{"id":889,"date":"2016-07-05T10:40:22","date_gmt":"2016-07-05T02:40:22","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=889"},"modified":"2017-05-04T14:54:17","modified_gmt":"2017-05-04T06:54:17","slug":"%e9%bc%bb%e5%92%bd%e7%99%8c%e5%85%bc%e9%a1%a7%e7%96%be%e7%97%85%e6%b2%bb%e7%99%82%e8%88%87%e7%97%85%e6%82%a3%e7%94%9f%e6%b4%bb%e5%93%81%e8%b3%aa","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=889","title":{"rendered":"\u3010\u8033\u9f3b\u5589\u79d1\u3011\u9f3b\u54bd\u764c\u517c\u9867\u75be\u75c5\u6cbb\u7642\u8207\u75c5\u60a3\u751f\u6d3b\u54c1\u8cea"},"content":{"rendered":"

\u6587\/\u8033\u9f3b\u5589\u79d1\u8f9b\u5b97\u7ff0\u4e3b\u4efb<\/h4>\n

\u9f3b\u54bd\u764c\u662f\u83ef\u4eba\u7279\u5225\u5bb9\u6613\u767c\u751f\u7684\u982d\u9838\u90e8\u764c\u75c7\uff0c\u897f\u65b9\u570b\u5bb6\u5247\u5341\u5206\u7f55\u898b\u3002\u8f03\u5e38\u767c\u751f\u65bc\u7537\u6027\uff1b\u4ee5\u672c\u9662\u7684\u8cc7\u6599\u70ba\u4f8b\uff0c\u7537\u6027\u7d04\u4f54\u9f3b\u54bd\u764c\u500b\u6848\u4e4b70%\u3001\u5973\u6027\u7d0430%\uff0c\u7537\u5973\u6bd4\u4f8b\u7d04\u70ba2.3\uff1a1\u3002\u767c\u75c5\u7684\u5e74\u9f61\u5c64\uff0c\u4e3b\u8981\u5206\u4f48\u65bc50-54\u6b72\uff0c\u7d04\u4f54\u500b\u6848\u4e4b20%\uff0c\u5176\u6b21\u5247\u70ba40-44\u6b72\uff0c\u7d04\u4f5415%\uff0c\u662f\u767c\u75c5\u5e74\u9f61\u8f03\u65e9\u7684\u764c\u75c7\uff0c\u5c0d\u75c5\u60a3\u53ca\u5bb6\u5ead\u7684\u885d\u64ca\u4e5f\u8f03\u5927\uff0c\u56e0\u6b64\u9f3b\u54bd\u764c\u7684\u8a3a\u6cbb\u662f\u81e8\u5e8a\u4e0a\u975e\u5e38\u91cd\u8981\u7684\u4e00\u74b0\u3002 \u00a0 \u00a0 \u00a0\u672c\u9662\u70ba\u63d0\u5347\u9f3b\u54bd\u764c\u75c5\u60a3\u7684\u6cbb\u7642\u54c1\u8cea\uff0c\u591a\u5e74\u524d\u5373\u6210\u7acb\u9f3b\u54bd\u764c\u5718\u968a\uff0c\u521d\u671f\u4ee5\u8033\u9f3b\u5589\u79d1\u3001\u653e\u5c04\u816b\u7624\u79d1\u8207\u816b\u7624\u5167\u79d1\u70ba\u4e3b\uff1b\u5f8c\u7e8c\u7d0d\u5165\u5f71\u50cf\u91ab\u5b78\u79d1\u3001\u6838\u5b50\u91ab\u5b78\u79d1\u3001\u53e3\u8154\u984e\u9762\u5916\u79d1\u3001\u75c5\u7406\u79d1\u4ee5\u53ca\u71df\u990a\u79d1\u7b49\u6838\u5fc3\u6210\u54e1\u3002\u4ee5\u4e0b\u7c21\u55ae\u4ecb\u7d39\u9f3b\u54bd\u764c\u5718\u968a\u7684\u81e8\u5e8a\u7279\u8272\u53ca\u6210\u679c\uff1a \u9f3b\u54bd\u764c\u7684\u65e9\u671f\u8a3a\u65b7<\/span> \u6c11\u773e\u61c9\u6709\u8b66\u89ba\u5fc3\uff0c\u82e5\u51fa\u73fe\u9f3b\u54bd\u764c\u76f8\u95dc\u7684\u75c7\u72c0\u5fc5\u9808\u7acb\u5373\u5c31\u91ab\uff0c\u63d0\u9ad8\u65e9\u671f\u8a3a\u65b7\u7684\u6a5f\u6703\u3002\u9f3b\u54bd\u764c\u5e38\u898b\u7684\u75c7\u72c0\u5982\u4e0b\uff1a<\/p>\n

