{"id":114696,"date":"2019-06-11T12:13:11","date_gmt":"2019-06-11T04:12:21","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/114696\/"},"modified":"2019-06-11T12:12:23","modified_gmt":"2019-06-11T04:12:23","slug":"e9c6fcdedd","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/114696\/","title":{"rendered":"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f"},"content":{"rendered":"
\n
<\/section>\n
\n
\n
\n

\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/p>\n

\n
\n
\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/section>\n<\/section>\n


<\/section>\n

\n

\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u662f\u6307\u4e73\u817a\u80bf\u7624\u7ec6\u80de\u6700\u5148\u8f6c\u79fb\u7684\u7b2c\u4e00\u679a\u6216\u7b2c\u4e00\u7ad9\u6dcb\u5df4\u7ed3\u3002\u7ecf\u8fc7\u75c5\u7406\u751f\u7406\u5b66\u8bc1\u5b9e\u524d\u54e8\u6dcb\u5df4\u7ed3\u4e0d\u4ec5\u5f15\u6d41\u4e73\u817a\u539f\u53d1\u80bf\u7624\u533a\u57df\u7684\u6dcb\u5df4\uff0c\u4e5f\u5f15\u6d41\u6574\u4e2a\u4e73\u817a\u5668\u5b98\u7684\u6dcb\u5df4\u3002<\/span><\/p>\n


<\/p>\n

\u56e0\u6b64\uff0c\u524d\u54e8\u6dcb\u5df4\u7ed3\u7684\u8f6c\u79fb\u72b6\u51b5\u80fd\u591f\u4e3a\u8bc4\u4f30\u814b\u7a9d\u5176\u4ed6\u6dcb\u5df4\u7ed3\u7684\u8f6c\u79fb\u63d0\u4f9b\u91cd\u8981\u53c2\u8003\uff0c\u80fd\u591f\u4e3a\u5b8c\u5584\u4e73\u817a\u764c\u7684\u6dcb\u5df4\u7ed3\u5206\u671f\u63d0\u4f9b\u91cd\u8981\u4f9d\u636e\uff0c\u4e5f\u80fd\u4e3a\u672f\u540e\u8f85\u52a9\u6cbb\u7597\u63d0\u4f9b\u6709\u529b\u8bc1\u636e\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u7eb5\u89c2\u4e73\u817a\u764c\u814b\u7a9d\u5916\u79d1\u5904\u7406\u7684\u5386\u53f2\uff0c\u6211\u4eec\u4e0d\u96be\u53d1\u73b0\u814b\u7a9d\u5916\u79d1\u7684\u5904\u7406\u662f\u4ece\u5927\u5230\u5c0f\u7684\u6539\u53d8\uff0c\u662f\u4ece\u5f7b\u5e95\u6e05\u9664\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u5230\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u7684\u9769\u65b0\u3002<\/span><\/p>\n

\n
\n
\n
\n\n\n\n\n\n

<\/td>\n		\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
\n
\n
\n

20 \u4e16\u7eaa\u521d\u671f\uff0cHalsted \u6559\u6388\u63d0\u51fa\u4e73\u817a\u764c\u6e10\u8fdb\u6027\u8f6c\u79fb\u7684\u7406\u5ff5\u5e76\u5f00\u5c55\u4e86\u4e73\u817a\u764c\u6839\u6cbb\u672f\u7684\u624b\u672f\u65b9\u5f0f\uff0cHalsted \u6839\u6cbb\u672f\u7684\u624b\u672f\u8303\u56f4\u9700\u5305\u62ec\u80f8\u5927\u5c0f\u808c\u3001\u5168\u90e8\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u4ee5\u53ca\u9501\u9aa8\u4e0a\u6dcb\u5df4\u7ec4\u7ec7\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/td>\n<\/tr>\n


<\/td>\n		\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
\n
\n
\n

20 \u4e16\u7eaa 30 \u5e74\u4ee3\uff0cUrban \u6559\u6388\u5728\u6839\u6cbb\u672f\u7684\u57fa\u7840\u4e0a\uff0c\u5f00\u521b\u4e86\u4e73\u817a\u764c\u6269\u5927\u6839\u6cbb\u672f\u7684\u624b\u672f\u65b9\u5f0f\uff0c\u6269\u5927\u6839\u6cbb\u672f\u7684\u624b\u672f\u8303\u56f4\u66f4\u5e7f\uff0c\u751a\u81f3\u9700\u8981\u5207\u9664\u591a\u6839\u808b\u9aa8\u6e05\u9664\u5185\u4e73\u533a\u6dcb\u5df4\u7ec4\u7ec7\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/td>\n<\/tr>\n


