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2.1 <\/strong>\u73b0\u6709\u5236\u5ea6\u7f3a\u4e4f\u7cfb\u7edf\u6027\u8d28\u91cf\u4fdd\u969c\u6846\u67b6<\/strong><\/p>\n\n\n\n

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\u7b2c\u4e00\uff0c\u90e8\u5206\u6280\u672f\u6807\u51c6\u66f4\u65b0\u76f8\u5bf9\u6ede\u540e\u3002\u4f8b\u5982\uff0c\u9488\u5bf9\u4e73\u817a\u6444\u5f71\u8bbe\u5907\u7684\u73b0\u884c\u6807\u51c6\u300a\u4e73\u817a\u8ba1\u7b97\u673a X \u5c04\u7ebf\u6444\u5f71\u7cfb\u7edf\u8d28\u91cf\u63a7\u5236\u68c0\u6d4b\u89c4\u8303\uff08WS 530-2017\uff09\u300b20<\/sup>\u548c\u9488\u5bf9MRI\u8bbe\u5907\u7684\u73b0\u884c\u6807\u51c6\u300a\u533b\u7528\u78c1\u5171\u632f\u6210\u50cf\uff08MRI\uff09\u8bbe\u5907\u5f71\u50cf\u8d28\u91cf\u68c0\u6d4b\u4e0e\u8bc4\u4ef7\u89c4\u8303\u300b19<\/sup>\uff0c\u5206\u522b\u4e8e2017\u548c2007\u5e74\u53d1\u5e03\u3002\u968f\u7740\u65b0\u578b\u786c\u4ef6\u6280\u672f\u3001\u4eba\u5de5\u667a\u80fd\u8f85\u52a9\u91cd\u5efa\u7b97\u6cd5\u53ca\u5148\u8fdb\u6210\u50cf\u5e8f\u5217\u4e0d\u65ad\u53d1\u5c55\uff0c\u6570\u5b57\u5316\u4e73\u817a\u6444\u5f71\u3001\u8d85\u9ad8\u573aMRI\u3001\u8d85\u4f4e\u573aMRI\u7b49\u65b0\u6280\u672f\u7684\u5e7f\u6cdb\u5e94\u7528\uff0c\u73b0\u6709\u6807\u51c6\u7684\u6280\u672f\u5185\u5bb9\u548c\u8bc4\u4ef7\u4f53\u7cfb\u5df2\u96be\u4ee5\u5168\u9762\u53cd\u6620\u8bbe\u5907\u5b9e\u9645\u6027\u80fd\uff0c\u539f\u6709\u57fa\u4e8e\u65e9\u671f\u8bbe\u5907\u5efa\u7acb\u7684\u6280\u672f\u6307\u6807\u9002\u7528\u6027\u9010\u6e10\u4e0b\u964d\uff0c\u4e9f\u9700\u52a8\u6001\u66f4\u65b0\u548c\u5b8c\u558421-24<\/sup>\u3002<\/p>\n\n\n\n

\u7b2c\u4e8c\uff0c\u4e0d\u540c\u5f71\u50cf\u6280\u672f\u9886\u57df\u6807\u51c6\u5efa\u8bbe\u53d1\u5c55\u4e0d\u5747\u8861\u3002X\u7ebf\u3001CT\u7b49\u5e94\u7528\u5e7f\u6cdb\u3001\u53d1\u5c55\u8f83\u65e9\u7684\u5f71\u50cf\u6280\u672f\u5df2\u5f62\u6210\u8f83\u4e3a\u5b8c\u5584\u7684\u89c4\u8303\u4f53\u7cfb\uff0c\u800cMRI\u53caPET\/CT\u7b49\u9886\u57df\u7684\u56fd\u5bb6\u7ea7\u7edf\u4e00\u89c4\u8303\u4ecd\u76f8\u5bf9\u4e0d\u8db3\u3002\u8fd9\u4e00\u4e0d\u5e73\u8861\u65e2\u4e0e\u4e0d\u540c\u6280\u672f\u7684\u6210\u719f\u5ea6\u6709\u5173\uff0c\u4e5f\u53d7\u4e13\u4e1a\u529b\u91cf\u4e0e\u8d44\u6e90\u914d\u7f6e\u5f71\u54cd\uff0c\u5bfc\u81f4\u4e0d\u540c\u6280\u672f\u4e4b\u95f4\u8d28\u91cf\u7ba1\u7406\u6c34\u5e73\u53c2\u5dee\u4e0d\u9f50\uff0c\u96be\u4ee5\u5b9e\u73b0\u8de8\u6280\u672f\u3001\u8de8\u673a\u6784\u7684\u7edf\u4e00\u8d28\u91cf\u8bc4\u4ef7\u4e0e\u6bd4\u8f83\u3002<\/p>\n\n\n\n

\u7b2c\u4e09\uff0c\u73b0\u6709\u6807\u51c6\u4f53\u7cfb\u4ecd\u4e3b\u8981\u805a\u7126\u5355\u53f0\u8bbe\u5907\u7684\u6027\u80fd\u63a7\u5236\uff0c\u5c1a\u672a\u5f62\u6210\u4ee5\u7b5b\u67e5\u9879\u76ee\u4e3a\u6838\u5fc3\u7684\u6574\u4f53\u8d28\u91cf\u4fdd\u969c\u6846\u67b6\u3002\u73b0\u6709\u7b5b\u67e5\u653f\u7b56\u66f4\u591a\u5173\u6ce8\u4e34\u5e8a\u8bca\u65ad\u548c\u62a5\u544a\u89c4\u8303\uff0c\u5bf9\u4e0d\u540c\u7b5b\u67e5\u573a\u666f\u4e0b\u5f71\u50cf\u8bbe\u5907\u7684\u8d28\u91cf\u63a7\u5236\u8981\u6c42\u3001\u4eba\u5458\u8d44\u8d28\u53ca\u5168\u8fc7\u7a0b\u8d28\u91cf\u7ba1\u7406\u7f3a\u4e4f\u9488\u5bf9\u6027\u89c4\u5b9a\uff0c\u4e0e\u56fd\u9645\u4ee5\u7b5b\u67e5\u9879\u76ee\u4e3a\u6838\u5fc3\u7684\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u76f8\u6bd4\u4ecd\u5b58\u5728\u5dee\u8ddd15,25-27<\/sup>\u3002<\/p>\n\n\n\n

2.2 <\/strong>\u8d28\u91cf\u63a7\u5236\u6267\u884c\u80fd\u529b\u5b58\u5728\u660e\u663e\u7684\u5730\u533a\u5dee\u5f02<\/strong><\/p>\n\n\n\n

\u5728\u8d28\u91cf\u63a7\u5236\u6267\u884c\u5c42\u9762\uff0c\u6211\u56fd\u5f71\u50cf\u8bbe\u5907\u8d28\u91cf\u7ba1\u7406\u4ecd\u5b58\u5728\u660e\u663e\u7684\u4e0d\u5747\u8861\u7279\u5f81\u3002\u90e8\u5206\u533b\u7597\u673a\u6784\u5df2\u5f00\u5c55\u5b9a\u671f\u8d28\u91cf\u63a7\u5236\u68c0\u6d4b\u3001\u8bbe\u5907\u5de1\u68c0\u53ca\u9884\u9632\u6027\u7ef4\u62a4\uff0c\u5e76\u5728\u4fdd\u969c\u8bbe\u5907\u8fd0\u884c\u7a33\u5b9a\u6027\u548c\u53c2\u6570\u51c6\u786e\u6027\u65b9\u9762\u53d6\u5f97\u4e00\u5b9a\u6210\u6548\uff0c\u4f46\u4ece\u6574\u4f53\u6765\u770b\uff0c\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u5efa\u8bbe\u4ecd\u76f8\u5bf9\u8584\u5f31\uff0c\u5b9e\u8df5\u4e2d\u666e\u904d\u5b58\u5728\u91cd\u8bbe\u5907\u4f7f\u7528\u3001\u8f7b\u8d28\u91cf\u7ba1\u7406\u7684\u73b0\u8c61\uff0c\u8d28\u91cf\u7ba1\u7406\u5728\u7ee9\u6548\u8003\u6838\u4f53\u7cfb\u4e2d\u7684\u6743\u91cd\u76f8\u5bf9\u8f83\u4f4e\uff0c\u5bfc\u81f4\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\u5728\u5b9e\u9645\u6267\u884c\u4e2d\u5bb9\u6613\u88ab\u8fb9\u7f18\u531614<\/sup>\u3002<\/p>\n\n\n\n

