{"id":37,"date":"2013-03-08T15:05:48","date_gmt":"2013-03-08T07:05:48","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/csh_sim\/?page_id=37"},"modified":"2013-03-08T15:05:48","modified_gmt":"2013-03-08T07:05:48","slug":"%e7%99%8c%e7%97%87%e6%b2%bb%e7%96%97","status":"publish","type":"page","link":"https:\/\/web.csh.org.tw\/web\/csh_sim\/?page_id=37","title":{"rendered":"\u764c\u75c7\u6cbb\u7597"},"content":{"rendered":"\n\n\n\n\n
\u79d1\u522b<\/td>\n\u5934\u9888\u764c\u8054\u5408\u56e2\u961f<\/td>\n<\/tr>\n
\u7279\u8272\u9879\u76ee<\/td>\n(1)\u00a0\u00a0\u00a0 \u7531\u53e3\u8154\u764c\u53ca\u9f3b\u54bd\u764c\u56e2\u961f\u5171\u540c\u7ec4\u6210\u8054\u5408\u56e2\u961f\u3002<\/p>\n

(2)\u00a0\u00a0\u00a0 \u56e2\u961f\u7279\u8272\uff1a<\/p>\n

    \n
  1. \u672c\u56e2\u961f\u96c6\u5408\u8033\u9f3b\u5589\u79d1\u3001\u53e3\u8154\u989a\u9762\u5916\u79d1\u3001\u80bf\u7624\u5185\u79d1\u4e0e\u653e\u5c04\u80bf\u7624\u79d1\u5171\u540c\u6bcf\u5468\u53ec\u5f00\u7684\u591a\u4e13\u79d1\u56e2\u961f\u4f1a\u8bae\uff0c\u5e76\u5c06\u5c06\u75c5\u7406\u79d1\u3001\u5f71\u50cf\u533b\u5b66\u79d1\u7eb3\u5165\u6838\u5fc3\u6210\u5458\uff1b\u8425\u517b\u79d1\u3001\u6838\u5b50\u533b\u5b66\u79d1\u4e0e\u6574\u5f62\u5916\u79d1\u7eb3\u4e3a\u975e\u6838\u5fc3\u6210\u5458\u3002<\/li>\n
  2. \u6709\u522b\u4e8e\u5176\u4ed6\u533b\u9662\u7259\u79d1\u4e0e\u8033\u9f3b\u5589\u79d1\u5206\u5f00\u4f5c\u4e1a\uff0c\u672c\u9662\u53e3\u8154\u989a\u9762\u5916\u79d1\u4e0e\u8033\u9f3b\u5589\u79d1\u76f8\u4e92\u914d\u5408\uff0c\u5171\u540c\u4e3a\u672c\u9662\u53e3\u8154\u764c\u3001\u9f3b\u54bd\u764c\u3001\u4e0b\u54bd\u764c\u4e0e\u5176\u4ed6\u5934\u9888\u90e8\u764c\u75c7\u9f50\u529b\u8bca\u7597\uff0c\u5b9e\u4e3a\u672c\u9662\u4e00\u5927\u7279\u8272\u3002<\/li>\n
  3. \u672c\u9662\u653e\u5c04\u80bf\u7624\u79d12008\u5e74\u66f4\u4e3a\u4e2d\u90e8\u5730\u533a\u9996\u4f8b\u5f15\u8fdb\u87ba\u65cb\u5149\u5b50\u5200\u6cbb\u7597\u4eea\uff0c\u4e3a\u53e3\u8154\u764c\u53ca\u5176\u4ed6\u764c\u75c7\u8c0b\u798f\u5229\u3002<\/li>\n
  4. \u4e13\u7cbe\u53e3\u8154\u764c\u9ec4\u88d5\u5cf0\u533b\u5e08<\/strong>\u9886\u519b\u6267\u884c\u53e3\u8154\u764c\u7684Foscan \u5149\u52a8\u529b\u6cbb\u7597\u3002<\/li>\n
  5. \u672a\u6765\u66f4\u671f\u8bb8\u5934\u9888\u764c\u56e2\u961f\u80fd\u8d4b\u4e88\u66f4\u91cd\u8981\u7684\u4efb\u52a1\uff0c\u9664\u4e86\u63d0\u4f9b\u5b8c\u5584\u7684\u6574\u5408\u533b\u7597\uff0c\u66f4\u53ef\u4ee5\u7814\u7a76\u53d1\u8868\u672c\u9662\u4f18\u79c0\u7684\u6cbb\u7597\u72b6\u51b5\uff0c\u5e76\u9010\u5e74\u63d0\u9ad8\u53e3\u8154\u764c\u75c5\u60a3\u7684\u5b58\u6d3b\u7387\u3002<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n
\u56e2\u961f\u4eba\u5458<\/td>\n\n
    \n
  1. \u6838\u5fc3\u79d1\u522b\u5305\u542b\u53e3\u8154\u989a\u9762\u5916\u79d1\u3001\u8033\u9f3b\u5589\u79d1\u3001\u80bf\u7624\u5185\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u533b\u5b66\u5f71\u50cf\u79d1\u3001\u75c5\u7406\u79d1\u6210\u5458\u517131\u540d\u3002<\/li>\n
  2. \u6559\u6388\uff1a2\u540d\/\u526f\u6559\u6388\uff1a6\u540d\/\u52a9\u7406\u6559\u6388\uff1a3\u540d\/\u8bb2\u5e08\uff1a2\u540d\u3002<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n\n\n\n\n\n
    \u79d1\u522b<\/td>\n\u4e73\u764c\u56e2\u961f<\/td>\n<\/tr>\n
    \u7279\u8272\u9879\u76ee<\/td>\n(1)\u00a0\u00a0\u00a0 \u6838\u5fc3\u79d1\u522b\u5305\u542b\u4e73\u623f\u5916\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u80bf\u7624\u5185\u79d1\u3001\u533b\u5b66\u5f71\u50cf\u79d1\u3001\u75c5\u7406\u79d1\u3002<\/p>\n

