牛牛游戏厅安卓,{原始关键词}

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              • 当前位置: 代写一篇论文多少钱 > 医学论文 > 常用宫旁浸润影像诊断技术综述

                常用宫旁浸润影像诊断技术综述

                时间:2020-04-03 14:01作者:李小燕 孙洪赞 卢再鸣
                本文导读:这是一篇关于常用宫旁浸润影像诊断技术综述的文章,宫旁组织是指宫颈旁阔韧带内的结缔组织,其内有丰富的脂肪、血管、神经、纤维组织及淋巴管;正常宫颈由黏膜层、肌层和外膜组成;宫颈间质是指宫颈黏膜层上皮和固有层之间的组织,由纤维组织、弹力纤维和平滑肌构成;宫旁

                  摘    要: 宫颈癌是最常见的妇科恶性肿瘤。宫旁浸润是指癌组织突破宫颈间质浸润到宫旁组织。临床FIGO分期Ⅱb期及以上的晚期宫颈癌患者通常不选择手术治疗而采用放化疗,而Ⅱb期分期的界限为是否存在宫旁浸润,换言之,是否宫旁浸润决定着治疗方式的选择,所以宫旁浸润的诊断显得尤为重要。本文就宫颈癌宫旁浸润的影像诊断方法进行总结综述。

                  关键词: 宫旁浸润; 宫颈癌; 磁共振成像; 超声; CT; PET/CT; PET/MR;

                  Abstract:牛牛游戏厅安卓,{原始关键词} Cervical cancer is the most common gynecological malignancies.Parametrial infiltration refers to the cancer tissue throughout the cervical stroma infiltrating into parametrium.Patients with advanced cervical cancer with clinical FIGO stage ofⅡb or above usually choose radiotherapy or chemotherapy instead of surgical treatment,and the limit of stage Ⅱb is parametrial infiltration.In other words,parametrial infiltration decides the choice of treatment.So the diagnosis of parametral infiltration is particularly important.In this paper,the imaging diagnosis method of parametrial infiltration was summarized.

                  Keyword:牛牛游戏厅安卓,{原始关键词} parametrial infiltration; cervical cancer; MRI; ultrasound; CT; PET/CT; PET/MR;

                  GONGJINGAISHINVXINGSHENGZHIXITONGZHONGZUICHANGJIANQIESIWANGLVJIAOGAODEEXINGZHONGLIU。GONGPANGZUZHISHIZHIGONGJINGPANGKUORENDAINEIDEJIEDIZUZHI,QINEIYOUFENGFUDEZHIFANG、XUEGUAN、SHENJING、XIANWEIZUZHIJILINBAGUAN;ZHENGCHANGGONGJINGYOUNIANMOCENG、JICENGHEWAIMOZUCHENG;GONGJINGJIANZHISHIZHIGONGJINGNIANMOCENGSHANGPIHEGUYOUCENGZHIJIANDEZUZHI,YOUXIANWEIZUZHI、DANLIXIANWEIHEPINGHUAJIGOUCHENG;GONGPANGJINRUNSHIZHIAIZUZHITUPOGONGJINGJIANZHIJINRUNDAOGONGPANGZUZHI。

