{"id":768,"date":"2020-02-22T11:21:40","date_gmt":"2020-02-22T03:21:40","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=768"},"modified":"2020-09-22T15:56:53","modified_gmt":"2020-09-22T07:56:53","slug":"%e5%85%a8%e6%96%b9%e4%bd%8d%e5%a4%9a%e9%9d%a2%e5%90%91%e7%97%98%e7%96%a4%e6%b2%bb%e7%99%82","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=768","title":{"rendered":"\u5168\u65b9\u4f4d\u591a\u9762\u5411\u75d8\u75a4\u6cbb\u7642"},"content":{"rendered":"\n

\u75a4\u4e0d\u5f97\u4f60 \u9752\u6625\u75d8\u75a4<\/strong><\/h2>\n\n\n\n

\u6587\/\u76ae\u819a\u79d1 \u912d\u4eba\u6995<\/strong> \u4e3b\u6cbb\u91ab\u5e2b<\/p>\n\n\n\n

\u9752\u5c11\u5e74\u8fd190%\u90fd\u6709\u9752\u6625\u75d8(\u75e4\u7621)\u56f0\u64fe\uff0c\u5176\u4e2d15-20%\u70ba\u4e2d\u91cd\u5ea6\uff0c\u5f8c\u7e8c\u7522\u751f\u7684\u300c\u51f9\u3001\u51f8\u3001\u7d05\u3001\u9ed1\u300d\u5404\u5f0f\u75d8\u75a4\u66f4\u662f\u60f1\u4eba\uff0c\u4f7f\u5c11\u7537\u5c11\u5973\u8eab\u5fc3\u9748\u5de8\u5927\u7684\u5f71\u97ff\uff0c\u63a5\u4e0b\u4f86\u7531\u912d\u91ab\u5e2b\u7d30\u7d30\u8aaa\u660e\u6297\u75d8\u6cbb\u75a4\u7684\u5b8c\u5168\u653b\u7565\u5427\uff01<\/p>\n\n\n\n

\u80fd\u4e0d\u7559\u75d8\u75a4\uff1f\u300c\u9810\u9632\u7d55\u5c0d\u52dd\u65bc\u6cbb\u7642\u300d<\/strong><\/p>\n\n\n\n

\u8001\u8a71\u4e00\u53e5\uff0c\u9762\u5c0d\u75d8\u75d8\u554f\u984c\u8207\u75d8\u75a4\u5a01\u8105\u6642\uff0c\u300c\u9810\u9632\u52dd\u65bc\u6cbb\u7642\u3001\u9810\u9632\u52dd\u65bc\u6cbb\u7642\u3001\u9810\u9632\u52dd\u65bc\u6cbb\u7642\u300d<\/strong>\u5f88\u91cd\u8981\u6240\u4ee5\u8b1b\u4e09\u904d\uff01\u7576\u75d8\u75d8\u7522\u751f\u6642\uff0c\u6700\u597d\u7684\u9810\u9632\u75d8\u75a4\u65b9\u5f0f\uff0c\u5c31\u662f\u5148\u7d66\u76ae\u819a\u79d1\u91ab\u5e2b\u5b8c\u6574\u8a55\u4f30\uff0c\u7d66\u4e88\u9069\u7576\u6cbb\u7642\u65b9\u5f0f\uff0c\u624d\u80fd\u907f\u514d\u7d05\u816b\u75d8\u75d8\u9577\u5b8c\u5f8c\uff0c\u9084\u7559\u4e0b\u4e00\u500b\u75d8\u75a4\u7576\u300c\u6700\u4e0d\u60f3\u8981\u7684\u7d00\u5ff5\u54c1\u300d\u3002<\/p>\n\n\n\n

\u5224\u65b7\u75d8\u75a4\u578b\u614b <\/strong>\u77e5\u5df1\u77e5\u5f7c\u3001\u767e\u6230\u767e\u52dd<\/strong><\/p>\n\n\n\n

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\"\"
\u5716\u4e00<\/figcaption><\/figure>\n\n\n\n

