{"success":true,"data":{"id":181,"title":"\u4e13\u5bb6\u5171\u8bc6\u65b0\u65b9\u5411\uff1a\u6590\u7ef4\u6b23\u00ae\u80ba\u764c\u7532\u57fa\u5316\u68c0\u6d4b\uff0c\u4e3aLDCT\u7b5b\u67e5\u8865\u4e0a","summary":"\u5bfc\u8bed\u8fd1\u671f\uff0c\u5728\u4e2d\u56fd\u80bf\u7624\u6742\u5fd7\u53d1\u8868\u7684\u300a\u5e38\u89c1\u6076\u6027\u80bf\u7624\u8054\u5408\u7b5b\u67e5\u4e13\u5bb6\u5171\u8bc6\uff082025\u7248\uff09\u300b\u4e2d\u63d0\u5230\uff0c2008-2021\u5e74\u671f\u95f4\uff0c\u6211\u56fd\u7edd\u5927\u591a\u6570\u5e38\u89c1\u6076\u6027\u80bf\u7624\u76845\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u5747\u6709\u660e\u663e\u6539\u5584\uff0c\u5176\u4e2d\u80ba\u764c\u7684\u6539\u5584\u6700\u4e3a\u663e\u8457\u3002\u4f46\u4e0e\u6b27\u7f8e\u56fd\u5bb6\u76f8\u6bd4\uff0c\u9664\u80c3\u764c\u548c\u98df\u7ba1\u764c\u5916\uff0c\u6211\u56fd\u591a\u6570\u6076\u6027\u80bf\u7624\u60a3\u80055\u5e74\u751f\u5b58\u7387\u4ecd\u504f\u4f4e\uff0c\u5176\u4e3b\u8981\u539f\u56e0\u662f\u6211\u56fd\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u8d77\u6b65\u8f83\u665a\uff0c\u5bfc\u81f4\u65e9\u671f\u764c\u7684\u6bd4\u4f8b\u660e\u663e\u8f83\u4f4e\u3002\u7b5b\u67e5\u662f\u53d1\u73b0\u65e9\u671f\u80ba\u764c\u548c\u764c\u524d\u75c5\u53d8\u7684\u4e00\u4e2a\u91cd\u8981\u65b9\u6cd5\uff0c\u6bd4\u5982\u4f7f\u7528\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08","highlights":["\u5bfc\u8bed\u8fd1\u671f\uff0c\u5728\u4e2d\u56fd\u80bf\u7624\u6742\u5fd7\u53d1\u8868\u7684\u300a\u5e38\u89c1\u6076\u6027\u80bf\u7624\u8054\u5408\u7b5b\u67e5\u4e13\u5bb6\u5171\u8bc6\uff082025\u7248\uff09\u300b\u4e2d\u63d0\u5230\uff0c2008-2021\u5e74\u671f\u95f4\uff0c\u6211\u56fd\u7edd\u5927\u591a\u6570\u5e38\u89c1\u6076\u6027\u80bf\u7624\u76845\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u5747\u6709\u660e\u663e\u6539\u5584\uff0c\u5176\u4e2d\u80ba\u764c\u7684\u6539\u5584\u6700\u4e3a\u663e\u8457\u3002","\u4f46\u4e0e\u6b27\u7f8e\u56fd\u5bb6\u76f8\u6bd4\uff0c\u9664\u80c3\u764c\u548c\u98df\u7ba1\u764c\u5916\uff0c\u6211\u56fd\u591a\u6570\u6076\u6027\u80bf\u7624\u60a3\u80055\u5e74\u751f\u5b58\u7387\u4ecd\u504f\u4f4e\uff0c\u5176\u4e3b\u8981\u539f\u56e0\u662f\u6211\u56fd\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u8d77\u6b65\u8f83\u665a\uff0c\u5bfc\u81f4\u65e9\u671f\u764c\u7684\u6bd4\u4f8b\u660e\u663e\u8f83\u4f4e\u3002","\u7b5b\u67e5\u662f\u53d1\u73b0\u65e9\u671f\u80ba\u764c\u548c\u764c\u524d\u75c5\u53d8\u7684\u4e00\u4e2a\u91cd\u8981\u65b9\u6cd5\uff0c\u6bd4\u5982\u4f7f\u7528\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08LDCT\uff09\u5bf9\u80ba\u764c\u9ad8\u5371\u4eba\u7fa4\u8fdb\u884c\u7b5b\u67e5\u53ef\u4ee5\u964d\u4f4e20%\u7684\u6b7b\u4ea1\u7387\u3002","\u4f46\u662f\u4f20\u7edf\u80ba\u764c\u65e9\u8bca\u65b9\u6cd5\uff08\u5982\u80bf\u7624\u6807\u5fd7\u7269\u68c0\u6d4b\u3001\u5f71\u50cf\u5b66\u68c0\u67e5\u53ca\u5185\u7aa5\u955c\u68c0\u67e5\uff09\u957f\u671f\u9762\u4e34\u8f90\u5c04\u66b4\u9732\u98ce\u9669\u3001\u5047\u9633\u6027\u7387\u9ad8\u3001\u8d39\u7528\u6602\u8d35\u7b49\u5c40\u9650\u6027\uff0cDNA\u7532\u57fa\u5316\u68c0\u6d4b\u7a81\u7834\u4f20\u7edf\u80ba\u764c\u65e9\u8bca\u65b9\u6cd5\u4e34\u5e8a\u7b5b\u67e5\u75db\u70b9\uff0c\u901a\u8fc7\u5206\u6790\u8840\u6db2\u4e2d\u6e38\u79bbDNA\u7684\u7532\u57fa\u5316\u4fe1\u606f\uff0c\u53ef\u8fdb\u884c\u65e9\u671f\u80bf\u7624\u68c0\u6d4b\u5e76\u8fdb\u884c\u6b63\u786e\u5206\u7c7b\uff0c\u8fd8\u53ef\u4e3a\u5f71\u50cf\u5b66\u96be\u4ee5\u8bca\u65ad\u7684\u65e9\u671f\u80bf\u7624\u63d0\u4f9b\u53c2\u8003\u3002"],"faq":[{"question":"\u8fd9\u7bc7\u6587\u7ae0\u8ba8\u8bba\u4e86\u54ea\u4e9b\u4e3b\u9898\uff1f","answer":"\u6590\u7ef4\u6b23,SHOX2,PTGER4"},{"question":"\u6587\u7ae0\u6838\u5fc3\u89c2\u70b9\u662f\u4ec0\u4e48\uff1f","answer":"\u5bfc\u8bed\u8fd1\u671f\uff0c\u5728\u4e2d\u56fd\u80bf\u7624\u6742\u5fd7\u53d1\u8868\u7684\u300a\u5e38\u89c1\u6076\u6027\u80bf\u7624\u8054\u5408\u7b5b\u67e5\u4e13\u5bb6\u5171\u8bc6\uff082025\u7248\uff09\u300b\u4e2d\u63d0\u5230\uff0c2008-2021\u5e74\u671f\u95f4\uff0c\u6211\u56fd\u7edd\u5927\u591a\u6570\u5e38\u89c1\u6076\u6027\u80bf\u7624\u76845\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u5747\u6709\u660e\u663e\u6539\u5584\uff0c\u5176\u4e2d\u80ba\u764c\u7684\u6539\u5584\u6700\u4e3a\u663e\u8457\u3002\u4f46\u4e0e\u6b27\u7f8e\u56fd\u5bb6\u76f8\u6bd4\uff0c\u9664\u80c3\u764c\u548c\u98df\u7ba1\u764c\u5916\uff0c\u6211\u56fd\u591a\u6570\u6076\u6027\u80bf\u7624\u60a3\u80055\u5e74\u751f\u5b58\u7387\u4ecd\u504f\u4f4e\uff0c\u5176\u4e3b\u8981\u539f\u56e0\u662f\u6211\u56fd\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u8d77\u6b65\u8f83\u665a\uff0c\u5bfc\u81f4\u65e9\u671f\u764c\u7684\u6bd4\u4f8b\u660e\u663e\u8f83\u4f4e\u3002\u7b5b\u67e5\u662f\u53d1\u73b0\u65e9\u671f\u80ba\u764c\u548c\u764c\u524d\u75c5\u53d8\u7684\u4e00\u4e2a\u91cd\u8981\u65b9\u6cd5\uff0c\u6bd4\u5982\u4f7f\u7528\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08"}],"keywords":"\u6590\u7ef4\u6b23,SHOX2,PTGER4","content":"\u5bfc\u8bed\u8fd1\u671f\uff0c\u5728\u4e2d\u56fd\u80bf\u7624\u6742\u5fd7\u53d1\u8868\u7684\u300a\u5e38\u89c1\u6076\u6027\u80bf\u7624\u8054\u5408\u7b5b\u67