{"id":1054,"date":"2014-07-24T15:15:02","date_gmt":"2014-07-24T07:15:02","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/doctor\/?page_id=1054"},"modified":"2025-03-21T17:30:22","modified_gmt":"2025-03-21T09:30:22","slug":"%e8%82%9d%e8%86%bd%e8%85%b8%e8%83%83%e7%a7%91","status":"publish","type":"page","link":"https:\/\/web.csh.org.tw\/web\/doctor\/?page_id=1054","title":{"rendered":"\u809d\u81bd\u8178\u80c3\u79d1"},"content":{"rendered":"\n

\u91ab\u5e2b\u9663\u5bb9\uff1a<\/strong><\/p>\n\n\n\n

\u8521\u660e\u748b\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u6797\u91d1\u5764\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u5f35\u660e\u8f1d\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u6797\u656c\u658c\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u694a\u51f1\u51e1\u91ab\u5e2b<\/strong><\/a>
\u6797\u4fca\u54f2\u91ab\u5e2b<\/a><\/strong>\u3001\u6c6a\u5947\u5fd7\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u738b\u8cc0\u7acb\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u8607\u7ae0\u653f\u91ab\u5e2b<\/strong><\/a>\u3001<\/strong>\u9673\u5a01\u826f\u91ab\u5e2b<\/strong><\/a>
\u8607\u6d69\u4fca\u91ab\u5e2b<\/a>\u3001\u6881\u66f8\u744b\u91ab\u5e2b<\/a><\/strong>\u3001\u7fc1\u7acb\u7ff0\u91ab\u5e2b<\/a><\/strong>
\u517c\u4efb\u91ab\u5e2b\uff1a<\/strong>\u694a\u5b50\u7def\u91ab\u5e2b<\/strong><\/a><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u6cbf\u9769\u8207\u7d00\u8981<\/h2>\n\n\n\n
\u5e74\u4ee3<\/td>\u4e8b\u8e5f<\/td><\/tr>
1976<\/td>\u672c\u79d1\u5275\u7acb\uff0c\u7531\u6797\u91d1\u5764\u91ab\u5e2b\u64d4\u4efb\u80c3\u8178\u5167\u79d1\u4e3b\u4efb<\/td><\/tr>
1990<\/td>\u9673\u6ecb\u5f65\u91ab\u5e2b\u64d4\u4efb\u809d\u81bd\u5167\u79d1\u4e3b\u4efb<\/td><\/tr>
1992<\/td>\u901a\u904e\u300c\u53f0\u7063\u6d88\u5316\u7cfb\u5167\u8996\u93e1\u91ab\u5b78\u6703\u8a55\u9451\u5408\u683c\u4e4b\u6559\u5b78\u91ab\u9662\u300d<\/td><\/tr>
1998<\/td>\u901a\u904e\u300c\u6d88\u5316\u7cfb\u5167\u79d1\u5c08\u79d1\u91ab\u5e2b\u8a13\u7df4\u91ab\u9662\u300d
\u901a\u904e\u300c\u53f0\u7063\u6d88\u5316\u7cfb\u5167\u8996\u93e1\u91ab\u5b78\u6703\u8a55\u9451\u5408\u683c\u4e4b\u6559\u5b78\u91ab\u9662\u300d<\/td><\/tr>
2002<\/td>\u6797\u4fca\u54f2\u91ab\u5e2b\u64d4\u4efb\u80c3\u8178\u5167\u79d1\u4e3b\u4efb\uff1b\u4f55\u5c09\u65d7\u91ab\u5e2b\u64d4\u4efb\u5167\u8996\u93e1\u5ba4\u4e3b\u4efb<\/td><\/tr>
