n
\u56fe6 \u8fd1\u4fa7\u80cc\u4fa7\u9759\u8109\u7684\u89e3\u5256\u53d8\u5f02\u3002<\/b>A \u578b\uff08A\uff09\uff1a\u572873.8%\u7684\u75c5\u4f8b\u4e2d\uff0c\u8fd1\u4fa7\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff08PDJV\uff09\u88ab\u786e\u8ba4\u662f\u7b2c\u4e00\u7a7a\u80a0\u9759\u8109\u3002B \u578b\uff08B\uff09\uff1a\u572823.8%\u7684\u75c5\u4f8b\u4e2d\uff0cPDJV\u88ab\u786e\u8ba4\u662f\u7b2c\u4e8c\u7a7a\u80a0\u9759\u8109\u3002C \u578b\uff08C\uff09\uff1a\u57282.4%\u7684\u75c5\u4f8b\u4e2d\uff0c\u672a\u80fd\u786e\u8ba4PDJV\u3002\u6240\u6709\u4e0b\u80f0\u5341\u4e8c\u6307\u80a0\u9759\u8109\uff08IPDVs\uff09\u76f4\u63a5\u5f15\u6d41\u81f3\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff08SMV\uff09\u3002\u7f29\u7565\u8bed\uff1a<\/b>GCT\uff1a\u80c3\u7ed3\u80a0\u5e72\u3002<\/p>\n
\u4e09\u3001<\/b>\u57fa\u4e8e\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08SMA\uff09\u5468\u56f4\u795e\u7ecf\u53ca\u7ea4\u7ef4\u7ec4\u7ec7\uff08nerve and fibrous tissue\uff0cNFT\uff09\u7ed3\u6784\u8fdb\u884c\u80f0\u817a\u7cfb\u819c\u5206\u79bb\u5207\u9664\uff08\u5f00\u653e\u624b\u672f\uff09<\/b><\/p>\n
\uff08Journal of Hepato\u2010Biliary\u2010Pancreatic Sciences, 2020, 27(6): 342-351.\uff09\uff0c\u6b64\u6587\u7ae0\u5f00\u53d1\u4e86\u4e00\u79cd\u6539\u826f\u7684\u80a0\u7cfb\u819c\u5e73\u9762\u624b\u672f\u6280\u672f\uff0c\u8be5\u6280\u672f\u53ef\u4f18\u5316\u533a\u57df\u6dcb\u5df4\u6e05\u626b\uff0c\u5e76\u5141\u8bb8\u6839\u636e\u80bf\u7624\u6d78\u6da6\u65b9\u5411\u8c03\u6574\u624b\u672f\u5165\u8def<\/b><\/p>\n
\u5168\u6587\u7ffb\u8bd1\u5982\u4e0b\uff1a<\/p>\n
1. <\/b>\u5f15\u6587<\/b><\/p>\n
\u51e0\u9879\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u8868\u660e\uff0c\u5305\u62ec\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08SMA\uff09\u795e\u7ecf\u4e1b\u5728\u5185\u7684\u6269\u5927\u6dcb\u5df4\u7ed3\u6e05\u626b\u5bfc\u81f4\u624b\u672f\u65f6\u95f4\u5ef6\u957f\u4e14\u5931\u8840\u91cf\u589e\u52a0\uff0c\u4f46\u5e76\u4e0d\u80fd\u4e3a\u80f0\u5934\u764c\u60a3\u8005\u63d0\u4f9b\u751f\u5b58\u83b7\u76ca<\/b>\u3002\u76ee\u524d\uff0c\u672f\u540e\u8f85\u52a9\u5316\u7597\u5df2\u6210\u4e3a\u6539\u5584\u80f0\u817a\u764c\u9884\u540e\u7684\u5173\u952e\uff0c\u800c\u4e25\u91cd\u8179\u6cfb\u53ef\u80fd\u5f71\u54cd\u672f\u540e\u5316\u7597\u7684\u5b9e\u65bd\u3002\u56e0\u6b64\uff0c\u5728\u8bb8\u591a\u533b\u7597\u673a\u6784\uff0c\u4fdd\u7559SMA\u795e\u7ecf\u4e1b\u7684\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\u5df2\u88ab\u5e7f\u6cdb\u91c7\u7528\u3002<\/p>\n
\u53e6\u4e00\u65b9\u9762\uff0c\u4e3a\u4e86\u6539\u5584\u63a5\u53d7\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\u7684\u80f0\u5934\u764c\u60a3\u8005\u7684\u9884\u540e\uff0c\u5b9e\u73b0R0\u5207\u9664<\/b>\uff08\u65e0\u80bf\u7624\u6b8b\u7559\u5207\u9664\uff09\u4ecd\u7136\u81f3\u5173\u91cd\u8981\u3002SMA\u5207\u7f18<\/b>\u662f\u5b9e\u73b0R0\u5207\u9664\u7684\u6700\u91cd\u8981\u56e0\u7d20\uff0c\u56e0\u4e3a\u80f0\u5934\u764c\u4e3b\u8981\u6cbfSMA\u540e\u65b9\u6269\u6563\u3002SMA\u540e\u65b9\u533a\u57df\u901a\u5e38\u88ab\u79f0\u4e3a\u201c\u80f0\u80a0\u7cfb\u819c\uff08mesopancreas\uff09<\/b>\u201d\u6216\u201c\u80f0\u5934\u795e\u7ecf\u4e1b\u2161\uff08pancreatic head plexus II\uff09<\/b>\u201d\uff0c\u9488\u5bf9\u8be5\u533a\u57df\u7684\u5f7b\u5e95\u6e05\u626b\u5df2\u88ab\u63d0\u51fa\uff0c\u5e76\u62a5\u9053\u4e86\u591a\u79cd\u624b\u672f\u65b9\u6cd5\u3002\u4f46\u76ee\u524d\u5c1a\u65e0\u5173\u4e8e\u9002\u5b9c\u6e05\u626b\u8303\u56f4\u7684\u7edf\u4e00\u6807\u51c6\u3002<\/p>\n
\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08SMA\uff09\u5468\u56f4\u7684\u89e3\u5256\u7ed3\u6784\u6781\u4e3a\u590d\u6742\uff0c\u5728\u624b\u672f\u8fc7\u7a0b\u4e2d\u96be\u4ee5\u76f4\u89c2\u7406\u89e3\u3002\u6709\u7814\u7a76\u62a5\u9053\uff0c\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08IPDA\uff09\u7684\u6839\u90e8\u53ef\u4f5c\u4e3a\u80f0\u80a0\u7cfb\u819c\uff08mesopancreas\uff09\u5f7b\u5e95\u6e05\u626b\u7684\u91cd\u8981\u6807\u5fd7\u3002<\/b>\u7136\u800c\uff0c\u5728\u5f00\u59cbSMA\u6e05\u626b\u524d\uff0c\u7531\u4e8e\u8be5\u52a8\u8109\u88ab\u7531\u795e\u7ecf\u548c\u7ea4\u7ef4\u7ec4\u7ec7\uff08NFT\uff09\u7ec4\u6210\u7684\u81f4\u5bc6\u7ed3\u7f14\u7ec4\u7ec7\u8986\u76d6\uff0c\u56e0\u6b64\u65e0\u6cd5\u76f4\u63a5\u786e\u8ba4\u3002<\/p>\n
