{"id":725,"date":"2018-08-10T21:09:39","date_gmt":"2018-08-10T13:09:39","guid":{"rendered":"http:\/\/www.t-med.cn\/?p=725"},"modified":"2020-06-03T09:45:21","modified_gmt":"2020-06-03T01:45:21","slug":"%e8%85%b9%e5%a3%81%e5%88%87%e5%8f%a3%e7%96%9d%e8%af%8a%e6%96%ad%e5%92%8c%e6%b2%bb%e7%96%97%e6%8c%87%e5%8d%97%ef%bc%882018%e5%b9%b4%e7%89%88%ef%bc%89","status":"publish","type":"post","link":"https:\/\/www.t-med.cn\/?p=725","title":{"rendered":"\u8179\u58c1\u5207\u53e3\u759d\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\uff082018\u5e74\u7248\uff09"},"content":{"rendered":"<h2 id=\"activity-name\" class=\"rich_media_title\">\u8179\u58c1\u5207\u53e3\u759d\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\uff082018\u5e74\u7248\uff09<\/h2>\n<div id=\"js_content\" class=\"rich_media_content \">\n<p><span 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of abdominal domain\uff09\uff3b7-8\uff3d 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class=\"\" data-color=\"rgb(252, 180, 43)\"><\/section>\n<section><\/section>\n<section>\n<h2 class=\"\"><span class=\"\">3<\/span><\/h2>\n<\/section>\n<section><strong>\u8bca\u65ad<\/strong><\/section>\n<section><\/section>\n<p>\u6839\u636e\u4e34\u5e8a\u8868\u73b0\u53ca\u4f53\u683c\u68c0\u67e5\uff0c\u5927\u591a\u6570\u5207\u53e3\u759d\u5373\u53ef\u660e\u786e\u8bca\u65ad\uff1b\u5bf9\u4e8e\u5c0f\u800c\u9690\u533f\u7684\u5207\u53e3\u759d\u53ef\u7ecfB\u8d85\u3001CT\u548c\uff08\u6216\uff09MRI\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u786e\u8bca\uff3b2\uff0c4\uff3d\uff1b\u4e5f\u6709\u6781\u5c11\u6570\u5728\u5176\u4ed6\u8179\u8154\u955c\u624b\u672f\u4e2d\u53d1\u73b0\u539f\u624b\u672f\u5207\u53e3\u5904\u6709\u8179\u58c1\u7f3a\u635f\u548c\u759d\u56ca\u7ed3\u6784\u5b58\u5728\u3002\u63a8\u8350\u5e38\u89c4\u5e94\u7528CT\u6216MRI\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u4f5c\u4e3a\u672f\u524d\u8bc4\u4f30\u3002\u9664\u53ef\u6e05\u695a\u5730\u663e\u793a\u8179\u58c1\u7f3a\u635f\u7684\u4f4d\u7f6e\u3001\u5927\u5c0f\u548c\u759d\u5185\u5bb9\u7269\u53ca\u759d\u88ab\u76d6\u4e0e\u8179\u8154\u5185\u5668\u5b98\u4e4b\u95f4\u7684\u5173\u7cfb\u5916\uff0c\u8fd8\u53ef\u7528\u4e8e\u8ba1\u7b97\u759d\u56ca\u5bb9\u79ef\u4e0e\u8179\u8154\u5bb9\u79ef\u6bd4\u3001\u8bc4\u4ef7\u8179\u58c1\u7684\u5f3a\u5ea6\u4e0e\u5f39\u6027\uff0c\u6709\u52a9\u4e8e\u4e34\u5e8a\u6cbb\u7597\u51b3\u7b56\uff3b2\uff0c4-6\uff3d\u3002\u5f71\u50cf\u5b66\u68c0\u67e5\u65f6\u4f7f\u7528\u591a\u4e2a\u4f53\u4f4d\uff08\u5982\u4fa7\u5367\u4f4d\uff09\uff0c\u6216\uff08\u548c\uff09\u8f85\u52a9\u4ee5\u6452\u6c14\u7b49\u52a8\u4f5c\uff0c\u6709\u52a9\u4e8e\u663e\u793a\u53ca\u6bd4\u8f83\u5207\u53e3\u759d\u7684\u5b9e\u9645\u72b6\u6001\u3002<\/p>\n<section