2003<\/td>10\u6708 \u6210\u7acb\u809d\u708e\u885b\u6559\u5ba4<\/td><\/tr>
2005<\/td>\u9673\u4e39\u971e\u91ab\u5e2b\u64d4\u4efb\u5167\u8996\u93e1\u5ba4\u4e3b\u4efb<\/td><\/tr>
2009<\/td>\u300c\u80c3\u8178\u5167\u79d1\u300d\u8207\u300c\u809d\u81bd\u5167\u79d1\u300d\u5408\u4f75\u70ba\u300c\u809d\u81bd\u8178\u80c3\u5167\u79d1\u300d\uff0c
\u6797\u4fca\u54f2\u91ab\u5e2b\u64d4\u4efb\u809d\u81bd\u8178\u80c3\u5167\u79d1\u4e3b\u4efb<\/td><\/tr>
2010<\/td>\u9673\u6ecb\u5f65\u91ab\u5e2b\u69ae\u5347\u91ab\u7642\u90e8\u526f\u7e3d\u9662\u9577<\/td><\/tr>
2011<\/td>\u6797\u4fca\u54f2\u91ab\u5e2b\u69ae\u5347\u5167\u79d1\u90e8\u4e3b\u4efb
\u9673\u4e39\u971e\u91ab\u5e2b\u64d4\u4efb\u809d\u81bd\u8178\u80c3\u5167\u79d1\u66a8\u5167\u8996\u93e1\u5ba4\u4e3b\u4efb
\u81fa\u4e2d\u5e02\u809d\u75c5\u7167\u8b77\u5354\u6703\u6210\u7acb\u5927\u6703
\u809d\u75c5\u9632\u6cbb\u4e2d\u5fc3\u901a\u904e\u751f\u7b56\u6703
\u300cSNQ\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0\u300d\u8a8d\u8b49\uff0c\u69ae\u7372\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0<\/td><\/tr>
2012<\/td>\u6838\u91ab\u5341\u516d\u6a13\u809d\u81bd\u8178\u80c3(PGY1\u75c5\u623f)
\u300e\u7b2c\u4e8c\u5c46\u6234\u5f97\u68ee\u91d1\u50cf\u734e\u300fRM\u5b78\u5f71\u7247\u5fb5\u9078:
\u9662\u5916\u4f73\u4f5c\u734e\u4f5c\u54c1:\u843d\u5be6\u75c5\u60a3\u8fa8\u8b58\u91cd\u8981\u6027\u3002<\/td><\/tr>
2014<\/td>\u6797\u4fca\u54f2\u91ab\u5e2b\u69ae\u5347\u672c\u6821\u91ab\u5b78\u9662\u9662\u9577\u3001\u672c\u9662\u91ab\u5b78\u6559\u80b2\u90e8\u526f\u9662\u9577<\/td><\/tr>
2015<\/td>\u8521\u660e\u748b\u91ab\u5e2b\u64d4\u4efb\u809d\u81bd\u8178\u80c3\u5167\u79d1\u66a8\u5167\u8996\u93e1\u5ba4\u4e3b\u4efb
\u809d\u75c5\u9632\u6cbb\u4e2d\u5fc3\u901a\u904e\u751f\u7b56\u6703\u300c2015 SNQ\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0\u300d\u8a8d\u8b49<\/td><\/tr>
2017<\/td>\u8607\u7ae0\u653f\u91ab\u5e2b\u53c3\u8207\u300e\u53f0\u7063\u91ab\u7642\u8a08\u756b\u300f\uff0c\u8d74\u5410\u74e6\u9b6f\u99d0\u8a3a<\/td><\/tr>
2018<\/td>1\u6708\u809d\u8178\u80c3\u5167\u79d1\u75c5\u623f(N15)\u7372\u91ab\u7642\u54c1\u8cea\u8cfdB\u5708\u4e00\u512a\u54c1\u734e
\u7b2c30\u5c46\u5168\u570b\u5718\u7d50\u5708\u6d3b\u52d5\u7af6\u8cfd\u4e00\u9280\u5854\u734e<\/td><\/tr>
2019<\/td>\u809d\u81bd\u8178\u80c3\u79d1\u5718\u968a
