½¬ÒºÐÔÂѳ²°©µÄÉú´æÆÚÒò¶àÖÖÒòËØ¶øÒ죬°üÀ¨»¼ÕßµÄ·ÖÆÚ¡¢Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹ûÒÔ¼°¸öÌå²îÒìµÈ¡£¶ÔÓÚÔçÆÚ»¼Õߣ¨IÆÚ£©£¬5ÄêÉú´æÂÊÔÚ70%µ½90%Ö®¼ä£»¶ø¶ÔÓÚÍíÆÚ»¼Õߣ¨IIÆÚ¡¢IIIÆÚ¡¢IVÆÚ£©£¬Éú´æÂÊ»áÏÔÖø½µµÍ£¬·Ö±ðԼΪ60%-70%¡¢20%-40%ºÍµÍÓÚ20%¡£ÊÖÊõÊÇÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¸Ã²¡µÄ¹Ø¼ü£¬Èç¹ûÄܳɹ¦ÇгýËùÓÐÖ×Áö£¬»¼ÕßµÄÔ¤ºó»áÃ÷ÏÔ¸ÄÉÆ¡£Êõºóͨ³£ÐèÒªÅäºÏ»¯ÁÆ£¬³£ÓõÄÒ©Îï°üÀ¨²¬ÀàºÍ×Ïɼ´¼£¬ÕâЩҩÎï¿ÉÒÔÓÐЧÑÓ³¤»¼ÕßµÄÉú´æÆÚ¡£¸´·¢Êǽ¬ÒºÐÔÂѳ²°©µÄÒ»¸öÖØÒªÎÊÌ⣬Լ70%µÄ»¼ÕßÔÚÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºó»á³öÏÖ¸´·¢¡£¸´·¢ºóµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹ûͨ³£½Ï²î£¬µ«Í¨¹ý»¯ÁÆ»òÐÂÐͰÐÏòÒ©ÎÈç±´·¥Öéµ¥¿¹ºÍPARPÒÖÖÆ¼Á£©ÈÔ¿ÉÄÜ»ñµÃÒ»¶¨µÄÉú´æÒæ´¦¡£×ÜÌåÀ´Ëµ£¬½¬ÒºÐÔÂѳ²°©µÄÉú´æÆÚ´ÓÊýÔµ½ÊýÄê²»µÈ£¬ÔçÆÚ·¢Ïֺ͹淶Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¿ÉÒÔÏÔÖøÌá¸ß»¼ÕßµÄÉú´æÂÊ¡£½¨Ò黼ÕßÓëרҵҽÉúÃÜÇкÏ×÷£¬Öƶ¨¸öÐÔ»¯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸£¬ÒÔ»ñµÃ×î¼ÑµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹û¡£
Ö¬·¾Áöͨ³£ÖʵØÈáÈí£¬´¥ÃþʱÓе¯ÐÔ£¬¿ÉÄÜ»á¸Ð¾õÏñÊÇÆ¤·ôϵÄÒ»¸öÈí°ü¡£´ó¶àÊýÇé¿öÏ£¬Ö¬·¾ÁöÊÇÎÞÍ´µÄ£¬µ«Èç¹ûÄú¸Ð¾õµ½ÌÛÍ´£¬¿ÉÄÜÊÇÖ¬·¾ÁöÔÚÉú³¤»îÔ¾ÆÚ¡£Ö¬·¾Áö¶à·¢ÉúÔÚÆ¤Ï£¬³£¼ûÓÚ¾±²¿¡¢¼ç²¿¡¢±³²¿ºÍ¸¹²¿µÈ²¿Î»¡£Ö¬·¾ÁöÊôÓÚÁ¼ÐÔÖ×Áö£¬Í¨³£²»»á¶Ô½¡¿µÔì³ÉÍþв£¬µ«Èç¹ûËü±ä´ó»òÒýÆð²»ÊÊ£¬½¨Ò鼰ʱ¾ÍÒ½¡£¶ÔÓÚ½ÏСÇÒÎÞÖ¢×´µÄÖ¬·¾Áö£¬Ò»°ãÎÞÐèÌØ±ð´¦Àí¡£µ«Èç¹ûÖ¬·¾Áö½Ï´ó»òÓÐÌÛÍ´¸Ð£¬¿ÉÒÔ¿¼ÂÇÊÖÊõÇгý¡£
ÄúºÃ£¬¸ù¾ÝÄúÃèÊöµÄÖ¢×´£¬ÐèÒª¾¯Ìèºí°©µÄ¿ÉÄÜÐÔ¡£ºí°©µÄ³£¼ûÖ¢×´°üÀ¨³ÖÐøÐÔ»ò¼ä¶ÏÐÔµÄÉùÒôË»ÑÆ£¬ÑÊºí²¿Î»µÄÒìÎï¸Ð»ò²»ÊÊ£¬ÍÌÑÊÀ§ÄÑ£¬ÒÔ¼°¾±²¿ÁܰͽáµÄÖ×´ó¡£Äú¸¸Ç×µÄÖ¢×´ÖУ¬ÉùÒôË»ÑÆºÍÑÊºí²»ÊÊÊǵäÐÍµÄºí°©±íÏÖ£¬½¨Ò龡¿ìµ½Õý¹æÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØµÄ¶ú±Çºí¿Æ½øÐÐÏêϸ¼ì²é¡£¼ì²é¿ÉÄܰüÀ¨ºí¾µ¼ì²é¡¢CTɨÃèµÈÓ°Ïñѧ¼ì²é£¬ÒÔÃ÷È·Õï¶Ï¡£ÐèҪעÒâµÄÊÇ£¬ÎüÑ̺ÍÒû¾ÆÊÇºí°©µÄÖØÒªÎ£ÏÕÒòËØ£¬½¨ÒéÄú¸¸Ç×Á¢¼´½äÑÌ½ä¾Æ£¬±ÜÃâ½øÒ»²½¼ÓÖØ²¡Çé¡£´ËÍ⣬Ñʺí¸ÉɬºÍÍÌÑʲ»ÊÊ¿ÉÄÜÌáʾÖ×ÁöÇÖ·¸ÖÜΧ×éÖ¯£¬ÐèÒª¼°Ê±Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£½¨Ò龡¿ì¾ÍÒ½£¬Ôç·¢ÏÖÔçÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«Êǹؼü¡£Æ½Ê±Òª×¢ÒâÐÝÏ¢£¬±ÜÃâ¹ý¶ÈÓÃÉù£¬±£³ÖÁ¼ºÃµÄÉú»îϰ¹ß¡£Èç¹ûÈ·ÕÇë»ý¼«ÅäºÏÒ½ÉúµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸£¬±£³ÖÀÖ¹ÛÐÄ̬£¬×£Äú¸¸Ç×ÔçÈÕ¿µ¸´¡£