\u53e6\u4e00\u65b9\u9762\uff0c\u80f0\u817a\u5bfc\u7ba1\u817a\u764c\uff08PDAC\uff09\u53ef\u6cbf\u8fd9\u4e9bNFTs\u8fdb\u884c\u6d78\u6da6\u6027\u751f\u957f\u5e76\u53d1\u751f\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002\u56e0\u6b64\uff0c\u4e3a\u4e86\u5728\u4fdd\u7559SMA\u795e\u7ecf\u4e1b\u7684\u540c\u65f6\u5f7b\u5e95\u6e05\u9664NFTs<\/b>\uff0c\u9700\u8981\u4e00\u4e2a\u65b0\u7684\u89e3\u5256\u6807\u5fd7\u70b9\u3002SMA\u795e\u7ecf\u4e1b\u5468\u56f4\u7684\u81f4\u5bc6NFTs\u5728\u672f\u4e2d\u53ef\u89c1\u4e3a\u767d\u8272\u900f\u660e\u7684\u7ea4\u7ef4\u7d22\u5e26<\/b>\uff0c\u4f20\u7edf\u4e0a\u88ab\u8ba4\u4e3a\u662f\u764c\u7ec6\u80de\u6613\u4e8e\u6269\u6563\u7684\u533a\u57df\u3002\u4e3a\u4e86\u660e\u786eNFTs\u7684\u5177\u4f53\u7ed3\u6784\uff0c\u4f5c\u8005\u4e0e\u89e3\u5256\u5b66\u5bb6\u5408\u4f5c\uff0c\u5229\u7528\u5c38\u68c0\u6807\u672c\u8fdb\u884c\u4e86\u7814\u7a76\u3002\u7814\u7a76\u53d1\u73b0\uff0cSMA\u5468\u56f4\u7684NFTs\u5206\u5e03\u5177\u6709\u4e00\u5b9a\u89c4\u5f8b\uff0c\u53ef\u5c06\u5176\u5212\u5206\u4e3a\u56db\u4e2a\u201c\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\u201d<\/b>\uff0c\u5176\u4e2dSMA\u5468\u56f4\u7684\u795e\u7ecf\u4e1b\u5728\u5927\u591a\u6570\u533a\u57df\u5206\u652f\u81f3\u80f0\u817a\u3001\u5c0f\u80a0\u53ca\u7ed3\u80a0<\/b>\uff0c\u4f46\u4f5c\u8005\u53d1\u73b0\u5b58\u5728\u4e09\u4e2a\u65e0\u5206\u652f\u7684SMA\u795e\u7ecf\u4e1b\u533a\u57df\uff08SMA I-III\uff09<\/b>\uff08\u89c1\u56fe7\uff09\u3002\u6b64\u5916\uff0c\u6211\u4eec\u53d1\u73b0SMA I-III\u533a\u57df\u4f4d\u4e8eSMA\u6700\u5916\u5c42\uff0c\u88ab\u758f\u677e\u7ed3\u7f14\u7ec4\u7ec7\u8986\u76d6\uff0c\u4fbf\u4e8e\u672f\u4e2d\u66b4\u9732<\/b>\u3002\u56e0\u6b64\uff0c\u8fd9\u4e9b\u533a\u57df\u53ef\u4f5c\u4e3a\u201c\u6e05\u626b\u5f15\u5bfc\u70b9\uff08dissection-guiding points\uff09\u201d\uff0c\u7528\u4e8e\u7edf\u4e00\u6e05\u626b\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\u3002<\/p>\n
\u57fa\u4e8e\u4e0a\u8ff0\u7814\u7a76\uff0c\u4f5c\u8005\u5efa\u7acb\u4e86\u4e00\u79cd\u89e3\u5256\u6027\u5207\u9664\u65b9\u6cd5<\/b>\uff0c\u901a\u8fc7\u5148\u884c\u66b4\u9732\u4e09\u4e2a\u4f4d\u4e8eNFTs\u7684\u6e05\u626b\u5f15\u5bfc\u70b9<\/b>\uff08NFT-based resection\uff09\uff0c\u5b9e\u73b0SMA\u795e\u7ecf\u4e1b\u4fdd\u7559\u7684\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\u5207\u9664<\/b>\u3002\u672c\u7814\u7a76\u7684\u76ee\u7684\u5728\u4e8e\u63a2\u8ba8\u8be5\u57fa\u4e8eNFT\u7ed3\u6784\u7684\u89e3\u5256\u6027\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\u7684\u53ef\u884c\u6027<\/b>\uff0c\u5e76\u5e94\u7528\u4e8e\u53ef\u5207\u9664PDAC\u60a3\u8005\u3002<\/p>\n<\/p>\n
\u56fe7 \u57fa\u4e8e\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08SMA\uff09\u5468\u56f4\u795e\u7ecf\u548c\u7ea4\u7ef4\u7ec4\u7ec7\u7ed3\u6784<\/b>\u7684\u5206\u7c7b\u3002\u7f29\u7565\u8bed\uff1aCHA<\/b>\uff1a\u603b\u809d\u52a8\u8109\uff08common hepatic artery\uff09\uff1bSMA<\/b>\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08superior mesenteric artery\uff09\uff1bIPDA<\/b>\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08inferior pancreaticoduodenal artery\uff09\uff1bJ1A<\/b>\uff1a\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\uff08first jejunal artery\uff09\uff1bPV<\/b>\uff1a\u95e8\u9759\u8109\uff08portal vein\uff09\uff1bSMV<\/b>\uff1a\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff08superior mesenteric vein\uff09\uff1bPDJV<\/b>\uff1a\u8fd1\u7aef\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff08proximal dorsal jejunal vein\uff09\uff1bPanc<\/b>\uff1a\u80f0\u817a\uff08pancreas\uff09\u5206\u7c7b\u533a\u57df\uff1a\u533a\u57dfA\u3001B\u3001C\u3001D\uff1a\u9ad8\u5bc6\u5ea6<\/b>NFTs\u533a\u57df\uff08intensive NTFs areas\uff09\uff1bSMA I\u3001II\u3001III\uff1a\u65e0\u5206\u652f\u795e\u7ecf\u7684<\/b>SMA\u795e\u7ecf\u4e1b\u533a\u57df\uff08SMA nerve plexus regions without branching nerves\uff09<\/p>\n
