{"id":1864,"date":"2017-08-11T17:53:01","date_gmt":"2017-08-11T09:53:01","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=1864"},"modified":"2017-08-11T17:54:51","modified_gmt":"2017-08-11T09:54:51","slug":"%e3%80%90%e9%81%8e%e6%95%8f%e5%85%8d%e7%96%ab%e9%a2%a8%e6%bf%95%e7%a7%91%e3%80%91%e5%83%b5%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e%e6%9c%80%e6%96%b0%e8%97%a5%e7%89%a9%e7%99%bc%e5%b1%95%e8%b6%a8","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=1864","title":{"rendered":"\u3010\u4e00\u822c\u5916\u79d1\u3011\u7532\u72c0\u817a\u624b\u8853\u53ef\u4ee5\u6c92\u6709\u50b7\u53e3\u75a4\u75d5\u55ce\uff1f\u8ac7\u7532\u72c0\u817a\u5fae\u5275\u624b\u8853"},"content":{"rendered":"<p><!--more--><\/p>\n<p style=\"text-align: right;\">\u6587\/\u9054\u6587\u897f\u5fae\u5275\u624b\u8853\u4e2d\u5fc3\u66a8\u4e00\u822c\u5916\u79d1 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Paolo Miccoli\u5718\u968a\u767c\u8868\u4e86\u5167\u8996\u93e1\u8f14\u52a9\u7532\u72c0\u817a\u5207\u9664\u624b\u8853 (minimally invasive video-assisted thyroidectomy, MIVAT)\uff0c\u5728\u689d\u4ef6\u9069\u5408\u7684\u75c5\u60a3\u8eab\u4e0a\u4ee51.5\u81f32\u516c\u5206\u7684\u9838\u90e8\u50b7\u53e3\u57f7\u884c\u7532\u72c0\u817a\u5207\u9664\u624b\u8853\u3002\u9019\u9805\u624b\u8853\u5728\u5f80\u5f8c\u7684\u5e7e\u5e74\uff0c\u4ee5\u50b7\u53e3\u5c0f\u53ca\u6280\u5de7\u3001\u8a2d\u5099\u7c21\u55ae\uff0c\u5f88\u5feb\u5730\u7372\u5f97\u5168\u7403\u5916\u79d1\u91ab\u5e2b\u7684\u8a8d\u540c\u3002<\/p>\n<p>\u53ef\u662f\uff0c\u5c0d\u65bc\u6709\u87f9\u8db3\u816b\u9ad4\u8cea\u7684\u75c5\u60a3\uff0c\u96d6\u7136\u9838\u90e8\u50b7\u53e3\u5c0f\u4f46\u4ecd\u662f\u4e00\u500b\u4e0d\u7f8e\u89c0\u7684\u5f8c\u907a\u75c7\u3002\u56e0\u6b64\uff0c\u5168\u7403\u5916\u79d1\u91ab\u5e2b\u7121\u4e0d\u7d5e\u76e1\u8166\u6c41\u8a66\u5716\u89e3\u6c7a\u907f\u958b\u9838\u90e8\u50b7\u53e3\u75a4\u75d5\u7684\u554f\u984c\uff0c\u540c\u6642\u53c8\u5177\u5099\u4e86\u5148\u524d\u5167\u8996\u93e1\u624b\u8853\u7684\u57fa\u790e\uff0c\u96a8\u5f8c\u63a5\u9023\u767c\u5c55\u51fa\u7d93\u4e0a\u80f8\u58c1\u3001\u7d93\u55ae\u5074\u814b\u4e0b\u3001\u7d93\u96d9\u5074\u814b\u4e0b\u548c\u4e73\u6688\uff0c\u4ee5\u53ca\u7d93\u7531\u8033\u5f8c\u9aee\u969b\u7dda\u7b49\u8def\u5f91\u7684\u9060\u8ddd\u5167\u8996\u93e1\u7532\u72c0\u817a\u5207\u9664\u624b\u8853 (remote access endoscopic thyroidectomy)\uff0c\u800c\u9019\u4e9b\u4e0d\u540c\u8def\u5f91\u7684\u7532\u72c0\u817a\u5207\u9664\u624b\u8853\uff0c\u56e0\u70ba\u50b7\u53e3\u96b1\u85cf\u5728\u9ad4\u8868\u81ea\u7136\u76ba\u8936\u6216\u8863\u7269\u53ef\u906e\u853d\u4e4b\u8655\uff0c\u6240\u4ee5\u4e5f\u7a31\u70ba\u7f8e\u5bb9\u6027\u50b7\u53e3\u7684\u7532\u72c0\u817a\u5207\u9664\u624b\u8853 (aesthetic thyroidectomy)\u3002<\/p>\n<p>\u7136\u800c\uff0c\u8fd1\u5e7e\u5e74\u4f86\u91dd\u5c0dMIVAT\u53ca\u5404\u5f0f\u4e0d\u540c\u8def\u5f91\u5167\u8996\u93e1\u624b\u8853\u6240\u9020\u6210\u8eab\u9ad4\u50b7\u5bb3\u7684\u7a0b\u5ea6\u6bd4\u8f03\uff0c\u6709\u7684\u5b78\u8005\u8a8d\u70ba\u50b7\u53e3\u5c0f\u4e14\u624b\u8853\u5f71\u97ff\u7684\u90e8\u4f4d\u5c0f\u624d\u7a31\u5f97\u4e0a\u771f\u6b63\u7684\u5fae\u5275\u624b\u8853\uff0c\u6709\u7684\u5b78\u8005\u5247\u8a8d\u70ba\u53ea\u8981\u50b7\u53e3\u5e73\u6642\u770b\u4e0d\u898b\u4e5f\u53ef\u7a31\u4e4b\u70ba\u7cbe\u795e\u4e0a\u7684\u5fae\u5275\u624b\u8853\u3002<\/p>\n<p>\u70ba\u4e86\u5e73\u8861\u4ee5\u4e0a\u7684\u722d\u8ad6\uff0c\u63a5\u4e0b\u4f86\u53c8\u767c\u5c55\u51fa\u4e86\u7d93\u7531\u81ea\u7136\u5b54\u9053\u4f86\u9032\u884c\u7532\u72c0\u817a\u5207\u9664\u7684\u624b\u8853\u65b9\u5f0f\uff0c\u800c\u6700\u63a5\u8fd1\u7532\u72c0\u817a\u7684\u4eba\u9ad4\u81ea\u7136\u5b54\u9053\u5c31\u662f\u5634\u5df4\u4e86\u3002\u9019\u7a2e\u7d93\u53e3\u7532\u72c0\u817a\u5207\u9664\u624b\u8853\u5728\u8fd1\u5e7e\u5e74\u88e1\u6280\u5de7\u8d8a\u8da8\u6210\u719f\uff0c\u76ee\u524d\u5168\u7403\u57f7\u884c\u6700\u591a\u75c5\u4f8b\u6578\u7684\u91ab\u5e2b\u662f\u5728\u6cf0\u570b\u66fc\u8c37\u8b66\u5bdf\u91ab\u9662 Angkoon Anuwong \u91ab\u5e2b\uff0c\u4ed6\u672c\u4eba\u4e5f\u66fe\u65bc2016\u5e74 10 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