{"id":18496,"date":"2019-04-29T18:32:14","date_gmt":"2019-04-29T10:32:14","guid":{"rendered":"\/\/www.afterroberto.com\/?p=18496"},"modified":"2020-04-22T11:23:49","modified_gmt":"2020-04-22T03:23:49","slug":"%e5%88%87%e9%99%a4%e7%b3%bb%e8%86%9c-%e5%a4%a7%e8%85%b8%e7%99%8c%e9%80%a3%e6%a0%b9%e6%8b%94%e8%b5%b7-%e6%96%b0%e5%bc%8f%e5%be%ae%e5%89%b5%e6%89%8b%e8%a1%93%e5%a2%9e%e5%ad%98%e6%b4%bb%e7%8e%87","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%88%87%e9%99%a4%e7%b3%bb%e8%86%9c-%e5%a4%a7%e8%85%b8%e7%99%8c%e9%80%a3%e6%a0%b9%e6%8b%94%e8%b5%b7-%e6%96%b0%e5%bc%8f%e5%be%ae%e5%89%b5%e6%89%8b%e8%a1%93%e5%a2%9e%e5%ad%98%e6%b4%bb%e7%8e%87\/","title":{"rendered":"\u5207\u9664\u7cfb\u819c \u5927\u8178\u764c\u9023\u6839\u62d4\u8d77 \u65b0\u5f0f\u5fae\u5275\u624b\u8853\u589e\u5b58\u6d3b\u7387"},"content":{"rendered":"<p>\u3010\u660e\u5831\u5c08\u8a0a\u30112018\u5e74\u6709\u8d85\u904e5400\u500b<a href=\"\/\/www.afterroberto.com\/?s=%E5%A4%A7%E8%85%B8%E7%99%8C\">\u5927\u8178\u764c<\/a>\u65b0\u75c7\uff0c\u7576\u4e2d\u8fd1\u4e03\u6210\u70ba\u7d50\u8178\u764c\uff0c\u4e09\u6210\u70ba\u8f03\u96e3\u6cbb\u7642\u7684\u76f4\u8178\u764c\u3002\u96a8\u7740\u91ab\u5b78\u6280\u8853\u767c\u9054\uff0c\u5f62\u5f62\u8272\u8272\u7684\u5fae\u5275\u624b\u8853\u5927\u884c\u5176\u9053\uff0c\u5c0d\u65bc\u9078\u64c7\u5927\u8178\u764c\u7684\u6cbb\u7642\u65b9\u6848\u4e0a\uff0c\u75c5\u4eba\u5927\u591a\u8ffd\u6c42\u624b\u8853\u6642\u9593\u77ed\u3001\u5272\u9664\u816b\u7624\u540c\u6642\u60f3\u76e1\u91cf\u4fdd\u7559\u5927\u90e8\u5206\u5927\u8178\u3002<\/p>\n<p>\u53ef\u662f\uff0c\u6700\u7406\u60f3\u7684\u5927\u8178\u764c\u6cbb\u7642\uff0c\u53cd\u800c\u662f\u9700\u8981\u8f03\u9577\u7684\u624b\u8853\u6642\u9593\uff0c\u4ee5\u5207\u9664\u8f03\u591a\u53d7\u5f71\u97ff\u6dcb\u5df4\u7d44\u7e54\u53ca\u5927\u8178\u3002\u9019\u624d\u771f\u6b63\u80fd\u589e\u52a0\u5b58\u6d3b\u7387\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-18498\" title=\"\u500b\u6848\u4e0a\u5347\u2014\u2014\u5927\u8178\u764c\u65b0\u75c7\u6578\u5b57\u4e0d\u65b7\u4e0a\u5347\uff0c\u6bcf\u5e74\u6709\u903e2000\u4eba\u56e0\u5927\u8178\u764c\u6b7b\u4ea1\uff1b2018\u5e74\u6709\u8d85\u904e5400\u500b\u5927\u8178\u764c\u65b0\u75c7\uff0c\u7576\u4e2d\u8fd1\u4e03\u6210\u70ba\u7d50\u8178\u764c\uff0c\u4e09\u6210\u70ba\u76f4\u8178\u764c\u3002\uff08yodiyim@iStockphoto\uff09\" src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5018c12a4a24cb9115045a4b3328750.jpg\" alt=\"\u5927\u8178\u764c \u5fae\u5275\u624b\u8853 \u7d50\u8178\u764c\" width=\"744\" height=\"457\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5018c12a4a24cb9115045a4b3328750.jpg 744w, \/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5018c12a4a24cb9115045a4b3328750-300x184.jpg 300w, \/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5018c12a4a24cb9115045a4b3328750-150x92.jpg 150w, \/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5018c12a4a24cb9115045a4b3328750-250x154.jpg 250w\" sizes=\"(max-width: 744px) 100vw, 744px\" \/><br \/>\n<span