    \n
  1. \u9838\u90e8\u816b\u584a\uff1a\u9f3b\u54bd\u90e8\u6709\u8c50\u5bcc\u7684\u6dcb\u5df4\u7ba1\u9053\uff0c\u764c\u7d30\u80de\u5f88\u5bb9\u6613\u7d93\u7531\u6dcb\u5df4\u8f49\u79fb\u5230\u9838\u90e8\u6dcb\u5df4\u7d50\u3002<\/li>\n
  2. \u9f3b\u6d95\u6216\u75f0\u5e36\u8840\u7d72\uff1a\u9f3b\u54bd\u816b\u7624\u8868\u9762\u6f70\u721b\u51fa\u8840\u5c0e\u81f4\u9f3b\u6d95\u6216\u75f0\u5e36\u8840\u7d72\u3002\u6709\u6642\u816b\u7624\u904e\u5927\uff0c\u4e5f\u6703\u9020\u6210\u9f3b\u585e\u3001\u81bf\u9f3b\u6d95\u3001\u60e1\u81ed\u5206\u6ccc\u7269\u7b49\u75c7\u72c0\u3002<\/li>\n
  3. \u8033\u90e8\u75c7\u72c0\uff1a\u7576\u9f3b\u54bd\u816b\u7624\u4fb5\u72af\u5230\u8033\u54bd\u7ba1\u6703\u9020\u6210\u5e73\u8861\u4e2d\u8033\u58d3\u529b\u7684\u529f\u80fd\u53d7\u640d\uff0c\u7522\u751f\u8033\u60b6\u3001\u4e2d\u8033\u7a4d\u6c34\u3001\u807d\u529b\u969c\u7919\u7684\u75c7\u72c0\u3002<\/li>\n
  4. \u982d\u75db\uff1a\u7576\u9f3b\u54bd\u816b\u7624\u4fb5\u72af\u5230\u9f3b\u7ac7\uff0c\u6216\u5f80\u4e0a\u4fb5\u72af\u5230\u8166\u819c\u6216\u9871\u8154\u6642\uff0c\u6703\u9020\u6210\u982d\u75db\u7684\u73fe\u8c61\u3002<\/li>\n<\/ol>\n

    \u7576\u6709\u4e0a\u8ff0\u75c7\u72c0\uff0c\u61f7\u7591\u7f79\u60a3\u9f3b\u54bd\u764c\u6642\uff0c\u5c31\u61c9\u5230\u8033\u9f3b\u5589\u79d1\u4f5c\u9f3b\u54bd\u90e8\u7684\u6aa2\u67e5\uff0c\u4e00\u822c\u4ee5\u9f3b\u54bd\u5167\u8996\u93e1\u7d93\u7531\u9f3b\u5b54\u4f86\u6aa2\u8996\u3002\u672c\u9662\u8033\u9f3b\u5589\u79d1\u4f7f\u7528\u9ad8\u89e3\u6790\u5ea6\u7684\u5167\u8996\u93e1\uff0c\u66f4\u7cbe\u6e96\u5730\u8a3a\u65b7\u816b\u7624\u75c5\u7076\uff0c\u63d0\u9ad8\u65e9\u671f\u8a3a\u65b7\u7684\u80fd\u529b(\u57161)\u3002\u82e5\u662f\u5167\u8996\u93e1\u767c\u73fe\u9f3b\u54bd\u90e8\u6709\u7591\u4f3c\u7684\u75c5\u7076\uff0c\u5247\u5b89\u6392\u9f3b\u54bd\u7684\u5207\u7247\u6aa2\u67e5\u4f86\u78ba\u7acb\u8a3a\u65b7\u3002\u81f3\u65bc\u816b\u7624\u7684\u671f\u5225\uff0c\u5247\u9808\u4f9d\u9760\u4e00\u7cfb\u5217\u7684\u6aa2\u67e5\u4f86\u5224\u65b7\uff0c\u5305\u62ec\u982d\u9838\u90e8\u78c1\u632f\u9020\u5f71\u3001\u80f8\u90e8X\u5149\u3001\u8179\u90e8\u8d85\u97f3\u6ce2\u6aa2\u67e5\u3001\u5168\u8eab\u9aa8\u982d\u6383\u63cf\uff0c\u5fc5\u8981\u6642\u9084\u9700\u8981\u6b63\u5b50\u651d\u5f71\u4f86\u5354\u52a9\u8a3a\u65b7\u3002 \u9f3b\u54bd\u764c\u7684\u6cbb\u7642\u53ca\u9810\u5f8c<\/span> \u00a0 \u00a0 \u00a0\u9f3b\u54bd\u764c\u7684\u6cbb\u7642\u662f\u4ee5\u653e\u5c04\u7dda\u7167\u5c04\u9f3b\u54bd\u90e8\u816b\u7624\u53ca\u96d9\u5074\u7684\u9838\u90e8\u6dcb\u5df4\u70ba\u4e3b\uff0c\u65e9\u671f\u53d7\u50b3\u7d71\u4e8c\u7dad\u653e\u5c04\u7dda\u6cbb\u7642\u6280\u8853\u9650\u5236\uff0c\u5f88\u96e3\u6709\u6548\u907f\u958b\u9130\u8fd1\u7684\u91cd\u8981\u7d44\u7e54\uff0c\u5982\u5927\u8166\u3001\u8166\u5e79\u3001\u553e\u6db2\u817a\u3001\u54ac\u5408\u808c\u3001\u9f3b\u7ac7\u3001\u4e2d\u8033\u53ca\u5167\u8033\uff0c\u56e0\u800c\u5728\u63a5\u53d7\u6cbb\u7642\u5f8c\u7d93\u5e38\u627f\u53d7\u8a31\u591a\u56b4\u91cd\u7684\u5f8c\u907a\u75c7\u3002\u4f46\u96a8\u8457\u653e\u5c04\u7dda\u6280\u8853\u7684\u5927\u5e45\u9032\u6b65\uff0c\u5305\u62ec\u5728\u4e8c\u5341\u5e74\u524d\u554f\u4e16\u7684\u5f37\u5ea6\u8abf\u63a7\u653e\u5c04\u7dda\u6cbb\u7642(intensity-modulated radiotherapy,IMRT)\u53ca\u672c\u96622008\u5e74\u5f15\u9032\u4e2d\u53f0\u7063\u9996\u4f8b\u7684\u87ba\u65cb\u5149\u5b50\u5200\u6cbb\u7642\u5100(tomotherapy)\uff0c\u7686\u53ef\u6709\u6548\u6e1b\u5c11\u816b\u7624\u9130\u8fd1\u6b63\u5e38\u7d44\u7e54\u88ab\u653e\u5c04\u7dda\u7167\u5c04\u5230\u7684\u5291\u91cf\u3002\u56e0\u800c\u73fe\u4eca\u5927\u591a\u6578\u75c5\u60a3\u5728\u63a5\u53d7\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u4e26\u7121\u660e\u986f\u7684\u5f8c\u907a\u75c7\uff0c\u901a\u5e38\u53ea\u6709\u8f15\u5fae\u7684\u53e3\u4e7e\u53ca\u9838\u90e8\u808c\u8089\u7e96\u7dad\u5316\u7684\u73fe\u8c61\u3002 \u00a0 \u00a0 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\u53d7\u570b\u969b\u80af\u5b9a\u7684\u6cbb\u7642\u54c1\u8cea<\/span> \u00a0 \u00a0 \u00a0\u5982\u4e0a\u6240\u8a00\uff0c\u672c\u9662\u9f3b\u54bd\u764c\u5718\u968a\u6301\u7e8c\u5f15\u9032\u6700\u65b0\u7684\u653e\u5c04\u7dda\u6cbb\u7642\u5100\u5668\uff0c\u5982\u5f37\u5ea6\u8abf\u63a7\u653e\u5c04\u7dda\u6cbb\u7642\u5100\u53ca\u87ba\u65cb\u5149\u5b50\u5200\u6cbb\u7642\u5100\uff0c\u4e0d\u50c5\u63d0\u5347\u6cbb\u7642\u6210\u6548\uff0c\u66f4\u53ef\u6709\u6548\u6e1b\u5c11\u653e\u5c04\u7dda\u6cbb\u7642\u800c\u7522\u751f\u7684\u5f8c\u907a\u75c7\uff0c\u5927\u5e45\u63d0\u5347\u75c5\u60a3\u6cbb\u7642\u5f8c\u7684\u751f\u6d3b\u54c1\u8cea\u3002\u4ee5\u653e\u5c04\u7dda\u5e38\u898b\u7684\u5f8c\u907a\u75c7\u4e4b\u4e00\u9f3b\u7ac7\u708e\u70ba\u4f8b\uff0c\u6211\u5011\u81ea2003\u5e74\u8d77\u9577\u671f\u8ffd\u8e