\u4e00\u9879\u9488\u5bf9\u4e0a\u6d77\u5730\u533a59\u5bb6\u533b\u966262\u53f0CT\u8bbe\u5907\u8d28\u91cf\u63a7\u5236\u8c03\u67e5\u663e\u793a\uff0c\u4ec520\u53f0\u8bbe\u5907\u901a\u8fc7\u8d28\u91cf\u4fdd\u8bc1\u68c0\u6d4b\u56fd\u5bb6\u6807\u51c6GB17589-2011\uff0c\u6574\u4f53\u5408\u683c\u7387\u4ec532.3%\uff0c\u8bbe\u5907\u8001\u5316\u53ca\u9884\u9632\u6027\u7ef4\u62a4\u4e0d\u8db3\u662f\u6027\u80fd\u4e0b\u964d\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u63d0\u793a\u8bbe\u5907\u8d28\u91cf\u63a7\u5236\u6267\u884c\u4ecd\u5b58\u5728\u8f83\u5927\u6539\u8fdb\u7a7a\u95f4\uff08\u8868\u683c1<\/strong>\uff0c\u8868\u683c\u5f15\u81ea\u539f\u6587\uff0928<\/sup>\u3002<\/p>\n\n\n\n

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

\u4e0e\u6b64\u540c\u65f6\uff0c\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\u5728\u57fa\u5c42\u533b\u7597\u673a\u6784\u4ecd\u5b58\u5728\u4e00\u5b9a\u7a0b\u5ea6\u7684\u8fb9\u7f18\u5316\u3002\u4ee5\u67d0\u53bf\u57df5\u5bb6\u533b\u9662\u4e3a\u4f8b\uff0c\u4e0d\u540c\u804c\u79f0\u533b\u5e08\u53c2\u4e0e\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\u7684\u79ef\u6781\u6027\u5b58\u5728\u663e\u8457\u5dee\u5f02\uff0c\u9ad8\u7ea7\u804c\u79f0\u533b\u5e08\u7ecf\u5e38\u53c2\u4e0e\u8d28\u91cf\u63a7\u5236\u7684\u6bd4\u4f8b\u4e3a75.0%\uff0c\u800c\u521d\u7ea7\u533b\u5e08\u4ec5\u4e3a16.7%\uff0c\u603b\u4f53\u4ec543.1%\u7684\u533b\u5e08\u7ecf\u5e38\u53c2\u4e0e\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\uff08\u8868\u683c2<\/strong>\uff0929<\/sup>\u3002<\/p>\n\n\n\n

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

\u8fdb\u4e00\u6b65\u5206\u6790\u663e\u793a\uff0c\u53bf\u57df\u533b\u9662\u8d28\u91cf\u63a7\u5236\u4f53\u7cfb\u5efa\u8bbe\u4ecd\u5b58\u5728\u591a\u65b9\u9762\u4e0d\u8db3\uff08\u8868\u683c3<\/strong>\uff09\u3002\u8c03\u67e5\u663e\u793a\uff0c\u5c3d\u7ba1\u591a\u6570\u533b\u5e08\u5df2\u8ba4\u8bc6\u5230\u8d28\u63a7\u7684\u91cd\u8981\u6027\uff0c\u4f46\u57f9\u8bad\u4e3b\u8981\u4f9d\u8d56\u9662\u5185\u9014\u5f84\uff0c\u7f3a\u4e4f\u7cfb\u7edf\u5316\u3001\u6807\u51c6\u5316\u57f9\u8bad\u4f53\u7cfb29<\/sup>\u3002\u540c\u65f6\uff0c\u5404\u533b\u9662CT\u5173\u952e\u53c2\u6570\u8bbe\u7f6e\u7f3a\u4e4f\u7edf\u4e00\u6807\u51c6\u89c4\u8303\uff0c\u7ba1\u7535\u538b\u3001\u7ba1\u7535\u6d41\u53ca\u5c42\u539a\u7b49\u53c2\u6570\u5dee\u5f02\u663e\u8457\uff08P<0.01\uff09\uff0c\u5bfc\u81f4\u56fe\u50cf\u8d28\u91cf\u4e00\u81f4\u6027\u8f83\u5dee\uff0c\u4f2a\u5f71\u3001\u7a7a\u95f4\u5206\u8fa8\u7387\u53ca\u5bf9\u6bd4\u5ea6\u7b49\u8d28\u91cf\u6307\u6807\u5b58\u5728\u660e\u663e\u5dee\u5f02\uff0c\u76f4\u63a5\u5f71\u54cd\u5f71\u50cf\u8d28\u91cf\u7684\u7a33\u5b9a\u6027\u4e0e\u8bca\u65ad\u4e00\u81f4\u602729<\/sup>\u3002\u8d22\u653f\u6295\u5165\u4e0d\u8db3\u3001\u4eba\u5458\u6d41\u52a8\u8f83\u5927\u3001\u5b9a\u671f\u7ef4\u62a4\u6267\u884c\u7387\u4f4e\u4ee5\u53ca\u8d28\u91cf\u63a7\u5236\u672a\u7eb3\u5165\u7ee9\u6548\u8003\u6838\u7b49\u95ee\u9898\uff0c\u4e5f\u8fdb\u4e00\u6b65\u5236\u7ea6\u4e86\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\u7684\u6301\u7eed\u5f00\u5c55\u3002<\/p>\n\n\n\n

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

\u6b64\u5916\uff0c\u8bbe\u5907\u7ef4\u62a4\u7ba1\u7406\u4ecd\u4ee5\u6545\u969c\u540e\u7ef4\u4fee\u4e3a\u4e3b\uff0c\u7f3a\u4e4f\u5e38\u6001\u5316\u9884\u9632\u6027\u7ef4\u62a4\u3001\u7cfb\u7edf\u6821\u51c6\u53ca\u5168\u751f\u547d\u5468\u671f\u8d28\u91cf\u7ba1\u7406\u673a\u5236\uff0c\u90e8\u5206\u8bbe\u5907\u5728\u9ad8\u8d1f\u8377\u8fd0\u884c\u6216\u5173\u952e\u90e8\u4ef6\u66f4\u6362\u540e\u672a\u7ecf\u7cfb\u7edf\u68c0\u6d4b\u5373\u91cd\u65b0\u6295\u5165\u4f7f\u7528\uff0c\u589e\u52a0\u4e86\u8bbe\u5907\u6027\u80fd\u504f\u79fb\u98ce\u966914,30<\/sup>\u3002<\/p>\n\n\n\n