2. <\/b>\u6750\u6599\u548c\u65b9\u6cd5<\/b><\/p>\n
2.1 \u57fa\u4e8eSMA\u5468\u56f4NFTs\u7ed3\u6784\u7684\u5206\u7c7b<\/b><\/p>\n
\u57fa\u4e8e\u5c38\u68c0\u7814\u7a76\u7684\u53d1\u73b0\uff0c\u5bf9\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08SMA\uff09\u5468\u56f4\u7684\u795e\u7ecf\u548c\u7ea4\u7ef4\u7ec4\u7ec7\uff08NFTs\uff09\u7ed3\u6784<\/b>\u8fdb\u884c\u4e86\u5206\u7c7b\uff0c\u5177\u4f53\u5982\u4e0b\uff08\u56fe7\u548c\u56fe8A-D\uff09\u3002<\/p>\n
2.1.1 SMA\u5468\u56f4\u7684\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df<\/b><\/p>\n
SMA\u5468\u56f4\u5e7f\u6cdb\u5206\u5e03\u7684\u9ad8\u5bc6\u5ea6NFTs\u53ef\u5206\u4e3a\u4ee5\u4e0b\u56db\u4e2a\u533a\u57df\uff1a<\/p>\n
\u533a\u57dfA\uff1a<\/b>NFTs\u8d77\u81ea\u8179\u8154\u795e\u7ecf\u8282<\/b>\uff0c\u5ef6\u4f38\u81f3\u80f0\u5934\u4e0a\u65b9<\/b>\u53ca\u809d\u5341\u4e8c\u6307\u80a0\u97e7\u5e26\u540e\u65b9<\/b>\u3002<\/p>\n
\u533a\u57dfB\uff1a<\/b>NFTs\u8d77\u81eaSMA\u795e\u7ecf\u4e1b<\/b>\uff0c\u5ef6\u4f38\u81f3\u80f0\u94a9\u7a81<\/b>\u3002\u6b64\u533a\u57df\u6d89\u53ca\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08IPDA\uff09<\/b>\u3002<\/p>\n
\u533a\u57dfC\uff1a<\/b>NFTs\u8d77\u81eaSMA\u795e\u7ecf\u4e1b<\/b>\uff0c\u5ef6\u4f38\u81f3\u7a7a\u80a0\u7cfb\u819c\u524d\u65b9<\/b>\u3002\u8be5\u533a\u57df\u6d89\u53ca\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109<\/b>\u53ca\u90e8\u5206\u7b2c\u4e8c\u7a7a\u80a0\u52a8\u8109<\/b>\u3002<\/p>\n
\u533a\u57dfD\uff1a<\/b>NFTs\u4ece\u80f0\u94a9\u7a81\u524d\u65b9<\/b>\u5ef6\u4f38\u81f3\u7a7a\u80a0\u7cfb\u819c\u540e\u65b9<\/b>\uff0c\u5e76\u5c06\u80f0\u94a9\u7a81\u56fa\u5b9a\u4e8e\u7a7a\u80a0\u7cfb\u819c\uff0c\u88ab\u79f0\u4e3a\u80f0\u94a9\u7a81\u97e7\u5e26\uff08uncinate process ligament\uff09<\/b>\u3002\u4eceNFTs\u8d77\u70b9\u81f3\u8ddd\u5341\u4e8c\u6307\u80a0\u7b2c\u4e09\u6bb5\u7ea63 cm<\/b>\u7684\u8303\u56f4\u88ab\u5b9a\u4e49\u4e3a\u533a\u57dfD\u3002<\/p>\n
2.1.2 \u65e0\u5206\u652fSMA\u795e\u7ecf\u4e1b\u533a\u57df\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff09<\/b><\/p>\n
\u5927\u91cfNFTs\u4eceSMA\u795e\u7ecf\u4e1b<\/b>\u6269\u5c55\u81f3\u80f0\u94a9\u7a81<\/b>\u548c\u7cfb\u819c\u533a\u57df\uff08\u533a\u57dfB\u548cC\uff09<\/b>\u3002\u7136\u800c\uff0c\u5728SMA\u795e\u7ecf\u4e1b\u5468\u56f4\u53d1\u73b0\u4e86\u4e09\u4e2a\u65e0NFT\u5206\u652f\u7684\u6709\u9650\u533a\u57df<\/b>\uff08SMA I-III\uff09\uff1a<\/p>\n
SMA I\uff1aSMA\u795e\u7ecf\u4e1b\u524d\u65b9<\/b>\uff0c\u8d34\u8fd1\u80f0\u4f53<\/b>\u7684\u4e00\u4fa7\u3002<\/p>\n
SMA II\uff1aSMA\u795e\u7ecf\u4e1b\u5de6\u540e\u65b9<\/b>\uff0c\u4f4d\u4e8eTreitz\u97e7\u5e26\u65c1<\/b>\uff0c\u8fde\u63a5\u4e8e\u5341\u4e8c\u6307\u80a0\u7b2c\u4e09\u6bb5<\/b>\u5e76\u5ef6\u4f38\u81f3SMA\u6839\u90e8\u80cc\u4fa7\u3002<\/p>\n
SMA III\uff1aSMA\u795e\u7ecf\u4e1b\u53f3\u540e\u65b9<\/b>\uff0c\u4f4d\u4e8e\u5341\u4e8c\u6307\u80a0\u7b2c\u4e09\u6bb5\u524d\u65b9<\/b>\uff0c\u8fde\u63a5\u533a\u57dfD<\/b>\u53ca\u6700\u8fd1\u7aef\u7684\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff08PDJV\uff09<\/b>\u3002<\/p>\n
\u8fd9\u4e9b\u533a\u57df\u7684SMA\u795e\u7ecf\u4e1b\u88ab\u758f\u677e\u7ed3\u7f14\u7ec4\u7ec7<\/b>\u8986\u76d6\uff0c\u53ef\u5728SMA\u795e\u7ecf\u4e1b\u6700\u5916\u5c42\u8f7b\u677e\u5265\u79bb<\/b>\uff0c\u800c\u4e0d\u4f1a\u635f\u4f24SMA\u795e\u7ecf\u4e1b\u3002\u56e0\u6b64\uff0c\u8fd9\u4e9b\u533a\u57df\u53ef\u4f5c\u4e3a\u672f\u524d\u786e\u5b9aSMA\u795e\u7ecf\u4e1b\u4f4d\u7f6e\u7684\u6807\u5fd7\u6027\u533a\u57df\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff0cdissection-guiding points\uff09<\/b>\uff0c\u6709\u52a9\u4e8e\u672f\u4e2d\u8bc6\u522bSMA\u795e\u7ecf\u4e1b\uff0c\u5e76\u4e3a\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\u7684\u7cbe\u51c6\u6e05\u626b\u63d0\u4f9b\u53c2\u8003\u3002<\/p>\n<\/p>\n