°©Ö¢µÄÔçÆÚÖ¢×´ÒòÀàÐͶøÒ죬³£¼ûµÄÓзΰ©¡¢¸Î°©¡¢Î¸°©µÈ¡£1¡¢·Î°©·Î°©ÔçÆÚÖ¢×´²»Ã÷ÏÔ£¬³£¼ûµÄǰÕ×ÊdzÖÐøÐÔ¿ÈËÔ£¬ÓÐʱ°éÓÐѪ̵£¬ÈÝÒ×±»ÎóÕïΪÆÕͨ¸Ðð»ò·ÎÑס£2¡¢¸Î°©¸Î°©ÔçÆÚÖ¢×´ÒþÄ䣬²¿·Ö»¼Õß¿ÉÄܳöÏÖÓÒÉϸ¹ÌÛÍ´¡¢Ê³Óû¼õÍË¡¢ÌåÖØÏ½µµÈÖ¢×´£¬Ð辯Ìè¸ÎÔàÒì³£¡£3¡¢Î¸°©Î¸°©ÔçÆÚ³£±íÏÖΪÏû»¯²»Á¼£¬Èç·´Ëá¡¢àÈÆø¡¢¸¹Í´µÈ£¬Ëæ×Ų¡Çé·¢Õ¹£¬Ö¢×´»á¼ÓÖØ£¬³öÏÖŻѪ»òºÚ±ã¡£4¡¢ÈéÏÙ°©ÈéÏÙ°©µÄǰÕ×°üÀ¨Èé·¿Ö׿顢ÈéÍ·ÒçÒº»òƤ·ô°¼ÏÝ£¬½¨ÒéÅ®ÐÔ¶¨ÆÚ×Լ졣5¡¢½á³¦°©½á³¦°©ÔçÆÚÖ¢×´²»Ã÷ÏÔ£¬¿ÉÄܳöÏÖÅűãϰ¹ß¸Ä±ä¡¢±ãѪ»ò¸¹²¿²»ÊÊ¡£Èç¹û³öÏÖÒÔÉÏÖ¢×´£¬½¨Ò鼰ʱ¾ÍÒ½¼ì²é£¬ÓÈÆäÊÇÓмÒ×åÊ·»ò³¤ÆÚÎüÑÌ¡¢Ðï¾ÆµÈ¸ßΣÈËȺ¡£ÔçÆÚ·¢ÏÖÊÇÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«µÄ¹Ø¼ü£¬¶¨ÆÚÌå¼ìÓÐÖúÓÚÔçÆÚɸ²é£¬½µµÍ°©Ö¢·çÏÕ¡£
¼××´ÏÙ°©ÊÖÊõºó£¬¶¨ÆÚ¸´²é·Ç³£ÖØÒª£¬ÒÔ¼à²â²¡Çé±ä»¯ºÍÔ¤·À¸´·¢»ò×ªÒÆ¡£ÒÔÏÂÊdz£¼ûµÄ¸´²éÏîÄ¿£ºÑªÒº¼ì²é£º°üÀ¨¼××´ÏÙ¹¦ÄÜÖ¸±ê£¨ÈçTSH¡¢T3¡¢T4£©ºÍ¼××´ÏÙÇòµ°°×£¨TG£©¼ì²â¡£ÕâЩָ±êÓÐÖúÓÚÆÀ¹À¼××´ÏÙ¹¦ÄÜ״̬ºÍÊÇ·ñÓи´·¢¼£Ïó¡£¾±²¿³¬Éù¼ì²é£ºÍ¨¹ý³¬Éù¼ì²éÆÀ¹À¼××´ÏÙ²ÐÁôÏÙÌåÊÇ·ñÓи´·¢¼£Ïó£¬ÒÔ¼°¾±²¿ÁܰͽáÊÇ·ñÓÐÖ×´ó»òÒì³£¡£Ï¸Õë´©´Ì»î¼ì£¨FNA£©£ºÈç¹û³¬Éù·¢ÏÖ¿ÉÒɽá½Ú»òÁܰͽᣬ¿ÉÄÜÐèÒª½øÐÐϸÕë´©´Ì»î¼ìÒÔÈ·¶¨ÊÇ·ñÓжñÐÔ²¡±ä¡£·Î²¿CT¼ì²é£ºÓÃÓÚÆÀ¹ÀÊÇ·ñÓзβ¿×ªÒÆ£¬ÓÈÆäÊǶÔÓÚÓиßΣÒòËØµÄ»¼Õß¡£·ÅÉäÐÔµâɨÃ裨I-131ɨÃ裩£º¶ÔÓÚ·Ö»¯Ðͼ××´ÏÙ°©»¼Õߣ¬¸Ã¼ì²éÓÐÖúÓÚ¼ì²â¼××´ÏÙ²ÐÓà×éÖ¯ºÍÔ¶´¦×ªÒÆÇé¿ö¡£¶¨ÆÚËæ·Ã£ºÊõºóÓ¦°´Ò½Éú½¨Ò鶨ÆÚ¸´²é£¬Í¨³£°üÀ¨Ã¿ÄêÖÁÉÙÒ»´ÎµÄÈ«Ãæ¼ì²é£¬°üÀ¨ÑªÒº¼ì²éºÍÓ°ÏñѧÆÀ¹À¡£¸ù¾Ý»¼ÕߵľßÌåÇé¿ö£¬Ò½Éú¿ÉÄÜ»áµ÷Õû¸´²éƵÂʺÍÏîÄ¿¡£Èç¹ûÓÐÈκÎÒì³£Ö¢×´£¬Èç¾±²¿Ö׿顢ÉùÒôË»ÑÆ»òÌåÖØ±ä»¯£¬Ó¦¼°Ê±¾ÍÒ½¡£
ÁܰÍÁöÍíÆÚµÄÉú´æÆÚÒòÈ˶øÒ죬¾ßÌåÈ¡¾öÓÚ¶àÖÖÒòËØ£¬°üÀ¨ÁܰÍÁöµÄÀàÐÍ¡¢»¼ÕßµÄÉíÌå×´¿öÒÔ¼°Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·´Ó¦µÈ¡£ÁܰÍÁöÊÇÒ»ÖÖѪҺϵͳµÄ¼²²¡£¬ÆäµäÐÍÖ¢×´°üÀ¨È«Éí¶à·¢ÁܰͽáÖ×´ó¡¢Áܰͽá¹Ì¶¨ÇÒÈںϡ¢³ÖÐø·¢ÉÕ¡¢ÌåÖØ¼±¾çϽµÒÔ¼°¶ñ²¡ÖʵÈÖ¢×´¡£¶ÔÓÚÍíÆÚÁܰÍÁö»¼Õߣ¬Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸Í¨³£°üÀ¨·ÅÁÆ¡¢»¯ÁÆÒÔ¼°ÖÐÒ©¸¨ÖúÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«µÈ×ۺϴëÊ©¡£½¨ÒéÄú»ý¼«ÅäºÏÒ½ÉúµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¼Æ»®£¬Í¬Ê±±£³ÖÁ¼ºÃµÄÓªÑø×´Ì¬ºÍÐÄ̬£¬¶¨ÆÚ¸´²é£¬ÒԱ㼰ʱµ÷ÕûÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£ÁܰÍÁöµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹ûÓ벡ÀíÀàÐÍÃÜÇÐÏà¹Ø¡£ÀýÈ磬ÃÖÂþ´óBϸ°ûÁܰÍÁöºÍÂËÅÝÐÔÁܰÍÁöµÄÔ¤ºó¿ÉÄܲ»Í¬£¬Òò´Ë¾ßÌåÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸ÐèÒª¸ù¾ÝÄúµÄ²¡ÀíÀàÐÍÖÆ¶¨¡£Ä¿Ç°£¬Ò½Ñ§½ç¶ÔÓÚÁܰÍÁöµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÒѾȡµÃÁËÏÔÖø½øÕ¹£¬Ðí