{"id":3543,"date":"2023-03-14T11:11:10","date_gmt":"2023-03-14T03:11:10","guid":{"rendered":"https:\/\/tnetpca.com\/?p=3543"},"modified":"2023-09-02T18:19:26","modified_gmt":"2023-09-02T10:19:26","slug":"%e7%a5%9e%e7%b6%93%e5%85%a7%e5%88%86%e6%b3%8c%e7%98%a4%e8%82%9d%e8%bd%89%e7%a7%bb-%e6%94%be%e5%b0%84%e7%a7%91%e9%86%ab%e5%b8%ab%e6%96%b0%e5%88%a9%e5%99%a8","status":"publish","type":"post","link":"https:\/\/tnetpca.com\/?p=3543","title":{"rendered":"\u795e\u7d93\u5167\u5206\u6ccc\u7624\u809d\u8f49\u79fb  \u653e\u5c04\u79d1\u91ab\u5e2b\u65b0\u5229\u5668:\u91d490\u9ad4\u5167\u653e\u5c04\u6cbb\u7642"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<span style=\"color: #000000;\">\u4e00\u822c\u4eba\u5c0d\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u611f\u5230\u5f88\u964c\u751f\uff0c\u76f4\u5230\u8a31\u591a\u540d\u4eba\u5982\u860b\u679c\u516c\u53f8\u7684\u5275\u8fa6\u4eba\u8cc8\u4f2f\u65af\u7f79\u60a3\u300c\u80f0\u81df\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u300d\uff0c\u9019\u500b\u75be\u75c5\u624d\u88ab\u91cd\u8996\u3002\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u5728\u81e8\u5e8a\u4e0a\u4e26\u4e0d\u5e38\u898b\uff0c\u5c24\u5176\u570b\u5167\u767c\u751f\u7387\u8f03\u570b\u5916\u66f4\u4f4e\uff0c\u6bcf10\u842c\u4eba\u53e3\u50c51.5\u81f31.8\u4eba\uff0c\u5c6c\u65bc\u4e00\u7a2e\u7f55\u898b\u75be\u75c5\u3002\u901a\u5e38\u7537\u5973\u6027\u7684\u767c\u751f\u7387\u76f8\u7576\uff0c\u597d\u767c\u65bc40\u6b72\u4ee5\u4e0a\u4e2d\u5e74\u4eba\uff1b\u4f46\u81e8\u5e8a\u4e0a\u4e5f\u4e0d\u4e4f\u5e74\u8f15\u6c11\u773e\uff0c\u621680\u6b72\u4ee5\u4e0a\u7684\u8001\u4eba\u5bb6\u7f79\u75c5\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u7684\u4f86\u6e90\u70ba\u6709\u5167\u5206\u6ccc\u529f\u80fd\u7684\u795e\u7d93\u7d30\u80de\uff0c\u767c\u751f\u75c5\u8b8a\u4e4b\u5f8c\u7522\u751f\u7684\u816b\u7624\u3002\u6700\u5e38\u898b\u65bc\u8178\u80c3\u9053\u3001\u80f0\u81df\u3001\u80ba\u3002\u800c\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u6700\u521d\u4e4b\u6240\u4ee5\u88ab\u7a31\u70ba\u300c\u985e\u764c\u300d\uff0c\u4e3b\u56e0\u5728\u65bc\u5728\u7d30\u80de\u578b\u614b\u4e0a\uff0c\u75c5\u7406\u91ab\u5e2b\u7121\u6cd5\u7531\u55ae\u7d14\u7684\u75c5\u7406\u5207\u7247\u5224\u65b7\u5b83\u662f\u826f\u6027\u6216\u60e1\u6027\u3002\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u75c5\u7a0b\u9032\u5c55\u7de9\u6162\uff0c\u65e9\u671f\u767c\u73fe\u5247\u5b58\u6d3b\u7387\u9ad8\uff0c\u82e5\u816b\u7624\u5c1a\u672a\u8f49\u79fb\u4e14\u5206\