e5\u4e13\u5bb6\u5171\u8bc6\uff082025\u7248\uff09\u300b\u4e2d\u63d0\u5230\uff0c2008-2021\u5e74\u671f\u95f4\uff0c\u6211\u56fd\u7edd\u5927\u591a\u6570\u5e38\u89c1\u6076\u6027\u80bf\u7624\u76845\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u5747\u6709\u660e\u663e\u6539\u5584\uff0c\u5176\u4e2d\u80ba\u764c\u7684\u6539\u5584\u6700\u4e3a\u663e\u8457\u3002\u4f46\u4e0e\u6b27\u7f8e\u56fd\u5bb6\u76f8\u6bd4\uff0c\u9664\u80c3\u764c\u548c\u98df\u7ba1\u764c\u5916\uff0c\u6211\u56fd\u591a\u6570\u6076\u6027\u80bf\u7624\u60a3\u80055\u5e74\u751f\u5b58\u7387\u4ecd\u504f\u4f4e\uff0c\u5176\u4e3b\u8981\u539f\u56e0\u662f\u6211\u56fd\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u8d77\u6b65\u8f83\u665a\uff0c\u5bfc\u81f4\u65e9\u671f\u764c\u7684\u6bd4\u4f8b\u660e\u663e\u8f83\u4f4e\u3002\u7b5b\u67e5\u662f\u53d1\u73b0\u65e9\u671f\u80ba\u764c\u548c\u764c\u524d\u75c5\u53d8\u7684\u4e00\u4e2a\u91cd\u8981\u65b9\u6cd5\uff0c\u6bd4\u5982\u4f7f\u7528\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08LDCT\uff09\u5bf9\u80ba\u764c\u9ad8\u5371\u4eba\u7fa4\u8fdb\u884c\u7b5b\u67e5\u53ef\u4ee5\u964d\u4f4e20%\u7684\u6b7b\u4ea1\u7387\u3002\u4f46\u662f\u4f20\u7edf\u80ba\u764c\u65e9\u8bca\u65b9\u6cd5\uff08\u5982\u80bf\u7624\u6807\u5fd7\u7269\u68c0\u6d4b\u3001\u5f71\u50cf\u5b66\u68c0\u67e5\u53ca\u5185\u7aa5\u955c\u68c0\u67e5\uff09\u957f\u671f\u9762\u4e34\u8f90\u5c04\u66b4\u9732\u98ce\u9669\u3001\u5047\u9633\u6027\u7387\u9ad8\u3001\u8d39\u7528\u6602\u8d35\u7b49\u5c40\u9650\u6027\uff0cDNA\u7532\u57fa\u5316\u68c0\u6d4b\u7a81\u7834\u4f20\u7edf\u80ba\u764c\u65e9\u8bca\u65b9\u6cd5\u4e34\u5e8a\u7b5b\u67e5\u75db\u70b9\uff0c\u901a\u8fc7\u5206\u6790\u8840\u6db2\u4e2d\u6e38\u79bbDNA\u7684\u7532\u57fa\u5316\u4fe1\u606f\uff0c\u53ef\u8fdb\u884c\u65e9\u671f\u80bf\u7624\u68c0\u6d4b\u5e76\u8fdb\u884c\u6b63\u786e\u5206\u7c7b\uff0c\u8fd8\u53ef\u4e3a\u5f71\u50cf\u5b66\u96be\u4ee5\u8bca\u65ad\u7684\u65e9\u671f\u80bf\u7624\u63d0\u4f9b\u53c2\u8003\u3002\u80ba\u764c\u65e9\u671f\u8bca\u65ad\uff1a\u51cf\u8f7b\u80ba\u764c\u8d1f\u62c5\u7684\u5173\u952e2022\u5e74\uff0c\u5168\u7403\u80ba\u764c\u65b0\u53d1\u75c5\u4f8b248.1\u4e07\uff0c\u5360\u6240\u6709\u65b0\u53d1\u764c\u75c7\u768412.4%\uff0c\u4f4d\u5c45\u5404\u764c\u79cd\u9996\u4f4d\uff1b\u6b7b\u4ea1\u75c5\u4f8b181.7\u4e07\uff0c\u5360\u6240\u6709\u764c\u75c7\u768418.7%\uff0c\u4f4d\u5c45\u5404\u764c\u79cd\u9996\u4f4d\u3002 \u6211\u56fd\u80ba\u764c\u7684\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u5747\u4f4d\u4e8e\u6076\u6027\u80bf\u7624\u7684\u9996\u4f4d\uff0c\u8fd1\u5e74\u6765\u5448\u660e\u663e\u4e0a\u5347\u8d8b\u52bf\u3002\u6839\u636e\u5168\u56fd\u80bf\u7624\u767b\u8bb0\u4e2d\u5fc3\u53d1\u5e03\u6570\u636e\u663e\u793a\uff0c2022\u5e74\uff0c\u6211\u56fd\u80ba\u764c\u65b0\u53d1\u75c5\u4f8b\u589e\u957f\u81f3106.06\u4e07\uff0c\u6b7b\u4ea1\u75c5\u4f8b\u589e\u957f\u81f373.33\u4e07\u3002\u4e2d\u56fd\u80ba\u764c\u6d41\u884c\u75c5\u5b66\u5168\u7403\u6570\u636e\u663e\u793a\uff0c\u80ba\u764c\u60a3\u8005\u786e\u8bca\u540e\u76845\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u4ec5\u4e3a20%\u5de6\u53f3\uff0c\u663e\u8457\u4f4e\u4e8e\u591a\u6570\u5e38\u89c1\u764c\u75c7\uff0c\u8fd9\u4e00\u73b0\u8c61\u4e3b\u8981\u4e0e\u665a\u671f\u8bca\u65ad\u7387\u9ad8\u76f8\u5173\u3002\u4e0e\u5176\u4ed6\u6076\u6027\u80bf\u7624\u4e0d\u540c\uff0c\u80ba\u764c\u75c5\u4f8b\u4e2d\u7ea660%-70%\u5728\u521d\u8bca\u65f6\u5df2\u8fdb\u5c55\u81f3\u665a\u671f\uff08IV\u671f\uff09\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u4e73\u817a\u764c\u3001\u524d\u5217\u817a\u764c\u7b49\u764c\u79cd\u901a\u8fc7\u65e9\u671f\u7b5b\u67e5\u53ef\u5c065\u5e74\u751f\u5b58\u7387\u63d0\u5347\u81f390%\u4ee5\u4e0a\uff0c\u51f8\u663e\u4e86\u80ba\u764c\u65e9\u671f\u68c0\u6d4b\u4f53\u7cfb\u7684\u4e0d\u8db3\u3002\u4e0d\u540c\u80bf\u76245\u5e74\u76f8\u5bf9\u751f\u5b58\u7387\u80ba\u764c\u7684\u9884\u540e\u4e0e\u8bca\u65ad\u65f6\u673a\u5bc6\u5207\u76f8\u5173\u3002\u665a\u671f\uff08IV\u671f\uff09\u80ba\u764c\u60a3\u8005\u76845\u5e74\u751f\u5b58\u7387\u4e0d\u8db310%\uff0c\u800c\u82e5\u5728\u65e9\u671f\uff08I\u671f\uff09\u786e\u8bca\uff0c\u751f\u5b58\u7387\u53ef\u8dc3\u5347\u81f368%-92%\u3002\u8fd9\u4e00\u5de8\u5927\u5dee\u5f02\u51f8\u663e\u4e86\u65e9\u671f\u68c0\u6d4b\u7684\u81f3\u5173\u91cd\u8981\u6027\uff1a1\u6839\u6cbb\u6027\u6cbb\u7597\u673a\u4f1a\uff1a\u65e9\u671f\u80ba\u764c\u60a3\u8005\u901a\u5e38\u9002\u5408\u63a5\u53d7\u6839\u6cbb\u6027\u624b\u672f\uff0c\u5982\u80ba\u53f6\u5207\u9664\u672f\u6216\u6954\u5f62\u5207\u9664\u672f\uff0c\u8fd9\u4e9b\u624b\u672f\u65b9\u5f0f\u80fd\u591f\u6709\u6548\u6e05\u9664\u80bf\u7624\u7ec4\u7ec7\uff0c\u964d\u4f4e\u590d\u53d1\u98ce\u9669\uff0c\u5e76\u4e14\u90e8\u5206\u60a3\u8005\u751a\u81f3\u53ef\u4ee5\u5b9e\u73b0\u5b8c\u5168\u6cbb\u6108\u3002\u6b64\u5916\uff0c\u7acb\u4f53\u5b9a\u5411\u653e\u5c04\u6cbb\u7597\uff08SBRT\uff09\u7b49\u7cbe\u51c6\u7597\u6cd5\u4e3a\u65e0\u6cd5\u624b\u672f\u7684\u60a3\u8005\u63d0\u4f9b\u4e86\u540c\u6837\u6709\u6548\u7684\u66ff\u4ee3\u65b9\u6848\u30022\u907f\u514d\u9ad8\u8d1f\u62c5\u6cbb\u7597\uff1a\u665a\u671f\u80ba\u764c\u60a3\u8005\u5728\u4f7f\u7528\u591a\u79cd\u