\u7efc\u5408\u4e0a\u8ff0\u8ba8\u8bba\u53ef\u4ee5\u770b\u51fa\uff0c\u6211\u56fd\u533b\u5b66\u5f71\u50cf\u8d28\u91cf\u63a7\u5236\u4ecd\u9700\u8fdb\u4e00\u6b65\u5b8c\u5584\u89c4\u8303\u5316\u7ba1\u7406\u5236\u5ea6\u3002\u672a\u6765\u5e94\u5f3a\u5316\u4eba\u5458\u57f9\u8bad\u548c\u6280\u672f\u6807\u51c6\u7edf\u4e00\uff0c\u5065\u5168\u8bbe\u5907\u5168\u751f\u547d\u5468\u671f\u8d28\u91cf\u7ba1\u7406\u4f53\u7cfb\uff0c\u5b8c\u5584\u7ee9\u6548\u6fc0\u52b1\u673a\u5236\uff0c\u6301\u7eed\u63d0\u5347\u4e0d\u540c\u5730\u533a\u3001\u4e0d\u540c\u5c42\u7ea7\u533b\u7597\u673a\u6784\u8d28\u91cf\u63a7\u5236\u6267\u884c\u80fd\u529b\uff0c\u4fc3\u8fdb\u5f71\u50cf\u8d28\u91cf\u540c\u8d28\u5316\u548c\u8bca\u65ad\u7ed3\u679c\u4e00\u81f4\u6027\u3002<\/p>\n\n\n\n

2.3 <\/strong>\u533b\u5b66\u7269\u7406\u4e13\u4e1a\u652f\u6491\u80fd\u529b\u4e0d\u8db3<\/strong><\/p>\n\n\n\n

\u5728\u4eba\u529b\u8d44\u6e90\u65b9\u9762\uff0c\u6211\u56fd\u4e13\u804c\u4ece\u4e8b\u8bca\u65ad\u5f71\u50cf\u7269\u7406\u8d28\u63a7\u7684\u4e13\u804c\u4eba\u5458\uff08\u7269\u7406\u5e08\uff09\u660e\u663e\u4e0d\u8db3\uff0c\u533b\u5b66\u7269\u7406\u4e13\u4e1a\u4eba\u624d\u4e3b\u8981\u96c6\u4e2d\u4e8e\u653e\u5c04\u6cbb\u7597\u9886\u57df\uff0c\u96be\u4ee5\u6ee1\u8db3\u533b\u5b66\u5f71\u50cf\u8d28\u91cf\u63a7\u5236\u9700\u6c42\u3002\u540c\u65f6\uff0c\u533b\u5b66\u7269\u7406\u6559\u80b2\u57f9\u517b\u3001\u89c4\u8303\u5316\u57f9\u8bad\u3001\u804c\u4e1a\u51c6\u5165\u53ca\u5c97\u4f4d\u53d1\u5c55\u4f53\u7cfb\u4ecd\u4e0d\u5b8c\u5584\uff0c\u4e0d\u540c\u5c42\u7ea7\u533b\u7597\u673a\u6784\u4e4b\u95f4\u4e13\u4e1a\u8d44\u6e90\u914d\u7f6e\u5dee\u5f02\u660e\u663e\uff0c\u57fa\u5c42\u533b\u7597\u673a\u6784\u4e13\u4e1a\u652f\u6491\u80fd\u529b\u5c24\u4e3a\u8584\u5f31\uff0c\u5236\u7ea6\u4e86\u8d28\u91cf\u63a7\u5236\u5de5\u4f5c\u7684\u89c4\u8303\u5316\u548c\u6301\u7eed\u5f00\u5c55\u3002\uff08\u5173\u4e8e\u6211\u56fd\u533b\u5b66\u7269\u7406\u4eba\u624d\u57f9\u517b\u3001\u804c\u4e1a\u4f53\u7cfb\u5efa\u8bbe\u53ca\u4e13\u4e1a\u652f\u6491\u80fd\u529b\u73b0\u72b6\u7684\u8be6\u7ec6\u5206\u6790\uff0c\u8be6\u89c1\u300a\u4ee5\u9ad8\u8d28\u91cf\u80bf\u7624\u7b5b\u67e5\u4e3a\u7275\u5f15\uff1a\u52a0\u5feb\u6211\u56fd\u533b\u5b66\u7269\u7406\u5f71\u50cf\u4eba\u624d\u57f9\u517b\u7684\u653f\u7b56\u5efa\u8bae\u300b<\/a>\uff09<\/p>\n\n\n\n

2.4 <\/strong>\u8d28\u91cf\u76d1\u6d4b\u3001\u8bc4\u4f30\u4e0e\u6570\u636e\u4f53\u7cfb\u8584\u5f31<\/strong><\/p>\n\n\n\n

\u5c3d\u7ba1\u56fd\u5bb6\u5c42\u9762\u5df2\u660e\u786e\u63d0\u51fa\u52a0\u5f3a\u7b5b\u67e5\u8d28\u91cf\u63a7\u5236\u4e0e\u7ba1\u7406\uff0c\u5e76\u63a8\u52a8\u5404\u7ea7\u533b\u7597\u673a\u6784\u91cd\u89c6\u8d28\u63a7\u5de5\u4f5c\uff0c\u4f46\u76f8\u5173\u6570\u636e\u5e73\u53f0\u4e0e\u76d1\u6d4b\u4f53\u7cfb\u4ecd\u5904\u4e8e\u9010\u6b65\u5b8c\u5584\u9636\u6bb5\uff0c\u5c1a\u672a\u5f62\u6210\u8986\u76d6\u5168\u56fd\u7684\u7edf\u4e00\u8d28\u91cf\u6307\u6807\u4f53\u7cfb\u548c\u6570\u636e\u76d1\u6d4b\u5e73\u53f0 27,31<\/sup>\u3002\u76ee\u524d\u8d28\u91cf\u7ba1\u7406\u591a\u4ee5\u5355\u4e2a\u9879\u76ee\u6216\u5355\u4e00\u673a\u6784\u4e3a\u5355\u4f4d\u5f00\u5c55\uff0c\u5bf9\u8bbe\u5907\u6027\u80fd\u3001\u56fe\u50cf\u8d28\u91cf\u53ca\u8f90\u5c04\u5242\u91cf\u7b49\u5173\u952e\u6307\u6807\u7f3a\u4e4f\u6301\u7eed\u3001\u7cfb\u7edf\u6027\u7684\u76d1\u6d4b\uff0c\u8d28\u91cf\u6570\u636e\u5206\u6563\uff0c\u6807\u51c6\u5316\u7a0b\u5ea6\u548c\u5171\u4eab\u5229\u7528\u6c34\u5e73\u8f83\u4f4e\uff0c\u96be\u4ee5\u4e3a\u8d28\u91cf\u8bc4\u4ef7\u548c\u79d1\u5b66\u51b3\u7b56\u63d0\u4f9b\u6709\u6548\u652f\u6491\u3002\u540c\u65f6\uff0c\u4e0d\u540c\u673a\u6784\u5728\u8bc4\u4ef7\u65b9\u6cd5\u548c\u5ba1\u6838\u673a\u5236\u4e0a\u5b58\u5728\u5dee\u5f02\uff0c\u5f71\u54cd\u8d28\u91cf\u7ed3\u679c\u7684\u6a2a\u5411\u53ef\u6bd4\u6027\u4e0e\u4e00\u81f4\u6027\u3002\u56fd\u5bb6\u3001\u7701\u3001\u5e02\u3001\u53bf\u5404\u7ea7\u7684\u8d28\u63a7\u6d41\u7a0b\u548c\u6267\u884c\u7684\u540c\u8d28\u5316\u6c34\u5e73\u6709\u5f85\u63d0\u9ad8\uff0c\u9650\u5236\u4e86\u8d28\u91cf\u8bc4\u4f30\u7ed3\u679c\u7684\u53ef\u6bd4\u6027\u548c\u8de8\u533a\u57df\u5e94\u752814,29<\/sup>\u3002\u6b64\u5916\uff0c\u8d28\u91cf\u7ba1\u7406\u5c1a\u672a\u8d2f\u7a7f\u8bbe\u5907\u91c7\u8d2d\u3001\u9a8c\u6536\u3001\u8fd0\u884c\u3001\u7ef4\u4fee\u53ca\u62a5\u5e9f\u7684\u5168\u751f\u547d\u5468\u671f30,32<\/sup>\uff0c\u76f8\u5173\u6570\u636e\u5728\u91c7\u96c6\u3001\u5206\u6790\u4e0e\u53cd\u9988\u73af\u8282\u7f3a\u4e4f\u8854\u63a5\uff0c\u957f\u671f\u79ef\u7d2f\u4e0e\u5229\u7528\u4e0d\u8db3\uff0c\u4fe1\u606f\u5316\u652f\u6491\u80fd\u529b\u4ecd\u8f83\u8584\u5f31\u3002\u5c3d\u7ba1\u76f8\u5173\u653f\u7b56\u5df2\u660e\u786e\u63d0\u51fa\u5efa\u7acb\u8d28\u91cf\u63a7\u5236\u6307\u6807\u4f53\u7cfb\u3001\u5b8c\u5584\u4fe1\u606f\u5171\u4eab\u673a\u5236\u5e76\u5f3a\u5316\u6301\u7eed\u76d1\u6d4b\uff0c\u4f46\u5728\u5b9e\u9645\u6267\u884c\u5c42\u9762\u4ecd\u5904\u4e8e\u63a8\u8fdb\u9636\u6bb5\uff0c\u5c1a\u672a\u5f62\u6210\u201c\u76d1\u6d4b\u2014\u8bc4\u4f30\u2014\u53cd\u9988\u2014\u6539\u8fdb\u201d\u7684\u95ed\u73af\u7ba1\u7406\u673a\u523631<\/sup>\uff0c\u96be\u4ee5\u5b9e\u73b0\u7b5b\u67e5\u8d28\u91cf\u7684\u52a8\u6001\u4f18\u5316\u4e0e\u6301\u7eed\u6539\u8fdb\u3002<\/p>\n\n\n\n