\u56fe8 A\u3001B\u3001C\u548cD\uff1a\u5c38\u68c0\u53d1\u73b0\u3002\uff08A\u3001B\u3001D\uff1a\u4eceSMA\u53f3\u4fa7\u89c2\u5bdf<\/b>\uff0cC\uff1a\u4eceSMA\u5de6\u4fa7\u89c2\u5bdf<\/b>\uff09\u3002E\uff1a\u5207\u9664\u6807\u672c\uff0c\u5404\u533a\u57df\u5df2\u6807\u8bb0\u58a8\u8ff9\uff08SMA\u6240\u5728\u533a\u57df\u6807\u8bb0\u4e3a\u7ea2\u8272<\/b>\uff09\u3002\u7f29\u7565\u8bcd\uff1aCHA<\/b>\uff1a\u603b\u809d\u52a8\u8109\uff08common hepatic artery\uff09\uff1bSMA<\/b>\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08superior mesenteric artery\uff09\uff1bUP<\/b>\uff1a\u80f0\u94a9\u7a81\uff08uncinate process\uff09\uff1bJE<\/b>\uff1a\u7a7a\u80a0\uff08jejunum\uff09\uff1b3rd DU<\/b>\uff1a\u5341\u4e8c\u6307\u80a0\u7b2c\u4e09\u6bb5\uff08third portion of the duodenum\uff09\uff1b\u533a\u57dfA\u3001B\u3001C\u3001D<\/b>\uff1a\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\uff08intensive NTFs areas\uff09\uff1bSMA I\u3001II\u3001III<\/b>\uff1a\u65e0\u5206\u652f\u795e\u7ecf\u7684SMA\u795e\u7ecf\u4e1b\u533a\u57df\uff08SMA nerve plexus regions without branching nerves\uff09<\/p>\n
2.2 \u624b\u672f\u65b9\u6cd5<\/b><\/p>\n
2.2.1 \u57fa\u4e8eNFT\u7684\u5207\u9664\u672f\uff08NFT-based resection\uff09<\/b><\/p>\n
\u5728\u8be5\u65b9\u6cd5\u4e2d\uff0c\u5bf9\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\uff08\u533a\u57dfA-D\uff09\u8fdb\u884c\u4e86\u7cfb\u7edf\u6027\u6e05\u626b\uff0c\u540c\u65f6\u4fdd\u7559SMA\u795e\u7ecf\u4e1b<\/b>\u3001\u809d\u603b\u52a8\u8109\uff08CHA\uff09\u795e\u7ecf\u4e1b<\/b>\u53ca\u53f3\u4fa7\u8179\u8154\u795e\u7ecf\u8282<\/b>\u3002\u672f\u524d\u5148\u66b4\u9732SMA I-III<\/b>\u4f5c\u4e3a\u6e05\u626b\u5f15\u5bfc\u70b9\uff08dissection-guiding points\uff09<\/b>\uff0c\u7136\u540e\u901a\u8fc7\u8fde\u63a5\u5404\u5f15\u5bfc\u70b9\uff08SMA I-III\uff09\u6e05\u626b\u533a\u57dfA-D\uff0c\u5177\u4f53\u6b65\u9aa4\u5982\u4e0b\uff1a<\/p>\n
Kocher\u624b\u672f\u5165\u8def\uff1a\u66b4\u9732<\/b>SMA III\uff0c\u901a\u8fc7\u6e38\u79bb\u80cc\u4fa7\u7a7a\u80a0\u7cfb\u819c\uff08\u533a\u57dfD\uff09\u53ca\u8fd1\u7aef\u7a7a\u80a0\u9759\u8109<\/b>\u6765\u5206\u79bbNFTs\u3002\u5728\u8ddd\u79bb\u5341\u4e8c\u6307\u80a0\u7b2c\u4e09\u6bb5\u7ea63 cm<\/b>\u7684\u4f4d\u7f6e\uff0c\u4e8eSMA\u53f3\u540e\u65b9\uff08\u56fe9A\uff09\u548c\/\u6216<\/b>\u5de6\u540e\u65b9\uff08\u56fe9B\uff09\u5207\u9664\u533a\u57dfD\u3002<\/p>\n
\u66b4\u9732SMA II\uff1a\u5f7b\u5e95\u5207\u65ad<\/b>Treitz\u97e7\u5e26<\/b>\uff0c\u66b4\u9732SMA II\uff08\u56fe9C\uff09\u3002\u5728\u5408\u9002\u4f4d\u7f6e\u79bb\u65ad\u7a7a\u80a0\uff0c\u5e76\u5728SMA II\u548cIII\u4e4b\u95f4<\/b>\u91c7\u7528\u5bf9\u7275\uff08counter traction\uff09\u6cd5\u5206\u79bb\u533a\u57dfC\uff0c\u4f7f\u5176\u8fdc\u79bbSMA\u795e\u7ecf\u4e1b\u3002\u5728\u6b64\u5904\u5207\u65ad\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08IPDA\uff09\u4e0e\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\u7684\u5171\u540c\u5e72<\/b>\uff08\u56fe9E\uff09\u3002<\/p>\n
\u80f0\u817a\u548c\u8840\u7ba1\u6e38\u79bb\uff1a\u5207\u65ad\u80f0\u817a\u540e\uff0c\u6e38\u79bb\u95e8\u9759\u8109\uff08PV\uff09\u548c\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff08SMV\uff09<\/b>\u3002\u6b64\u65f6\u66b4\u9732SMA I\uff08\u56fe9D\uff09\u3002<\/p>\n
\u6e05\u626b\u533a\u57dfB\u4e0eA\uff1a\u5c06<\/b>\u5df2\u5207\u65ad\u7684\u7a7a\u80a0<\/b>\u62c9\u81f3SMA\u53f3\u4fa7\u540e\uff0c\u5bf9\u533a\u57dfB\u91c7\u7528\u5bf9\u7275\u6cd5\uff0c\u4f7f\u5176\u8fdc\u79bbSMA\uff0c\u5e76\u5728SMA I\u548cIII\u4e4b\u95f4<\/b>\u5206\u79bb\u533a\u57dfB\u3002\u6700\u540e\uff0c\u5728CHA\u6839\u90e8\u4e0eSMA I\u4e4b\u95f4<\/b>\u6e05\u626b\u533a\u57dfA\uff0c\u6e38\u79bb\u5176\u4e0e\u8179\u8154\u795e\u7ecf\u8282<\/b>\u7684\u8054\u7cfb\uff08\u56fe9F\uff09\uff08\u53c2\u89c1\u89c6\u9891S1\uff0c\u89c1\u8bc4\u8bba\uff09\u3002<\/p>\n
2.3 \u624b\u672f\u4e0e\u75c5\u7406\u8bc4\u4f30<\/b><\/p>\n
