褰撳墠浣嶇疆錛?a href="/html/list_116.html">鏂伴椈涓績 >> 涓ら」鏂扮爺絀惰〃鏄庯紝璁稿鎮ｈ呭彲鑳芥鍦ㄤ嬌鐢ㄥ彈姹℃煋鐨勫櫒姊拌繘琛屽唴紿ラ暅媯鏌ャ?/span>
緹庡浗鐤劇梾鎺у埗鍜岄闃蹭腑蹇冨拰鍏朵粬鏈烘瀯鐨勭幇琛屾寚鍗楀厑璁稿湪娓呮磥鍜岄珮姘村鉤娑堟瘨 (HLD) 鍚庨噸澶嶄嬌鐢ㄦ煍鎬у唴紿ラ暅銆備絾鐮旂┒浜哄憳璇達紝榪欎簺浠櫒緇忓父鍙楀埌姹℃煋錛屽茍鍙兘鎰熸煋涓嬩竴涓梾浜恒?br/>
鍏朵腑涓欏圭爺絀剁殑 Cori L. Ofstead 琛ㄧず錛屽畠鈥滆〃鏄庡綋鍓嶇殑鍐嶅鐞嗘柟娉曟棤鏁堬紝鍐呯闀滀繚鐣欎簡娑蹭綋騫墮殣钘忎簡姹℃煋鐗╋紝鍖呮嫭鐥呭師浣撱傗?br/>
鈥滆繖欏圭爺絀剁‘瀹氫簡鎵鏈夌被鍨嬬殑鏌旀у唴紿ラ暅鐨勫啀澶勭悊鎬ч棶棰橈紝鑰屼笉浠呬粎鏄甫鏈夊崌闄嶅櫒鐨勫鏉傝儍鑲犲唴紿ラ暅銆傛垜浠涓烘敮姘旂闀滃拰娉屽翱澶栫闀滃鎮ｈ呯殑椋庨櫓鍙兘寰堥珮錛屸濅綅浜庢槑灝艱嫃杈懼窞鍦ｄ繚緗楃殑鐙珛鐮旂┒緇勭粐 Ofstead & Associates 鎬昏鍏兼墽琛屽畼 Ofstead 璇淬?br/>
鈥滄垜浠儕璁跺湴鍙戠幇錛岃仈鍚堝鍛樹細璁ゅ彲鐨勪袱瀹跺尰闄㈣煩榪囦簡濡傛澶氱殑姝ラ鎴栧仛寰楀緢宸紝浣嗘垜浠洿鎯婅鍦板彂鐜幫紝鍗充嬌鍦ㄤ竴瀹跺疄璺甸潪甯稿ソ鐨勫尰闄紝鍚庡鐞嗕篃澶辮觸浜嗗ぇ綰︿竴鍗婄殑鏃墮棿錛?鈥濆ス閫氳繃鐢靛瓙閭歡鍛婅瘔璺忕ぞ鍋ュ悍銆?br/>
姝ｅ銆婄編鍥芥劅鏌撴帶鍒舵潅蹇椼嬫姤閬撶殑閭ｆ牱錛孫fstead 鍜屽ス鐨勫悓浜嬭瘎浼頒簡涓変釜澶氫笓縐戝尰闄㈢殑鍐呯闀滃啀澶勭悊銆佸共鐕ュ拰鍌ㄥ瓨瀹炶返銆?br/>
鍦ㄦ瘡瀹跺尰闄紝鐮旂┒浜哄憳瀵瑰瓨鏀捐秴榪?24 灝忔椂鐨勭粡榪囧厖鍒嗗啀澶勭悊鐨勫唴紿ラ暅榪涜鍙栨牱錛屽茍灝嗘牱鏈佸埌鍦ㄧ編鍥介鍝佺鐞嗗眬娉ㄥ唽騫墮氳繃鍥介檯鏍囧噯鍖栫粍緇囪璇佺殑寰敓鐗╁疄楠屽榪涜鍒嗘瀽銆?br/>
浣滆呭湪 22% 鐨勫唴紿ラ暅涓彂鐜頒簡姹℃煋鎸囨爣錛屽茍鍦?71% 鐨勫唴紿ラ暅涓嫻嬪埌寰敓鐗╃敓闀褲?br/>
鐮旂┒灝忕粍榪樹嬌鐢ㄦ棬鍦ㄦ鏌ラ氶亾鍜岀鍙ｇ殑鐩告満鍜岀閬撻暅瀵規畫鐣欑殑娑蹭綋鍜屽叾浠栦笉瑙勫垯鐗╄繘琛岀洰瑙嗘鏌ュ拰鎷嶇収錛屽茍浣跨敤鏃犺弻媯夌鍜屽寲瀛︽寚紺哄墏鏉ユ祴璇曟按銆?br/>