\u4e09\u3001\u56fd\u9645\u7ecf\u9a8c\u501f\u9274<\/strong><\/h1>\n\n\n\n

\u968f\u7740\u5f71\u50cf\u7b5b\u67e5\u5728\u5168\u7403\u8303\u56f4\u5185\u7684\u5e7f\u6cdb\u5e94\u7528\uff0c\u6b27\u7f8e\u7b49\u56fd\u5bb6\u5df2\u9010\u6b65\u5efa\u7acb\u8f83\u4e3a\u6210\u719f\u7684\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u3002\u603b\u4f53\u6765\u770b\uff0c\u5176\u6838\u5fc3\u7279\u5f81\u5728\u4e8e\u4ece\u5355\u4e00\u8bbe\u5907\u8d28\u91cf\u63a7\u5236\uff0c\u5411\u8986\u76d6\u8bbe\u5907\u3001\u56fe\u50cf\u3001\u4eba\u5458\u53ca\u7b5b\u67e5\u6d41\u7a0b\u7684\u7cfb\u7edf\u5316\u8d28\u91cf\u7ba1\u7406\u8f6c\u53d8\uff0c\u5e76\u901a\u8fc7\u5236\u5ea6\u5316\u3001\u4e13\u4e1a\u5316\u4e0e\u6570\u636e\u5316\u624b\u6bb5\u5b9e\u73b0\u6301\u7eed\u6539\u8fdb\u3002<\/p>\n\n\n\n

\u56fd\u9645\u5b9e\u8df5\u666e\u904d\u56f4\u7ed5\u8d28\u91cf\u7ba1\u7406\uff08QM\uff09\u3001\u8d28\u91cf\u4fdd\u8bc1\uff08QA\uff09\u548c\u8d28\u91cf\u63a7\u5236\uff08QC\uff09\u4e09\u4e2a\u5c42\u9762\u5f00\u5c55\u8d28\u91cf\u4fdd\u969c\u5de5\u4f5c\u3002\u4e09\u8005\u76f8\u4e92\u8854\u63a5\u3001\u534f\u540c\u8fd0\u884c\uff0c\u5171\u540c\u6784\u6210\u8986\u76d6\u7ec4\u7ec7\u7ba1\u7406\u3001\u6d41\u7a0b\u89c4\u8303\u548c\u6280\u672f\u5b9e\u65bd\u7684\u5168\u6d41\u7a0b\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\uff08\u8868\u683c4<\/strong>\uff09\u3002\u5728\u6b64\u57fa\u7840\u4e0a\uff0c\u56fd\u9645\u7ec4\u7ec7\u548c\u5178\u578b\u56fd\u5bb6\u5206\u522b\u4ece\u5236\u5ea6\u5efa\u8bbe\u3001\u5168\u8fc7\u7a0b\u8d28\u91cf\u63a7\u5236\u3001\u4e13\u4e1a\u4eba\u624d\u57f9\u517b\u4ee5\u53ca\u81ea\u52a8\u5316\u8d28\u91cf\u7ba1\u7406\u7b49\u65b9\u9762\u5f62\u6210\u4e86\u8f83\u4e3a\u6210\u719f\u7684\u5b9e\u8df5\u7ecf\u9a8c\uff0c\u5bf9\u6211\u56fd\u533b\u5b66\u5f71\u50cf\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u5efa\u8bbe\u5177\u6709\u91cd\u8981\u501f\u9274\u610f\u4e499-11<\/sup>\u3002<\/p>\n\n\n\n

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

3.1 <\/strong>\u5b8c\u5584\u6807\u51c6\u4e0e\u5236\u5ea6\u4f53\u7cfb<\/strong><\/p>\n\n\n\n

\u56fd\u9645\u7ec4\u7ec7IAEA\u3001AAPM\u3001ACR\u7b49\u9488\u5bf9\u8d85\u58f0\u3001\u6570\u5b57\u4e73\u817aX\u5c04\u7ebf\u673a\u3001CT\u3001MRI\u4ee5\u53caPET\/CT\u7b49\u591a\u7c7b\u5f71\u50cf\u8bbe\u5907\u5236\u5b9a\u4e86\u7cfb\u7edf\u5316\u7684\u8d28\u63a7\u6307\u5357\uff0c\u5f62\u6210\u8f83\u4e3a\u5b8c\u5584\u7684\u6280\u672f\u6807\u51c6\u4f53\u7cfb9,10,33-38<\/sup>\u3002\u4e0e\u6b64\u540c\u65f6\uff0c\u56fd\u9645\u7b5b\u67e5\u9879\u76ee\u901a\u5e38\u4f9d\u6258\u7edf\u4e00\u7684\u6280\u672f\u89c4\u8303\u5f00\u5c55\u8d28\u91cf\u7ba1\u7406\u3002\u4f8b\u5982\uff0c\u6b27\u6d32\u59d4\u5458\u4f1a\u53d1\u5e03\u7684\u4e73\u817a\u764c\u7b5b\u67e5\u6307\u5357\u300aEuropean Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis\u300b\u4e0d\u4ec5\u5bf9\u8bbe\u5907\u6027\u80fd\u548c\u56fe\u50cf\u8d28\u91cf\u63d0\u51fa\u660e\u786e\u8981\u6c42\uff0c\u8fd8\u7cfb\u7edf\u6db5\u76d6\u4eba\u5458\u57f9\u8bad\u3001\u7b5b\u67e5\u6d41\u7a0b\u53ca\u8d28\u91cf\u5ba1\u6838\u673a\u5236\uff0c\u5b9e\u73b0\u4ece\u56fe\u50cf\u91c7\u96c6\u5230\u8bca\u65ad\u5e94\u7528\u7684\u5168\u8fc7\u7a0b\u89c4\u8303\uff0c\u5e76\u660e\u786e\u4e86\u5b9a\u671f\u8d28\u91cf\u5ba1\u6838\u548c\u5916\u90e8\u8bc4\u4f30\u673a\u523639<\/sup>\u3002\u7f8e\u56fd\u901a\u8fc7\u4e73\u817aX\u7ebf\u6444\u5f71\u8d28\u91cf\u6807\u51c6\u6cd5\uff08MQSA\uff09\uff0c\u4ee5\u4e73\u817a\u764c\u7b5b\u67e5\u4e3a\u6838\u5fc3\uff0c\u5efa\u7acb\u4e86\u8986\u76d6\u673a\u6784\u548c\u8bbe\u5907\u8ba4\u8bc1\uff0c\u4eba\u5458\u8d44\u8d28\u548c\u673a\u6784\u5ba1\u6838\u7684\u76d1\u7ba1\u5236\u5ea6\uff0c\u5f62\u6210\u8f83\u4e3a\u5b8c\u6574\u7684\u8d28\u91cf\u76d1\u7ba1\u4f53\u7cfb40<\/sup>\u3002<\/p>\n\n\n\n