<\/td>\n
<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/span><\/p>\n

\u4e0a\u8ff0\u4e24\u79cd\u624b\u672f\u65b9\u5f0f\u90fd\u662f\u5c06\u6dcb\u5df4\u7ec4\u7ec7\u4f5c\u4e3a\u4e73\u817a\u764c\u7ec6\u80de\u64ad\u6492\u7684\u91cd\u8981\u73af\u8282\uff0c\u800c\u4e0d\u662f\u5c06\u770b\u4f5c\u662f\u673a\u4f53\u514d\u75ab\u9632\u5fa1\u53cd\u5e94\u7684\u91cd\u8981\u5668\u5b98\uff0c\u6240\u4ee5\u5f7b\u5e95\u635f\u6bc1\u4e86\u4e73\u817a\u6dcb\u5df4\u514d\u75ab\u7cfb\u7edf\u5e76\u7ed9\u60a3\u8005\u5e26\u53bb\u4e86\u66f4\u591a\u7684\u624b\u672f\u5e76\u53d1\u75c7\u3002<\/span><\/p>\n

\u76f8\u5173\u4e34\u5e8a\u8bd5\u9a8c\u7684\u6570\u636e\u8868\u660e\uff0c\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u5e76\u672a\u4f7f\u60a3\u8005\u7684\u83b7\u76ca\u964d\u4f4e\uff0c\u4f46\u662f\u80fd\u591f\u8ba9\u60a3\u8005\u6240\u53d7\u635f\u4f24\u66f4\u5c0f\u3002<\/span><\/strong><\/span><\/p>\n

\u7f8e\u56fd\u56fd\u5bb6\u4e73\u817a\u4e0e\u80a0\u9053\u5916\u79d1\u8f85\u52a9\u6cbb\u7597\u8ba1\u5212\uff08NSABP\uff09B-04 \u7814\u7a76\u957f\u671f\u968f\u8bbf\u6570\u636e\u8bc1\u5b9e\uff0c\u4e73\u817a\u764c\u6839\u6cbb\u672f\u3001\u6269\u5927\u6839\u6cbb\u672f\u548c\u4e73\u623f\u5355\u7eaf\u5207\u9664\u672f\uff08\u814b\u7a9d\u6dcb\u5df4\u7ed3\u4e0d\u6e05\u626b\u4f46\u505a\u653e\u7597\uff09\u76f8\u6bd4\uff0c\u65e0\u8bba\u662f\u4e34\u5e8a\u814b\u7a9d\u6dcb\u5df4\u7ed3\u9634\u6027\u60a3\u8005\u8fd8\u662f\u814b\u7a9d\u6dcb\u5df4\u7ed3\u9633\u6027\u60a3\u8005\u5728\u751f\u5b58\u7387\u65b9\u9762\u90fd\u6ca1\u6709\u7edf\u8ba1\u5b66\u5dee\u5f02\uff0c\u5e76\u4e14\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u4e2d\u5b58\u5728\u9633\u6027\u6dcb\u5df4\u7ed3\u901a\u8fc7\u533a\u57df\u653e\u7597\u8fdb\u884c\u63a7\u5236\u7684\u60a3\u8005\u4e0e\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u60a3\u8005\u76f8\u6bd4\uff0c\u5e76\u6ca1\u6709\u589e\u52a0\u8fdc\u5904\u8f6c\u79fb\u7684\u98ce\u9669\uff08P = 0.44\uff09\u3002<\/span><\/strong><\/span><\/p>\n