108\u5e74\u91ab\u75c5\u5171\u4eab\u6c7a\u7b56\u8f14\u52a9\u5de5\u5177(PDA)\u958b\u767c\u5de5\u4f5c\u574a\u4e00\u4f73\u4f5c<\/td><\/tr>
2023<\/td>\u6797\u4fca\u54f2\u91ab\u5e2b\u69ae\u5347\u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u526f\u6821\u9577<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u7279\u8272\u4ecb\u7d39<\/h2>\n\n\n\n

\u672c\u9662\u809d\u81bd\u8178\u80c3\u79d1\u5275\u7acb\u65bc1976\u5e747\u6708\uff0c\u81ea1992\u5e74\u53ca1998\u5e74\u8d77\u4e43\u53f0\u7063\u6d88\u5316\u7cfb\u5167\u8996\u93e1\u91ab\u5b78\u6703\u53ca\u53f0\u7063\u6d88\u5316\u7cfb\u91ab\u5b78\u6703\u6307\u5b9a\u4e4b\u300c\u5c08\u79d1\u91ab\u5e2b\u8a13\u7df4\u91ab\u9662\u300d\uff0c\u672c\u9662\u81bd\u80f0\u7ba1\u5167\u8996\u93e1(ERCP)\u4ea6\u70ba\u53f0\u7063\u6d88\u5316\u809d\u81bd\u8178\u80c3\u79d1\u7cfb\u5167\u8996\u93e1\u91ab\u5b78\u6703\u4e4b\u8a13\u7df4\u91ab\u9662\u3002
\u6bcf\u4f4d\u91ab\u5e2b\u9664\u4e00\u822c\u6d88\u5316\u7cfb\u7d71\u75be\u75c5\u5916\uff0c\u66f4\u5404\u6709\u64c5\u9577\u4e4b\u5c08\u696d\u9818\u57df\uff0c\u672c\u79d1\u4ea6\u6709\u8db3\u5920\u7684\u5148\u9032\u8a2d\u5099\u4f9b\u5404\u985e\u75c5\u60a3\u6240\u9700\u3002<\/p>\n\n\n\n

\u4e00\u3001\u5148\u9032\u7684\u5167\u8996\u93e1\u8a3a\u65b7\u53ca\u6cbb\u7642
<\/strong>\u672c\u79d1\u9664\u63d0\u4f9b\u4e00\u822c\u4e0a\u4e0b\u6d88\u5316\u9053\u5167\u8996\u93e1(\u80c3\u93e1\u3001\u5927\u8178\u93e1\u6aa2\u67e5\u3001\u5927\u8178\u93e1)\u53ca\u8179\u90e8\u8d85\u97f3\u6ce2\u5916,\u66f4\u6709\u7121\u75db\u5167\u8996\u93e1\u3001\u975e\u4fb5\u5165\u6027\u809d\u5316\u8d85\u97f3\u6ce2(ARFI) \u3001\u81bd\u80f0\u7ba1\u5167\u8996\u93e1\u3001\u96d9\u6c23\u56ca\u5c0f\u8178\u93e1\u3001\u81a0\u56ca\u5167\u8996\u93e1\u3001\u5167\u8996\u93e1\u8d85\u97f3\u6ce2\u3001\u64f4\u5927\u53ca\u67d3\u8272\u5167\u8996\u93e1\u3001\u809d\u816b\u7624\u5c04\u983b\u71d2\u707c\u6cbb\u7642\u53ca\u8178\u80c3\u9053\u652f\u67b6\u7f6e\u653e\u3002
1.\u4e00\u822c\u6cbb\u7642\u6027\u5167\u8996\u93e1\u8853\u3002
2.\u65e9\u671f\u6d88\u5316\u9053\u764c\u75c7\u7684\u8a3a\u65b7\u53ca\u6cbb\u7642(\u98df\u9053\u764c\u3001\u80c3\u764c\u3001\u8178\u764c)-\u85c9\u7531\u65e9\u671f\u8a3a\u65b7\uff0c\u75c5\u4eba\u6709\u6a5f\u6703\u63a5\u53d7\u5167\u8996\u93e1\u9ecf\u819c\u5207\u9664\u6216\u9ecf\u819c\u4e0b\u525d\u96e2\u8853\uff0c\u4ee5\u6e1b\u5c11\u50b3\u7d71\u624b\u8853\u4f34\u96a8\u7684\u98a8\u96aa\u53ca\u4f75\u767c\u75c7\u3002