class=\"caption\">\u500b\u6848\u4e0a\u5347\u2014\u2014\u5927\u8178\u764c\u65b0\u75c7\u6578\u5b57\u4e0d\u65b7\u4e0a\u5347\uff0c\u6bcf\u5e74\u6709\u903e2000\u4eba\u56e0\u5927\u8178\u764c\u6b7b\u4ea1\uff1b2018\u5e74\u6709\u8d85\u904e5400\u500b\u5927\u8178\u764c\u65b0\u75c7\uff0c\u7576\u4e2d\u8fd1\u4e03\u6210\u70ba\u7d50\u8178\u764c\uff0c\u4e09\u6210\u70ba\u76f4\u8178\u764c\u3002\uff08yodiyim@iStockphoto\uff09<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>\u675c\u7d55\u300c\u5207\u5514\u6652\u300d \u6e1b\u76f4\u8178\u764c\u5fa9\u767c\u98a8\u96aa<\/h2>\n<p>\u5927\u8178\u764c\u662f\u672c\u6e2f\u6700\u5e38\u898b<a href=\"\/\/www.afterroberto.com\/?s=%E7%99%8C%E7%97%87\">\u764c\u75c7<\/a>\uff0c\u6bcf\u5e74\u6709\u903e2000\u4eba\u56e0\u5927\u8178\u764c\u4e0d\u6cbb\uff0c\u800c\u4e14\u6bcf\u5e74\u65b0\u75c7\u4e0d\u65b7\u589e\u52a0\u3002\u5927\u8178\u764c\u662f\u6307\u8178\u9ecf\u819c\u7d30\u80de\u51fa\u73fe\u4e0d\u898f\u5f8b\u548c\u4e0d\u7bc0\u5236\u7684\u5206\u88c2\uff0c\u4e26\u60e1\u6027\u5165\u4fb5\u9644\u8fd1\u5668\u5b98\uff0c\u800c\u624b\u8853\u5207\u9664\u662f\u76ee\u524d\u552f\u4e00\u6839\u6cbb\u5927\u8178\u764c\u7684\u65b9\u6cd5\u3002\u4eba\u9ad4\u7684\u5927\u8178\u7d04\u95771.6\u7c73\uff0c\u672b\u6bb512\u81f315\u5398\u7c73\u7a31\u70ba\u76f4\u8178\uff0c\u76f4\u8178\u4e0a\u63a5\u7d50\u8178\u4e0b\u63a5\u809b\u9580\uff0c\u4f4d\u65bc\u809b\u9580\u5c0d\u4e0a\u7d0412\u81f315\u5398\u7c73\u7684\u4f4d\u7f6e\uff0c\u4e3b\u8981\u8ca0\u8cac\u5132\u5b58\u7cde\u4fbf\u81f3\u9069\u7576\u5206\u91cf\u624d\u7d93\u809b\u9580\u6392\u51fa\u3002\u76f4\u8178\u85cf\u65bc\u76c6\u9aa8\u5167\uff0c\u5973\u6027\u7684\u5728\u9670\u9053\u5f8c\u9762\uff0c\u7537\u6027\u5247\u5728\u8180\u80f1\u548c\u524d\u5217\u817a\u5f8c\u9762\uff0c\u4f4d\u7f6e\u96b1\u853d\uff0c\u82e5\u816b\u7624\u4f4d\u7f6e\u6108\u63a5\u8fd1\u809b\u9580\uff0c\u624b\u8853\u7684\u96e3\u5ea6\u6108\u9ad8\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u5207\u9664\u809b\u6bba\u764c\u7d30\u80de<\/h2>\n<p>\u4e8b\u5be6\u4e0a\uff0c\u7d04100\u5e74\u524d\uff0c\u50b3\u7d71\u5256\u8179\u5207\u9664\u76f4\u8178\u624b\u8853\u5df2\u65bc\u897f\u65b9\u51fa\u73fe\u3002\u9019\u7a2e\u624b\u8853\u4e0d\u4f46\u50b7\u53e3\u5f88\u5927\uff0c\u6709\u6642\u751a\u81f3\u9700\u8981\u9023\u809b\u9580\u4e00\u4f75\u5207\u9664\uff0c\u8981\u4ee5\u6c38\u4e45\u6027\u7684\u7d50\u8178\u9020\u53e3\u4ee3\u66ff\u809b\u9580\uff0c\u5c0d\u75c5\u4eba\u5e36\u4f86\u6975\u5927\u7684\u5f71\u97ff\u3002\u800c\u5373\u4f7f\u628a\u809b\u9580\u5207\u6389\uff0c\u4ea6\u672a\u5fc5\u80fd\u628a\u6240\u6709\u764c\u7d30\u80de\u4e00\u4f75\u5207\u9664\u3002\u6240\u4ee5\uff0c\u5f9e\u6b77\u53f2\u6578\u64da\u770b\u4f86\uff0c\u76f4\u8178\u764c\u60a3\u8005\u5373\u4f7f\u52d5\u4e86\u624b\u8853\uff0c\u5b58\u6d3b\u7387\u4ea6\u4e0d\u9ad8\u30021982\u5e74\uff0c\u82f1\u570b\u6559\u6388Heald\u767c\u73fe\u76f4\u8178\u5468\u570d\u6709\u4e00\u7247\u7cfb\u819c\uff0c\u5b83\u5b8c\u5168\u5305\u570d\u7740\u8207\u76f4\u8178\u9644\u5c6c\u7684\u6240\u6709\u8102\u80aa\u7d44\u7e54\u3001\u8840\u7ba1\u3001\u795e\u7d93\u548c\u6dcb\u5df4\u7d44\u7e54\u3002\u4ed6\u65bc\u662f\u63d0\u5021\u300c\u5168\u76f4\u8178\u7cfb\u819c\u5207\u9664\u8853\u300d\uff08Total