6cbb\u7597\u7b56\u7565\u65f6\uff0c\u6bd4\u5982\u5316\u7597\u3001\u9776\u5411\u4ee5\u53ca\u514d\u75ab\u6cbb\u7597\uff0c\u8010\u836f\u6027\u662f\u4e00\u4e2a\u4e0d\u53ef\u907f\u514d\u7684\u95ee\u9898\u3002\u901a\u8fc7\u53ca\u65f6\u8c03\u6574\u6cbb\u7597\u65b9\u6848\u3001\u8fdb\u884c\u57fa\u56e0\u68c0\u6d4b\u3001\u5f15\u5165\u514d\u75ab\u6cbb\u7597\u4ee5\u53ca\u7ed3\u5408\u4e2d\u836f\u8c03\u7406\u7b49\u624b\u6bb5\uff0c\u867d\u53ef\u5ef6\u7f13\u8010\u836f\u3001\u5ef6\u957f\u751f\u5b58\uff0c\u5374\u96be\u5b8c\u5168\u6446\u8131\u6cbb\u7597\u6bd2\u6027\u3002\u82e5\u80fd\u901a\u8fc7\u65e9\u7b5b\u65e9\u8bca\u5728\u53ef\u624b\u672f\u3001\u53ef\u5c40\u90e8\u6839\u6cbb\u9636\u6bb5\u7ed9\u4e88\u5e72\u9884\uff0c\u4e0d\u4ec5\u53ef\u663e\u8457\u51cf\u5c11\u5bf9\u540e\u7ebf\u5316\u7597\u3001\u9776\u5411\u6216\u514d\u75ab\u7684\u4f9d\u8d56\uff0c\u66f4\u80fd\u4ece\u6e90\u5934\u964d\u4f4e\u836f\u7269\u76f8\u5173\u6bd2\u526f\u53cd\u5e94\uff0c\u5168\u9762\u63d0\u5347\u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u3002\u80ba\u764c\u521d\u8bca\u65f6\u4e0d\u540c\u4e34\u5e8a\u5206\u671f\u5360\u6bd4\u4ee5\u53ca5\u5e74\u751f\u5b58\u7387LDCT\u7b5b\u67e5\uff1a\u5728\u80ba\u764c\u9632\u6cbb\u4e2d\u7684\u53cc\u91cd\u6548\u5e94\u6709\u6548\u7b5b\u67e5\u662f\u65e9\u671f\u8bca\u65ad\u80ba\u764c\u7684\u5173\u952e\u624b\u6bb5\uff0c\u800c\u80ba\u764c\u7b5b\u67e5\u4e0e\u4e00\u7ea7\u9884\u9632\u76f8\u7ed3\u5408\u662f\u964d\u4f4e\u764c\u75c7\u8d1f\u62c5\u7684\u6709\u6548\u65b9\u6cd5\u3002\u76ee\u524d\uff0c\u4eba\u5de5\u667a\u80fd\uff08AI\uff09\u8f85\u52a9\u7684\u80f8\u90e8X\u7ebf\u68c0\u67e5\u548cLDCT\u7b5b\u67e5\u662f\u5e38\u7528\u7684\u80ba\u764c\u7b5b\u67e5\u65b9\u6cd5\u3002\u901a\u8fc7LDCT\u7b5b\u67e5\uff0c\u53ef\u4ee5\u53d1\u73b0\u66f4\u591a\u7684\u65e9\u671f\u80ba\u764c\u60a3\u8005\uff0c\u5e76\u4e14\u663e\u8457\u964d\u4f4e\u9ad8\u5371\u4eba\u7fa4\u7684\u80ba\u764c\u6b7b\u4ea1\u7387\uff0c\u4f7f\u8be5\u4eba\u7fa4\u7684\u80ba\u764c\u6b7b\u4ea1\u51cf\u5c11\u56db\u5206\u4e4b\u4e00\u3002\u4e00\u9879\u540d\u4e3aNELSON\u7684\u8bd5\u9a8c\u663e\u793a\uff0c\u5728\u5f53\u524d\u548c\u65e2\u5f80\u91cd\u5ea6\u5438\u70df\u8005\u4e2d\u8fdb\u884cLDCT\u7b5b\u67e5\u53ef\u4f7f\u80ba\u764c\u7684\u65e9\u671f\u8bca\u65ad\u53d1\u751f\u663e\u8457\u7684\u8f6c\u53d8\u3002\u5728\u957f\u8fbe10\u5e74\u7684\u968f\u8bbf\u671f\u95f4\uff0c\u7b5b\u67e5\u7ec4\u65b0\u53d1\u80ba\u764c\u60a3\u8005\u4e2d\uff0c59%\u4e3a\u65e9\u671f\uff0c\u800c\u5bf9\u7167\u7ec4\u4e2d\u672a\u63d0\u4f9b\u7b5b\u67e5\u7684\u4eba\u7fa4\u4e2d\u4ec5\u670914%\u5728\u786e\u8bca\u65f6\u5904\u4e8e\u65e9\u671f\u3002\u6b64\u5916\uff0c\u7b5b\u67e5\u7ec4868\u4f8b\u6b7b\u4ea1\u4e2d\u670918.4%\u6b7b\u4e8e\u80ba\u764c\uff0c\u800c\u5bf9\u7167\u7ec4860\u4f8b\u6b7b\u4ea1\u4e2d\u670924.4%\u6b7b\u4e8e\u80ba\u764c\u3002\u8fd9\u76f8\u5f53\u4e8e\uff0c\u901a\u8fc7LDCT\u7b5b\u67e5\uff0c10\u5e74\u5185\uff0c\u7537\u6027\u80ba\u764c\u7d2f\u79ef\u6b7b\u4ea1\u7387\u964d\u4f4e\u4e8624%\uff0c\u5973\u6027\u80ba\u764c\u7d2f\u79ef\u6b7b\u4ea1\u7387\u964d\u4f4e\u4e8633%\u3002\u4e0e\u5e38\u89c4\u68c0\u67e5\uff08\u5de6\uff09\u76f8\u6bd4\uff0c\u6709\u6548\u7684\u7b5b\u67e5\u65b9\u6848\uff08\u53f3\uff09\u53ef\u4ee5\u5728\u65e9\u671f\u53d1\u73b0\u66f4\u591a\u80ba\u764c\u60a3\u8005\u300a\u5e38\u89c1\u6076\u6027\u80bf\u7624\u8054\u5408\u7b5b\u67e5\u4e13\u5bb6\u5171\u8bc6\uff082025\u7248\uff09\u300b\u4e2d\u6307\u51fa\uff0c\u7b5b\u67e5\u7684\u5b89\u5168\u6027\u662f\u6307\u4e0e\u7b5b\u67e5\u6536\u76ca\u76f8\u6bd4\uff0c\u4e2a\u4f53\u5728\u53c2\u4e0e\u7b5b\u67e5\u8fc7\u7a0b\u4e2d\u4ea7\u751f\u7684\u4efb\u4f55\u8d1f\u9762\u6548\u5e94\u3002\u5c3d\u7ba1LDCT\u5728\u80ba\u764c\u65e9\u671f\u7b5b\u67e5\u4e2d\u5177\u6709\u91cd\u8981\u4f5c\u7528\uff0c\u4f46\u5176\u9ad8\u5047\u9633\u6027\u7387\u3001\u8f90\u5c04\u5371\u5bb3\u4ee5\u53ca\u7531\u6b64\u5f15\u53d1\u7684\u8fc7\u5ea6\u8bca\u65ad\u548c\u8fc7\u5ea6\u6cbb\u7597\u7b49\u95ee\u9898\u4e0d\u5bb9\u5ffd\u89c6\u30021\u5047\u9633\u6027\uff1a\u6307\u5b9e\u9645\u65e0\u75c5\u4f46\u6839\u636e\u7b5b\u67e5\u5224\u5b9a\u4e3a\u6709\u75c5\u7684\u60c5\u51b5\uff0c\u4e5f\u5373\u53cd\u6620\u7b5b\u67e5\u6240\u5e26\u6765\u7684\u8bef\u8bca\u60c5\u51b5\u3002\u5047\u9633\u6027\u662f\u80bf\u7624\u7b5b\u67e5\u4e2d\u7684\u5e38\u89c1\u98ce\u9669\uff0c\u9700\u8981\u8fdb\u4e00\u6b65\u68c0\u67e5\u4ee5\u660e\u786e\u6076\u6027\u80bf\u7624\u8bca\u65ad\uff0c\u8fd9\u53ef\u80fd\u5bfc\u81f4\u60a3\u8005\u4ea7\u751f\u4e0d\u826f\u5fc3\u7406\u5f71\u54cd\uff0c\u4ee5\u53ca\u4e3a\u8c03\u67e5\u7ed3\u679c\u800c\u8fdb\u884c\u7684\u8bca\u65ad\u7a0b\u5e8f\u9020\u6210\u7684\u8eab\u4f53\u4f24\u5bb3\uff0c\u5e76\u4e14\u589e\u52a0\u60a3\u8005\u7684\u989d\u5916\u533b\u7597\u8d1f\u62c5\u3002LDCT\u7b5b\u67e5\u4e2d\u7ea620%-40%\u7684\u53d7\u8bd5\u8005\u4f1a\u68c0\u51fa\u80ba\u7ed3\u8282\uff0c\u4f4690%\u4ee5\u4e0a\u4e3a\u826f\u6027\uff08\u5373\u5047\u9633\u6027\u7387\u9ad8\u8fbe90%\u4ee5\u4e0a\uff09\u3002\u7f8e\u56fd\u56fd\u5bb6\u80ba\u764c\u7b5b\u67e5\u8bd5\u9a8c\uff08NLST\uff09\u7ecf\u8fc7\u98ce\u9669\u56e0\u7d20\u7b5b\u9009\uff0c\u5165\u7ec453000\u4f59\u540d\u80ba\u764c\u9ad8\u98ce\u9669\u8005\uff0c\u5728\u63a5\