\u6700\u91cd\u8981\u7684\u662f\uff0c\u4e73\u817a\u5916\u79d1\u533b\u751f\u5f00\u59cb\u610f\u8bc6\u5230\uff0c<\/span>\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u80fd\u591f\u6781\u5927\u5730\u51cf\u5c11\u60a3\u8005\u672f\u540e\u7684\u5e76\u53d1\u75c7\uff0c\u80fd\u591f\u6709\u6548\u5730\u63a7\u5236\u60a3\u8005\u60a3\u4fa7\u4e0a\u80a2\u6dcb\u5df4\u6c34\u80bf\u7684\u53d1\u751f\u5e76\u4e3a\u60a3\u8005\u5145\u5206\u4fdd\u7559\u4e86\u60a3\u4fa7\u4e0a\u80a2\u7684\u529f\u80fd\uff0c\u80fd\u591f\u5927\u5927\u5730\u63d0\u9ad8\u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf<\/strong>\u3002<\/span>\u8fd9\u4e5f\u4e3a\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u66ff\u4ee3\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u5960\u5b9a\u4e86\u601d\u60f3\u57fa\u7840\u3002<\/span><\/p>\n

\n


<\/p>\n

\u4e73\u817a\u5916\u79d1\u533b\u751f\u5f00\u59cb\u5bf9\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u505a\u66f4\u8fdb\u4e00\u6b65\u7684\u63a2\u7d22\uff0c\u7ecf\u8fc7\u4e34\u5e8a\u9a8c\u8bc1\u814b\u7a9d\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u80fd\u591f\u4e3a\u60a3\u8005\u6709\u6548\u5730\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u3002<\/span>
<\/p>\n

\n
\n
\n
\n\n\n\n\n\n

<\/td>\n		\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
\n
\n
\n

1998 \u5e74\u610f\u5927\u5229\u7c73\u5170\u6b27\u6d32\u80bf\u7624\u7814\u7a76\u6240\u7684 Veronesi \u6559\u6388\u5f00\u5c55\u4e86\u9a8c\u8bc1\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7684\u7c73\u5170\u7814\u7a76\uff0c\u7814\u7a76\u7ed3\u679c\u663e\u793a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u80fd\u591f\u51c6\u786e\u53cd\u6620\u814b\u7a9d\u6dcb\u5df4\u7ed3\u7684\u8f6c\u79fb\u72b6\u51b5\uff0c\u524d\u54e8\u6dcb\u5df4\u7ed3\u7684\u68c0\u51fa\u7387\u4e3a 98.7%\uff0c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u5047\u9634\u6027\u7387\u4e3a 6.7%\uff0895% \u53ef\u4fe1\u533a\u95f4 3.5%-11.4%\uff09\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/td>\n<\/tr>\n


<\/td>\n		\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
\n
\n
\n

1999 \u5e74\u82f1\u56fd\u5361\u8fea\u592b\u5927\u5b66\u533b\u5b66\u9662\u7684 Mansel \u6559\u6388\u53d1\u8d77\u7684 ALMANAC\uff08NCRN Trial ID: 843\uff09\u591a\u4e2d\u5fc3\u968f\u673a\u5bf9\u7167\u7814\u7a76\u65e8\u5728\u660e\u786e\u814b\u7a9d\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7684\u83b7\u76ca\uff0c\u7814\u7a76\u7ed3\u679c\u8bc1\u5b9e\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u80fd\u591f\u6709\u6548\u51cf\u4f4e\u60a3\u4fa7\u4e0a\u80a2\u611f\u89c9\u5f02\u5e38\u3001\u6dcb\u5df4\u6c34\u80bf\u548c\u529f\u80fd\u969c\u788d\u7684\u53d1\u751f\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/td>\n<\/tr>\n


<\/td>\n		\n
\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n
\n
\n
<\/section>\n<\/section>\n<\/section>\n<\/section>\n
\n
\n
\n
\n