3.2<\/strong>\u5f3a\u5316\u8d28\u91cf\u63a7\u5236\u6267\u884c\u4e0e\u5168\u6d41\u7a0b\u7ba1\u7406<\/strong><\/p>\n\n\n\n

\u5728\u5b9e\u65bd\u5c42\u9762\uff0c\u56fd\u9645\u6307\u5357\u666e\u904d\u5f3a\u8c03\u8d28\u91cf\u63a7\u5236\u8981\u6c42\u843d\u5b9e\u5230\u8bbe\u5907\u5168\u751f\u547d\u5468\u671f\uff0c\u5305\u62ec\u9700\u6c42\u8bc4\u4f30\u3001\u91c7\u8d2d\u3001\u5b89\u88c5\u3001\u9a8c\u6536\u3001\u4e34\u5e8a\u4f7f\u7528\u3001\u7ef4\u62a4\u7ef4\u4fee\u53ca\u9000\u5f79\u7b49\u73af\u828211,14,41<\/sup>\u3002\u91cd\u70b9\u5305\u62ec\u8bbe\u5907\u6295\u5165\u4f7f\u7528\u524d\u9700\u5b8c\u6210\u9a8c\u6536\u6d4b\u8bd5\u548c\u57fa\u7ebf\u53c2\u6570\u5efa\u7acb\uff1b\u8fd0\u884c\u8fc7\u7a0b\u4e2d\u901a\u8fc7\u5b9a\u671f\u8d28\u91cf\u63a7\u5236\u68c0\u6d4b\u3001\u9884\u9632\u6027\u7ef4\u62a4\u53ca\u7ef4\u4fee\u540e\u6027\u80fd\u8bc4\u4f30\uff0c\u6301\u7eed\u76d1\u6d4b\u8bbe\u5907\u72b6\u6001\u5e76\u53ca\u65f6\u53d1\u73b0\u6027\u80fd\u6f02\u79fb\u3002\u5f62\u6210\u4ee5\u95ee\u9898\u8bc6\u522b\u4e0e\u7ea0\u6b63\u4e3a\u6838\u5fc3\u7684\u95ed\u73af\u7ba1\u7406\u673a\u5236\uff0c\u63a8\u52a8\u8bbe\u5907\u7ef4\u62a4\u7531\u4ee5\u4e8b\u540e\u7ef4\u4fee\u4e3a\u4e3b\u5411\u4e3b\u52a8\u9884\u9632\u8f6c\u53d8\uff0c\u5e76\u901a\u8fc7\u5236\u5ea6\u5316\u8981\u6c42\uff0c\u63d0\u5347\u5404\u533b\u7597\u673a\u6784\u8d28\u91cf\u63a7\u5236\u6267\u884c\u7684\u89c4\u8303\u6027\u4e0e\u4e00\u81f4\u6027\uff0c\u4ece\u800c\u4fdd\u969c\u5f71\u50cf\u8d28\u91cf\u7684\u7a33\u5b9a\u6027\u548c\u60a3\u8005\u5b89\u51689<\/sup>\u3002<\/p>\n\n\n\n

\u56fd\u9645\u8d28\u91cf\u7ba1\u7406\u4f53\u7cfb\u4e0d\u4ec5\u5173\u6ce8\u5355\u6b21\u8d28\u91cf\u68c0\u6d4b\u7ed3\u679c\uff0c\u66f4\u5f3a\u8c03\u57fa\u4e8e\u6570\u636e\u7684\u6301\u7eed\u7684\u7ba1\u7406\u548c\u6539\u8fdb\u673a\u5236\u3002\u901a\u8fc7\u8d28\u91cf\u8bb0\u5f55\u7ba1\u7406\u3001\u8d8b\u52bf\u5206\u6790\u3001\u5185\u90e8\u5ba1\u6838\u548c\u5916\u90e8\u8bc4\u4f30\uff0c\u5bf9\u8bbe\u5907\u6027\u80fd\u548c\u670d\u52a1\u8d28\u91cf\u8fdb\u884c\u957f\u671f\u76d1\u6d4b\uff0c\u5e76\u5efa\u7acb\u5f02\u5e38\u9884\u8b66\u548c\u7ea0\u6b63\u63aa\u65bd\u673a\u5236\uff0c\u5b9e\u73b0\u8d28\u91cf\u6c34\u5e73\u7684\u52a8\u6001\u4f18\u5316\u548c\u6301\u7eed\u63d0\u534711<\/sup>\u3002\u5728\u6b64\u6846\u67b6\u4e0b\uff0c\u5f62\u6210\u201c\u76d1\u6d4b\u2014\u8bc4\u4f30\u2014\u53cd\u9988\u2014\u6539\u8fdb\u201d\u7684\u5f71\u50cf\u8bbe\u5907\u751f\u547d\u5168\u5468\u671f\u7684\u95ed\u73af\u7ba1\u7406\u6a21\u5f0f\uff0c\u8d2f\u7a7f\u9700\u6c42\u8bc4\u4f30\u3001\u91c7\u8d2d\u3001\u5b89\u88c5\u3001\u9a8c\u6536\u3001\u8c03\u8bd5\u3001\u4e34\u5e8a\u4f7f\u7528\u3001\u7ef4\u62a4\u53ca\u62a5\u5e9f\u7b49\u5168\u8fc7\u7a0b14<\/sup>\uff0c\u6709\u6548\u964d\u4f4e\u8bbe\u5907\u6545\u969c\u7387\u548c\u8fd0\u884c\u6210\u672c\uff0c\u540c\u65f6\u4fdd\u8bc1\u5f71\u50cf\u8d28\u91cf\u548c\u5b89\u5168\u6027\u3002<\/p>\n\n\n\n

3.3<\/strong>\u5f3a\u5316\u533b\u5b66\u7269\u7406\u4e13\u4e1a\u4eba\u5458\u5728\u8d28\u91cf\u7ba1\u7406\u4e2d\u7684\u6838\u5fc3\u4f5c\u7528<\/strong><\/p>\n\n\n\n