u53d7LDCT\u68c0\u51fa\u7ed3\u8282\u76847191\u540d\u60a3\u8005\uff0827.3%\uff09\u4e2d\uff0c\u4ec5270\u540d\u60a3\u8005\u5728\u540e\u7eed\u968f\u8bbf\u4e2d\u786e\u8bca\u80ba\u764c\uff083.7%\uff09\u3002\u6765\u81ea\u534e\u897f\u533b\u9662\u7684\u6570\u636e\u663e\u793a\uff0c\u572815996\u540d\u63a5\u53d7LDCT\u7b5b\u67e5\u7684\u53d7\u8bd5\u8005\u4e2d\uff0c6779\u4f8b\uff0842.4%\uff09\u7684\u53d7\u8bd5\u8005\u88ab\u68c0\u51fa\u80ba\u7ed3\u8282\uff0c\u4ec5142\u540d\u60a3\u8005\u5728\u540e\u7eed\u968f\u8bbf\u4e2d\u786e\u8bca\u80ba\u764c\uff082.1%\uff09\u3002\u7f8e\u56fdNLST\u7814\u7a76\u6570\u636e\uff08\u5de6\uff09\u3001\u534e\u897f\u533b\u9662\u80ba\u764cLDCT\u7b5b\u67e5\u6570\u636e\uff08\u53f3\uff092\u8fc7\u5ea6\u8bca\u65ad\uff1a\u7b5b\u67e5\u7684\u8fc7\u5ea6\u8bca\u65ad\u662f\u6307\u5bf9\u4e0d\u53ef\u80fd\u8fdb\u5c55\u4e3a\u665a\u671f\u6076\u6027\u80bf\u7624\u7684\u65e9\u671f\u80bf\u7624\u8fdb\u884c\u7684\u8bca\u65ad\uff0c\u4e5f\u5373\u901a\u8fc7\u7b5b\u67e5\u786e\u8bca\u4e3a\u6076\u6027\u80bf\u7624\uff0c\u4f46\u5982\u679c\u672a\u8fdb\u884c\u7b5b\u67e5\uff0c\u5219\u6076\u6027\u80bf\u7624\u5728\u53c2\u4e0e\u8005\u6b7b\u4ea1\u524d\u4e0d\u4f1a\u88ab\u53d1\u73b0\u7684\u60c5\u51b5\u3002\u8fc7\u5ea6\u8bca\u65ad\u4e0d\u4ec5\u5bfc\u81f4\u4e0d\u5fc5\u8981\u7684\u6cbb\u7597\u548c\u968f\u8bbf\uff0c\u8fd8\u4f1a\u7ed9\u60a3\u8005\u5e26\u6765\u5fc3\u7406\u538b\u529b\u548c\u7126\u8651\u3002\u73b0\u6709\u8bc1\u636e\u8868\u660e\uff0cLDCT\u7b5b\u67e5\u5bfc\u81f4\u7684\u80ba\u764c\u8fc7\u5ea6\u8bca\u65ad\u4f30\u8ba1\u5dee\u5f02\u5f88\u5927\uff080%-67%\uff09\uff0c\u4e0d\u4ec5\u5982\u6b64\uff0cLDCT\u7b5b\u67e5\u5f88\u53ef\u80fd\u5bfc\u81f4\u5927\u91cf\u4f4e\u98ce\u9669\u80ba\u7ed3\u8282\u7684\u8fc7\u5ea6\u8bca\u65ad\u30023\u8f90\u5c04\u98ce\u9669\uff1a\u5728\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u8fc7\u7a0b\u4e2d\uff0c\u8f90\u5c04\u98ce\u9669\u662f\u7b5b\u67e5\u526f\u4f5c\u7528\u7684\u4e00\u4e2a\u91cd\u8981\u8003\u91cf\u56e0\u7d20\u3002\u591a\u79cd\u6076\u6027\u80bf\u7624\u7b5b\u67e5\u6280\u672f\uff0c\u5982\u4e73\u817aX\u7ebf\u3001\u80f8\u90e8X\u7ebf\u3001LDCT\u7b49\u68c0\u67e5\uff0c\u90fd\u6d89\u53ca\u4e00\u5b9a\u91cf\u7684\u7535\u79bb\u8f90\u5c04\u3002NLST\u7ed3\u679c\u8868\u660e\uff0cLDCT\u7b5b\u67e5\u7ec4\u7684\u5e73\u57473\u5e74\u8f90\u5c04\u66b4\u9732\u91cf\u4e3a8 mSv\uff0c\u6bcf2500\u540d\u7b5b\u67e5\u8005\u4e2d\u5c31\u67091\u4eba\u6b7b\u4e8e\u8f90\u5c04\u8bf1\u53d1\u6076\u6027\u80bf\u7624\u3002\u5176\u4ed6\u7814\u7a76\u53d1\u73b0\u572810\u5e74\u7684LDCT\u7b5b\u67e5\u4e2d\u8bca\u65ad\u51fa\u7684\u6bcf108\u4f8b\u80ba\u764c\u4e2d\u5c31\u67091\u4f8b\u60a3\u8005\u662f\u5728\u7b5b\u67e5\u8fc7\u7a0b\u4e2d\u7531\u4e8e\u8f90\u5c04\u5f15\u8d77\u7684\u3002DNA\u7532\u57fa\u5316\uff1a\u4e13\u5bb6\u5171\u8bc6+\u4e34\u5e8a\u6570\u636e\u53cc\u91cd\u52a0\u6301\u300a\u4e2d\u56fd\u80ba\u764c\u7b5b\u67e5\u548c\u89c4\u8303\u5316\u7ba1\u7406\u6807\u51c6\u300b\u4e2d\u63d0\u5230\u80ba\u764c\u7b5b\u67e5\u6280\u672f\u6ca1\u6709\u5355\u4e00\u7684\u65b9\u6cd5\uff0c\u9700\u8981\u6839\u636e\u76ee\u6807\u7b5b\u9009\u7684\u4e2a\u4f53\u548c\u6280\u672f\u7684\u53ef\u53ca\u6027\u505a\u51fa\u5408\u7406\u7684\u9009\u62e9\u3002\u4f8b\u5982\uff0c\u75f0\u7ec6\u80de\u5b66\u68c0\u67e5\u65b9\u4fbf\u3001\u7ecf\u6d4e\uff0c\u5177\u6709\u8f83\u9ad8\u7279\u5f02\u6027\uff0c\u4f46\u5927\u8303\u56f4\u68c0\u6d4b\u5b58\u5728\u5c40\u9650\uff0c\u4e0d\u9002\u5408\u4f5c\u4e3a\u4e3b\u8981\u7b5b\u67e5\u624b\u6bb5\u3002\u5f71\u50cf\u5b66\u68c0\u67e5\u4e3a\u9996\u9009\u65b9\u6cd5\uff0c\u5176\u4e2dLDCT\u88ab\u63a8\u8350\u4e3a\u9ad8\u5371\u4eba\u7fa4\u80ba\u764c\u7b5b\u67e5\u7684\u53ef\u9760\u7684\u57fa\u672c\u65b9\u6cd5\uff1bPET-CT\u4e3b\u8981\u7528\u4e8e\u80ba\u764c\u7684\u8bca\u65ad\u3001\u5206\u671f\u548c\u6cbb\u7597\u8bc4\u4f30\uff1b\u4f46\u4ef7\u683c\u6602\u8d35\uff0c\u4e0d\u4f5c\u4e3a\u7b5b\u9009\u624b\u6bb5\u3002\u652f\u6c14\u7ba1\u955c\u4e0d\u80fd\u7528\u4e8e\u5e38\u89c4\u7b5b\u67e5\uff0c\u4f46\u53ef\u4ee5\u5e94\u7528\u4e8e\u5177\u6709\u4e2d\u592e\u6027\u9cde\u72b6\u7ec6\u80de\u764c\u9ad8\u98ce\u9669\u7684\u957f\u671f\u91cd\u5ea6\u5438\u70df\u8005\u7684\u7b5b\u67e5\uff0c\u5c24\u5176\u662f\u53cd\u590d\u75f0\u8840\u548c\u5f71\u50cf\u5b66\u7ed3\u679c\u9634\u6027\u7684\u4eba\u7fa4\u3002\u800c\u751f\u7269\u6807\u5fd7\u7269\uff0c\u53ea\u6709\u5f53\u5176\u80fd\u591f\u5e2e\u52a9\u4e34\u5e8a\u533b\u751f\u505a\u51fa\u5224\u65ad\uff0c\u4f7f\u76ee\u6807\u7fa4\u4f53\u53d7\u76ca\u65f6\uff0c\u624d\u5e94\u8003\u8651\u5e94\u7528\u3002\u53e6\u5916\uff0c\u80bf\u7624\u76f8\u5173\u7684\u81ea\u8eab\u6297\u4f53\uff08TAAbs\uff09\u3001\u5faa\u73af\u80bf\u7624\u7ec6\u80de\uff08CTC\uff09\u3001\u5faa\u73af\u67d3\u8272\u4f53\u5f02\u5e38\u7ec6\u80de\uff08CAC\uff09\u3001\u5faa\u73af\u80bf\u7624DNA\uff08ctDNA\uff09\u3001DNA\u7532\u57fa\u5316\u7b49\u65b0\u5174\u7b5b\u67e5\u6280\u672f\u4e5f\u5728\u4e0d\u65ad\u7814\u7a76\u4e0e\u9a8c\u8bc1\u8fc7\u7a0b\u4e2d\u3002\u4f20\u7edf\u80bf\u7624\u65e9\u7b5b\u65e9\u8bca\u65b9\u6cd5\u7684\u6027\u80fd\u53ca\u4f18\u52a3\u52bf\u4e13\u5bb6\u5171\u8bc6\u63a8\u8350DNA\u7532\u57fa\u5316\u8840\u6db2\u68c0\u6d4b\u4f5c\u4e3a\u4