¶à»¼Õßͨ¹ý¹æ·¶Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«Äܹ»»ñµÃ½Ï³¤µÄÉú´æÆÚÉõÖÁÁÙ´²ÖÎÓú¡£´ËÍ⣬ÍíÆÚÁܰÍÁö»¼ÕßÐèҪעÒâÉíÌåµÄÈ«Ãæµ÷Àí£¬±ÜÃâ¹ý¶ÈÀÍÀÛ£¬±£³Ö¾ùºâµÄÒûʳ£¬ÔöÇ¿ÃâÒßÁ¦¡£¼ÒÈ˺ÍÅóÓѵÄÖ§³ÖÒ²¶Ô»¼ÕߵĿµ¸´ÓÐ×ÅÖØÒªµÄÓ°Ïì¡£×ÜÖ®£¬ÁܰÍÁöËäÈ»ÊÇÒ»ÖÖÑÏÖØµÄ¼²²¡£¬µ«Í¨¹ý¿ÆÑ§ºÏÀíµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍ»ý¼«µÄÐÄ̬£¬Ðí¶à»¼ÕßÄܹ»»ñµÃ½ÏºÃµÄÉú»îÖÊÁ¿¡£
HPV52ÐÍÊÇÒ»ÖÖ¸ßΣÐÍÈËÈéÍ·Áö²¡¶¾£¬È·ÊµÓ빬¾±°©µÄ·¢ÉúÓйء£Ò»°ãÀ´Ëµ£¬´ÓHPV¸ÐȾ·¢Õ¹µ½¹¬¾±°©ÐèÒªÒ»¸ö½Ï³¤µÄ¹ý³Ì£¬Í¨³£¿ÉÄÜÐèÒª¼¸ÄêÉõÖÁ¸ü³¤Ê±¼ä¡£Õâ¸ö¹ý³Ì°üÀ¨¼¸¸ö½×¶Î£ºÊ×ÏÈ£¬HPV¸ÐȾ¿ÉÄܻᵼÖ¹¬¾±Ï¸°û·¢ÉúÒì³£±ä»¯£¬¼´¹¬¾±ÉÏÆ¤ÄÚÁö±ä£¨CIN£©¡£CIN·ÖΪ²»Í¬¼¶±ð£¬CIN1ͨ³£ÊÇ¿ÉÄæµÄ£¬Í¨¹ýÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¿ÉÒÔȬÓú£»¶øCIN2ºÍCIN3Ôò¿ÉÄܽøÒ»²½·¢Õ¹Îª¹¬¾±°©¡£ÐèҪעÒâµÄÊÇ£¬²¢·ÇËùÓиÐȾHPV52µÄÅ®ÐÔ¶¼»á·¢Õ¹³É¹¬¾±°©¡£´ó¶àÊýÇé¿öÏ£¬ÈËÌåÃâÒßϵͳÄܹ»Çå³ý²¡¶¾£¬ÓÈÆäÊǶÔÓÚµÍΣÐÍHPV£¬Í¨³£²»»áÒýÆðÑÏÖØÎÊÌâ¡£µ«¶ÔÓÚ¸ßΣÐÍHPV£¬ÈçHPV52£¬¼°Ê±µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍËæ·Ã·Ç³£ÖØÒª¡£½¨ÒéÄú¼°Ê±¾ÍÒ½£¬½ÓÊÜרҵҽÉúµÄÆÀ¹ÀºÍÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£Ò½Éú¿ÉÄܻὨÒé½øÐй¬¾±Í¿Æ¬¼ì²é£¨ÈçTCT¼ì²é£©ºÍHPV DNA¼ì²â£¬ÒÔÁ˽⹬¾±µÄ¾ßÌåÇé¿ö¡£¸ù¾Ý¼ì²é½á¹û£¬Ò½Éú»áÖÆ¶¨¸öÐÔ»¯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸£¬¿ÉÄܰüÀ¨Ò©ÎïÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡¢ÎïÀíÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«»òÊÖÊõÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«µÈ¡£´ËÍ⣬±£³ÖÁ¼ºÃµÄÉú»îϰ¹ß£¬ÔöÇ¿ÃâÒßÁ¦£¬Ò²ÓÐÖúÓÚÇå³ý²¡¶¾£¬Ô¤·À¹¬¾±°©µÄ·¢Éú¡£¶¨ÆÚ¸´²éºÍËæ·ÃÊDZØÒªµÄ£¬Í¨³£½¨ÒéÿÄêÖÁÉÙ½øÐÐÒ»´Î¹¬¾±É¸²é£¬Ö±µ½È·ÈÏûÓÐÒ쳣Ϊֹ¡£Çë²»Òª¹ýÓÚ½¹ÂÇ£¬»ý¼«Ãæ¶ÔÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬´ó¶àÊýÇé¿öÏÂÊÇ¿ÉÒÔ¿ØÖƺÍÖÎÓúµÄ¡£Ï£ÍûÄúÔçÈÕ¿µ¸´£¡
¶ÔÓÚ°òë×°©ÔçÆÚ»¼Õߣ¬Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸µÄÑ¡ÔñÐèÒª¸ù¾Ý¾ßÌåÇé¿öÖÆ¶¨¡£Ö÷ÒªµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½·¨°üÀ¨ÊÖÊõÇгý¡¢»¯Ñ§Ò©ÎïÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍ·ÅÉäÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£ÊÖÊõÇгý£ºÊÖÊõÊÇÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÔçÆÚ°òë×°©µÄÖ÷Òª·½Ê½£¬Í¨³£²ÉÓþÄòµÀ°òë×Ö×ÁöÇгýÊõ£¨TURBT£©¡£ÕâÖÖÊÖÊõ´´É˽ÏС£¬Äܹ»ÓÐЧÇгýÖ×Áö£¬Í¬Ê±±£Áô°òë×¹¦ÄÜ¡£»¯Ñ§Ò©ÎïÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