64\u75c5\u60a3\u7684\u9f3b\u7ac7\u72c0\u6cc1\uff0c\u767c\u73fe\u5728\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\uff0c\u9664\u4e86\u524d\u5e7e\u500b\u6708\u5230\u4e00\u5e74\u7684\u6642\u9593\uff0c\u9f3b\u7ac7\u767c\u708e\u7684\u60c5\u5f62\u6709\u589e\u52a0\u7684\u73fe\u8c61\u5916\uff0c\u96a8\u8457\u6642\u9593\u5230\u6cbb\u7642\u5f8c\u4e94\u5e74\uff0c\u9f3b\u7ac7\u767c\u708e\u7684\u6a5f\u6703\u76f8\u8f03\u6cbb\u7642\u524d\u7121\u986f\u8457\u589e\u591a\u73fe\u8c61\u3002\u4e5f\u5c31\u662f\u8aaa\u4ee5\u6211\u5011\u5718\u968a\u6cbb\u7642\u9f3b\u54bd\u764c\u7684\u65b9\u5f0f\uff0c\u4e0d\u6703\u660e\u986f\u589e\u52a0\u75c5\u60a3\u7522\u751f\u9f3b\u7ac7\u5f8c\u907a\u75c7\u7684\u60c5\u5f62\u3002\u5c07\u6b64\u81e8\u5e8a\u6210\u679c\u6295\u7a3f\u5230\u570b\u969b\u8033\u9f3b\u5589\u79d1\u9818\u57df\u6700\u6b0a\u5a01\u7684\u982d\u9838\u816b\u7624\u96dc\u8a8cHead & Neck 2016\u5e741\u6708\u865f\uff0c\u4e26\u5448\u73fe\u7d50\u679c\u5728\u8a72\u671f\u7684\u96dc\u8a8c\u5c01\u9762\uff08\u57162\uff09\uff0c\u986f\u793a\u6211\u5011\u81e8\u5e8a\u53ca\u7814\u7a76\u7684\u6210\u679c\u53d7\u5230\u570b\u969b\u80af\u5b9a\u3002\u672a\u4f86\uff0c\u672c\u9662\u9f3b\u54bd\u764c\u5718\u968a\u6703\u6301\u7e8c\u52aa\u529b\uff0c\u9032\u4e00\u6b65\u6539\u5584\u665a\u671f\u9f3b\u54bd\u764c\u75c5\u60a3\u7684\u6cbb\u7642\u6210\u679c\uff0c\u4ee5\u6301\u7e8c\u63d0\u5347\u75c5\u60a3\u6cbb\u7642\u5f8c\u7684\u751f\u6d3b\u54c1\u8cea\u3002 \u57161\uff1a\u9ad8\u89e3\u6790\u5ea6\u5167\u8996\u93e1\u6e05\u695a\u986f\u793a\u5728\u9f3b\u54bd\u8154\u7684\u5de6\u5074\u6709\u4e00\u816b\u7624\u75c5\u7076\uff0c\u7d93\u5207\u7247\u8b49\u5be6\u70ba\u9f3b\u54bd\u764c\u3002 \"\"<\/a> \u57162\uff1a\u672c\u9662\u9f3b\u54bd\u764c\u5718\u968a\u7684\u7814\u7a76\u6210\u679c\uff0c\u520a\u767b\u57282016\u5e741\u6708\u7684Head & Neck\u96dc\u8a8c\u53ca\u8a72\u671f\u5c01\u9762\u3002 \"\"<\/a> \u53c3\u8003\u8cc7\u6599\uff1a<\/p>\n

      \n
    1. Hsin CH, Chen TH, Young YH, et al. Comparison of otologic complications between intensity-modulated and two-dimensional radiotherapies in nasopharyngeal carcinoma patients. Otolaryngol Head Neck Surg 2010;143: 662-8.<\/li>\n
    2. Hsin CH, Tseng HC, Lin HP, et al. Sinus mucosa status in patients with nasopharyngeal carcinoma treated with intensity-modulated radiotherapy: A 5-year follow-up. Head Neck. 2016;38:29-35.<\/li>\n<\/ol>\n

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