class=\"\" data-color=\"rgb(252, 180, 43)\"><\/section>\n<section><\/section>\n<section>\n<h2 class=\"\"><span class=\"\">4<\/span><\/h2>\n<\/section>\n<section><strong>\u5206\u7c7b<\/strong><\/section>\n<section><\/section>\n<p>\u7531\u4e8e\u75be\u75c5\u3001\u5207\u53e3\u9009\u62e9\u3001\u624b\u672f\u65b9\u6cd5\u53ca\u75c5\u4eba\u5207\u53e3\u6108\u5408\u7684\u5dee\u5f02\uff0c\u5207\u53e3\u759d\u5728\u53d1\u751f\u90e8\u4f4d\u548c\u7f3a\u635f\u5927\u5c0f\u4e0a\u5b58\u5728\u660e\u663e\u533a\u522b\uff0c\u8fd9\u4e5f\u9020\u6210\u4e86\u4fee\u8865\u7684\u96be\u5ea6\u548c\u7597\u6548\u4e5f\u5b58\u5728\u8f83\u5927\u7684\u5dee\u5f02\u3002\u56e0\u6b64\uff0c\u5236\u5b9a\u7406\u60f3\u7684\u5207\u53e3\u759d\u5206\u7c7b\u65b9\u6cd5\u5bf9\u9009\u62e9\u4fee\u8865\u672f\u5f0f\u548c\u65b9\u6cd5\u3001\u8bc4\u4f30\u7597\u6548\u5177\u6709\u91cd\u8981\u7684\u610f\u4e49\u3002\u7136\u800c\uff0c\u76ee\u524d\u56fd\u9645\u4e0a\u5c1a\u65e0\u7edf\u4e00\u7684\u5206\u7c7b\u65b9\u6cd5\u3002\u501f\u9274\u6b27\u6d32\u759d\u5b66\u4f1a\u5207\u53e3\u759d\u5206\u7c7b\u65b9\u6cd5\uff3b4\uff3d\uff0c\u7ed3\u5408\u6211\u56fd\u4e34\u5e8a\u5b9e\u9645\uff0c\u63a8\u8350\u4ece\u4ee5\u4e0b3\u4e2a\u65b9\u9762\u5bf9\u5207\u53e3\u759d\u8fdb\u884c\u5206\u7c7b\u3002<\/p>\n<p>4.1 \u00a0 \u00a0\u4f9d\u636e\u8179\u58c1\u7f3a\u635f\u5927\u5c0f\u5206\u7c7b<\/p>\n<p>\uff081\uff09\u5c0f\u5207\u53e3\u759d\uff1a\u8179\u58c1\u7f3a\u635f\u6700\u5927\u5f84&lt;4 cm \u3002<\/p>\n<p>\uff082\uff09\u4e2d\u5207\u53e3\u759d\uff1a\u8179\u58c1\u7f3a\u635f\u6700\u5927\u5f84\u4e3a4~8 cm \u3002<\/p>\n<p>\uff083\uff09\u5927\u5207\u53e3\u759d\uff1a\u8179\u58c1\u7f3a\u635f\u6700\u5927\u5f84\u4e3a&gt;8~12 cm\u3002<\/p>\n<p>\uff084\uff09\u5de8\u5927\u5207\u53e3\u759d\uff1a\u8179\u58c1\u7f3a\u635f\u6700\u5927\u76f4\u5f84&gt;12 cm\u6216\u759d\u56ca\u5bb9\u79ef\u4e0e\u8179\u8154\u5bb9\u79ef\u6bd4&gt;20%\uff08\u4e0d\u8bba\u5176\u8179\u58c1\u7f3a\u635f\u6700\u5927\u5f84\u4e3a\u591a\u5c11\uff09\uff3b4-6\uff3d\u3002<\/p>\n<p>4.2 \u00a0 \u00a0\u4f9d\u636e\u8179\u58c1\u7f3a\u635f\u90e8\u4f4d\u5206\u7c7b<\/p>\n<p>\uff081\uff09\u524d\u8179\u58c1\u4e2d\u592e\u533a\u57df\uff08\u4e2d\u7ebf\u6216\u8fd1\u4e2d\u7ebf\u5904\uff09\u5207\u53e3\u759d\uff1a\u5305\u62ec\u8110\u4e0a\u3001\u4e0b\u5207\u53e3\u759d\uff0c\u7ecf\uff08\u7ed5\uff09\u8110\u4e0a\u4e0b\u5207\u53e3\u759d\u3002<\/p>\n<p>\uff082\uff09\u524d\u8179\u58c1\u8fb9\u7f18\u533a\u57df\u5207\u53e3\u759d\uff1a\u5251\u7a81\u4e0b\u3001\u803b\u9aa8\u4e0a\u3001\u808b\u7f18\u4e0b\u548c\u8fd1\u8179\u80a1\u6c9f\u533a\u5207\u53e3\u759d\u7b49\u3002<\/p>\n<p>\uff083\uff09\u4fa7\u8179\u58c1\u548c\u80cc\u90e8\uff08\u808b\u9ac2\u95f4\u548c\u8170\u90e8\uff09\u5207\u53e3\u759d\u3002<\/p>\n<p>4.3 \u00a0 \u00a0\u4f9d\u636e\u662f\u5426\u4e3a\u759d\u7684\u590d\u53d1\u5206\u7c7b \u00a0 \u00a0\u5206\u4e3a\u521d\u53d1\u5207\u53e3\u759d\u548c\u590d\u53d1\u6027\u5207\u53e3\u759d\u3002<\/p>\n<p>\u63a8\u8350\u5728\u5207\u53e3\u759d\u8bca\u65ad\u63cf\u8ff0\u4e2d\u5305\u62ec\u4e0a\u8ff03\u4e2a\u65b9\u9762\u7279\u5f81\u3002\u5982\uff1a\u201c\u524d\u8179\u58c1\u8110\u4e0a\u5de8\u5927\u590d\u53d1\u6027\u5207\u53e3\u759d\uff08\u5207\u53e3\u957f\u5ea619 cm\uff0c\u8179\u58c1\u7f3a\u635f15 cm\u00d76 cm\uff09\u201d<\/p>\n<section class=\"\" data-color=\"rgb(252, 180, 43)\"><\/section>\n<section><\/section>\n<section>\n<h2 class=\"\"><span class=\"\">5<\/span><\/h2>\n<\/section>\n<section><strong>\u6cbb\u7597<\/strong><\/section>\n<section><\/section>\n<p>\u8179\u58c1\u5207\u53e3\u759d\u4e0d\u80fd\u81ea\u6108\uff0c\u800c\u4e14\u7531\u4e8e\u8179\u8154\u5185\u538b\u529b\u7684\u5b58\u5728\uff0c\u5207\u53e3\u759d\u6709\u968f\u7740\u75c5\u7a0b\u5ef6\u957f\u548c\u5e74\u9f84\u589e\u52a0\u800c\u589e\u5927\u7684\u8d8b\u52bf\u3002\u56e0\u6b64\uff0c\u6240\u6709\u5207\u53e3\u759d\u75c5\u4eba\u5747\u987b\u91c7\u53d6\u79ef\u6781\u7684\u6cbb\u7597\u63aa\u65bd\uff08\u5305\u62ec\u624b\u672f\u6216\u975e\u624b\u672f\u65b9\u6cd5\uff09\uff3b1-4\uff3d\u3002<\/p>\n<p>5.1 \u00a0 \u00a0\u6cbb\u7597\u539f\u5219\u548c\u624b\u672f\u6307\u5f81<\/p>\n<p>\uff081\uff09\u5bf9\u4e8e\u8bca\u65ad\u660e\u786e\uff0c\u7ecf\u8fc7\u624b\u672f\u98ce\u9669\u8bc4\u4f30\uff0c\u9002\u5408\u624b\u672f\u6cbb\u7597\u7684\u75c5\u4eba\uff0c\u63a8\u8350\u62e9\u671f\u624b\u672f\u3002<\/p>\n<p>\uff082\uff09\u5bf9\u4e8e\u8bca\u65ad\u660e\u786e\uff0c\u5b58\u5728\u624b\u672f\u98ce\u9669\u8005\uff0c\u63a8\u8350\u7ecf\u9002\u5f53\u7684\u672f\u524d\u51c6\u5907\uff0c\u5982\u80ba\u529f\u80fd\u953b\u70bc\u3001\u8179\u8154\u5bb9\u91cf\u6269\u5145\uff08\u4eba\u9020\u6c14\u8179\uff09\u7b49\uff0c\u518d\u62e9\u671f\u624b\u672f\u3002<\/p>\n<p>\uff083\uff09\u5bf9\u672f\u524d\u8bca\u65ad\u6709\u5de8\u5927\u5207\u53e3\u759d\u4f34\u6709\u8179\u8154\u5bb9\u91cf\u4e27\u5931\u81f4\u8179\u58c1\u529f\u80fd\u4e0d\u5168\u7684\u75c5\u4eba\uff0c\u63a8\u8350\u91c7\u7528\u591a\u5b66\u79d1\u7efc\u5408\u6cbb\u7597\u534f