\u5728\u8f83\u4e3a\u6210\u719f\u7684\u5f71\u50cf\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u4e2d\uff0c\u533b\u5b66\u7269\u7406\u4eba\u5458\u627f\u62c5\u8bbe\u5907\u9a8c\u6536\u3001\u5b9a\u671f\u6027\u80fd\u68c0\u6d4b\u3001\u626b\u63cf\u534f\u8bae\u4f18\u5316\u3001\u8f90\u5c04\u5242\u91cf\u8bc4\u4f30\u3001\u56fe\u50cf\u8d28\u91cf\u8bc4\u4ef7\u53ca\u8d28\u91cf\u95ee\u9898\u8c03\u67e5\u7b49\u6838\u5fc3\u804c\u8d23\uff0c\u662f\u8fde\u63a5\u8bbe\u5907\u6280\u672f\u3001\u4e34\u5e8a\u9700\u6c42\u548c\u8d28\u91cf\u7ba1\u7406\u7684\u91cd\u8981\u4e13\u4e1a\u529b\u91cf\u3002\u6b27\u7f8e\u56fd\u5bb6\u901a\u5e38\u901a\u8fc7\u4e13\u4e1a\u6559\u80b2\u3001\u89c4\u8303\u5316\u57f9\u8bad\u3001\u8d44\u683c\u8ba4\u8bc1\u3001\u5c97\u4f4d\u8bbe\u7f6e\u548c\u7ee7\u7eed\u6559\u80b2\uff0c\u5efa\u7acb\u8f83\u4e3a\u5b8c\u6574\u7684\u533b\u5b66\u7269\u7406\u804c\u4e1a\u53d1\u5c55\u4f53\u7cfb\uff0c\u5e76\u5bf9\u4e0d\u540c\u5f71\u50cf\u670d\u52a1\u548c\u533b\u7597\u673a\u6784\u6240\u9700\u7684\u4e13\u4e1a\u4eba\u5458\u8d44\u8d28\u53ca\u804c\u8d23\u4f5c\u51fa\u89c4\u5b9a\u3002\u533b\u5b66\u7269\u7406\u4eba\u5458\u4e0d\u4ec5\u53c2\u4e0e\u65e5\u5e38\u8d28\u91cf\u63a7\u5236\uff0c\u4e5f\u53c2\u4e0e\u8bbe\u5907\u91c7\u8d2d\u3001\u98ce\u9669\u8bc4\u4f30\u3001\u8d28\u91cf\u5ba1\u6838\u548c\u6301\u7eed\u6539\u8fdb\uff0c\u4ece\u800c\u4fdd\u8bc1\u8d28\u91cf\u7ba1\u7406\u5177\u6709\u4e13\u4e1a\u6027\u3001\u72ec\u7acb\u6027\u548c\u8fde\u7eed\u6027\u3002<\/p>\n\n\n\n

3.4 <\/strong>\u63a8\u52a8\u8fdc\u7a0b\u548c\u81ea\u52a8\u5316\u8d28\u63a7<\/strong><\/p>\n\n\n\n

\u8fd1\u5e74\u6765\uff0c\u8fdc\u7a0b\u4e0e\u81ea\u52a8\u5316\u8d28\u91cf\u63a7\u5236\u9010\u6e10\u6210\u4e3a\u56fd\u9645\u5f71\u50cf\u8d28\u91cf\u7ba1\u7406\u7684\u91cd\u8981\u53d1\u5c55\u65b9\u5411\u3002\u5229\u7528\u81ea\u52a8\u5316\u8f6f\u4ef6\u5206\u6790\u3001\u8fdc\u7a0b\u68c0\u6d4b\u5e73\u53f0\u4ee5\u53ca\u4eba\u5de5\u667a\u80fd\u8f85\u52a9\u5206\u6790\u6280\u672f\uff0c\u53ef\u5b9e\u73b0\u9ad8\u9891\u6b21\u8d28\u91cf\u76d1\u6d4b\uff0c\u53ca\u65f6\u53d1\u73b0\u8bbe\u5907\u77ed\u671f\u6027\u80fd\u53d8\u5316\uff0c\u4ece\u800c\u964d\u4f4e\u8d28\u91cf\u7ba1\u7406\u6210\u672c\u5e76\u63d0\u9ad8\u95ee\u9898\u53d1\u73b0\u7684\u53ca\u65f6\u6027\u4e0e\u51c6\u786e\u60279,11<\/sup>\u3002<\/p>\n\n\n\n

\u5f53\u524d\u8fdc\u7a0b\u4e0e\u81ea\u52a8\u5316\u8d28\u63a7\u65b9\u6cd5\u5b66\u4f53\u7cfb\u5728\u56fd\u9645\u4e0a\u5c1a\u672a\u5b8c\u5168\u6210\u719f\uff0c\u76f8\u5173\u6280\u672f\u89c4\u8303\u4e0e\u5b9e\u65bd\u6807\u51c6\u4ecd\u5904\u4e8e\u6301\u7eed\u53d1\u5c55\u9636\u6bb5\uff0c\u4e9f\u9700\u8fdb\u4e00\u6b65\u660e\u786e\u8bbe\u5907\u914d\u7f6e\u8981\u6c42\u3001\u64cd\u4f5c\u6d41\u7a0b\u53ca\u4eba\u5458\u914d\u7f6e\u7b49\u5173\u952e\u8981\u7d20\uff0c\u4ee5\u4fdd\u969c\u5176\u89c4\u8303\u5e94\u7528\u548c\u5b9e\u9645\u6548\u679c9<\/sup>\uff0c\u56fd\u9645\u7ec4\u7ec7\u5982IAEA\u4e5f\u5728\u5bc6\u5207\u5173\u6ce8\u81ea\u52a8\u5316\u5de5\u5177\u7684\u9a8c\u8bc1\u3001\u6807\u51c6\u5316\u548c\u89c4\u8303\u5e94\u7528\u95ee\u9898\uff0c\u63a8\u52a8\u76f8\u5173\u6280\u672f\u5411\u89c4\u8303\u5316\u548c\u53ef\u6301\u7eed\u65b9\u5411\u53d1\u5c55\u3002<\/p>\n\n\n\n

\u56db\u3001\u653f\u7b56\u5efa\u8bae<\/strong><\/h1>\n\n\n\n

\u7ed3\u5408\u6211\u56fd\u5f71\u50cf\u7b5b\u67e5\u5feb\u901f\u53d1\u5c55\u80cc\u666f\u53ca\u5f53\u524d\u5b58\u5728\u7684\u4e3b\u8981\u95ee\u9898\uff0c\u672a\u6765\u5e94\u56f4\u7ed5\u6807\u51c6\u4f53\u7cfb\u3001\u6267\u884c\u673a\u5236\u3001\u4eba\u624d\u961f\u4f0d\u3001\u7ba1\u7406\u5ba1\u8ba1\u548c\u667a\u80fd\u5316\u5e94\u7528\u7b49\u65b9\u9762\uff0c\u9010\u6b65\u6784\u5efa\u8986\u76d6\u7b5b\u67e5\u5168\u8fc7\u7a0b\u7684\u8d28\u91cf\u4fdd\u969c\u4f53\u7cfb\u3002<\/p>\n\n\n\n

4.1<\/strong>\u5236\u5b9a\u548c\u5b8c\u5584\u5404\u7c7b\u5f71\u50cf\u8bbe\u5907\u4ee5\u7b5b\u67e5\u9879\u76ee\u4e3a\u6838\u5fc3\u7684\u8d28\u91cf\u6807\u51c6<\/strong><\/p>\n\n\n\n