1999 \u5e74\u82f1\u56fd\u5361\u8fea\u592b\u5927\u5b66\u533b\u5b66\u9662\u7684 Mansel \u6559\u6388\u53d1\u8d77\u7684 ALMANAC\uff08NCRN Trial ID: 843\uff09\u591a\u4e2d\u5fc3\u968f\u673a\u5bf9\u7167\u7814\u7a76\u65e8\u5728\u660e\u786e\u814b\u7a9d\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7684\u83b7\u76ca\uff0c\u7814\u7a76\u7ed3\u679c\u8bc1\u5b9e\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u80fd\u591f\u6709\u6548\u51cf\u4f4e\u60a3\u4fa7\u4e0a\u80a2\u611f\u89c9\u5f02\u5e38\u3001\u6dcb\u5df4\u6c34\u80bf\u548c\u529f\u80fd\u969c\u788d\u7684\u53d1\u751f\u3002<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u56e0\u6b64\uff0c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u662f\u814b\u7a9d\u5fae\u521b\u7684\u5206\u671f\u6280\u672f\uff0c\u8be5\u6280\u672f\u80fd\u591f\u57fa\u672c\u4fdd\u7559\u814b\u7a9d\u7684\u6dcb\u5df4\u7ec4\u7ec7\uff0c\u80fd\u591f\u57fa\u672c\u4fdd\u6301\u60a3\u8005\u60a3\u4fa7\u814b\u7a9d\u6dcb\u5df4\u5f15\u6d41\u7684\u901a\u7545\uff0c\u4e0d\u4f46\u4fdd\u8bc1\u4e86\u60a3\u8005\u7684\u751f\u5b58\u7387\u800c\u4e14\u63d0\u9ad8\u4e86\u60a3\u8005\u7684\u751f\u5b58\u8d28\u91cf\u3002<\/span><\/p>\n

\n


<\/p>\n

\u968f\u7740\u300c\u5c11\u5373\u662f\u591a\u300d\uff08Less is more\uff09\u6cbb\u7597\u7406\u5ff5\u7684\u63d0\u51fa\uff0c\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u7684\u5916\u79d1\u5904\u7406\u65b9\u5f0f\u4e5f\u4e0d\u65ad\u5730\u5728\u9769\u65b0\u3002<\/span><\/p>\n

\u7f8e\u56fd\u5916\u79d1\u533b\u5e08\u5b66\u4f1a\u80bf\u7624\u5b66\u7ec4\uff08ACOSOG\uff09Z0011 \u4e34\u5e8a\u7814\u7a76\uff08NCT Trial ID: 00003855\uff09\u63a2\u8ba8\u4e86\u63a5\u53d7\u4fdd\u4e73\u60a3\u8005\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u786e\u8bca 1-2 \u679a\u524d\u54e8\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u4e0d\u8fdb\u884c\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u60c5\u51b5\u3002<\/span><\/p>\n

\u7ecf\u8fc7 5 \u5e74\u548c 10 \u5e74\u7684\u968f\u8bbf\u65f6\u95f4\uff0c\u7814\u7a76\u7ed3\u679c\u5747\u663e\u793a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7ec4\u4e0e\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u7ec4\u5728\u65e0\u75c5\u751f\u5b58\u7387\u548c\u603b\u751f\u5b58\u7387\u65b9\u9762\u65e0\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002\u56e0\u6b64\u5f97\u51fa\u7ed3\u8bba\u662f\u4fdd\u4e73\u4e14\u672f\u540e\u63a5\u53d7\u653e\u7597\u7684\u60a3\u8005\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u786e\u8bca\u8f6c\u79fb\u907f\u514d\u814b\u7a9d\u6dcb\u5df4\u7ed3\u6e05\u626b\u662f\u5b89\u5168\u3001\u53ef\u884c\u7684\u3002<\/span><\/strong><\/span><\/p>\n

\u8fd9\u9879\u7814\u7a76\u7684\u7ed3\u679c\u5bf9\u814b\u7a9d\u5904\u7406\u65b9\u5f0f\u4ea7\u751f\u4e86\u6781\u5927\u5730\u8f70\u52a8\uff0c\u5e76\u63a8\u52a8\u4e86\u5f53\u65f6\u4e73\u817a\u764c\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u7684\u66f4\u65b0\uff0c\u8fd9\u662f\u4fdd\u7559\u814b\u7a9d\u6dcb\u5df4\u7ec4\u7ec7\u5728\u5916\u79d1\u624b\u672f\u65b9\u5f0f\u4e0a\u7684\u53c8\u4e00\u6b21\u521b\u65b0\u3002<\/span><\/p>\n