    (2)\u00a0\u00a0\u00a0 \u56e2\u961f\u7279\u8272\uff1a<\/p>\n

      \n
    1. \u8be5\u56e2\u961f\u5b9a\u671f\u4e3e\u884c\u75c5\u4f8b\u8ba8\u8bba\u4f1a\uff0c\u8fbe\u5230\u4e73\u764c\u8bca\u65ad\u53ca\u6cbb\u7597\u7684\u5171\u8bc6\uff0c\u52a0\u4e0a\u4e2a\u6848\u7ba1\u7406\u5e08\u63d0\u4f9b\u75c5\u4eba\u7684\u6574\u4f53\u6027\u3001\u8fde\u7eed\u6027\u7684\u7167\u62a4\uff0c\u5b9a\u671f\u7684\u8ffd\u8e2a\u53ca\u54a8\u8be2\uff0c\u800c\u63d0\u5347\u4e73\u764c\u8bca\u7597\u4e0e\u7167\u62a4\u8d28\u91cf\u3002<\/li>\n
    2. \u672c\u9662\u81ea2007\u5e7412\u6708\u5f00\u59cb\uff0c\u4e73\u623f\u6444\u5f71\u5168\u9762\u6570\u5b57\u5316\uff0c\u4e73\u623f\u6444\u5f71\u68c0\u67e5 (Mammography)\u53ca\u4e73\u623f\u8d85\u97f3\u6ce2\u68c0\u67e5(Breast Sonography)\u5f71\u50cf\u66f4\u52a0\u6e05\u6670\u6613\u5224\u8bfb\uff0c\u66f4\u5bb9\u6613\u53d1\u73b0\u96f6\u671f\u53ca\u4e00\u671f\u7684\u4e73\u764c\u75c5\u4eba\u3002\u53e6\u5916\u4e73\u623f\u6838\u78c1\u5171\u632f(MRI)\u7684\u5f15\u7528\uff0c\u4e5f\u5bf9\u4e00\u4e9b\u66fe\u505a\u8fc7\u624b\u672f\u6216\u88c5\u8fc7\u4e49\u4e73\u7684\u75c5\u60a3\u6709\u66f4\u7cbe\u786e\u7684\u8bca\u65ad\u3002<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n
    \u56e2\u961f\u4eba\u5458<\/td>\n(1)\u00a0\u00a0\u00a0 \u533b\u7597\u6838\u5fc3\u79d1\u522b\u5305\u542b\u4e73\u623f\u5916\u79d1\u3001\u80bf\u7624\u5185\u79d1\u3001\u8840\u6db2\u80bf\u7624\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u533b\u5b66\u5f71\u50cf\u79d1\u3001\u590d\u5065\u79d1\u3002<\/p>\n