e00\u79cd\u5feb\u901f\u3001\u7075\u654f\u3001\u7cbe\u51c6\u3001\u65e0\u521b\u3001\u53ef\u91cd\u590d\u7684\u80ba\u764c\u65e9\u671f\u8bca\u65ad\u6280\u672f\uff0c\u5df2\u5199\u5165\u591a\u7bc7\u5171\u8bc6\u3002\u5176\u901a\u8fc7\u5206\u6790\u8840\u6db2\u4e2d\u6e38\u79bbDNA\u7684\u7532\u57fa\u5316\u4fe1\u606f\uff0c\u53ef\u8fdb\u884c\u65e9\u671f\u80bf\u7624\u68c0\u6d4b\u5e76\u8fdb\u884c\u6b63\u786e\u5206\u7c7b\uff0c\u8fd8\u53ef\u4e3a\u5f71\u50cf\u5b66\u96be\u4ee5\u8bca\u65ad\u7684\u65e9\u671f\u80bf\u7624\u63d0\u4f9b\u53c2\u8003\u30022019\u5e74\u7684\u300a\u80ba\u764c\u7b5b\u67e5\u4e0e\u7ba1\u7406\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u300b\u6307\u51fa\uff0c\u80ba\u764c\u6700\u4f73\u7b5b\u67e5\u65f6\u673a\u662f\u4e9a\u4e34\u5e8a\u80ba\u764c\u9636\u6bb5\u3002\u5728\u8fd9\u4e00\u9636\u6bb5\uff0c\u4e34\u5e8a\u548c\u5f71\u50cf\u5b66\u5c1a\u672a\u53d1\u73b0\u5f02\u5e38\uff0c\u4f46\u8868\u89c2\u9057\u4f20\u5b66\u53ca\u57fa\u56e0\u76f8\u5173\u5206\u5b50\u6807\u8bb0\u7269\u5df2\u7ecf\u53ef\u4ee5\u88ab\u68c0\u6d4b\u5230\u3002\u4ee5\u5b89\u5fbd\u5b89\u9f99\u57fa\u56e0\u81ea\u4e3b\u7814\u53d1\u7684\u6590\u7ef4\u6b23\u00ae\u2014\u2014\u4ebaSHOX2\/PTGER4\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u8bd5\u5242\u76d2\uff08PCR\u8367\u5149\u6cd5\uff09\u4e3a\u4f8b\uff0cDNA\u7532\u57fa\u5316\u6280\u672f\u4e3a\u80bf\u7624\u65e9\u7b5b\u65e9\u8bca\u63d0\u4f9b\u4e86\u4e00\u79cd\u9ad8\u6548\u3001\u975e\u4fb5\u5165\u6027\u4e14\u5177\u6709\u5e7f\u6cdb\u5e94\u7528\u6f5c\u529b\u7684\u68c0\u6d4b\u65b9\u6cd5\u3002\u76ee\u524d\uff0c\u6590\u7ef4\u6b23\u00ae\u5df2\u5b8c\u6210\u5168\u56fd\u591a\u5bb6\u4e09\u7532\u533b\u9662\u7684\u4e25\u683c\u6027\u80fd\u9a8c\u8bc1\uff0c\u5305\u62ec\u534e\u897f\u533b\u9662\u3001\u5e7f\u4e1c\u5357\u65b9\u533b\u9662\u3001\u798f\u5efa\u7701\u80bf\u7624\u533b\u9662\u3001\u7f8e\u5e74\u5927\u5065\u5eb7\u533b\u7597\u96c6\u56e2\u3001\u90d1\u5dde\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u3001\u89e3\u653e\u519b\u7b2c\u4e94\u533b\u5b66\u4e2d\u5fc3\u3001\u5317\u4eac\u53cb\u8c0a\u533b\u9662\u7b49\u6743\u5a01\u673a\u6784\uff0c\u9a8c\u8bc1\u6570\u636e\u8bc1\u5b9e\uff1a\u4ea7\u54c1\u51c6\u786e\u5ea6\uff08\u4e0e\u75c5\u7406\u91d1\u6807\u51c6\u7b26\u5408\u7387\uff09\u7a81\u783490%\uff0c\u4e3a\u80ba\u764c\u65e9\u8bca\u63d0\u4f9b\u9ad8\u53ef\u9760\u6027\u4fdd\u969c\u3002\u53cc\u57fa\u56e0\u8054\u5408\u68c0\u6d4b\u300a\u4e2d\u56fd\u80bf\u7624\u6574\u5408\u6574\u6cbb\u6280\u672f\u6307\u5357\uff08CACA\uff09-\u6db2\u4f53\u6d3b\u68c0\u300b\u63d0\u51fa\uff1aSHOX2\u3001PTGER4\u7b49\u5747\u662f\u80ba\u764c\u76f8\u5173\u57fa\u56e0\u3002\u6590\u7ef4\u6b23\u00ae\u901a\u8fc7\u68c0\u6d4b\u5916\u5468\u8840\u6837\u672c\u4e2d\u6e38\u79bb\u65e0\u7ec6\u80deDNA\uff08cfDNA\uff09\u7684SHOX2\u57fa\u56e0\u548cPTGER4\u57fa\u56e0\u7684\u7532\u57fa\u5316\u72b6\u6001\uff0c\u5bf9\u53d7\u68c0\u8005\u53d1\u751f\u80ba\u764c\u7684\u6f5c\u5728\u98ce\u9669\u8fdb\u884c\u8bc4\u4f30\u3002\u8be5\u4ea7\u54c1\u91c7\u7528\u201c\u591aCpG\u5c9b\u8054\u5408 + \u53cc\u94fe\u5171\u68c0\u201d\u53cc\u6838\u5fc3\u6280\u672f\u7b56\u7565\uff0c\u514b\u670d\u5355\u70b9\u5c40\u9650\u4e0e\u94fe\u504f\u89c1\uff0c\u964d\u4f4e\u6f0f\u68c0\u7387\uff0c\u786e\u4fdd\u7ed3\u679c\u7a33\u5b9a\u53ef\u9760\u30021SHOX2\u57fa\u56e0\uff1aSHOX2\u57fa\u56e0\u662f\u540c\u6e90\u76d2\u57fa\u56e0\u5bb6\u65cf\u7684\u4e00\u5458\uff0c\u4f4d\u4e8e3\u53f7\u67d3\u8272\u4f53q25-q26.1\u533a\u57df\uff0c\u5176\u7f16\u7801\u7684\u4ea7\u7269\u4e3a\u542b\u670960\u4e2a\u6c28\u57fa\u9178\u6b8b\u57fa\u7684\u4fdd\u5b88\u7684DNA\u7ed3\u5408\u7ed3\u6784\u57df\u7684\u8f6c\u5f55\u56e0\u5b50\uff0c\u5176\u5728\u80da\u80ce\u65f6\u671f\u7684\u8868\u8fbe\u8c03\u63a7\u4e0e\u5668\u5b98\u53d1\u80b2\u5bc6\u5207\u76f8\u5173\u3002\u7814\u7a76\u53d1\u73b0SHOX2\u57fa\u56e0\u7532\u57fa\u5316\u80fd\u5e2e\u52a9\u9274\u522b\u80ba\u90e8\u7684\u826f\u6076\u6027\u75c5\u53d8\uff08\u654f\u611f\u6027\u4e3a68%\uff0c\u7279\u5f02\u6027\u4e3a95%\uff1b\u826f\u6027\u75be\u75c5\uff1a\u5982\u8113\u80bf\u3001\u611f\u67d3\u3001\u963b\u585e\u6027\u80ba\u75c5\u3001\u7ed3\u8282\u75c5\u7b49\uff09\u30022PTGER4\u57fa\u56e0\uff1aPTGER4\u57fa\u56e0\u7f16\u7801\u7684\u86cb\u767d\u662fG\u86cb\u767d\u5076\u8054\u53d7\u4f53\u5bb6\u65cf\u7684\u4e00\u4e2a\u6210\u5458\uff0c\u5df2\u88ab\u8bc1\u660e\u53ef\u8c03\u63a7PGE2\u8bf1\u5bfc\u7684\u65e9\u671f\u751f\u957f\u53cd\u5e94\u56e0\u5b501\uff08EGR1\uff09\uff0c\u8c03\u8282\u73af\u6c27\u5408\u9176-2mRNA\u7684\u6c34\u5e73\u548c\u7a33\u5b9a\u6027\uff0c\u5bfc\u81f4\u7cd6\u539f\u5408\u6210\u9176\u6fc0\u9176\u78f7\u9178\u5316\u3002\u6590\u7ef4\u6b23\u00ae\u4e34\u5e8a\u7814\u7a76\u663e\u793a\uff0cPTGER4\u4e0eSHOX2\u8054\u5408\u7532\u57fa\u5316\u68c0\u6d4b\u80fd\u591f\u63d0\u9ad8\u80ba\u764c\u68c0\u51fa\u7387\u53ca\u51c6\u786e\u6027\uff0c\u4e14\u80fd\u8f85\u52a9\u80ba\u7ed3\u8282\u60a3\u8005\u8fdb\u884c\u826f\u6076\u6027\u9274\u522b\u8bca\u65ad\uff08AUC=0.876\uff09\u3002\u6590\u7ef4\u6b23\u00ae\u6ce8\u518c\u4e34\u5e8a\u8bd5\u9a8c\u6570\u636e\u6027\u80fd\u9a8c\u8bc1\u6570\u636e\u5353\u8d8a\u6590\u7ef4\u6b23\u00ae\u62e5\u6709\u4e2d\u56fd\u80ba\u764c\u7532\u57fa