Mesorectal Excision\uff0cTME\uff09\uff0c\u6cbf\u7740\u819c\u908a\u628a\u6574\u500b\u76f4\u8178\u9023\u540c\u53ef\u80fd\u53d7\u764c\u7d30\u80de\u727d\u9023\u6216\u611f\u67d3\u7684\u8102\u80aa\u53ca\u6dcb\u5df4\u7d50\u4e00\u4f75\u5207\u9664\uff0c\u4fbf\u80fd\u6709\u6548\u675c\u7d55\u300c\u5207\u5514\u6652\u300d\u7684\u60c5\u51b5\uff0c\u5927\u5927\u6e1b\u4f4e\u5fa9\u767c\u98a8\u96aa\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u76c6\u8154\u5167\u65bd\u624b\u8853 \u96e3\u5ea6\u9ad8<\/h2>\n<p>\u7136\u800c\uff0c\u8981\u5728\u72f9\u7a84\u7684\u76c6\u8154\u5167\u505a\u624b\u8853\uff0c\u78ba\u4fdd\u5207\u51fa\u4f86\u7684\u7cfb\u819c\u5b8c\u6574\u7121\u7834\u640d\uff0c\u4e26\u4e0d\u5bb9\u6613\u3002\u96d6\u7136TME\u96e3\u5ea6\u76f8\u5c0d\u5730\u9ad8\uff0c\u4f46\u7531\u65bc\u9019\u80fd\u63d0\u5347\u75c5\u4eba\u8853\u5f8c\u751f\u5b58\u7684\u6a5f\u6703\uff0c\u73fe\u5728\u5df2\u6210\u70ba\u4e0d\u5c11\u570b\u5bb6\u6cbb\u7642\u76f4\u8178\u764c\u7684\u9ec3\u91d1\u6a19\u6e96\uff08Gold Standard\uff09\u3002\u9999\u6e2f\u53ca\u4e16\u754c\u5404\u570b\u7684\u7d50\u76f4\u8178\u5916\u79d1\u91ab\u751f\uff0c\u90fd\u85c9\u7740\u591a\u5e74\u4f86\u7684\u570b\u969b\u7d1a\u7814\u8a0e\u6703\u53ca\u73fe\u5834\u7684\u624b\u8853\u793a\u7bc4\uff0c\u53bb\u514b\u670d\u6280\u8853\u4e0a\u7684\u56f0\u96e3\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u7d50\u8178\u764c \u5207\u9664\u6dcb\u5df4\u7121\u7919\u8eab\u9ad4<\/h2>\n<p>\u53cd\u89c0\uff0c\u4e00\u822c\u7d50\u8178\u764c\u7684\u624b\u8853\u537b\u672a\u898b\u6709\u5927\u7684\u6539\u9032\u3002\u5176\u5be6\uff0c\u65e9\u65bc2009\u5e74\uff0c\u5fb7\u570b\u970d\u6069\u8c9d\u683c\u723e\uff08Hohenberger\uff09\u6559\u6388\u5df2\u63d0\u51fa\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\u7684\u6982\u5ff5\uff0c\u61c9\u7528\u5230\u8f03\u666e\u904d\u7684\u7d50\u8178\u764c\u3002\u970d\u6069\u8c9d\u683c\u723e\u767c\u73fe\uff0c\u8207\u50b3\u7d71\u5256\u8179\u5207\u9664\u816b\u7624\u6bd4\u8f03\uff0c\u63a5\u53d7\u50b3\u7d71\u5256\u8179\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\uff08Complete Mesocolic Excision\uff0cCME\uff09\u76841329\u540d\u7d50\u8178\u764c\u75c5\u4eba\uff0c5\u5e74\u5b58\u6d3b\u7387\u5f9e\u4ee5\u5f8082.1%\u4e0a\u5347\u81f389.1%\uff0c\u800c\u5fa9\u767c\u7387\u4ea6\u540c\u6642\u5f9e6.5%\u4e0b\u8dcc\u81f33.6%\u3002CME\u7684\u512a\u9ede\u5728\u65bc\u80fd\u5f9e\u4e2d\u592e\u4e3b\u52d5\u8108\u4f4d\u7f6e\u7684\u6839\u6e90\uff0c\u628a\u4f9b\u61c9\u7d66\u60a3\u6709\u764c\u75c5\u4e00\u6bb5\u7d50\u8178\u7684\u4e3b\u8840\u7ba1\u300c\u9023\u6839\u62d4\u8d77\u300d\uff0c\u4ea6\u85c9\u6b64\u628a\u9644\u5728\u8a72\u6bb5\u8178\u7cfb\u819c\u7684\u6dcb\u5df4\u7d50\u6e05\u9664\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5019bfdfce1aea3425d9953b8da52da.