u5316\u826f\u597d(G1)\uff0c\u4ee5\u5c40\u90e8\u6839\u9664\u6cbb\u7642\u70ba\u4e3b\uff1b\u767c\u751f\u8f49\u79fb\u5247\u4ee5\u85e5\u7269\u63a7\u5236\u75c7\u72c0\u70ba\u4e3b\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">\u665a\u671f\u7684\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u7d93\u5e38\u8f49\u79fb\u81f3\u809d\u81df\u90e8\u4f4d\uff0c\u6cbb\u7642\u4e0a\u80fd\u5b8c\u5168\u6839\u9664\u6700\u597d\uff0c\u4f46\u53ea\u6709\u8f03\u5c11\u6bd4\u4f8b\u7684\u764c\u75c7\u75c5\u4eba\u80fd\u7528\u5916\u79d1\u624b\u8853\u3002\u6709\u6642\u816b\u7624\u56e0\u5927\u5c0f\u3001\u4f4d\u7f6e\u3001\u6578\u91cf\u3001\u809d\u529f\u80fd\u72c0\u614b\u7b49\u4e0d\u540c\uff0c\u4e0d\u4e00\u5b9a\u9069\u5408\u505a\u6813\u585e\u3001\u5c04\u983b\u71d2\u707c\u3001\u5fae\u6ce2\u6d88\u878d\u7b49\u7642\u6cd5\uff0c\u800c\u653e\u5c04\u7dda\u6cbb\u7642\u5f9e\u9ad4\u5916\u7167\u5c04\uff0c\u7a7f\u900f\u76ae\u819a\u3001\u808c\u8089\u3001\u795e\u7d93\u5176\u4ed6\u5668\u5b98\u7d44\u7e54\uff0c\u640d\u50b7\u4e0d\u5c0f\uff0c\u6210\u6548\u537b\u4e0d\u4e00\u5b9a\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">\u570b\u5916\u81ea2002\u5e74\u6838\u51c6\u5c07\u91d490\u5fae\u7403\u9ad4\u9ad4\u5167\u653e\u5c04\u6cbb\u7642(Selective internal radiation therapy, SIRT-Y90)\u7528\u65bc\u539f\u767c\u6027\u6216\u8f49\u79fb\u6027\u809d\u816b\u7624\u3002\u6b50\u6d32\u816b\u7624\u5b78\u5b78\u6703(ESMO, European Society for Medical Oncology)\u4e5f\u5728\u795e\u7d93\u5167\u5206\u6ccc\u816b\u7624\u7684\u6cbb\u7642\u6307\u5f15\u4e2d\u5c07\u91d490\u9ad4\u5167\u653e\u5c04\u7642\u6cd5\u5217\u5165\u6cbb\u7642\u7684\u9078\u64c7\u4e4b\u4e00\u3002<\/span><\/p>\n<p><span style=\"color: #000000;\">\u91d490\u5fae\u7403\u9ad4\u9ad4\u5167\u653e\u5c04\u7642\u6cd5\u662f\u900f\u904e\u809d\u52d5\u8108\u8840\u7ba1\u8def\u5f91\u5c07\u653e\u5c04\u7dda\u540c\u4f4d\u7d20\u91d490\u7684\u653e\u5c04\u6838\u7a2e\u76f4\u63a5\u6253\u5230\u816b\u7624\u4e2d\uff0c\u5e0c\u671b\u7e2e\u5c0f\u75c5\u7076\u9032\u4e00\u6b65\u80fd\u624b\u8853\u5207\u9664\u6216\u63a7\u5236\u816b\u7624\u3002\u672c\u5fae\u5275\u624b\u8853\u5c07\u7d93\u7531\u653e\u5c04\u79d1\u91ab\u5e2b\u900f\u904e\u5fae\u7d30\u5c0e\u7ba1\u624b\u8853\u6ce8\u5c04\u542b\u6709\u91d490\u5fae\u7403\u9ad4\u5230\u809d\u816b\u7624\uff0c\u7576\u5343\u842c\u9846\u5e36\u6709\u9ad8\u5291\u91cf\u5e45\u5c04\u7684\u5fae\u7403\u9ad4\u900f\u904e\u809d\u52d5\u8108\u8840\u6db2\u6563\u5e03\u3001\u9032\u5165\u816b\u7624\u7d30\u5c0f\u8840\u7ba1\u6642\uff0c\u91cb\u653e\u7684