\n


<\/p>\n

\u5728\u4e73\u817a\u764c\u5185\u4e73\u533a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u65b9\u9762\uff0c\u76f8\u5173\u7814\u7a76\u7684\u6570\u636e\u652f\u6301\u5185\u4e73\u533a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u662f\u8fdb\u884c\u5185\u4e73\u533a\u6dcb\u5df4\u7ed3\u5206\u671f\u7684\u5fae\u521b\u6280\u672f\uff0c\u80fd\u591f\u6307\u5bfc\u4e2a\u4f53\u5316\u7684\u5185\u4e73\u533a\u653e\u7597\u3002<\/span><\/p>\n

\u5c71\u4e1c\u7701\u80bf\u7624\u533b\u9662\u738b\u6c38\u80dc\u6559\u6388\u56e2\u961f\u5df2\u7ecf\u5f00\u59cb\u901a\u8fc7\u5185\u4e73\u6dcb\u5df4\u7ed3\u6e05\u626b\u9a8c\u8bc1\u5185\u4e73\u524d\u54e8\u6dcb\u5df4\u7ed3\u51c6\u786e\u6027\u7684\u76f8\u5173\u7814\u7a76\uff08NCT03024463\uff09\uff0c\u521d\u6b65\u7ed3\u679c\u663e\u793a\uff0c\u814b\u7a9d\u6dcb\u5df4\u7ed3\u9633\u6027\u7684\u60a3\u8005\u4e2d IM-SLNB \u5047\u9634\u6027\u7387\u4e3a 0%\uff0c\u5185\u4e73\u533a\u524d\u54e8\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u7387\u4e3a 57.1%\uff0c\u5176\u4e2d\u975e\u524d\u54e8\u6dcb\u5df4\u7ed3\u7684\u8f6c\u79fb\u7387\u4e3a 80%\u3002<\/span><\/p>\n

\u56e0\u6b64\uff0c<\/span>\u5bf9\u786e\u8bca\u5185\u4e73\u524d\u54e8\u6dcb\u5df4\u7ed3\u9633\u6027\u7684\u60a3\u8005\uff0c\u4ecd\u4f1a\u5b58\u5728\u5176\u4ed6\u5185\u4e73\u6dcb\u5df4\u7ed3\u7684\u8f6c\u79fb\uff0c\u5bf9\u8fd9\u90e8\u5206\u53ea\u8fdb\u884c\u4e86\u5185\u4e73\u533a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u53d1\u73b0\u8f6c\u79fb\u800c\u672a\u884c\u5185\u4e73\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u60a3\u8005\u662f\u9700\u8981\u8fdb\u884c\u672f\u540e\u5185\u4e73\u533a\u653e\u7597\u7684\u3002<\/strong><\/span><\/p>\n

\n


<\/p>\n

\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/p>\n


<\/p>\n

\u672c\u6587\u5185\u5bb9\u6765\u81ea\u4e2d\u56fd\u4e73\u817a\u4e13\u79d1\u533b\u5e08\u9879\u76ee\u57f9\u8bad—\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u6280\u672f\u57f9\u8bad\u73ed\uff0c\u8be5\u57f9\u8bad\u73ed\u7531\u5c71\u4e1c\u7701\u80bf\u7624\u533b\u9662\u738b\u6c38\u80dc\u4e3b\u4efb\u56e2\u961f\u627f\u529e\uff0c<\/span>\u4e8e<\/span><\/span>2019 \u5e74 5 \u6708 22 \u65e5\u81f3 24 \u65e5\u5728\u7f8e\u4e3d\u7684\u6cc9\u57ce\u6d4e\u5357\u6210\u529f\u53ec\u5f00\u3002<\/span><\/p>\n

\u4f1a\u8bae\u8be6\u7ec6\u68b3\u7406\u4e86\u4e73\u817a\u764c\u624b\u672f\u53ca\u814b\u7a9d\u6dcb\u5df4\u7ed3\u5904\u7406\u7684\u300c\u5316\u7e41\u4e3a\u7b80\u300d\u7684\u8fc7\u7a0b\uff0c\u738b\u6c38\u80dc\u6559\u6388\u4e3a\u53c2\u4f1a\u4ee3\u8868\u300c\u5b9e\u6218\u300d\u5c55\u793a\u4e86\u4e73\u817a\u764c\u814b\u7a9d\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u3001\u5185\u4e73\u533a\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u548c\u5185\u4e73\u6dcb\u5df4\u7ed3\u6e05\u626b\u7684\u76f8\u5173\u624b\u672f\u64cd\u4f5c\uff0c\u4f1a\u4e0a\u8fd8\u63a2\u8ba8\u4e86\u653e\u7597\u53ca\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7b49\u76f8\u5173\u70ed\u70b9\u95ee\u9898\u3002<\/span><\/p>\n

