钁′含濞变箰鍦�-瀵岀泩濞变箰鍦哄紑鎴�

瑭查爡鎶€琛�(sh霉)閲濆皪姹借粖搴曠洡闂�(gu膩n)閸甸浂閮ㄤ欢锛岀祼(ji茅)鍚堜簡ADAMS銆丠yperWorks銆丗E-Fatigue绛夎粺浠堕€茶澶氬钩鑷鸿伅(li谩n)鍚堝嫊鎱�(t脿i)浠跨湡锛岀嵅鍙栧叾鍦ㄥ绋伐娉佷笅鐨勮級鑽疯瓬锛岄€氶亷闈堟晱搴﹀垎鏋愭柟娉曠攧閬稿嚭鍙劒(y艒u)鍖栧皪璞�锛屽湪淇濊瓑鍏舵暣杌婃€ц兘鐨勫墠鎻愪笅锛岀祼(ji茅)鍚堣級鑽峰皪鍏堕€茶鍚堢悊鐨勬嫇鎾插劒(y艒u)鍖�锛岄仈鍒拌紩閲忓寲鑸囧彲闈犳€у吋椤х殑宸ョ▼鐩(bi膩o)銆�1銆佹妧琛�(sh霉)鍎�(y艒u)鍕細锛�1锛変互鐞嗚珫鍒嗘瀽鍜屼豢鐪熶唬鏇跨稉(j墨ng)椹楄ō(sh猫)瑷堬紝绲�(ji茅)鏋滄洿鍏峰彲闈犳€�锛岄仼鐢ㄨ寖鍦嶆洿寤�锛涳紙2锛夌府鐭爺鐧�(f膩)鍛ㄦ湡锛屾笡灏戠爺鐧�(f膩)缍�(j墨ng)璨�锛涳紙3锛夊悓鏅傚吋椤ц粖杓涙搷

鏈敘(ch菐n)鍝佸惈鏈夐洖鏂板煄鐤梾姣� La Sota 鏍拰鍌虫煋鎬ф敮姘ｇ鐐庣梾姣� QXL87 鏍紝姣忕窘浠界梾姣掗洖鏂板煄鐤梾姣掑惈閲忎笉浣庝簬 106 EID50锛岄洖鍌虫煋鎬ф敮姘ｇ鐐庣梾姣掑惈閲忎笉浣庝簬 103.5 EID50锛涚敘(ch菐n)鍝佸皪闆炴柊鍩庣柅鍏嶇柅淇濊鏁堢巼涓嶄綆浜� 90%锛屽皪 QX 鍨嬪偝鏌撴€ф敮姘ｇ鐐庣梾姣掑厤鐤繚璀锋晥鐜囦笉浣庝簬 80%銆�

鏈櫦(f膩)鏄庡叕闁嬩簡涓€绋� SnS2/SnS 鐣拌唱(zh矛)绲�(ji茅)钖勮啘澶櫧鑳介浕姹犵殑涓€娆℃€у埗 鍌欐柟娉�锛岃┎鏂规硶鍖呮嫭浠ヤ笅姝ラ锛氬熀鐗囬爯(y霉)铏曠悊锛屾贩鍚堝師鏂欏倷鐢�锛岀湡绌虹嵅 寰楄垏鍩虹墖鍔犵啽锛屾艾姘ｇ瓑闆㈠瓙楂旀竻娲楄厰楂斿拰鍩虹墖锛岀瓑闆㈠瓙楂斿寮峰寲瀛�(xu茅)姘� 鐩告矇绌嶆硶娌夌⿳鐣拌唱(zh矛)绲�(ji茅)锛岀湡绌洪€€鐏喎鍗�锛屽埗鍌� SnS2/SnS 鐣拌唱(zh矛)绲�(ji茅)钖勮啘澶櫧 鑳介浕姹狅紝鏈柟娉曚腑閫氶亷瑷�(sh猫)缃贩鍚堝師鏂欑殑姣斾緥锛屽苟瑷�(sh猫)瀹氬弽鎳�(y墨ng)婧愬姞鐔辨韩搴� 鏁�(sh霉)鍊� T 鑸囧弽鎳�(y墨ng)娌夌⿳鏅傞枔鏁�(sh霉)鍊� t 鐨勯棞(gu膩n)绯伙紝灏辫兘鍦ㄤ竴娆″椹楅亷绋嬩腑鍏堝悗娌� 绌嶅嚭璩�(zh矛)閲忔瘮杓冨劒(y艒u)鐣� SnS2 鍜� SnS 钖勮啘锛屽緸鑰岀洿鎺ヤ竴娆℃€у埗鍌欏嚭澶櫧鑳介浕 姹犵殑鏍稿績閮ㄤ欢 p-n 绲�(ji茅)锛屽ぇ澶�

鏈櫦(f膩)鏄庢秹鍙婃暩(sh霉)鎿�(j霉)鎸栨帢鍙婇毐绉佷繚璀烽牁(l菒ng)鍩燂紝鍏枊浜嗕竴绋叿鏈夌郸瀹氱浉闂�(gu膩n)鎬х殑鎷夋櫘鎷夋柉鍣伈搴忓垪鐢熸垚鏂规硶鍙� 鐢熸垚鍣�銆傛湰鐧�(f膩)鏄庝腑锛岄鍏堝埄鐢ㄥ潎鍕诲垎甯冪敘(ch菐n)鐢� 4 鍊嬮珮鏂櫧鍣伈搴忓垪锛岀劧鍚庡皣楂樻柉鐧藉櫔鑱插簭鍒楅€氶亷鐗瑰畾鐨勭窔 鎬ф烤娉㈠櫒鐢�(ch菐n)鐢熷叿鏈夌浉闂�(gu膩n)鎬х殑楂樻柉鍣伈锛屾渶鍚庢牴鎿�(j霉)楂樻柉鍣伈鐢熸垚鎷夋櫘鎷夋柉鍣伈鐨勫師鐞�锛岀敓鎴愯垏鍘熷鏁�(sh霉)鎿�(j霉)鐩� 闂�(gu膩n)鐗规€х浉鍚岀殑鐩搁棞(gu膩n)鎬ф媺鏅媺鏂櫔鑱插簭鍒�銆傝В姹轰簡鐩搁棞(gu膩n)鎬ф暩(sh霉)鎿�(j霉)宸垎闅辩淇濊姗熷埗涓�锛岀浉闂�(gu膩n)鎬ф媺鏅媺鏂櫔鑱� 鐨勭敓鎴愬晱椤屻€�

鑷ㄥ簥鑵槫鐨勮ê鏂峰拰鍒嗘湡渚濊炒浜庡奖鍍忓(xu茅)锛屾牳閱�(y墨)瀛�(xu茅)2-姘�-2-鑴哀-D-钁¤悇绯栵紙18F-FDG锛夋闆诲瓙鐧�(f膩)灏勮▓绠楁鏂峰堡鎺冩弿/瑷堢畻姗熼珨灞ゆ巸鎻�(Positron Emission Computed Tomography / Computed Tomography, PET/CT)鎶€琛�(sh霉)鍦ㄨ叓鐦ょ殑瑷烘柗鍙婂垎鏈燂紙灏嬫壘鎯℃€ц叓鐦ゅ師鐧�(f膩)鐏跺強鍚屾鎺㈡脯杞�(zhu菐n)绉荤伓锛�锛屾帰娓湭鐭ュ師鐧�(f膩)鑵槫鐨勫師鐧�(f膩)鐏讹紝鎺㈡脯鑵槫寰�(f霉)鐧�(f膩)銆侀憭鍒ヨ叓鐦ゆ畼鐣欒垏娌荤檪鍚庣槩鐥曟垨澹炴绲勭箶锛岀洠(ji膩n)娓不鐧�锛屽公鍔╁埗瀹氭斁鐧傝▓鍔冪瓑鏂归潰杓冨偝绲�(t菕ng)鐨勫奖鍍忓(xu茅)鏂规硶濡傦細CT銆丮IR銆佽秴鑱茬瓑鍧囧凡椤ず鍑虹崹鐗圭殑鍎�(y艒u)瓒婃€с€傜劧鑰岋紝18F-FDG涓嶅叿鏈夎叓鐦ょ壒鐣版€�銆傜値鐧�銆佹劅鏌撴€х柧鐥呭娲诲嫊鎬ц偤绲�(ji茅)鏍�銆侀毐鐞冭弻鎬ц倝鑺借叓銆佽偤鑶胯叓銆佺祼(ji茅)绡€(ji茅)鐥呯瓑涔熷彲鍑虹従(xi脿n)18F-FDG楂樻敐鍙栵紝灏�(d菐o)鑷村亣闄芥€х祼(ji茅)鏋�锛涘悓鏅�锛岃ū澶氬垎鍖栬壇濂界殑浣庣礆鍒ヨ叓鐦�锛屽寘鎷ぇ澶氭暩(sh霉)鍓嶅垪鑵虹檶銆佽厧绱拌優鐧�銆佽倽鐧�銆佽偤椤炵檶銆佹敮姘ｇ鑲烘场绱拌優鐧屻€佹秷鍖栭亾鍜岀祼(ji茅)鑵哥矘娑叉€ц叓鐦�銆佷綆搴︽儭鎬ф穻宸寸槫銆侀珮鍒嗗寲鑵虹檶绛夛紝钁¤悇绯栦唬璎濇按骞崇浉灏嶈純浣庯紝鏇存帴杩戞甯哥祫绻�锛�18F-FDG鏀濆彇浣庢垨涓嶆敐鍙�锛屽彲鍑虹従(xi脿n)鍋囬櫚鎬х祼(ji茅)鏋�銆備笂杩�18F-FDG PET/CT鑵槫椤儚鐨勫亣闄芥€у拰鍋囬櫚鎬х祼(ji茅)鏋滅劇鐤戞渻绲﹁嚚搴婅叓鐦ょ殑瑷烘柗鍙婇憭鍒ヨê鏂峰付渚嗗法澶х殑鎸戞埌(zh脿n)銆傚洜姝わ紝闁嬬櫦(f膩)鏂板瀷闈�18F-FDG鑵槫闈跺悜椤儚瑷烘柗钘ョ墿鍕㈠湪蹇呰锛� 鐮旂┒鐧�(f膩)鐝�(xi脿n)锛岄粌閫ｇ礌——涓€绋緸灏忔獥绉戞鐗╁鏃忎腑鎻愬彇鐨勮姁鍩哄洓鐣板柟鍟夐鐢熺墿鍫匡紝閫氶亷閬告搰鎬т綔鐢ㄤ簬鑵槫绱拌優鐨勭窔绮掗珨锛屽寘鎷姂鍒剁窔绮掗珨寰�(f霉)鍚堢墿I鍜岃垏鑵哄槍鍛ゆ牳鑻烽吀杞�(zhu菐n)閬嬭泲鐧界浉浜掍綔鐢ㄧ瓑锛岃獦灏�(d菐o)绶氱矑楂斿姛鑳介殰绀�锛屽緸鑰屾姂鍒惰叓鐦ょ窗鑳炵殑鐢熼暦銆傝叓鐦ょ窗鑳炵殑绶氱矑楂斿凡鎴愮偤涓€绋劒(y艒u)鑹殑鎶楄叓鐦ゆ不鐧傞澏妯�(bi膩o)銆傞粌閫ｇ礌浼间箮鍙互鎶戝埗澶氱ó鑵槫绱拌優锛屽寘鎷祼(ji茅)鑵哥檶銆佸墠鍒楄吅鐧屻€佽啝璩�(zh矛)姣嶇窗鑳炵槫銆佽儍鐧�銆佽〃鐨ǎ鐧�銆佽倽鐧�銆佽儼鑵虹檶銆佷钩鑵虹檶銆佸彛鑵旂檶銆佽垖鐧屻€佺櫧琛€鐥呭拰榛戣壊绱犵槫绛夊绋叓鐦ょ窗鑳炵殑鐢熼暦銆傚埄鐢ㄩ粌閫ｇ礌灏嶈叓鐦ょ窗鑳炵窔绮掗珨鐨勯珮搴﹂澏鍚戞€х壒鎬�锛岀敤鏀惧皠鎬ч噵鏀�γ灏勭窔鐨勬斁灏勬€ф牳绱犳(bi膩o)瑷橀粌閫ｇ礌琛嶇敓鐗╁彲瀹屾垚娲婚珨鑵槫鐨勯澏鍚戝垎瀛愰’鍍忥紱鐢ㄩ噵鏀�α闆㈠瓙鎴�β绛夊皠绶氱殑娌荤檪鐢ㄦ斁灏勬€ф牳绱犳(bi膩o)瑷樿┎榛冮€ｇ礌琛嶇敓鐗�锛屽埄鐢ㄩ粌閫ｇ礌琛嶇敓鐗╄嚜韬殑鎶楃檶娲绘€у拰鏀惧皠鎬ф牳绱犻噵鏀惧皠绶氱殑杓诲皠鎼嶅偡鐢熺墿瀛�(xu茅)鏁堟噳(y墨ng)锛屽彲瀵︾従(xi脿n)灏嶈叓鐦ょ殑鍖栧(xu茅)-鏀惧皠闆欓噸娌荤檪銆� 棣栨鎴愬姛鍚堟垚鏂扮殑榛冮€ｇ礌琛嶇敓鐗╁苟瀹屾垚18F妯�(bi膩o)瑷�锛屽舰鎴愪竴绋柊鍒嗗瓙——18F妯�(bi膩o)瑷橀粌閫ｇ礌琛嶇敓鐗�锛涢亱鐢≒ET/CT鎶€琛�(sh霉),鍒濇瀵︾従(xi脿n)浜�18F妯�(bi膩o)瑷橀粌閫ｇ礌琛嶇敓鐗╋紙鏂板垎瀛愶級鐨勬柊鐢ㄩ€�——娲婚珨鑽稸X2鐦ゅ厰鐨勮叓鐦ら澏鍚戝垎瀛愰’鍍�锛屽叿鏈夊壍(chu脿ng)鏂版€с€� 鏌ユ柊鍫卞憡椤ず锛氬湅鍏�(n猫i)澶栧潎鐒＄浉闂�(gu膩n)灏堝埄鍙婃枃鐛诲牨閬�銆�

闈掔櫧鏁ｆ姉鐐庝綔鐢ㄥ強灏嶅ぇ榧犳參鎬ф悕鍌烽楠艰倢涓値鎬х窗鑳炲洜瀛愯〃閬旂殑褰遍熆

瑗垮崡澶у(xu茅)鍖栧(xu茅)鍖栧伐绛変笁鍊嬪(xu茅)闄㈣櫅鎿豢鐪熷椹楁暀瀛�(xu茅)骞宠嚭寤鸿ō(sh猫)闋呯洰绔剁埈鎬х鍟