£º»¯ÁÆÊÊÓÃÓÚ²»ÄÜÊÖÊõ»òÊÖÊõºóÔ¤·À¸´·¢µÄ»¼Õß¡£Í¨¹ý¾²Âö×¢É仯ÁÆÒ©Î¿ÉÒÔɱËÀ²ÐÁôµÄ°©Ï¸°û£¬½µµÍ¸´·¢ÂʺÍ×ªÒÆÂÊ¡£·ÅÉäÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£º·ÅÁÆÍ¨³£×÷Ϊ¸¨ÖúÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬ÓÃÓÚÊÖÊõǰËõСÖ×Áö»òÊÖÊõºóɱÃð²ÐÁô°©Ï¸°û¡£·ÅÁƵĸ±×÷ÓýÏС£¬ÊʺÏÉíÌå×´¿ö½Ï²îµÄ»¼Õß¡£×ÛºÏÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£ºÔçÆÚ°òë×°©µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫͨ³£ÐèÒª¶àÖÖ·½·¨½áºÏʹÓá£ÊÖÊõÇгýºóÅäºÏ»¯ÁÆ»ò·ÅÁÆ£¬¿ÉÒÔÏÔÖøÌá¸ßÖÎÓúÂÊ¡£×ÜÌå¶øÑÔ£¬ÔçÆÚ°òë×°©ÖÎÓúÂʽϸߣ¬¹Ø¼üÔÚÓÚ¼°Ê±·¢Ïֺ͹淶Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£»¼ÕßÓ¦¸ù¾Ý×ÔÉíÇé¿ö£¬ÔÚÒ½ÉúÖ¸µ¼ÏÂÑ¡ÔñºÏÊʵÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£
ÄúºÃ£¬¼××´ÏÙÈéÍ·×´°©ÂËÅÝÑÇÐÍÊÖÊõºó£¬TSHÖµµÄ±ä»¯ÊÇÐèÒªÖØµã¹Ø×¢µÄÖ¸±êÖ®Ò»¡£Ò»°ãÀ´Ëµ£¬Èç¹ûÄúµÄTSHÖµ³ÖÐøÆ«µÍ£¬ËµÃ÷ÊÖÊõ¶Ô¼××´ÏÙ¹¦ÄܵÄÓ°Ïì½ÏС£¬Ä¿Ç°À´¿´¶ÔÉíÌåµÄÓ°Ïì²»´ó¡£µ«ÎªÁËÈ·±£°²È«£¬½¨ÒéÄú¶¨ÆÚ¸´²é¼××´ÏÙ¹¦ÄÜ£¬°üÀ¨TSH¡¢T3¡¢T4µÈÖ¸±ê£¬ÒÔ¹Û²ìÊÇ·ñÓй¦ÄܼõÍ˵ļ£Ïó¡£Èç¹û³öÏÖ¼××´ÏÙ¹¦ÄܼõÍË£¬¿ÉÄÜÐèÒª²¹³ä¼××´ÏÙ¼¤ËØ¡£ÁíÍ⣬Êõºó»¹ÐèÒª¶¨ÆÚ½øÐм××´ÏÙÇòµ°°×¼ì²âºÍ¼××´ÏÙ³¬Éù¼ì²é£¬ÒÔÅųý¶ñÐÔ²¡±äµÄ¿ÉÄÜÐÔ¡£Èç¹û·¢ÏÖÈκÎÒì³££¬Èç¾±²¿³öÏÖÖ׿é»òÓÐÆäËû²»ÊÊÖ¢×´£¬Ó¦¼°Ê±¾ÍÒ½¡£×ܵÄÀ´Ëµ£¬±£³Ö¶¨ÆÚËæ·Ã·Ç³£ÖØÒª£¬Í¬Ê±×¢ÒâÉíÌåµÄ±ä»¯£¬¼°Ê±ÓëÖ÷ÖÎÒ½Éú¹µÍ¨£¬ÒÔÈ·±£Êõºó»Ö¸´Ë³Àû¡£
½á³¦°©µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÐèÒª¸ù¾Ý²¡ÇéµÄÑÏÖØ³Ì¶ÈÀ´¾ö¶¨£¬ÖÐÒ©µ÷Àí¿ÉÒÔÔÚÒ½ÉúµÄÖ¸µ¼Ï½øÐУ¬µ«²»ÄÜÌæ´úÖ÷ÒªµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÊÖ¶ÎÈçÊÖÊõºÍ»¯ÁÆ¡£ÖÐÒ©¿ÉÒÔ°ïÖú¸ÄÉÆÌåÖÊ£¬¼õÇáÖ¢×´£¬Ìá¸ßÉú»îÖÊÁ¿¡£½á³¦°©µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫͨ³£ÒÔÊÖÊõΪÖ÷£¬ÖÐÒ©¿ÉÒÔ×÷Ϊ¸¨ÖúÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬°ïÖú»Ö¸´ÉíÌå»úÄÜ£¬Ìá¸ßÃâÒßÁ¦£¬¼õÉÙÊõºó²¢·¢Ö¢¡£½¨ÒéÔÚÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¹ý³ÌÖУ¬½áºÏÎ÷Ò½µÄ¹æ·¶Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍÖÐÒ½µÄµ÷Àí£¬ÒÔ´ïµ½×î¼ÑµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹û¡£Èç¹û¿¼ÂÇʹÓÃÖÐÒ©µ÷Àí£¬½¨Òéµ½Õý¹æÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØµÄÖÐÒ½¿Æ¾ÍÕÓÉרҵҽÉúÖÆ¶¨¸öÐÔ»¯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£