\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/p>\n

\u25b3\u4e2d\u56fd\u4e73\u817a\u4e13\u79d1\u533b\u5e08\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u6280\u672f\u57f9\u8bad\u73ed\u25b3<\/span><\/p>\n

\u53c2\u4f1a\u4ee3\u8868\u548c\u4e13\u5bb6\u4eec\u96c6\u4f53\u5408\u7167\u7559\u5ff5<\/span><\/p>\n


<\/p>\n

\n


<\/p>\n

\u7f16\u8f91\uff1adecie | \u8d23\u4efb\u7f16\u8f91\uff1a\u738b\u5f18<\/span><\/p>\n

\u6295\u7a3f\uff1adecie@qq.com
<\/span><\/p>\n

\u9898\u56fe\uff1a\u7ad9\u9177\u6d77\u6d1bplus<\/span><\/span><\/p>\n


<\/p>\n


<\/p>\n

\u63a8\u8350\u9605\u8bfb\uff1a<\/strong><\/span><\/p>\n

3 \u4e2a\u75c5\u4f8b\u6559\u4f60\u641e\u5b9a\u764c\u75c7\u76f8\u5173\u9759\u8109\u8840\u6813\u6813\u585e<\/a><\/h2>\n

\u518d\u5582\u517b\u7efc\u5408\u5f81\uff1a<\/span><\/a>\u8425\u517b\u8865\u5145\u4e0d\u80fd\u64cd\u4e4b\u8fc7\u6025<\/a><\/span><\/p>\n

\u6fc0\u7d20\u53d7\u4f53\u9633\u6027\u4e73\u817a\u764c\u6cbb\u7597\u53c8\u6709\u65b0\u65b9\u6848<\/a><\/p>\n

\u80bf\u7624\u5feb\u62a5 | \u963f\u7279\u73e0\u5355\u6297\u4e00\u7ebf\u6cbb\u7597\u80ba\u764c<\/a><\/h2>\n


<\/p>\n<\/section>\n

\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/p>\n

\"\u7531\u591a\u5230\u5c11\uff1a\u4e73\u817a\u764c\u524d\u54e8\u6d3b\u68c0\u5e94\u8be5\u5982\u4f55\u5e94\u7528\uff1f\"<\/p>\n

\u53c2\u8003\u6587\u732e<\/span><\/p>\n

1. Veronesi U, Paganelli G, Galimberti V,et al. Sentinel-node biopsy to avoid axillary dissection in breast cancer withclinically negative lymph-nodes[J]. Lancet, 1997,349(9069):1864-1867.<\/span><\/p>\n

2. Veronesi U, Paganelli G, Viale G, et al.Sentinel lymph node biopsy and axillary dissection in breast cancer: results ina large series[J]. J Natl Cancer Inst, 1999,91(4):368-373.<\/span><\/p>\n

3. Mansel R E, Fallowfield L, Kissin M, etal. Randomized multicenter trial of sentinel node biopsy versus standardaxillary treatment in operable breast cancer: the ALMANAC Trial[J]. J NatlCancer Inst, 2006,98(9):599-609.<\/span><\/p>\n

4. Krag D N, Anderson S J, Julian T B, etal. Technical outcomes of sentinel-lymph-node resection and conventionalaxillary-lymph-node dissection in patients with clinically node-negative breastcancer: results from the NSABP B-32 randomised phase III trial[J]. LancetOncol, 2007,8(10):881-888.<\/span><\/p>\n

5. \u66f9\u6653\u73ca, \u738b\u6c38\u80dc. \u4e73\u817a\u764c\u5185\u4e73\u533a\u6dcb\u5df4\u5f15\u6d41\u53ca\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7814\u7a76\u8fdb\u5c55[J]. \u4e2d\u534e\u5185\u5206\u6ccc\u5916\u79d1\u6742\u5fd7, 2016,10(2):174-177.<\/span><\/p>\n