3.\u81bd\u80f0\u7ba1\u5167\u89c6\u93e1\u6aa2\u67e5\u53ca\u6cbb\u7642-\u85c9\u7531\u5167\u8996\u93e1\u9006\u884c\u6027\u81bd\u7ba1\u9020\u5f71\u8853(ERCP)\uff0c\u5c07\u986f\u5f71\u5291\u6ce8\u5165\u81bd\u80f0\u7ba1\u5167\uff0c\u53ef\u898b\u6e05\u6670\u7684\u81bd\u80f0\u7ba1\u5f71\u50cf\uff0c\u9664\u8a3a\u65b7\u5916\u6b64\u6aa2\u67e5\u76ee\u524d\u4e3b\u8981\u7528\u65bc\u6cbb\u7642\u963b\u585e\u6027\u9ec3\u75b8\uff0c\u53ef\u53d6\u51fa\u7e3d\u81bd\u7ba1\u7d50\u77f3\uff0c\u6216\u91dd\u5c0d\u81bd\u7ba1\u72f9\u7a84\u7f6e\u653e\u652f\u67b6\u3002
4.\u96d9\u6c23\u56ca\u5c0f\u8178\u93e1\u53ca\u81a0\u56ca\u5167\u8996\u93e1-\u85c9\u7531\u6c23\u56ca\u5c0f\u8178\u93e1\u53ca\u81a0\u56ca\u5167\u93e1\uff0c\u5df2\u8a3a\u65b7\u591a\u4f4d\u5c0f\u8178\u816b\u7624\u3001\u767c\u708e\u6027\u8178\u9053\u75be\u75c5\u3001\u5c0f\u8178\u9ecf\u819c\u75c5\u8b8a\u7b49\uff0c\u4e26\u53ef\u6cbb\u7642\u5c0f\u8178\u6f70\u760d\u6216\u8840\u7ba1\u75c5\u8b8a\u5f15\u8d77\u4e4b\u51fa\u8840\u3002
5.\u5167\u93e1\u8d85\u97f3\u6ce2:\u91dd\u5c0d\u6d88\u5316\u7ba1\u58c1\u5167\u5176\u65c1\u908a\u7684\u75c5\u7076\uff0c\u53ef\u8fd1\u8ddd\u96e2\u900f\u904e\u8d85\u97f3\u6ce2\u89c0\u5bdf\uff0c\u4e0d\u53d7\u8178\u6c23\u5e72\u64fe\uff0c\u80fd\u5c0d\u75c5\u7076\u505a\u66f4\u7cbe\u78ba\u7684\u5224\u65b7\u8207\u63a8\u6e2c\u3002<\/p>\n\n\n\n

\u4e8c\u3001\u809d\u75c5\u9632\u6cbb\u4e2d\u5fc3\u69ae\u7372\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0-\u300c\u8b77\u809d\u3001\u8b77\u75c5\u3001\u6551\u809d\u5fc3\u300d
<\/strong>\u65bc2011\u30012015\u5e74\u904e\u751f\u7b56\u6703\u300cSNQ\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0\u300d\u8a8d\u8b49\uff0c\u69ae\u7372\u570b\u5bb6\u54c1\u8cea\u6a19\u7ae0\u3002
1.\u5354\u52a9\u75c5\u60a3\u7533\u8acb\u5065\u4fdd\u7d66\u4ed8\u6cbb\u7642\uff0c\u5982\u75c5\u60a3\u672a\u7b26\u5408\u5065\u4fdd\u88dc\u52a9\u689d\u4ef6\uff0c\u5354\u52a9\u4ee5\u5c08\u6848\u4e8b\u524d\u5be9\u67e5\u65b9\u5f0f\u7533\u8acb\u3002
2.\u63d0\u4f9b\u751f\u6d3b\u5316\u7528\u8a9e\u7684\u885b\u6559\u8aaa\u660e\u3002
3.\u65bc\u6cbb\u7642\u671f\u9593\u5206\u5225\u63d0\u4f9b\u500b\u4eba\u5316\u6cbb\u7642\u7642\u7a0b\u3001\u826f\u597d\u7684\u5916\u5728\u74b0\u5883\u652f\u6301\u529b\u91cf\u3001\u4e26\u9996\u5275\u6fc0\u52f5\u5236\u5ea6\u9f13\u52f5\u75c5\u53cb\u5b8c\u6210\u809d\u75c5\u6cbb\u7642\u3002<\/p>\n\n\n\n

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