\u672c\u7814\u7a76\u5171\u7eb3\u5165157\u4f8b<\/b>\u7b26\u5408\u7f8e\u56fd\u56fd\u5bb6\u7efc\u5408\u764c\u75c7\u7f51\u7edc\uff08NCCN\uff09\u6307\u5357<\/b>\u6807\u51c6\u7684\u53ef\u5207\u9664\u80f0\u5934\u764c<\/b>\u60a3\u8005\uff0c\u8fd9\u4e9b\u60a3\u8005\u4e8e2010\u5e7411\u6708\u81f32018\u5e745\u6708<\/b>\u5728\u4e1c\u4eac\u533b\u79d1\u5927\u5b66\u63a5\u53d7\u4e86\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\uff08PD\uff09<\/b>\u3002<\/p>\n
\u6392\u9664\u6807\u51c6\uff1a\u8fb9\u754c\u53ef\u5207\u9664\u53ca\u4e0d\u53ef\u5207\u9664\u7684\u80f0\u817a\u764c\u60a3\u8005\u3002<\/p>\n
\u672f\u540e\u7ba1\u7406\uff1a\u6240\u6709\u60a3\u8005\u5747\u63a5\u53d7\u672f\u540e\u8f85\u52a9\u5316\u7597<\/b>\u3002<\/p>\n
\u5206\u7ec4\u60c5\u51b5\uff1a1\uff09\u975eNFT\u6e05\u626b\u7ec4\uff08non-NFT dissection group, n=20\uff09\uff1a\u9002\u7528\u4e8e<\/b>\u9ad8\u5371\u5408\u5e76\u75c7\u60a3\u8005<\/b>\uff0c\u672a\u8fdb\u884cNFTs\u6e05\u626b\u3002\u624b\u672f\u65b9\u6cd5\uff1a\u6cbf\u7a7a\u80a0\u58c1<\/b>\u5207\u5f00\u7a7a\u80a0\u7cfb\u819c\uff0c\u66b4\u9732\u80f0\u94a9\u7a81<\/b>\uff0c\u5728IPDA\u8fdc\u7aef<\/b>\u53ca\u7b2c\u4e00\u7a7a\u80a0\u52a8\u8109\u5206\u53c9\u5904<\/b>\u5207\u65adIPDA\uff0c\u4fdd\u7559SMA\u795e\u7ecf\u4e1b\u53caNFTs<\/b>\u30022\uff09\u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\uff08half-SMA nerve plexus group, n=59\uff09\uff08<\/b>2010\u5e7411\u6708-2014\u5e7410\u6708\uff09\uff1a\u6e05\u626bCHA\u795e\u7ecf\u4e1b<\/b>\u3001\u53f3\u4fa7\u8179\u8154\u795e\u7ecf\u8282<\/b>\u53caSMA 4-10\u70b9\u4f4d\u7f6e\u7684\u534a\u5706\u5468\u795e\u7ecf\u4e1b<\/b>\u30023\uff09\u57fa\u4e8eNFT\u7684\u6e05\u626b\u7ec4\uff08NFT-based resection group, n=78\uff09\uff08<\/b>2014\u5e7412\u6708-2018\u5e745\u6708\uff09\uff1a\u91c7\u7528\u57fa\u4e8eNFT\u7684\u5207\u9664\u672f<\/b>\u3002\u82e5\u672f\u4e2d\u6000\u7591PV\u53d7\u7d2f\uff0c\u5747\u884cPV\u5207\u9664\u3002<\/b><\/p>\n
\u6240\u6709\u624b\u672f\u5747\u4f7f\u7528\u653e\u5927\u955c\u4ee5\u63d0\u9ad8\u89e3\u5256\u7cbe\u5ea6\u3002<\/b><\/p>\n
\u8bc4\u4f30\u6307\u6807\uff1a1\uff09\u672f\u4e2d\u6307\u6807\uff1a<\/b>\u624b\u672f\u65f6\u95f4<\/b>\u3001\u672f\u4e2d\u51fa\u8840\u91cf\u30022\uff09\u672f\u540e\u6307\u6807\uff1a<\/b>\u5e76\u53d1\u75c7\u53d1\u751f\u7387<\/b>\u3001\u672f\u540e\u4f4f\u9662\u65f6\u95f4<\/b>\u3001\u672f\u540e\u8179\u6cfb\u7387\u30023\uff09\u672f\u540e\u80f0\u7618\uff08<\/b>POPF\uff09\uff1a\u6839\u636e\u56fd\u9645\u80f0\u7618\u7814\u7a76\u7ec4\uff08ISGPS\uff09\u6807\u51c6\u5b9a\u4e49\u30024\uff09\u5176\u4ed6\u672f\u540e\u5e76\u53d1\u75c7\uff1a\u4f9d\u636eClavien-Dindo\u5206\u7ea7<\/b>\u8fdb\u884c\u8bc4\u4f30\u30025\uff09\u672f\u540e\u75c5\u7406\uff1a\u4f9d\u636e\u56fd\u9645\u6297\u764c\u8054\u76df\uff08UICC\uff09TNM\u5206\u671f\u30026\uff09<\/b>\u5207\u7f18\u8bc4\u4f30\uff08R1\uff09\uff1a\u5b9a\u4e49\u4e3a\u663e\u5fae\u955c\u4e0b\u4efb\u610f\u5207\u7f18\u5b58\u5728<\/b>\u76f4\u63a5\u80bf\u7624\u4fb5\u72af\u30027\uff09<\/b>NFT\u6e05\u626b\u7ec4\u7684\u5207\u7f18\u67d3\u8272\uff1a\u672f\u540e\u6807\u672c\u5404\u5207\u7f18\u4f7f\u7528<\/b>\u56db\u79cd\u989c\u8272<\/b>\u67d3\u8272\uff0c\u4ee5\u786e\u8ba4\u533a\u57dfA-D\u7684\u4f4d\u7f6e\uff0c\u5e76\u68c0\u67e5\u663e\u5fae\u955c\u4e0b\u5207\u7f18\u4fb5\u72af\u60c5\u51b5\uff08R1\uff09<\/b>\uff08\u56fe8F\uff09\uff1b\u8fdb\u4e00\u6b65\u8bc4\u4f30\u80bf\u7624\u6269\u5c55\u60c5\u51b5\uff0c\u5305\u62ec\u76f4\u63a5\u80bf\u7624\u6d78\u6da6<\/b>\u53ca\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb<\/b>\u30028\uff09\u751f\u5b58\u5206\u6790\uff1a\u8bb0\u5f55\u60a3\u8005\u624b\u672f\u65e5\u671f<\/b>\u53ca\u6700\u540e\u968f\u8bbf\u65e5\u671f\uff1b<\/b>\u603b\u751f\u5b58\u671f\uff08OS\uff09\uff1a\u4ece\u624b\u672f\u65f6\u95f4\u81f3<\/b>\u6b7b\u4ea1\u6216\u672b\u6b21\u968f\u8bbf\uff1b<\/b>\u65e0\u75c5\u751f\u5b58\u671f\uff08DFS\uff09\uff1a\u4ece\u624b\u672f\u65f6\u95f4\u81f3<\/b>\u9996\u6b21\u590d\u53d1<\/b>\u3002<\/p>\n<\/p>\n