Ö±³¦°©»¼Õß¿ÉÒÔͨ¹ýÒÔÏ·½·¨×ÔÎÒ¼à²â¸¹²¿½¡¿µ×´¿ö£º¹Û²ì¸¹²¿Íâ¹Û£º×¢ÒâÊÇ·ñÓÐÒì³£Ö׿é»ò¸¹²¿Ã÷ÏÔ¡Æð£¬Õâ¿ÉÄÜÊǸ¹Ë®»òÆäËû²¢·¢Ö¢µÄÐźš£¼à²âÌåÖØ±ä»¯£ºÈç¹û³öÏÖ²»Ã÷ÔÒòµÄÌåÖØÏ½µ£¬Ó¦ÒýÆðÖØÊÓ£¬¼°Ê±¾ÍÒ½¡£¼ì²é¸¹²¿´¥¸Ð£ºÇáÇᰴѹ¸¹²¿£¬ÓÈÆäÊÇϸ¹²¿ºÍÅèÇ»ÇøÓò£¬¸ÐÊÜÊÇ·ñÓд¥Í´»ò²»ÊÊ¡£¹Ø×¢Ïû»¯Ö¢×´£ºÁôÒ⸹ÕÍ¡¢¶ñÐÄ¡¢Å»Í¡¢¸¹Ðº»ò±ãÃØµÈÖ¢×´£¬ÕâЩ¿ÉÄÜÊdz¦µÀÎÊÌâµÄÐźš£¹Û²ìÅűãÇé¿ö£º×¢Òâ´ó±ãÑÕÉ«¡¢ÐÎ×´ºÍÅűãϰ¹ßµÄ±ä»¯£¬Èç·¢ÏÖѪ±ã¡¢ºÚÉ«±ã»òÕ³Òº±ã£¬ÐèÁ¢¼´¾ÍÒ½¡£¼ì²éÁܰͽ᣺´¥Ãþ¸¹¹É¹µÇøÓò£¬²é¿´ÊÇ·ñÓÐÁܰͽáÖ×´ó»òÌÛÍ´¡£Çë¼Çס£¬×ÔÎÒ¼ì²âÖ»ÄÜ×÷Ϊ²Î¿¼£¬²»ÄÜÌæ´úרҵҽÁƼì²é¡£ÈçÓÐÒì³££¬Ç뼰ʱÁªÏµÒ½Éú½øÐнøÒ»²½ÆÀ¹ÀºÍÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£
θ°©ÊÖÊõµÄʱ¼ä²¢²»Êǹ̶¨µÄ£¬Ëü»áÊܵ½¶àÖÖÒòËØµÄÓ°Ï죬±ÈÈçÖ×ÁöµÄ´óС¡¢Î»Öá¢ÊÖÊõ·½Ê½ÒÔ¼°»¼ÕßµÄÉíÌå×´¿öµÈ¡£Ò»°ãÀ´Ëµ£¬´«Í³µÄ¿ª¸¹ÊÖÊõʱ¼ä´óÔ¼ÔÚ2µ½4Сʱ×óÓÒ£¬¶ø¸¹Ç»¾µÊÖÊõÔòÐèÒª2µ½3Сʱ¡£ÊÖÊõʱ¼äµÄÑ¡ÔñÐèÒª¸ù¾Ý»¼ÕߵľßÌåÇé¿öÀ´¾ö¶¨¡£¶ÔÓÚÔçÆÚθ°©£¬ÊÖÊõͨ³£ÊǸùÖÎÐԵģ¬Ä¿µÄÊǽ«Ö×Áö¼°ÆäÖÜΧµÄ²¿·ÖÕý³£×éÖ¯Ò»²¢Çгý£¬ÒÔ·ÀÖ¹°©Ï¸°û¸´·¢»ò×ªÒÆ¡£ÊÖÊõʱ¼äµÄ³¤¶ÌÓëÊÖÊõ·½Ê½ÃÜÇÐÏà¹Ø£¬±ÈÈ紫ͳµÄ¿ª¸¹ÊÖÊõËäȻʱ¼ä½Ï³¤£¬µ«Ò½Éú¸üÈÝÒײÙ×÷£»¶ø¸¹Ç»¾µÊÖÊõËäȻʱ¼äÉÔ¶Ì£¬µ«´´É˸üС¡¢»Ö¸´¸ü¿ì¡£ÐèҪעÒâµÄÊÇ£¬ÊÖÊõʱ¼ä²¢²»ÊǺâÁ¿ÊÖÊõЧ¹ûµÄΨһ±ê×¼£¬¸üÖØÒªµÄÊÇÊÖÊõµÄ³¹µ×ÐÔºÍÊõºó»Ö¸´Çé¿ö¡£½¨ÒéÄúÓëÖ÷ÖÎÒ½Éú³ä·Ö¹µÍ¨£¬Á˽âÊÖÊõµÄ¾ßÌå·½°¸ºÍÔ¤ÆÚЧ¹û£¬ÒÔ±ã×öºÃ³ä·ÖµÄÊõǰ׼±¸¡£ÊõºóÒ²Òª×ñÑÒ½ÉúµÄÖ¸µ¼½øÐлָ´ºÍËæ·Ã£¬ÒÔÈ·±£Ô¤ºó×î¼Ñ¡£×ÜÖ®£¬Î¸°©µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÊÇÒ»¸öϵͳµÄ¹ý³Ì£¬ÊÖÊõʱ¼äÖ»ÊÇÒ»¸ö²Î¿¼Ö¸±ê£¬¹Ø¼üÔÚÓÚÊõǰÆÀ¹ÀºÍÊõºó¹ÜÀí¡£Ï£ÍûÄú¸¸Ç×Äܹ»Ë³Àû¿µ¸´£¬×£ÔçÈÕ»Ö¸´½¡¿µ£¡
Õë¶ÔÄúµÄ²¡Ç飬ĿǰÐèÒª½øÒ»²½Á˽âÏêϸµÄ¼ì²é±¨¸æºÍ»ùÒò¼ì²â½á¹û£¬ÒÔÖÆ¶¨ºÏÊʵÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸²¢ÆÀ¹ÀÔ¤ºóÇé¿ö¡£Ê×ÏÈ£¬ÇëÄúÌṩ×îеÄÍ·²¿MRI±¨¸æºÍÐØ²¿ÔöÇ¿CT±¨¸æ£¬ÕâЩӰÏñѧ×ÊÁÏÓÐÖúÓÚÆÀ¹ÀÖ×ÁöµÄµ±Ç°×´¿öºÍ×ªÒÆÇé¿ö¡£Æä´Î£¬²¡Àí»áÕﱨ¸æºÍ»ùÒò¼ì²â½á¹û¶ÔÓÚÈ·¶¨Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸ÖÁ¹ØÖØÒª¡£»ùÒò¼ì²â¿ÉÒÔ°ïÖúÅжÏÊÇ·ñÊÊÓðÐÏòÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬´Ó¶øÌá¸ßÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹û¡£¸ù¾ÝÕâЩ×ÊÁÏ£¬ÎÒÃÇ¿ÉÒÔ×ۺϷÖÎöÄúµÄ²¡Ç飬ÆÀ¹À²»Í¬Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸µÄÔ¤ºóЧ¹û£¬²¢Öƶ¨¸öÌ廯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¼Æ»®¡£×ܵÄÀ´Ëµ£¬Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸µÄÑ¡ÔñÐèÒª×ۺϿ¼ÂǶàÖÖÒòËØ£¬°üÀ¨Ö×ÁöµÄ·ÖÆÚ¡¢»¼ÕßµÄÉíÌå×´¿öÒÔ¼°»ùÒò¼ì²â½á¹ûµÈ¡£½¨ÒéÄú¼°Ê±²¹³äÏà¹Ø×ÊÁÏ£¬ÒÔ±ã¸ü׼ȷµØÆÀ¹ÀºÍÖÆ¶¨Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£