\u4f5c\u7ec4\uff08MDT\uff09\u6a21\u5f0f\u3002\u4e3b\u5200\u533b\u5e08\u5e94\u9080\u8bf7\u6574\u5f62\u79d1\u3001\u5fc3\u8840\u7ba1\u79d1\u3001\u547c\u5438\u79d1\u548c\u91cd\u75c7\u76d1\u62a4\u79d1\u7b49\u591a\u4e2a\u5b66\u79d1\u5171\u540c\u53c2\u4e0e\u5236\u8ba2\u624b\u672f\u65b9\u6848\u3002<\/p>\n<p>\uff084\uff09\u4e0d\u5b9c\u624b\u672f\u6216\u6682\u4e0d\u5b9c\u624b\u672f\u7684\u75c5\u4eba\uff0c\u63a8\u8350\u91c7\u7528\u9002\u5f53\u7684\u8179\u5e26\u5305\u624e\u4ee5\u9650\u5236\u5207\u53e3\u759d\u7684\u8fdb\u5c55\u3002<\/p>\n<p>5.2 \u00a0 \u00a0\u62e9\u671f\u624b\u672f\u7981\u5fcc\u8bc1<\/p>\n<p>\uff081\uff09\u8179\u58c1\u6216\u8179\u8154\u5185\u5b58\u5728\u611f\u67d3\u6216\u611f\u67d3\u7076\u3002<\/p>\n<p>\uff082\uff09\u8179\u8154\u5185\u6076\u6027\u75be\u75c5\uff0c\u6216\u6709\u80bf\u7624\u6cbb\u7597\u540e\u590d\u53d1\u3001\u8f6c\u79fb\uff0c\u800c\u4e14\u65e0\u6cd5\u83b7\u5f97\u63a7\u5236\u3002\uff083\uff09\u4f34\u6709\u5168\u8eab\u6027\u57fa\u7840\u75be\u75c5\u5c1a\u672a\u83b7\u63a7\u5236\uff0c\u6216\u4e0d\u7a33\u5b9a\u7684\u72b6\u6001\uff0c\u6216\u5b58\u5728\u91cd\u8981\u5668\u5b98\u529f\u80fd\u969c\u788d\u8005\u3002<\/p>\n<p>5.3 \u00a0 \u00a0\u5207\u53e3\u759d\u624b\u672f\u98ce\u9669\u8bc4\u4f30 \u00a0 \u00a0\u5305\u62ec\uff1a<\/p>\n<p>\uff081\uff09\u4ece\u5168\u8eab\u89d2\u5ea6\u51fa\u53d1\uff0c\u8003\u8651\u673a\u4f53\u662f\u5426\u53ef\u4ee5\u8010\u53d7\u624b\u672f\uff0c\u63a8\u8350\u91c7\u7528\u7f8e\u56fd\u9ebb\u9189\u533b\u5e08\u534f\u4f1a\uff08ASA\uff09\u624b\u672f\u98ce\u9669\u8bc4\u4f30\u6807\u51c6\uff3b4\uff3d\u3002<\/p>\n<p>\uff082\uff09\u4ece\u5c40\u90e8\u7f3a\u635f\u51fa\u53d1\uff0c\u6d4b\u91cf\u548c\u8bc4\u4f30\u8179\u58c1\u7f3a\u635f\u7f1d\u5408\u5173\u95ed\u540e\uff0c\u662f\u5426\u53ef\u80fd\u5f15\u8d77\u8179\u8154\u5185\u9ad8\u538b\u3002<\/p>\n<p>5.4 \u00a0 \u00a0\u624b\u672f\u65f6\u673a<\/p>\n<p>\uff081\uff09\u5bf9\u65e0\u611f\u67d3\u7684\u521d\u53d1\u5207\u53e3\u759d\u548c\u590d\u53d1\u5207\u53e3\u759d\u75c5\u4eba\uff0c\u5efa\u8bae\u5728\u5207\u53e3\u6108\u5408\u540e\uff0c\u5e94\u7ecf\u8fc7\u4e00\u6bb5\u65f6\u95f4\u7684\u4e34\u5e8a\u89c2\u5bdf\u968f\u8bbf\uff08\u22653\u4e2a\u6708\uff09\uff1b\u5bf9\u6709\u5207\u53e3\u611f\u67d3\u7684\u75c5\u4eba\uff0c\u5efa\u8bae\u5728\u611f\u67d3\u5f7b\u5e95\u6cbb\u6108\u3001\u5207\u53e3\u6108\u5408\u540e\uff0c\u7ecf\u8fc7\u4e00\u6bb5\u65f6\u95f4\u89c2\u5bdf\uff08\u81f3\u5c11&gt;3\u4e2a\u6708\uff09\u3002<\/p>\n<p>\uff082\uff09\u5bf9\u66fe\u5e94\u7528\u8865\u7247\u6750\u6599\u4fee\u8865\uff0c\u51fa\u73b0\u8fc7\u611f\u67d3\u7684\u590d\u53d1\u759d\u75c5\u4eba\uff0c\u5e94\u5728\u611f\u67d3\u6cbb\u6108\u3001\u5207\u53e3\u6108\u5408\u540e\uff0c\u7ecf\u8fc7&gt;3\u4e2a\u6708\u89c2\u5bdf\u518d\u884c\u4fee\u8865\u624b\u672f\u3002<\/p>\n<p>\uff083\uff09 \u56e0\u75c5\u60c5\u9700\u8981\u800c\u884c\u6025\u8bca\u624b\u672f\u65f6\uff0c\u5e94\u9075\u5faa\u201c\u4e2a\u4f53\u5316\u6cbb\u7597\u201d\u539f\u5219\uff0c\u8179\u8154\u955c\u624b\u672f\u4e0d\u662f\u6025\u8bca\u624b\u672f\u7981\u5fcc\uff0c\u5e94\u614e\u91cd\u4f7f\u7528\u8865\u7247\u6750\u6599\uff0c\u9700\u8981\u8003\u8651\u672f\u540e\u611f\u67d3\u7684\u98ce\u9669\u3002<\/p>\n<p>5.5 \u00a0 \u00a0\u5207\u53e3\u759d\u4fee\u8865\u6750\u6599<\/p>\n<p>\uff081\uff09\u4e0d\u88ab\u673a\u4f53\u5438\u6536\u7684\u805a\u5408\u7269\uff0c\u5982\u805a\u4e19\u70ef\u3001\u805a\u8102\u548c\u805a\u504f\u4e8c\u6c1f\u4e59\u70ef\u7b49\u7f16\u7ec7\u7684\u7f51\u7247\u3002<\/p>\n<p>\uff082\uff09\u53ef\u88ab\u673a\u4f53\u5438\u6536\u7684\u751f\u7269\u6750\u6599\uff0c\u5927\u591a\u4e3a\u5176\u4ed6\u751f\u7269\u4f53\u7ec4\u7ec7\u6765\u6e90\uff0c\u5982\u5c0f\u80a0\u9ecf\u819c\u4e0b\u5c42\u7ec4\u7ec7\u3001\u76ae\u80a4\u3001\u5fc3\u5305\u3001\u808c\u8171\u7b49\u3002\u6b64\u7c7b\u6750\u6599\u8fd8\u53ef\u8fdb\u4e00\u6b65\u5206\u4e3a\u4ea4\u8054\u548c\u975e\u4ea4\u8054\u3002<\/p>\n<p>\uff083\uff09\u90e8\u5206\u53ef\u5438\u6536\u6750\u6599\uff0c\u5982\u5728\u805a\u4e19\u70ef\u6216\u805a\u8102\u6750\u6599\u8868\u9762\u590d\u5408\u6709\u80f6\u539f\u86cb\u767d\u6216\u6c27\u5316\u518d\u751f\u7ea4\u7ef4\u53ef\u5438\u6536\u6750\u6599\uff3b5-9\uff3d\u3002<\/p>\n<p>\u624b\u672f\u533b\u5e08\u5e94\u5145\u5206\u4e86\u89e3\u6240\u4f7f\u7528\u7684\u4fee\u8865\u6750\u6599\u53ca\u5176\u6027\u80fd\u4e0e\u7279\u6027\u3002\u5982\u4fee\u8865\u6750\u6599\u4f7f\u7528\u4e0d\u5f53\uff0c\u53ef\u4f7f\u75c5\u60c5\u590d\u6742\u5316\u3002\u672a\u5199\u660e\u53ef\u76f4\u63a5\u653e\u5165\u8179\u8154\u5185\u7684\u6750\u6599\uff0c\u4e0d\u51c6\u8bb8\u653e\u5165\u8179\u8154\u5185\uff3b9-10\uff3d\u3002<\/p>\n<p>5.6 \u00a0 \u00a0\u624b\u672f\u65b9\u6cd5<\/p>\n<p>5.6.1 \u00a0 \u00a0\u5355\u7eaf\u7f1d\u5408\u4fee\u8865 \u00a0 \u00a0\u9002\u7528\u4e8e\u5c0f\u5207\u53e3\u759d\uff08\u8179\u58c1\u7f3a\u635f\u6700\u5927\u5f84&lt;4 cm\uff09\u3002\u63a8\u8350\u4f7f\u7528\u4e0d\u53ef\u5438\u6536\u7f1d\u7ebf\uff0c\u4ee5\u957f\u671f\u7ef4\u6301\u5207\u53e3\u7684\u5f20\u529b\u548c\u5f3a\u5ea6\uff3b4\uff0c6-7\uff3d\u3002<\/p>\n<p>5.6.2 \u00a0 \u00a0\u4f7f\u7528\u6750\u6599\u7684\u52a0\u5f3a\u4fee\u8865 \u00a0 \u00a0\u63a8\u8350\u7528\u4e8e\u4e2d\u5207\u53e3\u759d\u6216\u4ee5\u4e0a\u7ea7\u522b\u7684\u5207\u53e3\u759d\u75c5\u4eba\u3002\u4f7f\u7528\u6750\u6599\u7684\u52a0\u5f3a\u4fee\u8865\uff08reinforcement\uff09\u662f\u6307\u5728\u4fee\u8865\u8fc7\u7a0b\u4e2d\u7f1d\u5408\u5173\u95ed\u8179\u58c1\u7684\u7f3a\u635f\uff0c\u5728\u6b64\u57fa\u7840\u4e0a\u518d\u7528\u4fee\u8865\u6750\u6599\u52a0\u5f3a\u8179\u58c1\uff0c\u4fee\u8865\u6750\u6599\u987b\u8d85\u8fc7\u4e24\u4fa7\u7f3a\u635f\u8fb9\u7f18\uff083~5 cm\uff09\u4ee5\u4ea7\u751f\u7ef4\u6301\u8179\u58c1\u5f20\u529b\u7684\u4f5c\u7528\u3002\u5728\u5207\u53e3\u759d\u4fee\u8865\u4e2d\u5f3a\u8c03\u808c\u8089\u3001\u7b4b\u819c\u7684\u7f1d\u5408\u5173\u95ed\uff0c\u5f3a\u8c03\u6062\u590d\u8179\u58c1\u7684\u5b8c\u6574\u6027\u3002\u5f53\u65e0\u6cd5\u5173\u95ed\u808c\u8089\u3001\u7b4b\u819c\u65f6\u53ef\u90e8\u5206\u4f7f\u7528\u4fee\u8865\u6750\u6599\u7684\u201c\u6865\u63a5\uff08bridge\uff09\u201d\uff3b6-7\uff0c11-13\uff3d\u3002<\/p>\n<p>\u4f9d\u636e\u4fee\u8865\u6750\u6599\u5728\u8179\u58c1\u4e0d\u540c\u5c42\u6b21\u95f4\u7684\u653e\u7f6e\uff0c\u53ef\u5206\u4e3a\uff1a\uff081\uff09\u8179\u58c1\u808c\u8089\u524d\u653e\u7f6e\uff08onlay\uff09\u3002\uff082\uff09\u8179\u58c1\u808c\u8089\u540e\uff08\u8179\u819c\u524d\uff09\u653e\u7f6e\uff08sublay\uff09\u3002\uff083\uff09\u8179\u819c\u8154\u5185\u653e\u7f6e\uff08IPOM\u6216underlay\uff09\u3002\u5728\u8179\u8154\u5185\u653e\u7f6e\u4fee\u8865\u6750\u6599\u65f6\uff0c\u8865\u7247\u5e94\u7d27\u8d34\u8179\u819c\u653e\u7f6e\uff0c\u987b\u6ce8\u610f\uff0c\u91c7\u7528\u8fd9\u79cd\u4fee\u8865\u624b\u672f\u65f6\uff0c\u4fee\u8865\u6750\u6599\u5e94\u5177\u6709\u9632\u6b62\u7c98\u8fde\u7279\u6027\uff0c\u8179\u8154\u955c\u4e0b\u653e\u7f6e\u66f4\u5177\u4f18\u52bf\uff3b11-13\uff3d\u3002<\/p>\n<p>5.6.2.1 \u00a0 \u00a0\u5f00\u653e\u4fee\u8865\u624b\u672f\u4f7f\u7528\u6750\u6599\u52a0\u5f3a \u00a0 \u00a0\u591a\u4ee5onlay\u548csublay\u65b9\u6cd5\u4fee\u8865\u3002<\/p>\n<p>5.6.2.2 \u00a0 \u00a0\u8179\u8154\u955c\u4fee\u8865\u624b\u672f\u4f7f\u7528\u6750\u6599\u52a0\u5f3a \u00a0 \u00a0\u591a\u4ee5IPOM\u6216underlay\u65b9\u6cd5\uff0c\u4e5f\u53ef\u5c06\u4fee\u8865\u6750\u6599\u90e8\u5206\u653e\u7f6e\u8179\u8154\u5185\uff0c\u53e6\u4e00\u90e8\u5206\u653e\u7f6e\u5728\u8179\u819c\u524d\u95f4\u9699\uff08\u5373\u8179\u819c\u5916\uff0c\u5982\u90e8\u5206\u653e\u7f6e\u5728\u803b\u9aa8\u8180\u80f1\u95f4\u9699\uff09\uff0c\u5373TAPE\u65b9\u6cd5\uff3b11-13\uff3d\u3002<\/p>\n<p>5.6.3 \u00a0 \u00a0\u6742\u4ea4\u4fee\u8865\u624b\u672f \u00a0 \u00a0\u4ee5\u5e38\u89c4\u548c\u8179\u8154\u955c\u6280\u672f\u76f8\u7ed3\u5408\u8fdb\u884c\u4fee\u8865\uff3b8-9\uff3d\u3002<\/p>\n<p>5.6.4 \u00a0 \u00a0\u589e\u52a0\u8179\u8154\u5bb9\u91cf\u7684\u4fee\u8865 \u00a0 \u00a0\uff081\uff09\u7ec4\u7ec7\u7ed3\u6784\u5206\u79bb\u6280\u672f\uff08component separation \u00a0technique\uff0cCST\uff09\uff1a\u8fd9\u4e00\u6280\u672f\u662f\u9488\u5bf9\u524d\u8179\u58c1\u4e2d\u592e\u533a\u57df\u7f3a\u635f\u75c5\u4eba\uff0c\u5229\u7528\u8179\u76f4\u808c\u9798\u7684\u91ca\u653e\u8ddd\u79bb\u4f7f\u8179\u58c1\u5f20\u529b\u964d\u4f4e\u3001\u8179\u8154\u83b7\u5f97\u66f4\u5927\u7684\u7a7a\u95f4\u548c\u5bb9\u79ef\uff3b8\uff0c10\uff3d\u3002\uff082\uff09\u4fa7\u65b9\u8179\u6a2a\u808c\u91ca\u653e\u6280\u672f\uff08transversus abdominis release\uff0cTAR\uff09\uff1a\u901a\u8fc7\u5207\u65ad\u90e8\u5206\u8179\u6a2a\u808c\uff0c\u4ece\u800c\u964d\u4f4e\u8179\u58c1\u5f20\u529b\uff0c\u5e76\u91ca\u653e\u51fa\u8f83\u5927\u7684\u7a7a\u95f4\u548c\u5bb9\u79ef\u7684\u65b9\u6cd5\uff3b14\uff3d\u3002\u5728\u8fd9\u4e9b\u8179\u58c1\u91cd\u5efa\u65b9\u6cd5\u7684\u57fa\u7840\u4e0a\uff0c\u901a\u5e38\u8fd8\u987b\u8f85\u4ee5\u6750\u6599\u52a0\u5f3a\u4fee\u8865\u3002<\/p>\n<p>5.6.5 \u00a0 \u00a0\u808c\u8089\u7b4b\u819c\u76ae\u74e3\u8f6c\u79fb\u7684\u8179\u58c1\u91cd\u5efa \u00a0 \u00a0\u53ef\u8f85\u4ee5\u4fee\u8865\u6750\u6599\u8fdb\u884c\u52a0\u5f3a\uff3b8\uff3d\u3002<\/p>\n<p>5.7 \u00a0 \u00a0\u624b\u672f\u533b\u5e08\u8d44\u8d28\u548c\u533b\u9662\u7684\u6761\u4ef6 \u00a0 \u00a0\u4ece\u4e8b\u8179\u58c1\u5207\u53e3\u759d\u4fee\u8865\u624b\u672f\u7684\u533b\u5e08\u5e94\u4e3a\u5df2\u53d6\u5f97\u4e2d\u7ea7\u4ee5\u4e0a\u804c\u79f0\u5e76\u7ecf\u8fc7\u4e13\u4e1a\u57f9\u8bad\uff1b\u6240\u5728\u533b\u9662\u5e94\u5177\u5907ICU\u7684\u6761\u4ef6\u3002<\/p>\n<p>5.8 \u00a0 \u00a0 \u624b\u672f\u5e76\u53d1\u75c7<\/p>\n<p>\uff081\uff09\u8179\u8154\u95f4\u5ba4\u7efc\u5408\u5f81\uff08abdominal com-partment syndrome\uff0cACS\uff09\uff1a\u7531\u4e8e\u8179\u8154\u5185\u9ad8\u538b\u5bfc\u81f4\u5fc3\u8840\u7ba1\u7cfb\u7edf\u3001\u547c\u5438\u7cfb\u7edf\u3001\u80be\u810f\u3001\u8179\u8154\u5668\u5b98\u3001\u8179\u58c1\u548c\u9885\u8111\u7b49\u529f\u80fd\u969c\u788d\u6216\u8870\u7aed\u7684\u7efc\u5408\u5f81\uff0c\u662f\u8179\u58c1\u5de8\u5927\u5207\u53e3\u759d\u672f\u540e\u53ef\u80fd\u51fa\u73b0\u7684\u6700\u4e25\u91cd\u5e76\u53d1\u75c7\u4e4b\u4e00\uff0c\u4ee5\u8179\u5185\u9ad8\u538b\u3001\u547c\u5438\u7a98\u8feb\u3001\u5c11\u5c3f\u6216\u65e0\u5c3f\u4e3a\u7279\u5f81\uff0c\u53ef\u5371\u53ca\u751f\u547d\uff3b8\uff