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"alignnone size-full wp-image-18497\" src=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5019bfdfce1aea3425d9953b8da52da.jpg\" alt=\"\u5927\u8178\u764c \u5fae\u5275\u624b\u8853 \u7d50\u8178\u764c 2018\" width=\"444\" height=\"378\" title=\"\" srcset=\"\/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5019bfdfce1aea3425d9953b8da52da.jpg 444w, \/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5019bfdfce1aea3425d9953b8da52da-150x128.jpg 150w, \/\/www.afterroberto.com\/wp-content\/uploads\/2019\/04\/f5019bfdfce1aea3425d9953b8da52da-300x255.jpg 300w\" sizes=\"(max-width: 444px) 100vw, 444px\" \/><\/a><br \/>\n<span class=\"caption\">\uff08\u660e\u5831\u88fd\u5716\uff09<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>\u7814\u7a76\u6307\u5fae\u5275\u589e\u5931\u8840\u3001\u4f75\u767c\u75c7\u98a8\u96aa<\/h2>\n<p>\u76f4\u81f3\u8fd1\u5e74\uff0c\u5fae\u5275\u624b\u8853\u6108\u4f86\u6108\u666e\u904d\uff0c\u50b3\u7d71\u7d50\u8178\u5207\u9664\u624b\u8853\u4ea6\u6f14\u8b8a\u6210\u5fae\u5275\u7d50\u8178\u5207\u9664\u624b\u8853\u3002\u65bc2017\u5e74\uff0c\u5317\u4eac\u4eba\u6c11\u5927\u5b78\u91ab\u9662\u6559\u6388Wang C.\u5206\u679012\u500b\u727d\u6d898586\u540d\u75c5\u4eba\u4f5c\u7684\u7814\u7a76\uff0c\u767c\u73fe\u5fae\u5275\u7d50\u8178\u5207\u9664\u624b\u8853\u4e0b\u9032\u884cCME\u7684\u75c5\u4eba\uff0c\u5b58\u6d3b\u7387\u6bd4\u50b3\u7d71\u624b\u8853\u6c92\u6709CME\u7684\u9ad8\u51fa\u8fd1\u4e09\u6210\uff0c\u4f46\u540c\u6642\u5931\u8840\u53ca\u8853\u5f8c\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u5247\u589e\u52a0\u4e86\u3002\u540c\u5e74\uff0c\u5fb7\u570b\u970d\u6069\u8c9d\u683c\u723e\u6559\u6388\u767c\u8868\u5fae\u5275\u4e0b\u9032\u884cCME\u7684\u5b58\u6d3b\u7387\u70ba80.2%\uff0c\u9060\u4f4e\u65bc\u50b3\u7d71\u5256\u8179\u4e0b\u9032\u884cCME\u768490%\u3002\u7531\u6b64\u53ef\u898b\uff0c\u5c0d\u65bc\u4e00\u822c\u7d50\u8178\u764c\uff0c\u8981\u5728\u5fae\u5275\u624b\u8853\u4e0b\u9032\u884c\u4e00\u500b\u512a\u8cea\u7684CME\uff0c\u4e26\u975e\u6613\u4e8b\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2>\u8aa4\u5224\u65e9\u671f\u75c5 \u932f\u5931\u5316\u7642\u6a5f\u6703<\/h2>\n<p>\u5230\u4e862018\u5e74\uff0c\u97d3\u570b\u5168\u5357\u570b\u5bb6\u91ab\u79d1\u5927\u5b78\uff08Chonnam National University Medical School\uff09\u7684\u91d1\u4ea8\u97d3\uff08Hyeong-Rok 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href=\"\/\/www.afterroberto.com\/%e8%99%9b%e6%93%ac%e5%a4%a7%e8%85%b8%e9%8f%a1%e6%aa%a2%e6%9f%a5-%e5%aa%b2%e7%be%8e%e5%82%b3%e7%b5%b1%e5%a4%a7%e8%85%b8%e9%8f%a1\/\">\u91ab\u5b78\u6eff\u6771\u83ef\uff1a\u865b\u64ec\u5927\u8178\u93e1\u6aa2\u67e5 \u5ab2\u7f8e\u50b3\u7d71\u5927\u8178\u93e1<\/a><\/p>\n<p><a title=\"\u5927\u8178\u764c\u7be9\u67e5 \u963b\u622a\u761c\u8089\u6210\u764c\" href=\"\/\/www.afterroberto.com\/15371\/\">\u5927\u8178\u764c\u7be9\u67e5 \u963b\u622a\u761c\u8089\u6210\u764c<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>\u6587\uff1a\u5f35\u6d69\u7136\uff08\u5916\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n<p>\u7de8\u8f2f\uff1a\u738b\u7fe0\u9e97<\/p>\n<p>\u96fb\u90f5\uff1a<a href=\"mailto:feature@mingpao.com\">feature@mingpao.