    (2)\u00a0\u00a0\u00a0 \u6559\u5b66\u5e08\u8d44\u5305\u542b\uff1a\u526f\u6559\u6388 \uff1a1\u540d\u3001\u52a9\u7406\u6559\u6388 \uff1a1\u540d\u3001\u8bb2\u5e083\u540d\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n\n\n\n\n\n
    \u79d1\u522b<\/td>\n\u5987\u764c\u8054\u5408\u56e2\u961f\uff08\u5b50\u5bab\u9888\u764c\u3001\u5375\u5de2\u764c\u3001\u5b50\u5bab\u5185\u819c\u764c\u3001\u5176\u4ed6\u5987\u5973\u80bf\u7624\uff09<\/td>\n<\/tr>\n
    \u7279\u8272\u9879\u76ee<\/td>\n(1)\u00a0\u00a0\u00a0 \u7531\u5987\u4ea7\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u8840\u6db2\u80bf\u7624\u79d1\u3001\u75c5\u7406\u79d1\u3001\u5f71\u50cf\u533b\u5b66\u79d1\u3001\u548c\u5b89\u5b81\u7597\u62a4\u7167\u987e\u56e2\u961f\u5171\u540c\u7ec4\u6210\u8054\u5408\u56e2\u961f\u3002<\/p>\n