0c12-13\uff3d\u3002<\/p>\n<p>\uff082\uff09\u672f\u540e\u8179\u58c1\u5207\u53e3\u76ae\u4e0b\u8840\u80bf\u3001\u8840\u6e05\u80bf\u3001\u8179\u58c1\u5207\u53e3\u611f\u67d3\u3001\u4fee\u8865\u6750\u6599\u611f\u67d3\u3001\u4fee\u8865\u6750\u6599\u5916\u9732\u3001\u8179\u8154\u5185\u611f\u67d3\u3001\u4fee\u8865\u6750\u6599\u5bfc\u81f4\u7684\u6d88\u5316\u9053\u53ca\u90bb\u8fd1\u5668\u5b98\u7684\u4fb5\u8680\uff08\u5982\u80a0\u7618\uff09\u7b49\uff3b10-11\uff0c14\uff3d\u3002<\/p>\n<p>5.9 \u00a0 \u00a0\u56f4\u624b\u672f\u671f\u5904\u7406<\/p>\n<p>5.9.1 \u00a0 \u00a0\u672f\u524d\u51c6\u5907 \u00a0 \u00a0\u79ef\u6781\u5904\u7406\u8179\u90e8\u624b\u672f\u5207\u53e3\u759d\u75c5\u4eba\u4f34\u6709\u7684\u5168\u8eab\u6027\u75be\u75c5\u3002\u4e25\u5bc6\u76d1\u6d4b\u547c\u5438\u529f\u80fd\uff0c\u5305\u62ec\u5e38\u89c4\u80f8\u90e8X\u7ebf\u68c0\u67e5\u3001\u80ba\u529f\u80fd\u53ca\u8840\u6c14\u5206\u6790\u3002\u5bf9\u4f34\u6709\u547c\u5438\u529f\u80fd\u4e0d\u5168\u7684\u75c5\u4eba\u987b\u8fdb\u884c\u5145\u5206\u7684\u672f\u524d\u51c6\u5907\u3002\u5982\u80ba\u90e8\u6709\u611f\u67d3\u8005\uff0c\u672f\u524d\u5e94\u7528\u6297\u751f\u7d20\u6cbb\u7597\uff0c\u611f\u67d3\u63a7\u5236\u540e1\u5468\u518d\u884c\u624b\u672f\u3002\u8fdb\u884c1~2\u5468\u7684\u547c\u5438\u808c\u7145\u70bc\u3002\u5438\u70df\u8005\u672f\u524d2\u5468\u505c\u6b62\u5438\u70df\u3002\u5bf9\u4e8e\u5de8\u5927\u5207\u53e3\u759d\uff0c\u7279\u522b\u662f\u759d\u56ca\u5bb9\u79ef\u4e0e\u8179\u8154\u5bb9\u79ef\u6bd4&gt;20%\u7684\u5de8\u5927\u5207\u53e3\u759d\uff0c\u4e3a\u9632\u6b62\u759d\u5185\u5bb9\u7269\u8fd8\u7eb3\u8179\u8154\u540e\u53d1\u751f\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\u548cACS\uff0c\u672f\u524d\u5e94\u8fdb\u884c\u76f8\u5e94\u8179\u8154\u6269\u5bb9\u53ca\u8179\u808c\u987a\u5e94\u6027\u8bad\u7ec3\uff08\u672f\u524d2~3 \u5468\u5f00\u59cb\u5c06\u759d\u5185\u5bb9\u7269\u8fd8\u7eb3\u8179\u8154\uff0c\u52a0\u7528\u8179\u5e26\u675f\u624e\u8179\u90e8\u6216\u7528\u6e10\u8fdb\u6027\u4eba\u5de5\u6c14\u8179\u8fdb\u884c\u8179\u8154\u6269\u5bb9\uff09\uff3b15\uff3d\u3002\u63a8\u8350\u7ecf\u8fc7\u4ee5\u4e0a\u51c6\u59072~3\u5468\u540e\uff0c\u5f85\u75c5\u4eba\u7684\u80ba\u529f\u80fd\u660e\u663e\u6539\u5584\u540e\u518d\u884c\u624b\u672f\u3002\u5bf9\u4e8e\u5de8\u5927\u7684\u590d\u6742\u7684\u5207\u53e3\u759d\u672f\u524d\u8fd8\u5e94\u91cd\u89c6\u80a0\u9053\u7684\u51c6\u5907\u3002<\/p>\n<p>5.9.2 \u00a0 \u00a0\u672f\u524d\u9884\u9632\u6027\u6297\u751f\u7d20\u7684\u5e94\u7528 \u00a0 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