\u5316\u8bca\u65ad\u8bd5\u5242\u76d2\u6700\u5927\u89c4\u6a21\u6ce8\u518c\u4e34\u5e8a\u8bd5\u9a8c\u6570\u636e\uff081700+\u4f8b\u4e34\u5e8a\u8bd5\u9a8c\u6837\u672c\uff09\uff0c\u8be5\u8bd5\u5242\u76d2\u5bf90\u671f\u3001\u2160\u671f\u3001\u2161\u671f\u3001\u2162\u671f\u3001\u2163\u671f\u80ba\u764c\u7684\u654f\u611f\u6027\u5206\u522b\u4e3a80.00%\u300185.81%\u300195.65%\u300186.49%\u3001100.00%\uff0c\u6574\u4f53\u7075\u654f\u5ea6\u4e3a86.43%\uff0c\u7279\u5f02\u6027\u9ad8\u8fbe92.42%\uff1b\u5728\u78e8\u73bb\u7483\u7ed3\u8282\u3001\u22641cm\u7684\u80ba\u7ed3\u8282\u3001\u539f\u4f4d\u764c\u3001\u5fae\u6d78\u6da6IA1\u671f\u764c\u4e2d\u7684\u7075\u654f\u5ea6\u5206\u522b\u4e3a75.50%\u300172.37%\u300180%\u300178.91%\uff0c\u4e5f\u5c55\u73b0\u5173\u952e\u7684\u65e9\u671f\u8bca\u65ad\u4ef7\u503c\u3002\u540c\u65f6\uff0c\u6590\u7ef4\u6b23\u00ae\u8f83\u5e38\u89c4\u8840\u6e05\u5b66\u80bf\u7624\u6807\u5fd7\u7269\u7075\u654f\u5ea6\u63d0\u5347112%\uff0c\u63d0\u793a\u672a\u6765\u6216\u53ef\u66ff\u4ee3\u80bf\u7624\u6807\u5fd7\u7269\u4f5c\u4e3a\u80ba\u764c\u8bca\u65ad\u7684\u5e38\u89c4\u68c0\u6d4b\u65b9\u6cd5\u3002\u4e0e\u73b0\u6709\u7684\u65e9\u671f\u7b5b\u67e5\u624b\u6bb5\u76f8\u6bd4\uff0c\u7532\u57fa\u5316\u57fa\u56e0\u68c0\u6d4b\u5177\u6709\u660e\u663e\u7684\u4f18\u52bf\u3002\u6590\u7ef4\u6b23\u00ae\u7075\u654f\u5ea6\u6570\u636e\u4e34\u5e8a\u5e94\u7528\u573a\u666f\u5c55\u671b\u6590\u7ef4\u6b23\u00ae\u57fa\u4e8e\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u6280\u672f\uff0c\u7ed3\u5408LDCT\uff0c\u4e3a\u80ba\u7ed3\u8282\u826f\u6076\u6027\u9274\u522b\u53ca\u672f\u540e\u7ba1\u7406\u63d0\u4f9b\u9ad8\u6548\u3001\u7cbe\u51c6\u7684\u5206\u5b50\u8bca\u65ad\u652f\u6301\uff0c\u52a9\u529b\u4e34\u5e8a\u51b3\u7b56\u30021\u7cbe\u51c6\u9274\u522b\u80ba\u7ed3\u8282\u826f\u6076\u6027\uff0c\u63d0\u5347\u65e9\u671f\u8bca\u65ad\u6548\u80fd\uff1a\uff081\uff09\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u5728\u78e8\u73bb\u7483\u7ed3\u8282\u80ba\u764c\u8bca\u65ad\u4e2d\u8868\u73b0\u51fa75.50%\u7684\u7075\u654f\u5ea6\uff1b\uff082\uff09\u5728\u22641cm\u7684\u80ba\u7ed3\u8282\u80ba\u764c\u8bca\u65ad\u4e2d\uff0c\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u7684\u7075\u654f\u5ea6\u4e3a72.37%\uff1b\uff083\uff09\u5728\u764c\u524d\u75c5\u53d8\u81f3\u5fae\u6d78\u6da6\u764c\u9636\u6bb5\uff0c\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u5bf9\u539f\u4f4d\u764c\u7684\u7075\u654f\u5ea6\u8fbe\u523080%\uff0c\u5bf9\u5fae\u6d78\u6da6IA1\u671f\u764c\u7684\u7075\u654f\u5ea6\u4e3a78.91%\u3002\uff084\uff09\u5728I\u671f\u80ba\u764c\u8bca\u65ad\u4e2d\uff0c\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u7684\u7075\u654f\u5ea6\u4e3a85.81%\u30022\u672f\u540e\u590d\u53d1\u76d1\u6d4b\u65b0\u7a81\u7834\uff0c\u52a8\u6001\u8bc4\u4f30\u80bf\u7624\u8d1f\u8377\uff1a\u4e34\u5e8a\u7814\u7a76\u6570\u636e\u663e\u793a\uff0c\u672f\u524d\u68c0\u6d4b\u9633\u6027\u7684\u80ba\u764c\u60a3\u8005\uff08n=47\uff09\u672f\u540e\u968f\u8bbf\u4e2d\uff0c\u5176\u4e2d45\u4f8b\u60a3\u8005\u672f\u540e\u68c0\u6d4b\u7ed3\u679c\u8f6c\u4e3a\u9634\u6027\uff0c\u5360\u6bd4\u9ad8\u8fbe95.74%\uff0c\u8fd9\u4e00\u7ed3\u679c\u63d0\u793aSHOX2\/PTGER4\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u5728\u672f\u540e\u6b8b\u7559\u80bf\u7624\u8d1f\u8377\u76d1\u6d4b\u4e2d\u5177\u6709\u663e\u8457\u4f18\u52bf\uff0c\u53ef\u4f5c\u4e3a\u6709\u6548\u7684\u76d1\u6d4b\u624b\u6bb5\u3002\u771f\u5b9e\u4e34\u5e8a\u6848\u4f8b\u6590\u7ef4\u6b23\u00ae\u68c0\u6d4b\u4f5c\u4e3a\u4e00\u9879\u521b\u65b0\u7684\u5206\u5b50\u8bca\u65ad\u6280\u672f\uff0c\u4e0e\u4e34\u5e8a\u521d\u6b65\u5f71\u50cf\u5b66\u68c0\u67e5\uff08\u5982LDCT\u3001PET-CT\u7b49\uff09\u53ca\u7ec4\u7ec7\u75c5\u7406\u5b66\u68c0\u67e5\u7ed3\u679c\u7d27\u5bc6\u7ed3\u5408\uff0c\u5171\u540c\u6784\u6210\u4e86\u8f85\u52a9\u533b\u751f\u660e\u786e\u8bca\u65ad\u7684\u5173\u952e\u8bc1\u636e\u94fe\u3002\u5c24\u5176\u503c\u5f97\u5173\u6ce8\u7684\u662f\uff0c\u5728\u80ba\u90e8\u5f71\u50cf\u5b66\u7ed3\u679c\u4e0d\u660e\u786e\u6216\u5e38\u89c4\u6807\u5fd7\u7269\u68c0\u67e5\u5448\u5047\u9634\u6027\u7b49\u4e34\u5e8a\u5e38\u89c1\u6311\u6218\u6027\u573a\u666f\u4e2d\uff0c\u6590\u7ef4\u6b23\u00ae\u68c0\u6d4b\u5df2\u5728\u65e2\u5f80\u5b9e\u8df5\u4e2d\u5145\u5206\u5c55\u73b0\u51fa\u5176\u72ec\u7279\u7684\u8f85\u52a9\u8bca\u65ad\u4ef7\u503c\u3002\u57fa\u4e8e\u6590\u7ef4\u6b23\u00ae\u4ea7\u54c1\u7684\u4e34\u5e8a\u6848\u4f8b\u6590\u7ef4\u6b23\u00ae\uff1a\u56fd\u5185\u9996\u4e2a\u8840\u6db2\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u80ba\u764c\u65e9\u8bca\u4ea7\u54c1\u5b89\u5fbd\u5b89\u9f99\u57fa\u56e0\u81ea\u4e3b\u7814\u53d1\u7684\u6590\u7ef4\u6b23\u00ae\u2014\u2014\u4ebaSHOX2\/PTGER4\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u8bd5\u5242\u76d2\uff08PCR\u8367\u5149\u6cd5\uff09\u4e8e2024\u5e7410\u670829\u65e5\u6b63\u5f0f\u83b7\u6279\u56fd\u5bb6\u4e09\u7c7b\u533b\u7597\u5668\u68b0\u6ce8\u518c\u8bc1\uff08\u56fd\u68b0\u6ce8\u51c620243402148\uff09\uff0c\u6210\u4e3a\u56fd\u5185\u9996\u4e2a\u8840\u6db2\u80ba\u764c\u53cc\u57fa\u56e0\u7532\u57fa\u5316\u6ce8\u518c\u4ea7\u54c1\u3002\u8be5\u4ea7\u54c1\u4ee5\u201c