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u660e\u5831\u5c08\u8a0a\u30112018\u5e74\u6709\u8d85\u904e5400\u500b\u5927\u8178\u764c\u65b0\u75c7\uff0c\u7576\u4e2d\u8fd1\u4e03\u6210\u70ba\u7d50\u8178\u764c\uff0c\u4e09\u6210\u70ba\u8f03\u96e3\u6cbb\u7642\u7684\u76f4\u8178\u764c\u3002\u96a8\u7740\u91ab\u5b78\u6280\u8853\u767c\u9054\uff0c\u5f62\u5f62\u8272\u8272\u7684\u5fae\u5275\u624b\u8853\u5927\u884c\u5176\u9053\uff0c\u5c0d\u65bc\u9078\u64c7\u5927\u8178\u764c\u7684\u6cbb\u7642\u65b9\u6848\u4e0a\uff0c\u75c5\u4eba\u5927\u591a\u8ffd\u6c42\u624b\u8853\u6642\u9593\u77ed\u3001\u5272\u9664\u816b\u7624\u540c\u6642\u60f3\u76e1\u91cf\u4fdd\u7559\u5927\u90e8\u5206\u5927\u8178\u3002 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\u5927\u8178\u764c\u662f\u672c\u6e2f\u6700\u5e38\u898b\u764c\u75c7\uff0c\u6bcf\u5e74\u6709\u903e2000\u4eba\u56e0\u5927\u8178\u764c\u4e0d\u6cbb\uff0c\u800c\u4e14\u6bcf\u5e74\u65b0\u75c7\u4e0d\u65b7\u589e\u52a0\u3002\u5927\u8178\u764c\u662f\u6307\u8178\u9ecf\u819c\u7d30\u80de\u51fa\u73fe\u4e0d\u898f\u5f8b\u548c\u4e0d\u7bc0\u5236\u7684\u5206\u88c2\uff0c\u4e26\u60e1\u6027\u5165\u4fb5\u9644\u8fd1\u5668\u5b98\uff0c\u800c\u624b\u8853\u5207\u9664\u662f\u76ee\u524d\u552f\u4e00\u6839\u6cbb\u5927\u8178\u764c\u7684\u65b9\u6cd5\u3002\u4eba\u9ad4\u7684\u5927\u8178\u7d04\u95771.6\u7c73\uff0c\u672b\u6bb512\u81f315\u5398\u7c73\u7a31\u70ba\u76f4\u8178\uff0c\u76f4\u8178\u4e0a\u63a5\u7d50\u8178\u4e0b\u63a5\u809b\u9580\uff0c\u4f4d\u65bc\u809b\u9580\u5c0d\u4e0a\u7d0412\u81f315\u5398\u7c73\u7684\u4f4d\u7f6e\uff0c\u4e3b\u8981\u8ca0\u8cac\u5132\u5b58\u7cde\u4fbf\u81f3\u9069\u7576\u5206\u91cf\u624d\u7d93\u809b\u9580\u6392\u51fa\u3002\u76f4\u8178\u85cf\u65bc\u76c6\u9aa8\u5167\uff0c\u5973\u6027\u7684\u5728\u9670\u9053\u5f8c\u9762\uff0c\u7537\u6027\u5247\u5728\u8180\u80f1\u548c\u524d\u5217\u817a\u5f8c\u9762\uff0c\u4f4d\u7f6e\u96b1\u853d\uff0c\u82e5\u816b\u7624\u4f4d\u7f6e\u6108\u63a5\u8fd1\u809b\u9580\uff0c\u624b\u8853\u7684\u96e3\u5ea6\u6108\u9ad8\u3002 &nbsp; \u5207\u9664\u809b\u6bba\u764c\u7d30\u80de \u4e8b\u5be6\u4e0a\uff0c\u7d04100\u5e74\u524d\uff0c\u50b3\u7d71\u5256\u8179\u5207\u9664\u76f4\u8178\u624b\u8853\u5df2\u65bc\u897f\u65b9\u51fa\u73fe\u3002\u9019\u7a2e\u624b\u8853\u4e0d\u4f46\u50b7\u53e3\u5f88\u5927\uff0c\u6709\u6642\u751a\u81f3\u9700\u8981\u9023\u809b\u9580\u4e00\u4f75\u5207\u9664\uff0c\u8981\u4ee5\u6c38\u4e45\u6027\u7684\u7d50\u8178\u9020\u53e3\u4ee3\u66ff\u809b\u9580\uff0c\u5c0d\u75c5\u4eba\u5e36\u4f86\u6975\u5927\u7684\u5f71\u97ff\u3002\u800c\u5373\u4f7f\u628a\u809b\u9580\u5207\u6389\uff0c\u4ea6\u672a\u5fc5\u80fd\u628a\u6240\u6709\u764c\u7d30\u80de\u4e00\u4f75\u5207\u9664\u3002\u6240\u4ee5\uff0c\u5f9e\u6b77\u53f2\u6578\u64da\u770b\u4f86\uff0c\u76f4\u8178\u764c\u60a3\u8005\u5373\u4f7f\u52d5\u4e86\u624b\u8853\uff0c\u5b58\u6d3b\u7387\u4ea6\u4e0d\u9ad8\u30021982\u5e74\uff0c\u82f1\u570b\u6559\u6388Heald\u767c\u73fe\u76f4\u8178\u5468\u570d\u6709\u4e00\u7247\u7cfb\u819c\uff0c\u5b83\u5b8c\u5168\u5305\u570d\u7740\u8207\u76f4\u8178\u9644\u5c6c\u7684\u6240\u6709\u8102\u80aa\u7d44\u7e54\u3001\u8840\u7ba1\u3001\u795e\u7d93\u548c\u6dcb\u5df4\u7d44\u7e54\u3002\u4ed6\u65bc\u662f\u63d0\u5021\u300c\u5168\u76f4\u8178\u7cfb\u819c\u5207\u9664\u8853\u300d\uff08Total