6. \u738b\u6c38\u80dc. \u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0: \u5171\u8bc6\u4e0e\u5c55\u671b[J]. \u4e2d\u56fd\u666e\u5916\u57fa\u7840\u4e0e\u4e34\u5e8a\u6742\u5fd7, 2009,16(7):505-509.<\/span><\/p>\n

7. \u738b\u6c38\u80dc, \u6b27\u9633\u6d9b, \u738b\u542f\u5802, \u7b49. \u4e2d\u56fd\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u591a\u4e2d\u5fc3\u534f\u4f5c\u7814\u7a76CBCSG-001\u6700\u65b0\u8d44\u6599\u62a5\u544a[J]. \u4e2d\u534e\u4e73\u817a\u75c5\u6742\u5fd7(\u7535\u5b50\u7248), 2009,3(3):265-272.<\/span><\/p>\n

8. Giuliano A E, Ballman K V, McCall L, etal. Effect of axillary dissection vs no axillary dissection on 10-year overallsurvival among women with invasive breast cancer and sentinel node metastasis:the ACOSOG Z0011 (Alliance) randomized clinical trial[J]. JAMA,2017,318(10):918-926.<\/span><\/p>\n

9. Giuliano A E, Hunt K K, Ballman K V, etal. Axillary dissection vs no axillary dissection in women with invasive breastcancer and sentinel node metastasis: a randomized clinical trial[J]. JAMA,2011,305(6):569-575.<\/span><\/p>\n

10. Cong BB, Cao XS, Qiu PF, et al.Internal mammary sentinel lymph node biopsy: An effective way to search benefitpatients and guide internal mammary chain irradiation[J]. Breast,2017,33:204-205.<\/span><\/p>\n

11. Cong BB, Yu JM, Wang YS. Axillarymanagement still needed for patients with sentinel node micrometastases[J]. CanManagement Res, 2019,11:2097-2100.<\/span><\/p>\n

12. \u4e1b\u658c\u658c, \u4e8e\u91d1\u660e, \u738b\u6c38\u80dc. \u4e73\u817a\u764c\u5185\u4e73\u533a\u6dcb\u5df4\u7ed3\u7167\u5c04\u7814\u7a76\u8fdb\u5c55[J]. \u4e2d\u534e\u653e\u5c04\u80bf\u7624\u5b66\u6742\u5fd7, 2017,26(9):1094-1098.<\/span><\/p>\n

13. \u4e1b\u658c\u658c, \u66f9\u6653\u73ca, \u4e8e\u91d1\u660e\u7b49. \u65e9\u671f\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u7684\u524d\u6cbf\u8fdb\u5c55[J]. \u4e2d\u56fd\u764c\u75c7\u6742\u5fd7, 2018, 28(3):236-240.<\/span><\/p>\n

14. \u4e1b\u658c\u658c, \u90b1\u9e4f\u98de, \u6768\u56fd\u4ec1\u7b49. \u4e73\u817a\u764c\u5185\u4e73\u524d\u54e8\u6dcb\u5df4\u7ed3\u6d3b\u68c0\u65b0\u578b\u793a\u8e2a\u6280\u672f\u9a8c\u8bc1\u7814\u7a76[J]. \u4e2d\u534e\u5185\u5206\u6ccc\u5916\u79d1\u6742\u5fd7, 2015,9(2):109-113.<\/span><\/p>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"

\u4e73\u817a\u764c\u524d\u54e8\u6dcb\u5df4\u7ed3\u662f\u6307\u4e73\u817a\u80bf\u7624\u7ec6\u80de\u6700\u5148\u8f6c\u79fb\u7684\u7b2c\u4e00\u679a\u6216\u7b2c\u4e00\u7ad9\u6dcb\u5df4\u7ed3\u3002\u7ecf\u8fc7\u75c5\u7406\u751f\u7406\u5b66\u8bc1\u5b9e\u524d\u54e8\u6dcb\u5df4\u7ed3\u4e0d\u4ec5\u5f15\u6d41\u4e73\u817a\u539f\u53d1\u80bf […]<\/p>\n","protected":false},"author":1,"featured_media":114697,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/114696"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=114696"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/114696\/revisions"}],"predecessor-version":[{"id":114704,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/114696\/revisions\/114704"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/114697"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=114696"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=114696"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=114696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}