\u4e00\u7ba1\u8840\u64ac\u52a8\u80ba\u764c\u9632\u6cbb\u65b0\u683c\u5c40\u201d\u4e3a\u6838\u5fc3\u7a81\u7834\uff0c\u51ed\u501f\u9ad8\u7cbe\u51c6\u3001\u65e0\u521b\u4fbf\u6377\u7b49\u591a\u91cd\u4f18\u52bf\u9886\u8dd1\u80ba\u764c\u65e9\u8bca\u9886\u57df\uff0c\u540c\u65f6\u642d\u5efa\u4e86\u9ad8\u901a\u91cf\u3001\u9ad8\u51c6\u786e\u6027\u7684MethyPure\u00ae\u5168\u81ea\u52a8\u6837\u672c\u5904\u7406\u7cfb\u7edf\uff0c\u5b9e\u73b0\u4e86cfDNA\u63d0\u53d6\u3001\u786b\u5316\u548c\u7eaf\u5316\u7684\u5168\u6d41\u7a0b\u81ea\u52a8\u5316\u8fd0\u884c\uff0c\u8ba9\u7532\u57fa\u5316\u68c0\u6d4b\u66f4\u5feb\u901f\u3001\u66f4\u7cbe\u51c6\u3001\u66f4\u667a\u80fd\u3002\u6590\u7ef4\u6b23\u00ae\u7684\u53d1\u5e03\u6807\u5fd7\u7740\u7532\u57fa\u5316\u68c0\u6d4b\u5e94\u7528\u4e8e\u80ba\u764c\u65e9\u8bca\u9886\u57df\u7684\u53c8\u4e00\u91cd\u5927\u7a81\u7834\uff0c\u5c06\u4e3a\u65e9\u671f\u80ba\u764c\u60a3\u8005\u7684\u4e34\u5e8a\u8bca\u65ad\u63d0\u4f9b\u4e00\u79cd\u5168\u65b0\u7684\u65b9\u6cd5\u3002\u6590\u7ef4\u6b23\u00ae\u9002\u7528\u4eba\u7fa41\u80ba\u764c\u9ad8\u5371\u4eba\u7fa4\uff1a\u5e74\u9f84>40\u5c81\uff0c\u5438\u70df\u53f2\u3001\u804c\u4e1a\u66b4\u9732\u3001\u5bb6\u65cf\u53f2\u7b49\u9ad8\u5371\u56e0\u7d20\u8005\u30022\u5b58\u5728\u4e0d\u660e\u786e\u3001\u96be\u5b9a\u6027\u7ed3\u8282\u4eba\u7fa4\uff1aLDCT\u7b5b\u67e5\u68c0\u51fa\u6027\u8d28\u4e0d\u660e\u7684\u7ed3\u8282\uff0c\u9700\u8fdb\u4e00\u6b65\u8bc4\u4f30\u826f\u6076\u6027\u30023\u7591\u4f3c\u80ba\u764c\u4e34\u5e8a\u75c7\u72b6\u60a3\u8005\uff1a\u8be5\u68c0\u6d4b\u9002\u7528\u4e8e\u7591\u4f3c\u80ba\u764c\u4e34\u5e8a\u75c7\u72b6\u4eba\u7fa4\uff0c\u5982\u54b3\u55fd\u3001\u4e0d\u660e\u539f\u56e0\u6d88\u7626\u3001\u53d1\u70ed\u7b49\u30024\u62d2\u7edd\u6709\u521b\u68c0\u67e5\u8005\uff1a\u89c4\u907f\u652f\u6c14\u7ba1\u955c\u3001\u7a7f\u523a\u98ce\u9669\uff0c\u63d0\u4f9b\u65e0\u521b\u66ff\u4ee3\u65b9\u6848\u3002\u6590\u7ef4\u6b23\u00ae\u4ea7\u54c1\u4f18\u52bf1\u68c0\u6d4b\u6027\u80fd\u4f18\u5f02\uff1a\u7075\u654f\u5ea6\u8fbe86.43%\uff0c\u7279\u5f02\u6027\u8fbe92.42\uff05\uff0cI\u671f\u80ba\u764c\u68c0\u51fa\u7075\u654f\u5ea6\u8fbe85.81%\uff0c\u4e3a\u7591\u4f3c\u80ba\u764c\u60a3\u8005\u7684\u4e34\u5e8a\u8f85\u52a9\u8bca\u65ad\u63d0\u4f9b\u9ad8\u53ef\u9760\u6027\u3002\uff08\u67d0\u5355\u4e2d\u5fc3\u6570\u636e\uff092\u80ba\u5c0f\u7ed3\u8282\u826f\u6076\u6027\u7cbe\u51c6\u8bc4\u4f30\uff1a\u9488\u5bf9\u5f71\u50cf\u5b66\u96be\u4ee5\u5224\u65ad\u7684\u5c0f\u7ed3\u8282\uff0c\u80fd\u6709\u6548\u9274\u522b\u826f\u6076\u6027\uff0c\u78e8\u73bb\u7483\u7ed3\u8282\u9274\u522b\u7075\u654f\u5ea6>75%\uff0c\u663e\u8457\u964d\u4f4e\u6f0f\u8bca\u4e0e\u8bef\u8bca\u98ce\u9669\u30023\u64cd\u4f5c\u9ad8\u6548\u4fbf\u6377\uff1a\u642d\u8f7dMethyPure\u00ae\u5168\u81ea\u52a8\u6837\u672c\u5904\u7406\u7cfb\u7edf\uff0c\u81ea\u52a8\u5b8c\u6210\u6838\u9178\u63d0\u53d6\u7eaf\u5316\u786b\u5316\u6d41\u7a0b\uff0c\u5b9e\u73b0\u5feb\u901f\u68c0\u6d4b\u4e0e\u7ed3\u679c\u8f93\u51fa\uff0c\u5927\u5e45\u5ea6\u63d0\u9ad8\u68c0\u6d4b\u6548\u7387\u4e0e\u51c6\u786e\u6027\u3002\u6590\u7ef4\u6b23\u00ae\u6837\u672c\u91c7\u96c6\u4e0e\u4fdd\u5b581\u5916\u5468\u8840\u7684\u91c7\u96c6\uff1a\u63a8\u8350\u91c7\u752810ml\u6e38\u79bbDNA\u6837\u672c\u4fdd\u5b58\u7ba1\u4fdd\u5b58\u5916\u5468\u8840\uff0c\u91c7\u96c6\u6ee1\u7ba1\u5916\u5468\u8840\u7acb\u523b\u4e0a\u4e0b\u8f7b\u67d4\u98a0\u5012\u6df7\u53005\u81f38\u6b21\u30022\u5916\u5468\u8840\u7684\u5b58\u50a8\uff1a\u91c7\u96c6\u7684\u5916\u5468\u8840\u5982\u4e0d\u80fd\u5728\u5f53\u5929\u79bb\u5fc3\u5236\u5907\u8840\u6d46\uff0c\u53ef\u7f6e\u4e8e2\uff5e8\u2103\u4fdd\u5b58\u4e0d\u8d85\u8fc75\u5929\uff0c\u907f\u514d\u5916\u5468\u8840\u51b7\u51bb\u30023\u6837\u672c\u7684\u8fd0\u8f93\uff1a\u91c7\u96c6\u7684\u5916\u5468\u8840\u6837\u672c\u53ef\u5e38\u6e29\u8fd0\u8f934\u5929\uff0c\u957f\u8ddd\u79bb\u8fd0\u8f93\u5efa\u8bae\u79bb\u5fc3\u6210\u8840\u6d46\u540e\u4f4e\u6e29\u8fd0\u8f93\u4e0d\u8d85\u8fc75\u5929\u30024\u8840\u6d46\u7684\u4fdd\u5b58\uff1a\u5206\u79bb\u7684\u8840\u6d46\u5982\u4e0d\u80fd\u7acb\u5373\u8fdb\u884c\u6838\u9178\u63d0\u53d6\uff0c\u9700\u7f6e\u4e8e-20\u00b15\u2103\u73af\u5883\u4e0b\u4fdd\u5b58\u4e0d\u8d85\u8fc73\u4e2a\u6708\uff0c\u53cd\u590d\u51bb\u878d\u6b21\u6570\u4e0d\u8d85\u8fc73\u6b21\uff0c-70\u2103\u4ee5\u4e0b\u8d85\u4f4e\u6e29\u51b0\u7bb1\u4e2d\u4e0d\u8d85\u8fc76\u4e2a\u6708\u30025\u6ce8\u610f\u4e8b\u9879\uff1a\u5b55\u5987\u3001\u670d\u7528\u53bb\u7532\u57fa\u5316\u836f\u7269\uff08\u5982\u5730\u897f\u4ed6\u6ee8\u3001\u963f\u624e\u80de\u82f7\u7b49\uff09\u3001\u4e25\u91cd\u81ea\u8eab\u514d\u75ab\u7f3a\u9677\u75c5\u60a3\u8005\u7b49\u751f\u7406\u75c5\u7406\u6761\u4ef6\u4e0b\u4f1a\u9020\u6210\u57fa\u56e0\u7532\u57fa\u5316\u6c34\u5e73\u6539\u53d8\uff0c\u56e0\u6b64\u4e0d\u5efa\u8bae\u8fdb\u884c\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u3002\u7ed3\u8bed\u6590\u7ef4\u6b23\u00ae\u68c0\u6d4b\u4f5c\u4e3a\u65b0\u4e00\u4ee3\u5206\u5b50\u8bca\u65ad\u6280\u672f\uff0c\u901a\u8fc7\u521b\u65b0\u6027\u7684\u751f\u7269\u6807\u5fd7\u7269\u68c0\u6d4b\u4f53\u7cfb\uff0c\u53ef\u4e0eLDCT\u3001PET-CT\u7b49\u5f71\u50cf\u5b66\u68c0\u67e5\u53ca\u7ec