\u56fe9 \u57fa\u4e8eNFT\u7684\u5207\u9664\u672f\uff08NFT-based resection\uff09\u5e76\u4fdd\u7559SMA\u795e\u7ecf\u4e1b<\/b>\uff1aA, B<\/b>\uff1aSMA III\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff09\u7684\u66b4\u9732\u53ca\u533a\u57dfD\u7684\u6e05\u626b\uff08A\uff1a\u4eceSMA\u53f3\u540e\u65b9\u5165\u8def\uff0cB\uff1a\u4eceSMA\u5de6\u540e\u65b9\u5165\u8def\uff09\u3002C<\/b>\uff1aSMA II\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff09\u7684\u66b4\u9732\u53caTreitz\u97e7\u5e26\u7684\u6e05\u626b<\/b>\u3002D<\/b>\uff1aSMA I\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff09\u7684\u66b4\u9732\u3002E<\/b>\uff1a\u533a\u57dfC\u7684\u6e05\u626b\u3002F<\/b>\uff1a\u533a\u57dfA\u548cB\u7684\u6e05\u626b\u3002\u7f29\u7565\u8bed\uff1aCHA<\/b>\uff1a\u809d\u603b\u52a8\u8109\uff08common hepatic artery\uff09\uff1bSMA<\/b>\uff1a\u80a0\u7cfb\u819c\u4e0a\u52a8\u8109\uff08superior mesenteric artery\uff09\uff1bIPDA<\/b>\uff1a\u80f0\u5341\u4e8c\u6307\u80a0\u4e0b\u52a8\u8109\uff08inferior pancreaticoduodenal artery\uff09\uff1bPDJV<\/b>\uff1a\u8fd1\u7aef\u80cc\u4fa7\u7a7a\u80a0\u9759\u8109\uff08proximal dorsal jejunal vein\uff09\uff1b\u533a\u57dfA, B, C, D<\/b>\uff1a\u9ad8\u5bc6\u5ea6NFTs\u533a\u57df\uff08intensive NTFs areas\uff09\uff1bSMA I, II, III<\/b>\uff1a\u65e0\u5206\u652f\u795e\u7ecf\u7684SMA\u795e\u7ecf\u4e1b\u533a\u57df\uff08\u6e05\u626b\u5f15\u5bfc\u70b9\uff0cdissection-guiding points\uff09<\/p>\n
2.4 \u7edf\u8ba1\u5206\u6790<\/b><\/p>\n
\u6570\u636e\u4ee5\u4e2d\u4f4d\u6570\u548c\u56db\u5206\u4f4d\u6570\u8303\u56f4\u8868\u793a\u3002\u7ec4\u95f4\u5dee\u5f02\u91c7\u7528 \u5361\u65b9\u68c0\u9a8c\uff08chi-squared test\uff09<\/b>\u548cMann-Whitney U \u68c0\u9a8c<\/b>\u8fdb\u884c\u6bd4\u8f83\u3002\u91c7\u7528Kaplan-Meier\u751f\u5b58\u66f2\u7ebf<\/b>\u4f30\u8ba1\u603b\u4f53\u751f\u5b58\u7387\uff0c\u5e76\u4f7f\u7528log-rank\uff08Mantel-Cox\uff09\u68c0\u9a8c<\/b>\u8fdb\u884c\u7ec4\u95f4\u6bd4\u8f83\u3002P < 0.05<\/b>\u8ba4\u4e3a\u5177\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\u3002\u6240\u6709\u7edf\u8ba1\u5206\u6790\u5747\u4f7f\u7528SPSS 24 \u7248\uff08IBM\uff09<\/b>\u8fdb\u884c\u3002<\/p>\n
3. \u7ed3\u679c<\/b><\/p>\n
3.1\u624b\u672f\u7ed3\u679c\uff08\u88681\uff09<\/b><\/p>\n
\u60a3\u8005\u7279\u5f81\uff1a PV\uff08\u95e8\u9759\u8109\uff09\u548c\/\u6216SMV\uff08\u80a0\u7cfb\u819c\u4e0a\u9759\u8109\uff09\u7684\u8865\u5145\u5207\u9664\u672f\u572854\u4f8b\u60a3\u8005\uff0834.4%\uff09\u4e2d\u5b9e\u65bd\u3002 \u975eNFT\u6e05\u626b\u7ec4\u60a3\u8005\u5e74\u9f84\u660e\u663e\u8f83\u5927\uff08\u4e2d\u4f4d\u5e74\u9f8480\u5c81\uff09\uff0c\u76f8\u6bd4\u4e8eNFT\u672f\u5f0f\u7ec4\uff08\u4e2d\u4f4d\u5e74\u9f8468\u5c81\uff0cP < .01\uff09\u548c\u534aSMA \u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\uff08\u4e2d\u4f4d\u5e74\u9f8470\u5c81\uff0cP < .01\uff09\u3002 \u4e09\u7ec4\u95f4\u5728\u6027\u522b\u3001\u672f\u540e\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u3001\u4f4f\u9662\u65f6\u957f\u53ca\u75c5\u7406\u5206\u671f\u65b9\u9762\u65e0\u663e\u8457\u5dee\u5f02\u3002\u624b\u672f\u76f8\u5173\u6570\u636e\uff1a \u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\u7684\u4e2d\u4f4d\u624b\u672f\u65f6\u95f4\u4e3a390\u5206\u949f\uff08147-718\u5206\u949f\uff09\uff0c\u663e\u8457\u957f\u4e8e\u975eNFT\u6e05\u626b\u7ec4\uff08250\u5206\u949f\uff0c\u8303\u56f4111\u2013399 \u5206\u949f\uff0cP < .01\uff09\u548cNFT\u672f\u5f0f\u7ec4\uff08321\u5206\u949f\uff0c\u8303\u56f4139\u2013574\u5206\u949f\uff0cP < .01\uff09\u3002 \u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\u7684\u672f\u4e2d\u51fa\u8840\u91cf\u4e3a550 mL\uff0870\u20135427 mL\uff09\uff0c\u663e\u8457\u9ad8\u4e8e\u975eNFT\u6e05\u626b\u7ec4\uff08290 mL\uff0c\u8303\u56f445\u2013900 mL\uff0cP < .01\uff09\u548cNFT\u672f\u5f0f\u7ec4\uff08228 mL\uff0c\u8303\u56f410\u20132410 mL\uff0cP < .01\uff09\u3002 \u975eNFT\u6e05\u626b\u7ec4\u4e0eNFT\u672f\u5f0f\u7ec4\u5728\u624b\u672f\u65f6\u95f4\uff08P = .87\uff09\u548c\u51fa\u8840\u91cf\uff08P = .63\uff09\u65b9\u9762\u65e0\u663e\u8457\u5dee\u5f02\u3002R0\u5207\u9664\u7387\uff1a \u975eNFT\u6e05\u626b\u7ec4\u7684R0\u5207\u9664\u7387\u4e3a 65.0%\uff0c\u663e\u8457\u4f4e\u4e8eNFT\u672f\u5f0f\u7ec4\uff0893.6%\uff0cP < .01\uff09\u548c \u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\uff0891.5%\uff0cP < .01\uff09\u3002 NFT\u672f\u5f0f\u7ec4\u4e0e\u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\u5728R0\u5207\u9664\u7387\u65b9\u9762\u65e0\u663e\u8457\u5dee\u5f02\uff08P = .37\uff09\u3002\u6dcb\u5df4\u7ed3\u6e05\u626b\u60c5\u51b5\uff1a \u975eNFT\u6e05\u626b\u7ec4\u7684\u4e2d\u4f4d\u6dcb\u5df4\u7ed3\u6e05\u626b\u6570\u4e3a19.7\uff087\u201333\uff09\uff0c\u663e\u8457\u4f4e\u4e8eNFT\u672f\u5f0f\u7ec4\uff0840.3\uff0c\u8303\u56f419\u201365\uff0cP < .01\uff09\u548c\u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\uff0848.1\uff0c\u8303\u56f418\u201364\uff0cP < .01\uff09\u3002\u672f\u540e\u8179\u6cfb\u60c5\u51b5\uff1a 6 \u4f8b\uff0814.3%\uff09\u60a3\u8005\u51fa\u73b0\u672f\u540e\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u8179\u6cfb\uff08\u6839\u636eCTCAE 2\u7ea7\u62163\u7ea7\u6807\u51c6\uff09\u3002 \u975eNFT\u6e05\u626b\u7ec4\u65e0\u60a3\u8005\u51fa\u73b0\u4e2d\u5ea6\u6216\u91cd\u5ea6\u8179\u6cfb\u3002 \u534aSMA\u795e\u7ecf\u4e1b\u6e05\u626b\u7ec4\u672f\u540e\u4e2d\u5ea6\u53ca\u91cd\u5ea6\u8179\u6cfb\u53d1\u751f\u7387\u663e\u8457\u9ad8\u4e8eNFT\u672f\u5f0f\u7ec4\uff0815.3% vs 5.1%\uff0cP = .04\uff09\u3002<\/p>\n
\u88681\u5404\u624b\u672f\u65b9\u6cd5\u5728\u53ef\u5207\u9664\u80f0\u817a\u5bfc\u7ba1\u817a\u764c\uff08PDAC\uff09\u60a3\u8005\u4e2d\u7684\u624b\u672f\u7ed3\u679c<\/b><\/p>\n<\/p>\n
3.2 \u80bf\u7624\u6269\u6563\u53ca\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u5728A\u3001B\u3001C\u3001D\u533a\u57df\u7684\u5206\u5e03<\/b><\/p>\n
\u5728NFT\u5207\u9664\u7ec4\uff08n=78\uff09\u4e2d\uff0c\u5bf9\u5404\u533a\u57df\u7684\u80bf\u7624\u76f4\u63a5\u6d78\u6da6\u53ca\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u60c5\u51b5\u8fdb\u884c\u4e86\u75c5\u7406\u5b66\u68c0\u67e5\u3002\u5171\u670962\u4f8b\u60a3\u8005\uff0879.5%\uff09\u5728A-D\u533a\u57df\u5b58\u5728\u80bf\u7624\u6d78\u6da6\u548c\/\u6216\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff1a[A\u533a\uff08n = 24, 31.3%\uff09\u3001B\u533a\uff08n = 48, 59.3%\uff09\u3001C\u533a\uff08n = 11, 13.6%\uff09\u3001D\u533a\uff08n = 35, 43.2%\uff09]\u3002\u5176\u4e2dB\u533a\u548cD\u533a\u662f\u80bf\u7624\u6d78\u6da6\u548c\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6700\u5e38\u89c1\u7684\u533a\u57df\uff08\u89c1\u88682\uff09\u3002<\/p>\n
3.3 \u751f\u5b58\u7ed3\u679c<\/b><\/p>\n
\u975eNFT\u5207\u9664\u7ec4\u7684\u4e2d\u4f4d\u603b\u751f\u5b58\u671f\uff08OS\uff09\u4e3a17.1\u4e2a\u6708\uff0c\u663e\u8457\u77ed\u4e8eNFT\u5207\u9664\u7ec4\uff0849.6\u4e2a\u6708\uff0cP = 0.03\uff09\u548c\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\uff0846.9\u4e2a\u6708\uff0cP = 0.03\uff09\uff08\u56fe10A\uff09\u3002\u975eNFT\u5207\u9664\u7ec4\u7684\u65e0\u75c5\u751f\u5b58\u671f\uff08DFS\uff09\u4e3a10.1\u4e2a\u6708\uff0c\u663e\u8457\u77ed\u4e8eNFT\u5207\u9664\u7ec4\uff0821.7\u4e2a\u6708\uff0cP = 0.03\uff09\uff08\u56fe10B\uff09\u3002<\/p>\n
\u5728139\u4f8b\u672f\u540e\u63a5\u53d7\u8f85\u52a9\u5316\u7597\u7684\u60a3\u8005\u4e2d\uff08\u975eNFT\u5207\u9664\u7ec4\uff1an = 16\uff0cNFT\u5207\u9664\u7ec4\uff1an = 73\uff0c\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\uff1an = 50\uff09\uff0c\u91c7\u7528\u7684\u8f85\u52a9\u6cbb\u7597\u65b9\u6848\u5305\u62ec\uff1aS-1\u5355\u836f\uff08113\u4f8b\uff09\u3001\u5409\u897f\u4ed6\u6ee8\uff08Gem\uff09\u5355\u836f\uff0819\u4f8b\uff09\u53ca\u5409\u897f\u4ed6\u6ee8\u8054\u5408S-1\uff087\u4f8b\uff09\u3002\u5728\u63a5\u53d7\u8f85\u52a9\u6cbb\u7597\u7684\u60a3\u8005\u4e2d\uff0c\u4e0d\u540c\u624b\u672f\u7ec4\u522b\u7684\u751f\u5b58\u60c5\u51b5\u4ecd\u5b58\u5728\u663e\u8457\u5dee\u5f02\u3002\u975eNFT\u5207\u9664\u7ec4\u7684\u4e2d\u4f4d\u603b\u751f\u5b58\u671f\u4e3a23.6\u4e2a\u6708\uff0c\u663e\u8457\u77ed\u4e8eNFT\u5207\u9664\u7ec4\uff0849.6\u4e2a\u6708\uff0cP = 0.01\uff09\u548c\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\uff0846.9\u4e2a\u6708\uff0cP = 0.01\uff09\uff08\u56fe10C\uff09\u3002\u975eNFT\u5207\u9664\u7ec4\u7684\u65e0\u75c5\u751f\u5b58\u671f\u4e3a10.1\u4e2a\u6708\uff0c\u663e\u8457\u77ed\u4e8eNFT\u5207\u9664\u7ec4\uff0821.7\u4e2a\u6708\uff0cP = 0.05\uff09\uff08\u56fe10D\uff09\u3002\u7136\u800c\uff0cNFT\u5207\u9664\u7ec4\u4e0e\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\u4e4b\u95f4\u7684\u603b\u751f\u5b58\u671f\uff08P = 0.64\uff09\u53ca\u65e0\u75c5\u751f\u5b58\u671f\uff08P = 0.91\uff09\u65e0\u663e\u8457\u5dee\u5f02\uff08\u56fe10C,D\uff09\u3002<\/p>\n