¶úÀª¼ÙÐÔÄÒÖ×µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½·¨ÐèÒª¸ù¾Ý²¡ÇéµÄÑÏÖØ³Ì¶ÈÀ´Ñ¡Ôñ¡£Èç¹ûÄÒÖ×½ÏС£¬Ö¢×´²»Ã÷ÏÔ£¬¿ÉÒÔ¿¼ÂÇʹÓÃÎïÀíÁÆ·¨£¬È糬Éù²¨¡¢Î¢²¨»ò´ÅÁÆ£¬ÕâЩ·½·¨ÓÐÖúÓÚ´Ù½øÄÒÖ×ÄÚµÄÒºÌåÎüÊÕ£¬»º½âÖ¢×´¡£Èç¹ûÄÒÖ׽ϴ󣬵¼ÖÂÃ÷ÏԵIJ»ÊÊ»òÓ°ÏìÌýÁ¦£¬½¨Òé½øÐÐÎÞ¾ú´©´ÌÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬½«ÄÒÖ×ÄÚµÄÒºÌå³é³ö¡£ÎªÁË·ÀÖ¹ÄÒÖ׸´·¢£¬´©´Ìºó¿ÉÒÔÏòÄÒÖ×ÄÚ×¢ÉäÓ²»¯¼Á£¬ÕâÑù¿ÉÒÔ¼õÉÙÄÒÖ׸´·¢µÄ¸ÅÂÊ¡£´ËÍ⣬½¨ÒéÔÚ´©´ÌÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºóʹÓÃʯ¸à¶Ô¶úÀª½øÐмÓѹ°üÔú£¬ÕâÑù¿ÉÒÔÓÐЧ¹Ì¶¨¶úÀª£¬´Ù½ø×éÖ¯µÄÐÞ¸´ºÍÄÒÖ×µÄÓúºÏ¡£ÎÞÂÛ²ÉÈ¡ÄÄÖÖÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½·¨£¬¶¼Ó¦ÔÚרҵҽÉúµÄÖ¸µ¼Ï½øÐУ¬¶¨ÆÚ¸´²é£¬È·±£²¡ÇéµÃµ½ÓÐЧ¿ØÖÆ¡£
θ°©Êõºó¸´·¢µÄʱ¼äÒòÈ˶øÒ죬Ö÷Ҫȡ¾öÓÚÖ×ÁöµÄ·ÖÆÚ¡¢»¼ÕßµÄÉíÌå×´¿öÒÔ¼°ÊõºóµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍ»¤Àí¡£Ò»°ãÀ´Ëµ£¬ÔçÆÚθ°©¸´·¢µÄ·çÏսϵͣ¬¿ÉÄÜÐèÒª5-7Ä꣬¶øÍíÆÚθ°©¸´·¢µÄʱ¼ä¿ÉÄÜÔÚ2-3ÄêÄÚ¡£ÊõºóÐèÒª¶¨ÆÚ¸´²é£¬°üÀ¨Î¸¾µºÍÓ°Ïñѧ¼ì²é£¬ÒԱ㼰ʱ·¢ÏÖÒì³£¡£Í¬Ê±£¬±£³ÖÁ¼ºÃµÄÉú»îϰ¹ß£¬Èç½äÑÌ½ä¾Æ£¬¾ùºâÒûʳ£¬±ÜÃâëçÖÆºÍù±äʳÎÊʵ±¶ÍÁ¶ÔöÇ¿ÃâÒßÁ¦¡£½¨ÒéÔÚÒ½ÉúÖ¸µ¼Ï½øÐй淶Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬°üÀ¨»¯ÁÆ¡¢·ÅÁÆ»ò°ÐÏòÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬ÒÔ½µµÍ¸´·¢·çÏÕ¡£´ËÍ⣬ÖÐÒ½¸¨ÖúÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¿ÉÒÔ°ïÖúµ÷ÀíÉíÌ壬¸ÄÉÆÊõºóÖ¢×´£¬Ìá¸ßÉú»îÖÊÁ¿¡£×ÜÖ®£¬Î¸°©Êõºó¸´·¢ÊÇÒ»¸ö³¤ÆÚ¹Ø×¢µÄÎÊÌ⣬ÐèÒª»¼ÕßÓëÒ½ÉúÃÜÇÐÅäºÏ£¬Öƶ¨¸öÐÔ»¯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ºÍÔ¤·À·½°¸£¬ÒÔ´ïµ½×î¼ÑµÄ¿µ¸´Ð§¹û¡£
³¦°©µÄ×Բⷽ·¨Í¨³£²¢²»¿É¿¿£¬ÒòΪºÜ¶àÔçÆÚÖ¢×´²¢²»Ã÷ÏÔ£¬ÈÝÒ×±»ºöÊÓ¡£½áÖ±³¦°©£¬Ò²¾ÍÊÇÎÒÃdz£ËµµÄ´ó³¦°©£¬ÊÇ·¢ÉúÔڽ᳦»òÖ±³¦µÄ¶ñÐÔÖ×Áö£¬ÊôÓÚÏû»¯µÀ³£¼ûµÄ°©Ö¢ÀàÐÍ¡£Ä¿Ç°£¬³¦°©µÄ·¢²¡»úÖÆÉв»ÍêÈ«Ã÷È·£¬µ«Ñо¿±íÃ÷£¬ÒÅ´«ÒòËØ¡¢²»Á¼Òûʳϰ¹ß¡¢Éú»î·½Ê½ÒÔ¼°Ä³Ð©Ïû»¯µÀ¼²²¡¿ÉÄÜÓëÖ®Óйء£ÐèҪעÒâµÄÊÇ£¬×Բⷽ·¨ÎÞ·¨Ìæ´úרҵÕï¶Ï£¬È·Õﳦ°©±ØÐëͨ¹ýÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØµÄÕý¹æ¼ì²é£¬°üÀ¨½á³¦¾µµÈרҵ¼ì²âÊֶΡ£Òò´Ë£¬Èç¹ûÄúÓÐÏà¹ØÖ¢×´»ò¼Ò×åÊ·£¬½¨Ò鼰ʱ¾ÍÒ½½øÐÐרҵ¼ì²é£¬¶ø²»ÊÇÒÀÀµ×Բⷽ·¨¡£×ÜÖ®£¬¹Ø×¢½¡¿µ£¬¶¨ÆÚÌå¼ì£¬ÌرðÊÇÓиßΣÒòËØµÄÈËȺ£¬¸üÓ¦¸ÃÖØÊÓ³¦µÀ½¡¿µ¡£