    (2)\u00a0\u00a0\u00a0 \u56e2\u961f\u7279\u8272\uff1a<\/p>\n

      \n
    1. \u672c\u56e2\u961f\u96c6\u5408\u5987\u4ea7\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u8840\u6db2\u80bf\u7624\u79d1\u3001\u75c5\u7406\u79d1\u3001\u5f71\u50cf\u533b\u5b66\u79d1\u3001\u548c\u5b89\u5b81\u7597\u62a4\u7167\u987e\u56e2\u961f\u5171\u540c\u6bcf\u5468\u53ec\u5f00\u7684\u591a\u4e13\u79d1\u56e2\u961f\u4f1a\u8bae\u3002<\/li>\n
    2. \u6709\u522b\u4e8e\u5176\u4ed6\u533b\u9662\u5404\u4e2a\u4e3b\u6cbb\u533b\u5e08\u5206\u5f00\u4f5c\u4e1a\uff0c\u672c\u9662\u63d0\u4f9b\u5168\u4eba\u591a\u65b9\u4f4d\u7684\u7167\u987e\uff0c\u7531\u5404\u79d1\u4e13\u5bb6\u5171\u540c\u4f1a\u8bca\uff0c\u5546\u8ba8\u5bf9\u60a3\u8005\u6700\u597d\u7684\u6cbb\u7597\u65b9\u5f0f\u3002<\/li>\n
    3. \u843d\u5b9e\u56fd\u5bb6\u653f\u7b56\uff0c\u914d\u5408\u529e\u7406\u764c\u75c7\u767b\u8bb0\uff0c\u5e76\u5bf9\u764c\u75c7\u60a3\u8005\u5b9a\u671f\u8ffd\u8e2a\uff0c\u63d0\u4f9b\u793e\u670d\u4ee5\u53ca\u6700\u65b0\u7684\u68c0\u67e5\u62a5\u544a\u54a8\u8be2\u3002<\/li>\n
    4. \u914d\u5408\u56fd\u5065\u5c40\u764c\u75c7\u7b5b\u68c0\u8bca\u7597\u670d\u52a1\u8ba1\u5212\uff0c\u63a8\u52a8\u9662\u5185\u5916\u5b50\u5bab\u9888\u764c\u7b5b\u68c0\u6d3b\u52a8\uff0c\u9488\u5bf930\u5c81\u4ee5\u4e0a\u6709\u8fc7\u6027\u884c\u4e3a\u7684\u5987\u5973\u6c11\u4f17\u6267\u884c\u514d\u8d39\u5b50\u5bab\u9888\u62b9\u7247\u7b5b\u68c0\uff0c\u8fdb\u4e00\u6b65\u7b5b\u68c0\u53d1\u73b0\u65e9\u671f\u764c\u524d\u75c5\u53d8\u4e2a\u6848\uff0c\u964d\u4f4e\u4fb5\u88ad\u6027\u5b50\u5bab\u9888\u764c\u53d1\u751f\u7387\u3002<\/li>\n<\/ol>\n<\/td>\n<\/tr>\n
    \u56e2\u961f\u4eba\u5458<\/td>\n\n\n\n\n\n
    \u5987\u4ea7\u90e8\u5987\u764c\u79d1<\/td>\n\u66fe\u5fd7\u4ec1\/\u9648\u8fdb\u5178\/\u738b\u535a\u8f89\/\u6797\u9686\u5c27\/\u90d1\u4e49\u94dc\/\u6c88\u714c\u5f6c \u533b\u5e08<\/td>\n<\/tr>\n
    \u5987\u4ea7\u90e8\u603b\u533b\u5e08<\/p>\n

    \u4e13\u79d1\u62a4\u7406\u5e08<\/p>\n

    \u533b\u5b66\u5f71\u50cf\u90e8<\/p>\n

    \u80bf\u7624\u5185\u79d1<\/p>\n

    \u75c5\u7406\u79d1<\/p>\n

    \u653e\u5c04\u80bf\u7624\u79d1<\/p>\n

    \u764c\u75c7\u9632\u6cbb\u4e2d\u5fc3<\/p>\n

    \u5b50\u5bab\u9888\u62b9\u7247\u54a8\u8be2\u5ba4<\/td>\n

    		\u6768\u57fa\u6b63\/\u674e\u5609\u96ef \u533b\u5e08<\/p>\n

    \u8bb8\u60e0\u96ef\/\u9648\u7fbf\u5112 \u62a4\u7406\u5e08<\/p>\n

    \u9ec4\u99a8\u6167 \u533b\u5e08<\/p>\n

    \u9ec4\u4f1f\u4fe2 \u533b\u5e08<\/p>\n

    \u97e9\u5fd7\u5e73\/\u8d56\u94ed\u6dd9 \u533b\u5e08<\/p>\n

    \u5468\u82f1\u9999 \u533b\u5e08<\/p>\n

    \u5f20\u6653\u541b \u4e2a\u6848\u7ba1\u7406\u5e08<\/p>\n

    \u9ec4\u654f\u83c1 \u62a4\u7406\u5e08<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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