\u5e45\u5c04\u80fd\u91cf\u8db3\u4ee5\u6bba\u6b7b\u5e45\u5c04\u7bc4\u570d\u5167\u7684\u764c\u7d30\u80de\uff0c\u537b\u4e0d\u6703\u5c0d\u816b\u7624\u5468\u908a\u7684\u6b63\u5e38\u809d\u7d44\u7e54\u7522\u751f\u904e\u591a\u5e45\u5c04\u50b7\u5bb3\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">\u9032\u884c\u91d490\u9ad4\u5167\u653e\u5c04\u6cbb\u7642\u53ef\u80fd\u6703\u6709\u4ee5\u4e0b\u597d\u8655\uff1a<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\"><strong>\u63a7\u5236\u816b\u7624\uff1a<\/strong>\u91d490\u53ef\u4ee5\u76f4\u63a5\u91dd\u5c0d\u764c\u7d30\u80de\u9032\u884c\u9ad8\u80fd\u91cf\u653e\u5c04\u6cbb\u7642\uff0c\u5f9e\u800c\u63a7\u5236\u6216\u6e1b\u7de9\u809d\u5167\u816b\u7624\u7684\u9032\u5c55\u3002<\/span><\/li>\n<li><span style=\"color: #000000;\"><strong>\u5ef6\u9577\u58fd\u547d\uff1a<\/strong>\u7279\u5225\u662f\u4e3b\u8981\u75c5\u7076\u5728\u809d\u90e8\u4f4d\u7684\u60a3\u8005\u3002<\/span><\/li>\n<li><span style=\"color: #000000;\"><strong>\u6539\u5584\u751f\u6d3b\u54c1\u8cea\uff1a<\/strong>\u91d490\u6cbb\u7642\u53ef\u900f\u904e\u55ae\u6b21\u7684\u7642\u7a0b\u9054\u5230\u826f\u597d\u7684\u816b\u7624\u63a7\u5236\u6e1b\u5c11\u75c7\u72c0\uff0c\u5f9e\u800c\u63d0\u9ad8\u60a3\u8005\u7684\u751f\u6d3b\u54c1\u8cea\u3002<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #000000;\">\u91d490\u5fae\u7403\u9ad4\u9ad4\u5167\u653e\u5c04\u6cbb\u7642(SIRT-Y90)\u5206\u70ba\u5169\u500b\u968e\u6bb5<\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\"><strong>\u8a55\u4f30\u968e\u6bb5(<\/strong><strong>\u939d\u6a19\u8a18\u805a\u5408\u767d\u86cb\u767d\u9810\u5148\u8840\u7ba1\u651d\u5f71, Tc-99m MAA Mapping)<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\">\u91d4 90 \u9ad4\u5167\u653e\u5c04\u6cbb\u7642\u4e26\u975e\u9069\u5408\u6bcf\u4e00\u4f4d\u809d\u816b\u7624\u7684\u60a3\u8005\uff0c\u5728\u6cbb\u7642\u524d 7-14 \u5929\u9700\u4f5c\u6838\u91ab\u809d\u5167\u939d\u6a19\u8a18\u805a\u5408\u767d\u86cb\u767d\u6383\u63cf\uff0c\u4ee5\u8a55\u4f30\u75c5\u4eba\u662f\u5426\u9069\u5408\u6b64\u9805\u6cbb\u7642\u3002\u5982\u679c\u6aa2\u67e5\u5f8c\u91ab\u5e2b\u8a8d\u70ba\u60a8\u662f\u9069\u5408\u9078\u64c7\u6027\u9ad4\u5167\u653e\u5c04\u6cbb\u7642\uff0c\u6703\u65bc\u4e00\u81f3\u5169\u9031\u5f8c\u5b89\u6392\u6cbb\u7642\u3002<\/span><\/p>\n<p><span style=\"color: #000000;\">\u539f\u7406\uff1a\u939d\u6a19\u8a18\u805a\u5408\u767d\u86cb\u767d\u70ba\u4e00\u7a2e\u5c0d\u4eba\u9ad4\u7121\u5bb3\u4e4b\u8a3a\u65b7\u7528\u86cb\u767d\uff0c\u5206\u5b50\u5927\u5c0f\u8fd1\u4f3c\u91d4 