¶ÔÓڷβ¿Ö×ÁöÊÇ·ñÄÜÖÎÓúµÄÎÊÌ⣬Ê×ÏÈÐèÒªÃ÷È·Ö×ÁöµÄÐÔÖÊ£¬ÊÇÁ¼ÐÔ»¹ÊǶñÐÔ¡£Èç¹ûÊÇÁ¼ÐÔÖ×Áö£¬Í¨³£Í¨¹ýÊÖÊõÇгý¿ÉÒÔÍêÈ«ÖÎÓú£¬Ô¤ºóÁ¼ºÃ¡£Èç¹ûÈ·ÕïΪ¶ñÐÔÖ×Áö£¨·Î°©£©£¬ÔòÐèÒª¸ù¾Ý²¡ÇéµÄÔçÍíÀ´¾ö¶¨Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£¶ÔÓÚÔçÆÚ·Î°©£¬Í¨³£¿ÉÒÔͨ¹ýÊÖÊõÇгýÖ×Áö£¬ÅäºÏÊõºó¸¨ÖúÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬È绯ÁÆ»ò·ÅÁÆ£¬¿ÉÒÔÏÔÖøÌá¸ßÖÎÓúÂÊ¡£Èç¹û·Î°©ÒѾ·¢Õ¹µ½ÖÐÍíÆÚ£¬Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫĿ±ê½«×ªÏò¿ØÖƲ¡Çé½øÕ¹ºÍÑÓ³¤Éú´æÆÚ£¬¿ÉÄÜÐèÒª×ÛºÏÔËÓÃÊÖÊõ¡¢»¯ÁÆ¡¢·ÅÁÆ¡¢°ÐÏòÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«µÈ¶àÖÖÊֶΡ£ÎÞÂÛ²¡ÇéÈçºÎ£¬ÔçÆÚ·¢Ïֺͼ°Ê±Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¶¼Êǹؼü¡£½¨ÒéÄú¾¡¿ìµ½Õý¹æÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØµÄºôÎü¿Æ»òÐØÍâ¿Æ¾ÍÕ½øÐÐCT¼ì²é¡¢Ö×Áö±êÖ¾Îï¼ì²âÒÔ¼°¿ÉÄܵĻî¼ì¼ì²é£¬ÒÔÃ÷È·Õï¶Ï¡£ÔÚÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¹ý³ÌÖУ¬±£³ÖÁ¼ºÃµÄÐÄ̬ºÍÉú»îϰ¹ß£¬»ý¼«ÅäºÏÒ½ÉúµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸£¬Äܹ»¸üºÃµØÓ¦¶Ô¼²²¡£¬Ìá¸ßÉú»îÖÊÁ¿¡£×ÜÖ®£¬·Î²¿Ö×ÁöµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹ûÒòÈ˶øÒ죬µ«Í¨¹ý¿ÆÑ§¹æ·¶µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬´ó¶àÊý»¼Õß¶¼ÄÜ»ñµÃ½ÏºÃµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫЧ¹û¡£
¶ÔÓÚ·ÎÏÙ°©ºÏ²¢Éñ¾ÄÚ·ÖÃÚ×ÛºÏÕ÷µÄÇé¿ö£¬Ê×ÏÈÐèÒª½øÐÐÈ«ÃæµÄ²¡ÇéÆÀ¹À¡£Õâ°üÀ¨Ã÷È·Ö×ÁöµÄ·ÖÆÚ¡¢Åжϻ¼ÕßµÄÐķι¦ÄÜ״̬£¬ÒÔ¼°ÆÀ¹ÀÉñ¾ÄÚ·ÖÃÚ×ÛºÏÕ÷µÄ¾ßÌå±íÏÖºÍÑÏÖØ³Ì¶È¡£Èç¹û»¼Õß´¦ÓÚÔçÆÚ½×¶Î£¨ÈçIÆÚ»òIIÆÚ£©£¬ÊÖÊõÇгýÖ×ÁöÊÇÊ×Ñ¡Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸¡£ÊÖÊõ²»½öÄÜÈ¥³ýÖ×Áö£¬»¹ÄÜ»º½âÉñ¾ÄÚ·ÖÃÚ×ÛºÏÕ÷µÄÖ¢×´¡£ÔÚÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¹ý³ÌÖУ¬»¹ÐèҪעÒâ¶ÔÖ¢´¦ÀíÉñ¾ÄÚ·ÖÃÚ×ÛºÏÕ÷µÄ±íÏÖ£¬Èçµ÷½Ú¼¤ËØË®Æ½¡¢¿ØÖÆÏà¹ØÖ¢×´µÈ¡£´ËÍ⣬ÎÞÂÛ²ÉÈ¡ºÎÖÖÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½Ê½£¬¶¼ÐèÒª¶¨ÆÚ¸´²éºÍËæ·Ã£¬ÒԱ㼰ʱ·¢ÏÖ¿ÉÄܵĸ´·¢»ò×ªÒÆÇé¿ö¡£×ÜÖ®£¬Õë¶ÔÕâÖÖÇé¿ö£¬½¨Ò黼ÕßÔÚרҵҽÉúµÄÖ¸µ¼ÏÂÖÆ¶¨¸öÌ廯µÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸£¬²¢»ý¼«ÅäºÏÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¡£
ÄúºÃ£¬¸ù¾ÝÄúÃèÊöµÄÇé¿ö£¬ÓÒÏÂÖ«´óÍÈÄÚ²àµÄÉñ¾ÇÊÁöȷʵÐèÒªÊÖÊõÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«²ÅÄܳ¹µ×½â¾ö¡£Éñ¾ÇÊÁöÊÇÒ»ÖÖ·¢ÉúÔÚÉñ¾ÇÊÉϵÄÁ¼ÐÔÖ×Áö£¬ËäȻͨ³£ÊÇÁ¼ÐԵ쬵«Ëæ×ÅËüµÄÉú³¤£¬¿ÉÄÜ»á¶ÔÖÜΧµÄÉñ¾×éÖ¯Ôì³ÉѹÆÈ£¬´Ó¶øÒý·¢ÌÛÍ´¡¢Âéľ»òÆäËûÉñ¾Ö¢×´¡£½¨ÒéÄú¾¡¿ìµ½Õý¹æµÄÈý¼××ÛºÏÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØ¹Ç¿Æ»òÉñ¾Íâ¿Æ¾ÍÕï¡£ÔÚ¾ÍÕïʱ£¬Ò½Éú¿ÉÄÜ»áΪÄú°²ÅŴʲÕñ³ÉÏñ£¨MRI£©µÈ¼ì²é£¬ÒÔ¸üÇå³þµØÁ˽âÖ×ÁöµÄλÖᢴóС¼°ÆäÓëÖÜΧ×éÖ¯µÄ¹ØÏµ¡£ÕâЩ¼ì²é½á¹û½«°ïÖúÒ½ÉúÖÆ¶¨×îÊʺÏÄúµÄÊÖÊõ·½°¸¡£ÔÚÊÖÊõÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½Ã棬Ŀǰ×îÏȽøµÄ·½·¨ÊÇÏÔ΢Íâ¿ÆÊÖÊõÇгý¡£ÕâÖÖÊÖÊõ·½·¨¿ÉÒÔÔÚ¾¡¿ÉÄܼõÉÙ¶ÔÖÜΧÕý³£×éÖ¯ËðÉ˵ÄÇé¿öÏ£¬½«Ö×ÁöÍêÕûÇгý¡£ÊÖÊõºó£¬ÄúÐèÒªÔÚÒ½ÉúÖ¸µ¼Ï½øÐÐÊʵ±µÄ¿µ¸´ÑµÁ·£¬ÒÔÈ·±£Éñ¾¹¦ÄÜÄܹ»µÃµ½×îºÃµÄ»Ö¸´¡£´ËÍ⣬Êõºó»¹ÐèÒª¶¨ÆÚ¸´²é£¬ÒÔ¼à²âÊÇ·ñÓи´·¢µÄ¼£Ïó¡£Èç¹û³öÏÖÈκÎÒì³£Ö¢×´£¬Èç³ÖÐøÐÔÌÛÍ´»òÉñ¾¹¦ÄÜÕϰ¼ÓÖØ£¬Ç뼰ʱ¾ÍÒ½¡£×ÜÖ®£¬ËäÈ»Éñ¾ÇÊÁöµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«ÐèÒªÊÖÊõ£¬µ«Ö»Òª¼°Ê±¾ÍÒ½²¢×ñÑÒ½ÉúµÄ½¨Ò飬Ԥºóͨ³£ÊÇÁ¼ºÃµÄ¡£Ï£ÍûÄúÔçÈÕ¿µ¸´£¡
13mmµÄ·Î½á½Ú²¢²»Ò»¶¨Òâζ×ÅÊǷΰ©µÄÔçÆÚ£¬µ«È·ÊµÐèÒª½øÒ»²½¼ì²éÀ´Ã÷È·ÐÔÖÊ¡£·Î½á½ÚµÄ´óС²»Äܵ¥¶À¾ö¶¨ÆäÁ¼¶ñÐÔ£¬13mmµÄ½á½Ú¿ÉÄÜÓɶàÖÖÔÒòÒýÆð£¬±ÈÈçÑ×Ö¢¡¢¸ÐȾ»òÆäËûÁ¼ÐÔ²¡±ä¡£½¨Òé½øÐÐÐØ²¿CT¼ì²é£¬¹Û²ì½á½ÚµÄÐÎÌ¬ÌØÕ÷£¬Èç±ßÔµÊÇ·ñ¹â»¬¡¢ÊÇ·ñÓиƻ¯µÈ£¬ÕâЩ¶¼ÓÐÖúÓÚÅжϽá½ÚµÄÐÔÖÊ¡£¶ÔÓÚÒÉËÆ¶ñÐԵĽá½Ú£¬Í¨³£ÐèÒª½øÐоƤ·Î´©´Ì»î¼ì»òÖ§Æø¹Ü¾µ¼ì²é£¬ÒÔ»ñÈ¡²¡Àíѧ֤¾Ý¡£Èç¹ûÈ·ÕïΪÁ¼ÐÔ½á½Ú£¬Ò»°ãÎÞÐèÌØÊâ´¦Àí£¬¶¨ÆÚ¸´²é£¨Èçÿ3¸öÔÂÒ»´Î£©¼´¿É¡£Èç¹ûÊǶñÐÔ½á½Ú£¬Í¨³£ÐèÒª¼°Ê±Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«£¬¿ÉÄܰüÀ¨ÊÖÊõÇгýµÈ¡£¾ßÌåµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½°¸ÐèÒª¸ù¾Ý¼ì²é½á¹ûºÍÒ½ÉúµÄרҵÅжÏÀ´È·¶¨¡£Çë±£³Ö¶¨ÆÚ¸´²é£¬²¢×ñÑÒ½ÉúµÄ½¨Òé¡£
Q£ºÉö°©¼É³ÔÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óȫʳÎïºÃ
Q£º¸ÎÓ²»¯ºÈÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«
Q£º¸Î¸¹Ë®Ó¦×¢ÒâµÄÒûʳ
Q£ºÄÜÖÎÖ¬·¾¸ÎµÄÒ©ÓÐÄÄЩ
Q£ºÄÄÀïÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«µ¨ÖÐÔ¸ÎÓ²»¯²»¸´·¢
Q£ºµ¨ÖÐÔ¸ÎÓ²»¯Ôõô·ÀÖÎ
Q£º¸ÎÓ²»¯´óÔ¼·ÑÓöàÉÙ
Q£º×îºÃµÄÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«Çá¶ÈÖ¬·¾¸Î·½·¨
Q£ºÖε¨ÖÐÔ¸ÎÓ²»¯Ò»°ã·ÑÓÃ
Q£ºÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«¸ÎËðÉËÒ©Îï
Q£ºµÃÁËÖ¬·¾¸Î²»ÄÜ´¥ÅöÄÄЩʳÎï
Q£ºÁܰͰ©ÈçºÎÄÜÖκÃ
Q£ºµÃÁËǰÁÐÏÙ°©ÔõôÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«
Q£ºÔõôÖε¨ÖÐÔ¸ÎÓ²»¯×îÓÐЧ
Q£ºÖθÎËðÉËÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØÑо¿Ëù
Q£ºÖιǰ©ÈçºÎÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«
Q£ºÖθÎÏËά»¯ÄÄÀï¿ÉÒÔÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«
Q£ºÓÐÖ¬·¾ÈâÁöÒªÈçºÎÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«
Q£º×îºÃµ¨ÖÐÔ¸ÎÓ²»¯Õý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾´óÈ«·½·¨
Q£º¿´Ö¬·¾¸Îµ½ÄļÒÕý°æ²¶ÓãÓÎÏ·¹Ù·½ÍøÕ¾ÏÂÔØºÃ