Mesorectal Excision\uff0cTME\uff09\uff0c\u6cbf\u7740\u819c\u908a\u628a\u6574\u500b\u76f4\u8178\u9023\u540c\u53ef\u80fd\u53d7\u764c\u7d30\u80de\u727d\u9023\u6216\u611f\u67d3\u7684\u8102\u80aa\u53ca\u6dcb\u5df4\u7d50\u4e00\u4f75\u5207\u9664\uff0c\u4fbf\u80fd\u6709\u6548\u675c\u7d55\u300c\u5207\u5514\u6652\u300d\u7684\u60c5\u51b5\uff0c\u5927\u5927\u6e1b\u4f4e\u5fa9\u767c\u98a8\u96aa\u3002 &nbsp; \u76c6\u8154\u5167\u65bd\u624b\u8853 \u96e3\u5ea6\u9ad8 \u7136\u800c\uff0c\u8981\u5728\u72f9\u7a84\u7684\u76c6\u8154\u5167\u505a\u624b\u8853\uff0c\u78ba\u4fdd\u5207\u51fa\u4f86\u7684\u7cfb\u819c\u5b8c\u6574\u7121\u7834\u640d\uff0c\u4e26\u4e0d\u5bb9\u6613\u3002\u96d6\u7136TME\u96e3\u5ea6\u76f8\u5c0d\u5730\u9ad8\uff0c\u4f46\u7531\u65bc\u9019\u80fd\u63d0\u5347\u75c5\u4eba\u8853\u5f8c\u751f\u5b58\u7684\u6a5f\u6703\uff0c\u73fe\u5728\u5df2\u6210\u70ba\u4e0d\u5c11\u570b\u5bb6\u6cbb\u7642\u76f4\u8178\u764c\u7684\u9ec3\u91d1\u6a19\u6e96\uff08Gold Standard\uff09\u3002\u9999\u6e2f\u53ca\u4e16\u754c\u5404\u570b\u7684\u7d50\u76f4\u8178\u5916\u79d1\u91ab\u751f\uff0c\u90fd\u85c9\u7740\u591a\u5e74\u4f86\u7684\u570b\u969b\u7d1a\u7814\u8a0e\u6703\u53ca\u73fe\u5834\u7684\u624b\u8853\u793a\u7bc4\uff0c\u53bb\u514b\u670d\u6280\u8853\u4e0a\u7684\u56f0\u96e3\u3002 &nbsp; \u7d50\u8178\u764c \u5207\u9664\u6dcb\u5df4\u7121\u7919\u8eab\u9ad4 \u53cd\u89c0\uff0c\u4e00\u822c\u7d50\u8178\u764c\u7684\u624b\u8853\u537b\u672a\u898b\u6709\u5927\u7684\u6539\u9032\u3002\u5176\u5be6\uff0c\u65e9\u65bc2009\u5e74\uff0c\u5fb7\u570b\u970d\u6069\u8c9d\u683c\u723e\uff08Hohenberger\uff09\u6559\u6388\u5df2\u63d0\u51fa\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\u7684\u6982\u5ff5\uff0c\u61c9\u7528\u5230\u8f03\u666e\u904d\u7684\u7d50\u8178\u764c\u3002\u970d\u6069\u8c9d\u683c\u723e\u767c\u73fe\uff0c\u8207\u50b3\u7d71\u5256\u8179\u5207\u9664\u816b\u7624\u6bd4\u8f03\uff0c\u63a5\u53d7\u50b3\u7d71\u5256\u8179\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\uff08Complete Mesocolic Excision\uff0cCME\uff09\u76841329\u540d\u7d50\u8178\u764c\u75c5\u4eba\uff0c5\u5e74\u5b58\u6d3b\u7387\u5f9e\u4ee5\u5f8082.1%\u4e0a\u5347\u81f389.1%\uff0c\u800c\u5fa9\u767c\u7387\u4ea6\u540c\u6642\u5f9e6.5%\u4e0b\u8dcc\u81f33.6%\u3002CME\u7684\u512a\u9ede\u5728\u65bc\u80fd\u5f9e\u4e2d\u592e\u4e3b\u52d5\u8108\u4f4d\u7f6e\u7684\u6839\u6e90\uff0c\u628a\u4f9b\u61c9\u7d66\u60a3\u6709\u764c\u75c5\u4e00\u6bb5\u7d50\u8178\u7684\u4e3b\u8840\u7ba1\u300c\u9023\u6839\u62d4\u8d77\u300d\uff0c\u4ea6\u85c9\u6b64\u628a\u9644\u5728\u8a72\u6bb5\u8178\u7cfb\u819c\u7684\u6dcb\u5df4\u7d50\u6e05\u9664\u3002 &nbsp; \uff08\u660e\u5831\u88fd\u5716\uff09 &nbsp; \u7814\u7a76\u6307\u5fae\u5275\u589e\u5931\u8840\u3001\u4f75\u767c\u75c7\u98a8\u96aa \u76f4\u81f3\u8fd1\u5e74\uff0c\u5fae\u5275\u624b\u8853\u6108\u4f86\u6108\u666e\u904d\uff0c\u50b3\u7d71\u7d50\u8178\u5207\u9664\u624b\u8853\u4ea6\u6f14\u8b8a\u6210\u5fae\u5275\u7d50\u8178\u5207\u9664\u624b\u8853\u3002\u65bc2017\u5e74\uff0c\u5317\u4eac\u4eba\u6c11\u5927\u5b78\u91ab\u9662\u6559\u6388Wang C.