\u5728\u73b0\u6709\u8bbe\u5907\u8d28\u91cf\u63a7\u5236\u89c4\u8303\u57fa\u7840\u4e0a\uff0c\u5e94\u9010\u6b65\u5b8c\u5584\u548c\u66f4\u65b0\u5f71\u50cf\u8bbe\u5907\u8d28\u63a7\u6807\u51c6\uff0c\u53ca\u65f6\u54cd\u5e94\u5f71\u50cf\u8bbe\u5907\u7684\u66f4\u65b0\u53d1\u5c55\uff0c\u5f71\u50cf\u6280\u672f\u6570\u5b57\u5316\u4e0e\u667a\u80fd\u5316\u53d1\u5c55\u9700\u6c42\uff0c\u63d0\u5347\u6807\u51c6\u7684\u9002\u7528\u6027\u4e0e\u524d\u77bb\u6027\u3002\u540c\u65f6\uff0c\u5e94\u9010\u6b65\u5efa\u7acb\u4ee5\u7b5b\u67e5\u9879\u76ee\u4e3a\u6838\u5fc3\u7684\u8d28\u91cf\u6807\u51c6\u4f53\u7cfb\uff0c\u5c06\u8d28\u91cf\u8981\u6c42\u7531\u5355\u4e00\u8bbe\u5907\u6027\u80fd\u63a7\u5236\uff0c\u62d3\u5c55\u81f3\u56fe\u50cf\u8d28\u91cf\u8bc4\u4ef7\u3001\u626b\u63cf\u534f\u8bae\u4f18\u5316\u53ca\u4e34\u5e8a\u5e94\u7528\u7b49\u73af\u8282\uff0c\u5f62\u6210\u8986\u76d6\u7b5b\u67e5\u5168\u8fc7\u7a0b\u7684\u7cfb\u7edf\u6027\u89c4\u8303\u3002\u5efa\u8bae\u5728\u56fd\u5bb6\u5c42\u9762\u5236\u5b9a\u7edf\u4e00\u7684\u5f71\u50cf\u7b5b\u67e5\u8d28\u91cf\u4fdd\u969c\u6307\u5357\uff0c\u660e\u786e\u8bbe\u5907\u6027\u80fd\u3001\u56fe\u50cf\u8d28\u91cf\u3001\u4eba\u5458\u8d44\u8d28\u53ca\u8d28\u91cf\u7ba1\u7406\u6d41\u7a0b\u7b49\u6838\u5fc3\u8981\u7d20\uff0c\u6784\u5efa\u7edf\u4e00\u7684\u8d28\u91cf\u7ba1\u7406\u6846\u67b6\uff0c\u5e76\u63a8\u52a8\u56fe\u50cf\u8d28\u91cf\u8bc4\u4ef7\u6307\u6807\u53ca\u4f53\u6a21\u6d4b\u8bd5\u89c4\u8303\u7684\u6807\u51c6\u5316\uff0c\u63d0\u9ad8\u4e0d\u540c\u533b\u7597\u673a\u6784\u4e4b\u95f4\u8d28\u91cf\u7ed3\u679c\u7684\u53ef\u6bd4\u6027\u3002<\/p>\n\n\n\n

4.2 <\/strong>\u5f3a\u5316\u8d28\u91cf\u63a7\u5236\u6267\u884c\u4e0e\u5168\u751f\u547d\u5468\u671f\u7ba1\u7406<\/strong><\/p>\n\n\n\n

\u5e94\u5efa\u7acb\u56fd\u5bb6\u5c42\u9762\u7684\u89c4\u8303\u5316\u7684\u8d28\u91cf\u63a7\u5236\u6267\u884c\u4f53\u7cfb\uff0c\u5e76\u4f9d\u6258\u8bbe\u5907\u8d28\u91cf\u4fdd\u8bc1\uff08QA\uff09\u8ba1\u5212\u63a8\u8fdb\u8bbe\u5907\u5168\u751f\u547d\u5468\u671f\u8d28\u91cf\u7ba1\u7406\u3002\u5efa\u7acb\u7edf\u4e00\u3001\u89c4\u8303\u7684\u8d28\u91cf\u7ba1\u7406\u5236\u5ea6\uff0c\u660e\u786e\u4e0d\u540c\u5f71\u50cf\u8bbe\u5907\u548c\u7b5b\u67e5\u9879\u76ee\u5e94\u5f00\u5c55\u7684\u8d28\u63a7\u9879\u76ee\u3001\u6d4b\u8bd5\u65b9\u6cd5\u3001\u6d4b\u8bd5\u5de5\u5177\u53ca\u6267\u884c\u9891\u7387\uff0c\u89c4\u5b9a\u8d28\u63a7\u5de5\u4f5c\u7684\u8d23\u4efb\u4e3b\u4f53\u548c\u5c97\u4f4d\u804c\u8d23\u3002\u5efa\u7acb\u91cf\u5316\u7edf\u4e00\u7684\u8bc4\u4ef7\u6807\u51c6\u548c\u5bb9\u5dee\u8303\u56f4\uff0c\u89c4\u8303\u5f02\u5e38\u7ed3\u679c\u8c03\u67e5\u3001\u7ea0\u6b63\u548c\u9a8c\u8bc1\u6d41\u7a0b\uff0c\u5f62\u6210\u201c\u76d1\u6d4b\u2014\u8bc4\u4f30\u2014\u53cd\u9988\u2014\u6539\u8fdb\u201d\u7684\u95ed\u73af\u7ba1\u7406\u673a\u5236\u3002\u540c\u65f6\uff0c\u52a0\u5f3a\u8d28\u63a7\u8bb0\u5f55\u3001\u8d8b\u52bf\u5206\u6790\u3001\u5185\u90e8\u5ba1\u6838\u548c\u8d28\u91cf\u5ba1\u8ba1\u7b49\u5de5\u4f5c\uff0c\u4e3a\u6301\u7eed\u8d28\u91cf\u6539\u8fdb\u63d0\u4f9b\u652f\u6491\u3002\u91cd\u70b9\u5b8c\u5584\u8bbe\u5907\u9a8c\u6536\u6d4b\u8bd5\u3001\u8fd0\u884c\u671f\u5b9a\u671f\u8d28\u91cf\u63a7\u5236\u68c0\u6d4b\u53ca\u91cd\u5927\u7ef4\u4fee\uff08\u5982\u5173\u952e\u90e8\u4ef6\u66f4\u6362\uff09\u540e\u7684\u6027\u80fd\u8bc4\u4f30\u5236\u5ea6\uff0c\u786e\u4fdd\u8bbe\u5907\u6027\u80fd\u548c\u56fe\u50cf\u8d28\u91cf\u7684\u957f\u671f\u7a33\u5b9a\u3002<\/p>\n\n\n\n

\u540c\u65f6\uff0c\u5e94\u7edf\u4e00\u5173\u952e\u626b\u63cf\u53c2\u6570\u8bbe\u7f6e\u4e0e\u64cd\u4f5c\u6d41\u7a0b\uff0c\u964d\u4f4e\u4e0d\u540c\u533b\u7597\u673a\u6784\u4e4b\u95f4\u7684\u6267\u884c\u5dee\u5f02\uff0c\u63d0\u9ad8\u4e0d\u540c\u8bbe\u5907\u3001\u8f6f\u4ef6\u5e73\u53f0\u548c\u533b\u7597\u673a\u6784\u4e4b\u95f4\u8d28\u91cf\u6570\u636e\u7684\u53ef\u6bd4\u6027\u4e0e\u4e92\u64cd\u4f5c\u6027\uff0c\u4e3a\u5168\u56fd\u8303\u56f4\u5185\u8d28\u91cf\u76d1\u6d4b\u548c\u6301\u7eed\u6539\u8fdb\u63d0\u4f9b\u53ef\u9760\u7684\u6570\u636e\u57fa\u7840\u3002<\/p>\n\n\n\n

4.3 <\/strong>\u52a0\u5f3a\u533b\u5b66\u7269\u7406\u4e13\u4e1a\u4eba\u624d\u4f53\u7cfb\u5efa\u8bbe<\/strong><\/p>\n\n\n\n