\u65e2\u7136\u4e0d\u540c\u578b\u614b\u7684\u75d8\u75a4\u53ef\u80fd\u540c\u6642\u51fa\u73fe\uff0c\u56e0\u6b64\u300e\u5168\u65b9\u4f4d\u591a\u9762\u5411\u75d8\u75a4\u6cbb\u7642\u300f<\/strong>\u5c07\u662f\u6700\u597d\u7684\u8655\u7406\u65b9\u5f0f\uff0c\u53ef\u8aaa\u662f\u96de\u5c3e\u9152\u5f0f\u7684\u75d8\u75a4\u8655\u7406\u65b9\u5f0f\u3002\u4e0b\u9762\u5c31\u4f86\u4e00\u4e00\u4ecb\u7d39\u4e0d\u540c\u75a4\u75d5\u8655\u7406\u7684\u65b9\u5f0f\u5427\u3002<\/p>\n\n\n\n

A. <\/strong>\u51f9\u75d8\u75a4(<\/strong>\u6700\u5e38\u898b):<\/strong><\/p>\n\n\n\n

\u76ae\u819a\u79d1\u91ab\u5e2b\u516c\u8a8d\u6700\u68d8\u624b\u7684\u75d8\u75a4\u5c31\u662f\u5b83\uff01\u56e0\u70ba\u75d8\u75d8\u56b4\u91cd\u767c\u708e\u8655\u7406\u4e0d\u7576\uff08\u5f92\u624b\u64e0\u75d8\u3001\u7121\u5373\u6642\u6cbb\u7642\u8655\u7406\uff09\uff0c\u50b7\u53ca\u771f\u76ae\u7684\u81a0\u539f\u86cb\u767d\u592a\u56b4\u91cd\uff0c\u800c\u4f7f\u5f97\u76ae\u819a\u584c\u9677\u7559\u4e0b\u51f9\u75d5\u3002<\/p>\n\n\n\n

\u51f9\u75a4\u53c8\u53ef\u4f9d\u7167\u5916\u89c0\u5206\u70ba\uff1a\u6efe\u52d5\u578b\uff08rolling\uff09\u3001\u8eca\u5ec2\u578b\uff08boxcar\uff09\u3001\u51b0\u947f\u578b\uff08icepick\uff09\u4e09\u7a2e[\u5716\u4e8c\u3001\u5716\u4e09]\u3002<\/p>\n\n\n\n

\"\"
\u5716\u4e8c<\/figcaption><\/figure>\n\n\n\n
\"\"
\u5716\u4e09<\/figcaption><\/figure>\n\n\n\n

\u6cbb\u7642\u65b9\u5f0f<\/strong>:\u96f7\u5c04(\u6c7d\u5316\u578b\u53ca\u975e\u6c7d\u5316\u578b\u5206\u6bb5\u5f0f\u96f7\u5c04-\u4fd7\u7a31\u98db\u68ad\u96f7\u5c04\u3001\u76ae\u79d2\u96f7\u5c04)\u3001\u96fb\u6ce2\u3001\u5fae\u91dd\u3001\u5c40\u90e8\u5316\u5b78\u63db\u819a(CROSS technique)\u3001\u76ae\u4e0b\u5207\u5272\u91cd\u5efa\u6cd5(subcision)\u3001W\u578b\u5207\u9664\u6216\u662f\u914d\u5408\u6ce8\u5c04\u586b\u88dc(\u5982\u73bb\u5c3f\u9178\u3001\u8212\u984f\u8403)\u2026\u7b49\u8907\u5408\u5f0f\u7642\u7a0b\u4f86\u6cbb\u7642\uff0c\u6b64\u5916\u51f9\u75a4\u6cbb\u7642\u662f\u500b\u7834\u58de\u91cd\u5efa\u518d\u4fee\u5fa9\u7684\u904e\u7a0b\uff0c\u4e0d\u540c\u7684\u51f9\u75a4\u9700\u642d\u914d\u4e0d\u540c\u7684\u8655\u7406\u65b9\u5f0f\uff0c\u5e38\u9700\u8981\u591a\u6b21\u8655\u7406\u7684\u4e92\u76f8\u642d\u914d\uff0c\u624d\u80fd\u9054\u5230\u8f03\u597d\u7684\u6548\u679c\u3002<\/p>\n\n\n\n