浠栦滑鍦ㄤ粬浠鏌ョ殑 45 涓唴紿ラ暅涓殑 22 涓腑鍙戠幇浜嗘恫浣擄紝騫朵笖姘村垎鐨勫彂鐢熺巼鍥犱綅緗屽紓錛堜粠 5% 鍒?85%錛夈傛病鏈変竴縐嶅共鐕ユ柟娉曡兘娑堥櫎鎵鏈夋畫鐣欑殑娑蹭綋鎴栨按浼犳挱鐨勭梾鍘熶綋銆?br/>
涓涓湴鐐圭殑鍚庡鐞嗗拰騫茬嚗鍋氭硶絎﹀悎鍑嗗垯錛岃屽彟澶栦袱涓湴鐐瑰垯涓嶅悎鏍囧噯錛涙墍鏈夊湴鐐歸兘鍦ㄤ嬌鐢ㄦ崯鍧忕殑鍐呯闀溿?br/>
Ofstead & Associates 鐨勬祦琛岀梾瀛﹀鍜岀爺絀墮」鐩粡鐞?Mariah Quick 閫氳繃鐢靛瓙閭歡鍛婅瘔璺忕ぞ璁拌咃紝鈥滅‘淇濆唴紿ラ暅鍦ㄥ偍瀛樺墠瀹屽叏騫茬嚗閲嶈銆傛垜浠殑緇熻鍒嗘瀽鍙戠幇錛屾按鍒嗘寚紺烘潯涓庨氳繃鑰楁椂鐨勨滅‘瀹氳寖鍥粹濊繘琛岀殑鐩媯鏌ヤ箣闂村叿鏈夐潪甯擱珮鐨勪竴鑷存с傝繖鎰忓懗鐫鍐嶅鐞嗕腑蹇冨彲浠ュ疄鏂戒竴縐嶅粔浠楓佸疄鐢ㄧ殑鍗忚鏉ユ祴璇曞啀澶勭悊鐨勫唴紿ラ暅錛屼互紜繚鍐呴儴娌℃湁孌嬬暀娑蹭綋銆傗?br/>
姝ｅ鎸囧崡鎵寤鴻鐨勯偅鏍鳳紝鈥滃簲璇ヨ繘琛屽畾鏈熷鏍鎬互紜姝ｇ‘鐨勫啀澶勭悊瀹炶返銆備復搴婂尰鐢熷簲璇ヨ姹傛煡鐪嬩粬浠殑鎶ュ憡錛岃繖鏍蜂粬浠墠鑳界‘淇′換浣曢棶棰橀兘宸插緱鍒拌В鍐籌紝鈥漁fstead 鏁︿績閬撱傗滀負浜嗛檷浣庨闄╋紝涓村簥鍖葷敓榪樺簲璇ュ湪浣跨敤鍓嶇洰瑙嗘鏌ユ瘡涓ず娉㈠櫒錛屼互紜瀹冩病鏈夋崯鍧忓拰紕庣墖銆傗?br/>
鈥滀負浜嗛檷浣庢偅鑰呴闄╋紝涓村簥鍖葷敓搴旇杞悜浣跨敤緇忚繃娑堟瘨鐨勫唴紿ラ暅錛屸濅綔鑰呭緩璁?br/>
鍦ㄥ彂琛ㄥ湪 Gut 鏉傚織涓婄殑浜岄」鐮旂┒涓紝鑽峰叞楣跨壒涓逛紛鎷夋柉濮嗘柉澶у鍖誨涓績鐨?Margaret C. Vos 鍗氬＋鍙婂叾鍚屼簨鍙戠幇錛屽湪鎵鏈夎嵎鍏頒腑蹇冪殑 39% 涓紝鏈変竴涓偅鑰呭噯澶囧ソ鐨勫崄浜屾寚鑲犻暅琚彲媯嫻嬪埌鐨勫井鐢熺墿姹℃煋榪涜鍐呯闀滈嗚鑳拌儐綆￠犲獎鏈?(ERCP)錛岀敤浜庤瘖鏂儼鑵哄拰鑲濊剰鐤劇梾銆?br/>
鎬諱綋鑰岃█錛屽湪嫻嬭瘯鐨?150 涓崄浜屾寚鑲犻暅涓紝鏈?23 涓鑳冭偁閬撴垨鍙ｈ厰鏉ユ簮鐨勫井鐢熺墿 (MGO) 鍛堥槼鎬э紝榪欒〃鏄庢秷姣掍笉鍏呭垎鍦ㄤ互鍓嶆偅鑰呯殑鍐呯闀滀笂鐣欎笅浜嗘畫鐣欑殑鐗╄川銆?br/>
鐮旂┒浜哄憳鎬葷粨閬擄細鈥滆繖浜涚粨鏋滆〃鏄庯紝鐩墠鐨勫啀澶勭悊鍜岃繃紼嬫帶鍒剁▼搴忎笉澶熷厖鍒嗕笖涓嶅畨鍏ㄣ傗?/span>
椴佸叕緗戝畨澶?7090202001206鍙?/a>