\u52a0\u5feb\u5efa\u7acb\u7b26\u5408\u6211\u56fd\u56fd\u60c5\u7684\u533b\u5b66\u7269\u7406\u4eba\u5458\u57f9\u517b\u3001\u51c6\u5165\u4e0e\u8ba4\u8bc1\u4f53\u7cfb\uff0c\u660e\u786e\u5176\u5728\u5f71\u50cf\u8d28\u91cf\u7ba1\u7406\u4e2d\u7684\u804c\u8d23\u5b9a\u4f4d\uff0c\u63a8\u52a8\u5176\u5728\u8bbe\u5907\u6027\u80fd\u6d4b\u8bd5\u3001\u56fe\u50cf\u8d28\u91cf\u8bc4\u4f30\u3001\u8f90\u5c04\u5242\u91cf\u4f18\u5316\u53ca\u8d28\u91cf\u63a7\u5236\u65b9\u6848\u5236\u5b9a\u4e2d\u7684\u5236\u5ea6\u5316\u53c2\u4e0e\u3002\u540c\u65f6\uff0c\u660e\u786e\u804c\u4e1a\u53d1\u5c55\u8def\u5f84\uff0c\u5b8c\u5584\u5c97\u4f4d\u8bbe\u7f6e\u4e0e\u80fd\u529b\u8bc4\u4ef7\u673a\u5236\uff0c\u5f62\u6210\u7a33\u5b9a\u7684\u4e13\u4e1a\u6280\u672f\u961f\u4f0d\u3002\u5728\u4e13\u4e1a\u8d44\u6e90\u76f8\u5bf9\u4e0d\u8db3\u7684\u60c5\u51b5\u4e0b\uff0c\u53ef\u63a2\u7d22\u533a\u57df\u5316\u6216\u5171\u4eab\u5316\u670d\u52a1\u6a21\u5f0f\uff0c\u63d0\u5347\u57fa\u5c42\u533b\u7597\u673a\u6784\u8d28\u91cf\u4fdd\u969c\u80fd\u529b\uff0c\u7f13\u89e3\u533a\u57df\u53d1\u5c55\u4e0d\u5747\u8861\u95ee\u9898\u3002<\/p>\n\n\n\n

4.4 <\/strong>\u5efa\u8bbe\u56fd\u5bb6\u7ea7\u8d28\u91cf\u76d1\u6d4b\u4e0e\u6570\u636e\u7ba1\u7406\u5e73\u53f0<\/strong><\/p>\n\n\n\n

\u4e3a\u4e86\u4fdd\u969c\u6570\u636e\u7684\u6301\u7eed\u7ba1\u7406\u548c\u76d1\u7763\uff0c\u5e94\u52a0\u5feb\u5efa\u8bbe\u56fd\u5bb6\u7ea7\u5f71\u50cf\u8d28\u91cf\u76d1\u6d4b\u5e73\u53f0\uff0c\u5efa\u7acb\u7edf\u4e00\u7684\u6570\u636e\u91c7\u96c6\u6807\u51c6\u548c\u8d28\u91cf\u8bc4\u4ef7\u6307\u6807\u4f53\u7cfb\uff0c\u5b9e\u73b0\u8bbe\u5907\u6027\u80fd\u3001\u56fe\u50cf\u8d28\u91cf\u548c\u8f90\u5c04\u5242\u91cf\u7b49\u5173\u952e\u6570\u636e\u7684\u6807\u51c6\u5316\u7ba1\u7406\u3002\u4f9d\u6258\u56fd\u5bb6\u7ea7\u8d28\u91cf\u76d1\u6d4b\u5e73\u53f0\u5f00\u5c55\u8de8\u533a\u57df\u8d28\u91cf\u6bd4\u8f83\u3001\u52a8\u6001\u8bc4\u4f30\u548c\u98ce\u9669\u9884\u8b66\uff0c\u63d0\u9ad8\u8d28\u91cf\u76d1\u7ba1\u7684\u79d1\u5b66\u6027\u548c\u7cbe\u51c6\u6027\uff0c\u4e3a\u884c\u4e1a\u7ba1\u7406\u548c\u653f\u7b56\u5236\u5b9a\u63d0\u4f9b\u6570\u636e\u652f\u6491\u3002<\/p>\n\n\n\n

4.5 <\/strong>\u63a8\u52a8\u4fe1\u606f\u5316\u4e0e\u81ea\u52a8\u5316\u8d28\u91cf\u63a7\u5236\u624b\u6bb5\u5e94\u7528<\/strong><\/p>\n\n\n\n

\u5e94\u79ef\u6781\u63a8\u52a8\u81ea\u52a8\u5316\u68c0\u6d4b\u5de5\u5177\u3001\u8fdc\u7a0b\u76d1\u6d4b\u5e73\u53f0\u548c\u4eba\u5de5\u667a\u80fd\u6280\u672f\u5728\u8d28\u91cf\u7ba1\u7406\u4e2d\u7684\u5e94\u7528\uff0c\u63d0\u9ad8\u8d28\u91cf\u63a7\u5236\u9891\u7387\u548c\u7ba1\u7406\u6548\u7387\uff0c\u6269\u5927\u8d28\u91cf\u63a7\u5236\u5728\u533b\u7597\u673a\u6784\u4e2d\u7684\u8986\u76d6\u8303\u56f4\u3002\u540c\u65f6\uff0c\u5e94\u52a0\u5f3a\u81ea\u52a8\u5316\u8d28\u91cf\u63a7\u5236\u5de5\u5177\u7684\u89c4\u8303\u5316\u5e94\u7528\u4e0e\u7ba1\u7406\u3002\u5efa\u7acb\u81ea\u52a8\u5316\u8f6f\u4ef6\u548c\u4eba\u5de5\u667a\u80fd\u7b97\u6cd5\u7684\u9a8c\u8bc1\u3001\u8bc4\u4f30\u548c\u5b9a\u671f\u590d\u6838\u673a\u5236\uff0c\u660e\u786e\u5176\u9002\u7528\u8303\u56f4\u3001\u6027\u80fd\u8981\u6c42\u548c\u8d28\u91cf\u8bc4\u4ef7\u6807\u51c6\uff0c\u786e\u4fdd\u5206\u6790\u7ed3\u679c\u7684\u51c6\u786e\u6027\u3001\u7a33\u5b9a\u6027\u548c\u53ef\u91cd\u590d\u6027\uff0c\u63a8\u52a8\u7edf\u4e00\u6570\u636e\u63a5\u53e3\u3001\u8bc4\u4ef7\u6307\u6807\u548c\u7ed3\u679c\u62a5\u544a\u6807\u51c6\u5efa\u8bbe\u3002\u5bf9\u4e8e\u5173\u952e\u8d28\u91cf\u6307\u6807\u548c\u5f02\u5e38\u7ed3\u679c\uff0c\u5e94\u4fdd\u7559\u5fc5\u8981\u7684\u4eba\u5de5\u5ba1\u6838\u4e0e\u590d\u6838\u7a0b\u5e8f\uff0c\u907f\u514d\u5bf9\u81ea\u52a8\u5316\u5de5\u5177\u7684\u8fc7\u5ea6\u4f9d\u8d56\u3002<\/p>\n\n\n\n

\u6b64\u5916\uff0c\u5e94\u7814\u7a76\u5efa\u7acb\u81ea\u52a8\u5316\u8d28\u91cf\u63a7\u5236\u5de5\u5177\u7684\u51c6\u5165\u8bc4\u4ef7\u548c\u8ba4\u8bc1\u673a\u5236\uff0c\u9010\u6b65\u5f62\u6210\u8986\u76d6\u5f00\u53d1\u3001\u9a8c\u8bc1\u3001\u90e8\u7f72\u548c\u5e94\u7528\u5168\u8fc7\u7a0b\u7684\u76d1\u7ba1\u6846\u67b6\uff0c\u4fc3\u8fdb\u4eba\u5de5\u667a\u80fd\u548c\u81ea\u52a8\u5316\u6280\u672f\u5728\u5f71\u50cf\u8d28\u91cf\u7ba1\u7406\u9886\u57df\u5b89\u5168\u3001\u89c4\u8303\u3001\u6709\u5e8f\u53d1\u5c55\u3002<\/p>\n\n\n\n

\u4e94\u3001\u7ed3\u8bed<\/strong><\/h1>\n\n\n\n

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