     <\/p>\n\n\n\n\n\n
    \u79d1\u522b<\/td>\n\u5927\u80a0\u76f4\u80a0\u764c\u591a\u4e13\u79d1\u56e2\u961f<\/td>\n<\/tr>\n
    \u7279\u8272\u9879\u76ee<\/td>\n(1)\u00a0\u00a0\u00a0 \u533b\u7597\u56e2\u961f\u4f9d\u636e\u7f8e\u56fdNational Comprehensive Cancer Network (NCCN)\u7684\u6cbb\u7597\u6307\u5f15\uff0c\u5236\u8ba2\u672c\u9662\u4e4b\u6cbb\u7597\u5171\u8bc6\uff0c\u5e76\u5b9a\u671f\u6bcf2\u5468\u4e3e\u884c\u591a\u4e13\u79d1\u6574\u5408\u533b\u7597\u56e2\u961f\u4f1a\u8bae\uff0c\u4e14\u9080\u8bf7\u5404\u65b9\u4e13\u5bb6\uff0c\u4e0d\u5b9a\u671f\u4e3e\u529e\u5927\u578b\u7814\u8ba8\u4f1a\uff0c\u8ba8\u8bba\u764c\u75c7\u76f8\u5173\u6cbb\u7597\uff0c\u671f\u80fd\u8fdb\u4e00\u6b65\u63d0\u5347\u672c\u9662\u5927\u80a0\u76f4\u80a0\u764c\u60a3\u8005\u4e4b\u533b\u7597\u8d28\u91cf\u3002<\/p>\n

    (2)\u00a0\u00a0\u00a0 \u672c\u9662\u8179\u8154\u955c\u624b\u672f (Laparoscopic colectomy)\u662f\u533b\u5e08\u5229\u7528\u4e00\u79cd\u4f7f\u7528\u9644\u6709\u7167\u76f8\u955c\u5934\u3001\u7535\u89c6\u5c4f\u5e55\u3001\u5149\u6e90\u53ca\u7279\u6b8a\u7684\u624b\u672f\u5668\u68b0\u6240\u65bd\u884c\u4e4b\u624b\u672f\u3002<\/p>\n

    (3)\u00a0\u00a0\u00a0 \u76f8\u8f83\u4f20\u7edf\u5f00\u8179\u624b\u672f\u4f18\u70b9\u5982\u51fa\u8840\u91cf\u8f83\u5c11\uff0c\u4f24\u53e3\u8f83\u5c0f\uff0c\u672f\u540e\u75bc\u75db\u8f83\u8f7b\uff0c\u672f\u540e\u6062\u590d\u65f6\u95f4\u8f83\u77ed\uff0c\u53ef\u964d\u4f4e\u624b\u672f\u9020\u6210\u7684\u5408\u5e76\u75c7\u3002<\/p>\n

    (4)\u00a0\u00a0\u00a0 \u540e\u7eed\u8f85\u52a9\u6027\u5316\u7597\u53ca\u5408\u5e76\u6807\u9776\u6cbb\u7597\uff0c\u672c\u9662\u75c5\u7406\u79d1\u4eea\u5668\u8bbe\u5907\u53ef\u63d0\u4f9b\u764c\u75c7\u57fa\u56e0\u68c0\u6d4b- KRAS gene mutation\uff0c\u4ee5\u63d0\u4f9b\u75c5\u60a3\u4e2a\u4eba\u5ba2\u5236\u5316\u7684\u6807\u9776\u6cbb\u7597\u3002<\/td>\n<\/tr>\n

    \u56e2\u961f\u4eba\u5458<\/td>\n(1)\u00a0\u00a0\u00a0 \u533b\u7597\u6838\u5fc3\u79d1\u522b\u5305\u542b\u5927\u80a0\u76f4\u80a0\u5916\u79d1\u3001\u809d\u80c6\u80a0\u80c3\u5185\u79d1\u3001\u80bf\u7624\u5185\u79d1\u3001\u8840\u6db2\u80bf\u7624\u79d1\u3001\u653e\u5c04\u80bf\u7624\u79d1\u3001\u533b\u5b66\u5f71\u50cf\u79d1\u3002<\/p>\n

    (2)\u00a0\u00a0\u00a0 \u6559\u5b66\u5e08\u8d44\u5305\u542b\u6559\u6388\uff1a1\u540d\u3001\u526f\u6559\u6388\uff1a2\u540d\u3001\u52a9\u7406\u6559\u6388\uff1a2\u540d\u3001\u8bb2\u5e08\uff1a 2\u540d\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

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