\u8209\u4f8b\uff1a\u6efe\u52d5\u578b\u75d8\u75a4<\/strong>\u662f\u771f\u76ae\u4e0b\u9762\u6709\u7e96\u7dad\u675f\u5b58\u5728\uff0c\u6301\u7e8c\u5f80\u4e0b\u62c9\u626f\u8207\u4e0b\u65b9\u8102\u80aa\u5c64\u6216\u7b4b\u819c\u76f8\u9023\uff0c\u6b64\u985e\u51f9\u75a4\u53ef\u5229\u7528\u76ae\u4e0b\u5207\u5272\u91cd\u5efa\u6cd5\uff0c\u5c07\u771f\u76ae\u5c64\u7684\u7e96\u7dad\u675f\u5272\u65b7\uff0c\u4ee5\u9054\u5230\u64ab\u5e73\u7684\u6548\u679c[\u5716\u56db]\u3002<\/p>\n\n\n\n

\"\"
\ufe5d\u5716\u56db\ufe5e\u5de6\uff1a\u6cbb\u7642\u524d\u3002\u53f3\uff1a\u4e0b\u5207\u5272\u91cd\u5efa\u6cd5\u6cbb\u7642\u51f9\u75a4\u5f8c(\u525b\u6cbb\u7642\u5b8c\u6703\u6709\u9ede\u7600\u9752)<\/figcaption><\/figure>\n\n\n\n

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\"\"
[\u5716\u4e94]\u5de6\uff1a\u6cbb\u7642\u4e2d\u3002\u4e2d\uff1a\u6cbb\u7642\u524d\u3002\u53f3\uff1a\u6cbb\u7642\u5f8c3\u500b\u6708<\/figcaption><\/figure>\n\n\n\n

B. <\/strong>\u51f8\u75d8\u75a4<\/strong><\/p>\n\n\n\n

\u51f8\u75a4\u6e90\u65bc\u76ae\u819a\u7684\u7e96\u7dad\u6bcd\u7d30\u80de\u904e\u5ea6\u6d3b\u8e8d\uff0c\u5c0e\u81f4\u81a0\u539f\u86cb\u767d\u4e0d\u6b63\u5e38\u589e\u751f\uff0c\u800c\u5f62\u6210\u5411\u4e0a\u51f8\u8d77\u7684\u300c\u80a5\u539a\u6027\u75a4\u75d5\u300d<\/strong>\u6216\u300c\u87f9\u8db3\u816b\u300d<\/strong>\u3002<\/p>\n\n\n\n

\u6cbb\u7642\u65b9\u5f0f<\/strong>:\u5229\u7528\u5c40\u90e8\u6ce8\u5c04\u985e\u56fa\u9187\u6cbb\u7642\u3001\u51b7\u51cd\u6cbb\u7642\u3001\u6216\u8207\u67d3\u6599\u96f7\u5c04\u642d\u914d\uff0c\u4e26\u914d\u548c\u4f7f\u7528\u53bb\u75a4\u85e5\u818f\uff0c\u5f9e\u7834\u58de\u75a4\u75d5\u90e8\u4f4d\u76ae\u819a\u7684\u5fae\u5faa\u74b0\uff0c\u6709\u6548\u6539\u5584\u51f8\u75a4\u7522\u751f\u3002\u9ad4\u8cea\u5bb9\u6613\u7522\u751f\u51f8\u75a4\u7684\u4eba\uff0c\u5efa\u8b70\u6108\u65e9\u6cbb\u7642\u6548\u679c\u6108\u597d\u3002<\/p>\n\n\n\n

C. <\/strong>\u7d05\u75d8\u75a4<\/strong><\/p>\n\n\n\n

\u662f\u56e0\u75d8\u75d8\u767c\u708e\u904e\u7a0b\u5f15\u767c\u7684\u8840\u7ba1\u64f4\u5f35\u3001\u589e\u751f\u800c\u7522\u751f\uff0c\u5c11\u90e8\u5206\u4eba\u96a8\u6642\u9593\u6703\u6539\u5584\u4e00\u4e9b\uff0c\u5176\u9918\u5247\u5efa\u8b70\u53ef\u7a4d\u6975\u6cbb\u7642\u3002<\/p>\n\n\n\n

\u6cbb\u7642\u65b9\u5f0f<\/strong>:\u53ef\u5229\u7528\u8108\u885d\u5149\u6216\u67d3\u6599\u96f7\u5c04\uff0c\u5c11\u90e8\u5206\u7814\u7a76\u4e5f\u53ef\u4f7f\u7528\u975e\u6c7d\u5316\u578b\u5206\u6bb5\u5f0f\u96f7\u5c04\uff0c\u4e26\u642d\u914d\u4f7f\u7528\u53bb\u75a4\u85e5\u818f[\u5716\u516d]\u3002<\/p>\n\n\n\n