90 \u5fae\u7403\u9ad4\uff0c\u53ef\u6a21\u64ec\u91d4 90 \u5fae\u7403\u65bc\u9ad4\u5167\u5206\u5e03\u7684\u72c0\u614b\uff0c\u78ba\u4fdd\u91d4 90 \u5fae\u7403\u9ad4\u6703\u505c\u99d0\u5728\u60a8\u7684\u809d\u81df , \u800c\u975e\u5176\u4ed6\u5668\u5b98\uff0c\u4e0d\u6703\u9020\u6210\u5176\u4ed6\u5668\u5b98\u7684\u653e\u5c04\u6027\u50b7\u5bb3\u3002<\/span><\/p>\n<ol start=\"2\">\n<li><span style=\"color: #000000;\"><strong>\u6cbb\u7642\u968e\u6bb5(\u91d490\u5fae\u7403\u9ad4\u8f38\u6ce8)<\/strong><\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\">\u7b2c\u4e00\u968e\u6bb5\u9810\u5148\u8840\u7ba1\u651d\u5f71\u5f8c\u4e00\u5468\u5167\u82e5\u8a55\u4f30\u53ef\u4ee5\u9032\u884c\u6cbb\u7642\uff0c\u5373\u53ef\u5b89\u6392\u7e73\u4ea4\u91d490\u6cbb\u7642\u7684\u8cbb\u7528\u53ca\u4f4f\u9662\uff0c\u6e96\u5099\u9032\u884c\u7b2c\u4e8c\u968e\u6bb5\u91d490\u5fae\u7403\u9ad4\u8f38\u6ce8\u3002\u5165\u9662\u5f8c\u6309\u8840\u7ba1\u651d\u5f71\u6aa2\u67e5\u6d41\u7a0b\u57f7\u884c\u8853\u524d\u6e96\u5099\u3002\u6cbb\u7642\u7576\u5929\u7531\u653e\u5c04\u79d1\u91ab\u5e2b\u7d93\u7531\u80a1\u52d5\u8108\u7f6e\u5165\u809d\u52d5\u8108\u5c0e\u7ba1\uff0c\u900f\u904e\u5c0e\u7ba1\u6ce8\u5165\u91d490\u5fae\u7403\u9ad4\u3002\u6cbb\u7642\u7d50\u675f\u5f8c\u81f3\u6838\u91ab\u79d1\u4f5c\u5236\u52d5\u5e45\u5c04\u6383\u63cf\uff0c\u78ba\u5b9a\u91d4 90 \u5fae\u7403\u9ad4\u690d\u5165\u4f4d\u7f6e\u3002\u5927\u90e8\u5206\u60a3\u8005\u50c5\u9700\u4f4f\u9662\u89c0\u5bdf\u4e00\u5929\u5373\u53ef\u56de\u5bb6\u3002<\/span><\/p>\n<p><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3544\" src=\"https:\/\/tnetpca.com\/wp-content\/uploads\/2023\/03\/90.jpg\" alt=\"\" width=\"548\" height=\"327\" \/>\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u91d490\u5fae\u7403\u9ad4\u9ad4\u5167\u653e\u5c04\u6cbb\u7642\u53ef\u80fd\u6703\u6709\u4e00\u4e9b\u526f\u4f5c\u7528\uff0c\u4f8b\u5982\u6813\u585e\u5f8c\u526f\u4f5c\u7528 (\u75bc\u75db\u3001\u5641\u5fc3\u3001\u767c\u71d2)\u3001\u75b2\u52de\u3001\u98df\u617e\u4e0d\u632f\u7b49\uff0c\u4f46\u662f\u9019\u4e9b\u526f\u4f5c\u7528\u901a\u5e38\u662f\u66ab\u6642\u7684\uff0c\u800c\u4e14\u53ef\u4ee5\u901a\u904e\u91ab\u751f\u7684\u6cbb\u7642\u4f86\u7de9\u89e3\u3002\u6b64\u5916\uff0c\u6cbb\u7642\u5f8c\u9700\u8981\u9075\u5faa\u91ab\u751f\u7684\u5efa\u8b70\u9032\u884c\u5f8c\u7e8c\u7684\u6aa2\u67e5\u548c\u6cbb\u7642\u3002<\/span><\/p>\n<p><span style=\"color: #000000;\">\u91d4 90 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