\u975eNFT\u5207\u9664\u7ec4\u7684\u5c40\u90e8\u590d\u53d1\u7387\u4e3a45.0%\uff0c\u663e\u8457\u9ad8\u4e8eNFT\u5207\u9664\u7ec4\uff0810.3%\uff0cP < 0.01\uff09\u548c\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\uff0816.9%\uff0cP = 0.01\uff09\uff08\u89c1\u88682\uff09\u3002<\/p>\n<\/p>\n
\u56fe10 \u975eNFT\u5207\u9664\u3001NFT\u5207\u9664\u548c\u534aSMA\u795e\u7ecf\u4e1b\u5207\u9664\u7ec4\u4e4b\u95f4\u7684\u624b\u672f\u7ed3\u679c\u6bd4\u8f83\u3002(A) \u6240\u6709\u60a3\u8005\u7684\u603b\u4f53\u751f\u5b58\uff0c(B) \u6240\u6709\u60a3\u8005\u7684\u65e0\u75c5\u751f\u5b58\uff0c(C) \u672f\u540e\u63a5\u53d7\u8f85\u52a9\u5316\u7597\u60a3\u8005\u7684\u603b\u4f53\u751f\u5b58\uff0c(D) \u672f\u540e\u63a5\u53d7\u8f85\u52a9\u5316\u7597\u60a3\u8005\u7684\u65e0\u75c5\u751f\u5b58\u3002<\/p>\n
\u88682\u80bf\u7624\u6269\u5c55\u81f3A-D\u533a\u57df\u7684\u53ef\u5207\u9664\u80f0\u817a\u5bfc\u7ba1\u817a\u764c\uff08PDAC\uff09\u60a3\u8005<\/b><\/p>\n<\/p>\n
4 <\/b>\u8ba8\u8bba<\/b><\/p>\n
\u5728\u672c\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u5c55\u793a\u4e86NFT\u57fa\u7840\u5207\u9664\u65b9\u6cd5\u76f8\u6bd4\u53f3\u534a\u5706\u5f62SMA\u795e\u7ecf\u4e1b\u5207\u9664\u7684\u80f0\u5341\u4e8c\u6307\u80a0\u5207\u9664\u672f\uff0c\u663e\u8457\u7f29\u77ed\u4e86\u624b\u672f\u65f6\u95f4\u3001\u51cf\u5c11\u4e86\u5931\u8840\u3001\u672f\u540e\u8179\u6cfb\u548c\u4f4f\u9662\u65f6\u95f4\uff0c\u540c\u65f6\u4fdd\u6301\u4e86\u8f83\u9ad8\u7684R0\u5207\u9664\u7387\uff0c\u4e14\u672a\u5f71\u54cd\u5c40\u90e8\u590d\u53d1\u7387\u548c\u6108\u540e\u3002\u56e0\u6b64\uff0c\u8fd9\u79cd\u65b9\u6cd5\u6709\u6f5c\u529b\u6210\u4e3a\u76ee\u524d\u53ef\u5207\u9664PDAC\u6cbb\u7597\u4e2d\u7684\u4e00\u9879\u6709\u7528\u6280\u672f\uff0c\u5176\u4e2dR0\u5207\u9664\u548c\u591a\u5b66\u79d1\u6cbb\u7597\u662f\u6539\u5584\u9884\u540e\u7684\u5173\u952e\u3002<\/p>\n
\u5c3d\u7ba1\u6269\u5927\u6dcb\u5df4\u7ed3\u6e05\u626b\u5bf9\u6539\u5584\u9884\u540e\u6ca1\u6709\u8d21\u732e\uff0c\u4f46\u6709\u7814\u7a76\u62a5\u9053\uff0c\u83b7\u53d6\u7684\u6dcb\u5df4\u7ed3\u6570\u76ee\u4e0e\u751f\u5b58\u671f\u76f8\u5173\u3002\u65e5\u672c\u80f0\u817a\u764c\u5206\u7c7b\u4e2d\u5bf9\u6dcb\u5df4\u7ed3\u533a\u57df\u8fdb\u884c\u4e86\u7f16\u53f7\uff0c\u5e76\u4e14\u56f4\u7ed5SMA\u7684\u6dcb\u5df4\u7ed3\u88ab\u5b9a\u4e49\u4e3a14\u53f7\u6dcb\u5df4\u7ed3\u3002\u7136\u800c\uff0c\u5728\u5b9e\u9645\u624b\u672f\u4e2d\uff0c\u7531\u4e8e14\u53f7\u6dcb\u5df4\u7ed3\u4f4d\u4e8e\u8bb8\u591aNFTs\u5185\uff0c\u56e0\u6b64\u65e0\u6cd5\u76f4\u63a5\u89c2\u5bdf\u5230\u3002Jang\u7b49\u4eba\u8fdb\u884c\u4e86\u968f\u673a\u4e34\u5e8a\u8bd5\u9a8c\uff0c\u6bd4\u8f83\u4e86\u97e9\u56fd\u6269\u5c55\u624b\u672f\u4e2d14\u53f7\u6dcb\u5df4\u7ed3\u6e05\u626b\u4e0e\u6807\u51c6\u624b\u672f\u4e0d\u8fdb\u884c14\u53f7\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u6548\u679c\u3002\u7136\u800c\uff0c\u6700\u8fd1\u7684\u7814\u7a76\u4e2d\uff0c\u4e00\u4e9b\u4f5c\u8005\u8ba4\u4e3a14\u53f7\u6dcb\u5df4\u7ed3\u4e5f\u53ef\u4ee5\u5728\u6807\u51c6\u624b\u672f\u4e2d\u8fdb\u884c\u6e05\u626b\u3002\u6709\u7814\u7a76\u6307\u51fa\uff0c\u8fd9\u4e00\u533a\u57df\u7684\u6dcb\u5df4\u7ed3\u6570\u76ee\u6709\u65f6\u8f83\u5176\u4ed6\u6dcb\u5df4\u7ed3\u66f4\u4e3a\u6df7\u6dc6\u3002\u56e0\u6b64\uff0c\u5728\u624b\u672f\u8fc7\u7a0b\u4e2d\u5f88\u96be\u7cbe\u786e\u786e\u8ba4\u6dcb\u5df4\u7ed3\u7684\u4f4d\u7f6e\uff0c\u9700\u8981\u4e00\u79cd\u65b0\u7684\u6807\u51c6\u6765\u786e\u5b9a\u624b\u672f\u4e2d\u5408\u9002\u7684\u6dcb\u5df4\u7ed3\u6e05\u626b\u8303\u56f4\u3002<\/p>\n
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