\"\"
[\u5716\u516d] \u5de6\uff1a\u67d3\u6599\u96f7\u5c04\u6cbb\u7642\u524d\u3002\u53f3\uff1a\u5169\u6b21\u67d3\u6599\u96f7\u5c04\u6cbb\u7642\u5f8c<\/figcaption><\/figure>\n\n\n\n

D. <\/strong>\u9ed1\u75d8\u75a4<\/strong><\/p>\n\n\n\n

\u6700\u5f8c\u9ed1\u75d8\u75a4\u662f\u56e0\u75d8\u75d8\u767c\u708e\u904e\u7a0b\u5f15\u767c\u7684\u8272\u7d20\u6c89\u6fb1\uff0c\u5982\u679c\u767c\u708e\u904e\u7a0b\u4e2d\u53c8\u53d7\u5230\u904e\u591a\u7684\u7d2b\u5916\u7dda\u523a\u6fc0\u5247\u8272\u75a4\u6703\u66f4\u52a0\u660e\u986f\uff0c\u6240\u4ee5\u5efa\u8b70\u9577\u75d8\u75d8\u7684\u904e\u7a0b\u4e2d\u8981\u9069\u7576\u9632\u66ec\uff0c\u907f\u514d\u8272\u7d20\u6c89\u6fb1\u3002\u6025\u6027\u671f\u6700\u597d\u9078\u64c7\u4ee5\u906e\u853d\u9632\u66ec\u70ba\u4e3b(\u6490\u5098\u3001\u6234\u5e3d\u5b50)\uff0c\u66ab\u6642\u4e0d\u64e6\u9632\u66ec\uff0c\u4ee5\u514d\u7522\u751f\u66f4\u591a\u7684\u523a\u6fc0\u4f7f\u5f97\u767c\u708e\u66f4\u56b4\u91cd\uff0c\u5f85\u75d8\u75d8\u7de9\u89e3\u767c\u708e\u6e1b\u8f15\u6642\u518d\u6539\u4ee5\u64e6\u7684\u9632\u66ec\u3002<\/p>\n\n\n\n

\u6cbb\u7642\u65b9\u5f0f<\/strong>:\u75d8\u75d8\u6025\u6027\u671f\u7684\u85e5\u7269\u5982\u5916\u7528A\u9178\u3001\u675c\u9d51\u82b1\u9178\u7b49\u85e5\u818f\uff0c\u5176\u5be6\u5c31\u6709\u6291\u5236\u9ed1\u8272\u7d20\u751f\u6210\u7684\u529f\u80fd\uff0c\u7576\u75d8\u75d8\u7de9\u89e3\u6642\u6240\u7559\u4e0b\u7684\u9ed1\u75d8\u75a4(\u8272\u7d20\u6c89\u6fb1)\u5247\u53ef\u7531\u5916\u7528\u7dad\u4ed6\u547dC\u5c0e\u5165\u3001\u679c\u9178\u63db\u819a\u3001\u7f8e\u767d\u85e5\u818f(\u5982\u5c0d\u82ef\u4e8c\u915a\u85e5\u818f)\uff0c\u53e6\u5916\u4e5f\u53ef\u53e3\u670d\u50b3\u660e\u9178\uff0c\u6700\u5f8c\u642d\u914d\u96f7\u5c04\u6cbb\u7642(\u6de8\u819a\u96f7\u5c04\u3001\u76ae\u79d2\u96f7\u5c04\u2026\u7b49)\uff0c\u9019\u4e9b\u90fd\u53ef\u4ee5\u52a0\u901f\u9664\u8272\u75a4\u7684\u65b9\u6cd5\u3002[\u5716\u4e03]<\/p>\n\n\n\n

\"\"
[\u5716\u4e03] \u9ed1\u75d8\u75a4\u5de6\uff1a\u6cbb\u7642\u524d\u3002\u53f3\uff1a\u5408\u4f75\u85e5\u7269\u6cbb\u7642\u4e09\u500b\u6708\u5f8c<\/figcaption><\/figure>\n\n\n\n

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