\u5206\u679012\u500b\u727d\u6d898586\u540d\u75c5\u4eba\u4f5c\u7684\u7814\u7a76\uff0c\u767c\u73fe\u5fae\u5275\u7d50\u8178\u5207\u9664\u624b\u8853\u4e0b\u9032\u884cCME\u7684\u75c5\u4eba\uff0c\u5b58\u6d3b\u7387\u6bd4\u50b3\u7d71\u624b\u8853\u6c92\u6709CME\u7684\u9ad8\u51fa\u8fd1\u4e09\u6210\uff0c\u4f46\u540c\u6642\u5931\u8840\u53ca\u8853\u5f8c\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u5247\u589e\u52a0\u4e86\u3002\u540c\u5e74\uff0c\u5fb7\u570b\u970d\u6069\u8c9d\u683c\u723e\u6559\u6388\u767c\u8868\u5fae\u5275\u4e0b\u9032\u884cCME\u7684\u5b58\u6d3b\u7387\u70ba80.2%\uff0c\u9060\u4f4e\u65bc\u50b3\u7d71\u5256\u8179\u4e0b\u9032\u884cCME\u768490%\u3002\u7531\u6b64\u53ef\u898b\uff0c\u5c0d\u65bc\u4e00\u822c\u7d50\u8178\u764c\uff0c\u8981\u5728\u5fae\u5275\u624b\u8853\u4e0b\u9032\u884c\u4e00\u500b\u512a\u8cea\u7684CME\uff0c\u4e26\u975e\u6613\u4e8b\u3002 &nbsp; \u8aa4\u5224\u65e9\u671f\u75c5 \u932f\u5931\u5316\u7642\u6a5f\u6703 \u5230\u4e862018\u5e74\uff0c\u97d3\u570b\u5168\u5357\u570b\u5bb6\u91ab\u79d1\u5927\u5b78\uff08Chonnam National University Medical School\uff09\u7684\u91d1\u4ea8\u97d3\uff08Hyeong-Rok Kim\uff09\u6559\u6388\u767c\u8868\u4e86\u5fae\u5275CME\uff0c\u65bc\u4e0d\u540c\u6642\u671f\u7684\u7d50\u8178\u764c\u6709\u4e0d\u540c\u7684\u5b58\u6d3b\u7387\u3002\u7576\u4e2d\u7b2c2\u671f\u7d50\u8178\u764c\u75c5\u4eba\uff08\u6c92\u6709\u6dcb\u5df4\u7d50\u64f4\u6563\uff09\uff0c\u5728\u5fae\u5275\u820a\u5f0f\u7684\u7d50\u8178\u5207\u9664\u624b\u8853\u5f8c\u7684\u5b58\u6d3b\u7387\u70ba78%\uff0c\u5fae\u5275CME\u5247\u70ba92%\u3002\u9019\u500b\u8b93\u4eba\u5403\u9a5a\u7684\u5dee\u7570\uff0c\u6975\u53ef\u80fd\u7531\u65bc\u820a\u5f0f\u624b\u8853\u6c92\u6709\u53d6\u51fa\u4f4d\u7f6e\u8f03\u8fd1\u4e2d\u592e\u8840\u7ba1\u537b\u88ab\u764c\u7d30\u80de\u5165\u4fb5\u7684\u6dcb\u5df4\u7d50\uff0c\u6700\u7d42\u75c5\u4eba\u88ab\u8aa4\u5224\u662f2\u671f\u3002\u7531\u65bc2\u671f\u75c5\u8005\u8853\u5f8c\u90fd\u88ab\u8a8d\u5b9a\u662f\u65e9\u671f\u75c5\uff0c\u6240\u4ee5\u4e0d\u6703\u50cf3\u671f\u75c5\u8005\uff08\u6709\u6dcb\u5df4\u7d50\u64f4\u6563\uff09\u63a5\u53d7\u5316\u7642\u3002\u88ab\u8aa4\u8a3a\u70ba2\u671f\u7684\u75c5\u4eba\u56e0\u6b64\u932f\u5931\u4e86\u5316\u7642\u7684\u6a5f\u6703\uff0c\u5b58\u6d3b\u7387\u5927\u5927\u4e0b\u6ed1\uff0c\u4e26\u4e0d\u51fa\u5947\u3002 \u800c\u5728\u672c\u6e2f\uff0c\u91ab\u9662\u666e\u904d\u4f7f\u7528\u820a\u5f0f\u5fae\u5275\u7d50\u8178\u5207\u9664\u624b\u8853\uff0c\u800c\u975e\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\uff0c\u4e3b\u8981\u56e0\u70ba\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\u9700\u8981\u6280\u8853\u57f9\u8a13\uff1b\u52a0\u4e0a\u75c5\u4eba\u5f80\u5f80\u4e0d\u4e86\u89e3\u5176\u539f\u7406\uff0c\u53ea\u7740\u773c\u624b\u8853\u6642\u9593\u9577\u77ed\u6216\u50f9\u9322\uff0c\u6240\u4ee5\u5927\u591a\u4e0d\u8003\u616e\u3002 &nbsp; \u66fe\u6709\u540d\u75c5\u4eba\u9078\u64c7\u4e86\u63a5\u53d7\u50b3\u7d71\u7684\u7d50\u76f4\u8178\u5207\u9664\u624b\u8853\uff0c\u7d50\u679c\u534a\u5e74\u5f8c\u767c\u73fe\u4e3b\u8840\u7ba1\u5167\u6709\u6dcb\u5df4\u817a\u4ecd\u672a\u5207\u9664\uff0c\u816b\u7624\u4ecd\u5b58\u5728\uff0c\u7d50\u679c\u53c8\u518d\u6b21\u52d5\u624b\u8853\uff0c\u803d\u8aa4\u4e86\u534a\u5e74 &nbsp; \u9078\u64c7\u5408\u9069\u624b\u8853\u6700\u91cd\u8981 \u6709\u4eba\u6216\u6703\u64d4\u5fc3\u5168\u7d50\u8178\u7cfb\u819c\u5207\u9664\u8853\u628a\u6240\u6709\u6dcb\u5df4\u817a\u5207\u9664\u6703\u70ba\u75c5\u4eba\u5e36\u4f86\u5f71\u97ff\uff0c\u5176\u5be6\u5931\u53bb\u6dcb\u5df4\u817a\uff0c\u75c5\u4eba\u8853\u5f8c\u6216\u6703\u5728\u8179\u90e8\u51fa\u73fe\u8f03\u591a\u6dcb\u5df4\u6db2\u6ef2\u6f0f\uff0c\u4f46\u5c0d\u8eab\u9ad4\u7121\u7919\u3002\u53cd\u800c\uff0c\u53ca\u65e9\u6cbb\u7642\u548c\u9078\u64c7\u5408\u9069\u7684\u5207\u9664\u624b\u8853\u624d\u662f\u6700\u91cd\u8981\u3002\u66fe\u6709\u540d\u75c5\u4eba\u9078\u64c7\u4e86\u63a5\u53d7\u50b3\u7d71\u7684\u7d50\u76f4\u8178\u5207\u9664\u624b\u8853\uff0c\u7d50\u679c\u534a\u5e74\u5f8c\u767c\u73fe\u4e3b\u8840\u7ba1\u5167\u6709\u6dcb\u5df4\u817a\u4ecd\u672a\u5207\u9664\uff0c\u816b\u7624\u4ecd\u5b58\u5728\uff0c\u7d50\u679c\u53c8\u518d\u6b21\u52d5\u624b\u8853\uff0c\u803d\u8aa4\u4e86\u534a\u5e74\uff0c\u5c0d\u75c5\u4eba\u8eab\u5fc3\u90fd\u5e36\u4f86\u4e00\u5b9a\u7684\u5f71\u97ff\uff0c\u7562\u7adf\u6c92\u6709\u4eba\u5e0c\u671b\u81ea\u5df1\u8eab\u9ad4\u300c\u52d5\u591a\u6b21\u5200\u300d\uff0c\u56e0\u6b64\u9078\u64c7\u5408\u9069\u7684\u6cbb\u7642\u65b9\u6848\u5f88\u91cd\u8981\u3002 \u5176\u5be6\uff0c\u4e0d\u8ad6\u9078\u64c7\u54ea\u4e00\u7a2e\u5927\u8178\u764c\u5207\u9664\u624b\u8853\uff0c\u75c5\u4eba\u61c9\u4e86\u89e3\u5404\u624b\u8853\u7684\u597d\u8655\u548c\u98a8\u96aa\uff0c\u5728\u8003\u616e\u5fae\u5275\u624b\u8853\u6642\uff0c\u8981\u61c2\u5f97\u4ed4\u7d30\u5206\u8fa8\u4e0d\u540c\u5fae\u5275\u624b\u8853\u7684\u5dee\u5225\uff0c\u4e0d\u8981\u4ee5\u70ba\u53ea\u6709\u4e00\u7a2e\u5fae\u5275\u624b\u8853\uff0c\u800c\u4e14\u4e0d\u8981\u53ea\u70ba\u8ffd\u6c42\u624b\u8853\u6642\u9593\u77ed\u53ca\u4fdd\u7559\u5668\u5b98\u8f03\u591a\u3002\u91dd\u5c0d\u81ea\u5df1\u75c5\u60c5\u548c\u6e1b\u4f4e\u5fa9\u767c\u7387\u624d\u662f\u8003\u616e\u76ee\u7684\u3002 &nbsp; \u9810\u9632\u5927\u8178\u764c\u8cbc\u58eb\uff1a\u591a\u83dc\u5c11\u8089 \u6bcf\u5929\u904b\u52d530\u5206\u9418 \u3010\u71df\u990a\u8981\u8b58\u3011\u716e\u5f97Smart\uff1a\u9ec3\u8c46\u5976x\u9df9\u5634\u8c46 \u88dc\u5145\u86cb\u767d\u8cea \u7624\u8a00\u60c5\u6df1\uff1a\u5730\u7403\u5f88\u5371\u96aa\uff1f \u52ff\u88ab\u98f2\u98df\u8b2c\u8aa4\u6240\u56f0 \u3010\u71df\u990a\u8981\u8b58\u3011\u6bba\u4eba\u98f2\u98df\u6392\u884c\u699c \u9ad8\u9209\u6700\u651e\u547d 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