4\u7ec7\u75c5\u7406\u5b66\u7ed3\u679c\u5f62\u6210\u591a\u7ef4\u5ea6\u4e92\u8865\uff0c\u5171\u540c\u6784\u5efa\u4ece\u7b5b\u67e5\u5230\u786e\u8bca\u7684\u5168\u7a0b\u5316\u7cbe\u51c6\u8bca\u65ad\u4f53\u7cfb\u3002\u8be5\u6280\u672f\u57fa\u4e8e\u5148\u8fdb\u7684\u5206\u5b50\u68c0\u6d4b\u5e73\u53f0\uff0c\u80fd\u591f\u7075\u654f\u6355\u6349\u4f20\u7edf\u65b9\u6cd5\u6613\u9057\u6f0f\u7684\u65e9\u671f\u80bf\u7624\u4fe1\u53f7\uff0c\u663e\u8457\u63d0\u5347\u8bca\u65ad\u7684\u51c6\u786e\u6027\u548c\u65f6\u6548\u6027\u3002\u8fd9\u4e00\u521b\u65b0\u6280\u672f\u4e0d\u4ec5\u4e3a\u4e34\u5e8a\u533b\u751f\u63d0\u4f9b\u4e86\u91cd\u8981\u7684\u51b3\u7b56\u53c2\u8003\uff0c\u66f4\u901a\u8fc7\u4f18\u5316\u8bca\u65ad\u8def\u5f84\uff0c\u5e2e\u52a9\u60a3\u8005\u5b9e\u73b0\u65e9\u8bca\u65e9\u6cbb\u3002\u672a\u6765\uff0c\u968f\u7740\u4eba\u5de5\u667a\u80fd\u7b97\u6cd5\u7684\u6df1\u5ea6\u6574\u5408\u548c\u5927\u6837\u672c\u6570\u636e\u7684\u6301\u7eed\u79ef\u7d2f\uff0c\u6590\u7ef4\u6b23\u00ae\u68c0\u6d4b\u6709\u671b\u5728\u80ba\u764c\u7cbe\u51c6\u8bca\u7597\u9886\u57df\u53d1\u6325\u66f4\u5927\u7684\u4ef7\u503c\u3002\u53c2\u8003\u8d44\u6599\uff1a1.National Lung Screening Trial Research Team; Aberle DR, Berg CD, Black WC, Church TR, Fagerstrom RM, Galen B, Gareen IF, Gatsonis C, Goldin J, Gohagan JK, Hillman B, Jaffe C, Kramer BS, Lynch D, Marcus PM, Schnall M, Sullivan DC, Sullivan D, Zylak CJ. The National Lung Screening Trial: overview and study design. Radiology. 2011 Jan;258(1):243-53. doi: 10.1148\/radiol.10091808. Epub 2010 Nov 2. PMID: 21045183; PMCID: PMC3009383.2.Ji G, Bao T, Li Z, Tang H, Liu D, Yang P, Li W, Huang Y. Current lung cancer screening guidelines may miss high-risk population: a real-world study. BMC Cancer. 2021 Jan 11;21(1):50. doi: 10.1186\/s12885-020-07750-z. PMID: 33430831; PMCID: PMC7802250.3.Schmidt B , Liebenberg V , Dietrich D , et al. SHOX2 DNA methylation is a biomarker for the diagnosis of lung cancer based on bronchial aspirates. BMC Cancer\uff0c2010\uff0c(10):600-608. 4.\u300a\u4e2d\u56fd\u80bf\u7624\u6574\u5408\u6574\u6cbb\u6280\u672f\u6307\u5357\uff08CACA\uff09-\u6db2\u4f53\u6d3b\u68c0\u300b\uff0c2023.5.G Weiss, et al. Validationof the SHOX2\/PTGER4 DNA Methylation Marker Panel for Plasma-BasedDiscrimination between Patients with Malignant and Nonmalignant LungDisease. Journal of Thoracic Oncology\uff0c2017\uff0c12(1):77-84.\u5b89\u9f99\u57fa\u56e0\u5b89\u9f99\u57fa\u56e0\u6210\u7acb\u4e8e2016\u5e74\uff0c\u79c9\u6301\u4ee5\u201c\u5e2e\u52a9\u764c\u75c7\u60a3\u8005\u77e5\u9053\u66f4\u65e9\uff0c\u611f\u89c9\u66f4\u8212\u670d\uff0c\u751f\u6d3b\u66f4\u957f\u4e45\u201d\u4e3a\u4f7f\u547d\uff0c\u7acb\u8db3\u4e34\u5e8a\u9700\u6c42\uff0c\u4e13\u6ce8\u5f00\u53d1\u80bf\u7624\u65e9\u7b5b\u65e9\u8bca\u8bd5\u5242\u548c\u667a\u80fd\u5316\u80bf\u7624\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u5e73\u53f0\uff0c\u65e8\u5728\u4e3a\u4e34\u5e8a\u533b\u751f\u63d0\u4f9b\u66f4\u7cbe\u51c6\u7684\u4e34\u5e8a\u51b3\u7b56\u4f9d\u636e\u3002\u516c\u53f8\u62e5\u6709\u591a\u4e2a\u56fd\u5185\u9996\u521b\u764c\u75c7\u65e9\u7b5b\u65e9\u8bca\u4ea7\u54c1\uff0c\u76ee\u524d\u5df2\u63a8\u51fa\u72ec\u5bb6\u201cAI+\u5206\u5b50\u6280\u672f+\u8bbe\u5907\u5e73\u53f0\u201d\u6838\u5fc3\u4e13\u5229\u548c\u4ea7\u54c1\u2014\u2014\u6590\u7ef4\u6b23\u00ae\u65e9\u671f\u80ba\u764c\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u8bd5\u5242\u76d2\u548c\u667a\u80fd\u5316\u80bf\u7624\u57fa\u56e0\u7532\u57fa\u5316\u68c0\u6d4b\u7cfb\u7edf\u3002\u540c\u65f6\u516c\u53f8\u6210\u529f\u5f00\u53d1\u51faOmegaSeq\u6269\u589e\u5b50\u6355\u83b7\u5efa\u5e93\u3001\u591a\u91cd\u5f15\u7269\/\u63a2\u9488\u53cc\u963b\u65adctDNA\u7532\u57fa\u5316\u68c0\u6d4b\u4ee5\u53ca\u81ea\u52a8\u5316\u6570\u636e\u5206\u6790\u7b49\u591a\u9879\u80bf\u7624\u7cbe\u51c6\u68c0\u6d4b\u5206\u6790\u6280\u672f\uff0c\u642d\u5efaPCR\u3001\u6570\u5b57PCR\u3001\u4e00\u4ee3\u6d4b\u5e8f\u3001\u4e8c\u4ee3\u6d4b\u5e8f\u7b49\u5728\u5185\u7684\u591a\u79cd\u5206\u5b50\u8bca\u65ad\u5e73\u53f0\uff0c\u4e3a\u4e34\u5e8a\u63d0\u4f9b\u80bf\u7624\u514d\u75ab\u3001\u9776\u5411\u7528\u836f\u6307\u5bfc\u3001\u65e9\u671f\u7b5b\u67e5\u3001\u9884\u540e\u5224\u65ad\u53ca\u9057\u4f20\u6027\u80bf\u7624\u7b5b\u67e5\u7b49\u5168\u5468\u671f\u533b\u5b66\u8bca\u65ad\u670d\u52a1\u3002\u516c\u53f8\u4ee5\u6ee1\u5206\u6210\u7ee9\u901a\u8fc7\u591a\u9879\u5168\u56fd\u4e34\u5e8a\u68c0\u9a8c\u5ba4\u95f4\u8d28\u91cf\u8bc4\u4ef7\uff0c\u5e76\u83b7\u5f97\u201c\u56fd\u5bb6\u9ad8\u65b0\u6280\u672f\u4f01\u4e1a\u201d\u3001\u201c\u4e2d\u56fd\u9690\u5f62\u72ec\u89d2\u517d500\u5f3a\u201d\u3001\u201c\u5b89\u5fbd\u7701\u6218\u7565\u65b0\u5174\u4ea7\u4e1a\u96c6\u805a\u53d1\u5c55\u57fa\u5730\u201d\u3001\u201c\u5b89\u5fbd\u7701\u9ad8\u5c42\u6b21\u79d1\u6280\u4eba\u624d\u56e2\u961f\u201d\u3001\u201c\u5b89\u5fbd\u7701\u4f01\u4e1a\u7814\u53d1\u4e2d\u5fc3\u201d\u7b49\u591a\u9879\u8363\u8a89\u79f0\u53f7\u3002","source_url":"https:\/\/www.anlongen.com\/Article\/detail\/id\/181.html","alternate_url":"https:\/\/www.anlongen.com\/Article\/aiFeed\/id\/181.html","updated_at":"2025-11-12T00:00:00+08:00"}}