                  FIGO(国际妇产联盟)分期是指导宫颈癌治疗的主要分期。值得一提的是2018年10月国际妇产联盟更新了最新版的宫颈癌分期系统,首次提出病理学结果及影像学检查结果用于分期。所有分期均可用获得的影像学和病理学资料来补充临床发现,评估肿瘤大小和扩散程度,形成最终分期。初治患者根据术后病理学结果可以修改术前分期,复发、转移患者术后不再改变分期。新分期对Ia期及Ib期进行了调整,增加了Ib3期,同时增加了IIIc期,将淋巴结转移归入IIIc期,根据是盆腔或腹主动脉旁淋巴结分为IIIc1期和IIIc2期,需注明这种划分是基于只是影像学的评估(r)还是已获得病理学的确诊(p),如影像学显示盆腔淋巴结转移,分期归为IIIc1r。影像学检查可用于评估淋巴结是否受累,但病理学检查仍为金标准。正电子发射计算机断层显像(PET/CT)评估的淋巴结转移优于CT或MRI,PET/CT提示有可疑淋巴结时可细针穿刺活检或手术切除[1]。影像结果的纳入代表了先进的影像技术变得不那么难以获得,同时也表明先进的影像技术获得了代表性[2],2009年版的FIGO分期是由两名高年资以上的医师共同查体确定的,辅助检查仅限于阴道镜检查、活检、宫颈锥切术、膀胱镜和直肠乙状结肠镜检查,一旦确定不能更改。影像学不纳入评估,但用于指导手术方案的设计[3] 。 旧的FIGO分期在早期宫颈癌患者中大约有三分之一、在进展期中大约有三分之二是不准确的[4]。Kim M 等[5]对 215 例妇科检查宫旁阴性的 Ib1 -IIa2期宫颈癌患者进行了回顾性研究,结果发现14%的患者术后病理证实存在宫旁浸润。不准确的分期导致不良的预后,过高估计分期会使本来有手术机会的患者没有选择手术治疗,从而导致预后不良;过低估计分期会使不适合手术治疗的患者进行了手术,存在宫旁浸润的Ⅱb期及以上的晚期患者进行手术切除很难完全切尽肿瘤组织,手术时间延长会增加肿瘤转移的风险,且术后发现宫旁浸润的宫颈癌患者需要接受补充放疗,导致总体并发症高于直接放疗的患者从而导致预后不良[6]。
                 

                常用宫旁浸润影像诊断技术综述
                 

                牛牛游戏厅安卓,{原始关键词}   BUBIANDESHIRUGUOZHONGLIUJUXIANYUGONGJING,ZHEIJIUSHUYUZAOQIJIEDUAN(≤ⅡaQI);YIDANZHONGLIUJINRUNZHIGONGPANG,ZHEIJIUSHUYUWANQIJIEDUAN(≥ⅡbQI)[7]。GENJUNCCN(MEIGUOGUOLIZONGHEAIZHENGWANGLUO)GONGJINGAILINCHUANGSHIJIANZHINAN,ⅡbQIJIYISHANGDEWANQIBINGLITONGCHANGBUXUANZESHOUSHUZHILIAOERCAIQUFANGHUALIAO,ERSHIFOUCUNZAIGONGPANGJINRUNSHIⅡaQIHEⅡbQIGONGJINGAIDEFENJIE,SUOYISHUO,SHIFOUGONGPANGJINRUNJUEDINGZHESHIFOUSHIHESHOUSHUZHILIAO,GUZHILIAOQIANQUEDINGSHIFOUCUNZAIGONGPANGJINRUNZHIGUANZHONGYAO。MUQIANCHANGYONGYUPINGJIAGONGPANGJINRUNDEDEYINGXIANGJISHUYOUMRI、CT、CHAOSHENGDENG,QIZHONGMRIDUIGONGPANGZHENDUANDEZHUNQUELVJIAOGAO,TONGSHIYIXIEXINXINGDEYINGXIANGXUEJIANCHARUPET/CT、PET/MRDENGDUIGONGPANGJINRUNDEZHENDUANJIAZHIZHIDETANSUO。BENWENJIANGDUISHANGSHUZHENDUANFANGFAJINXINGZONGSHU。

                  1 、CT

                  CTSHANGXIANSHIGONGJINGBIANYUANMAOCAO、BUGUANGZHENG、CUNZAIRUANZUZHIMIDUSUOTIAOYING、GONGPANGZHIFANGMIDUZENGJIA、GONGJINGZHOUWEIZHIFANGJIANXIBUQINGXIHUOZHEWANQUANXIAOSHIDENGTISHICUNZAIYOUGONGPANGZUZHIJINRUN[8]。CTDUIRUANZUZHIDEFENBIANLVBURUMRGAO,BUNENGZHUNQUEJIANBIEZHONGLIUYUGONGPANGDEZHENGCHANGZUZHI,CHANGGUODUHUOGUODIGUJIZAOQIGONGPANGQINFAN,KECHUXIANJIAYANGXINGJIJIAYINXING,DUIGONGJINGAIGONGPANGJINRUNDEZHENDUANDEMINGANDUBURUMR,DANCTJIANCHASAOMIAOSUDUKUAI、FANWEIDA、JIAOCIGONGZHENLIANJIAQIERONGYIHUODE,MUQIANLINCHUANGSHANGGONGJINGAIHUANZHECHANGGUIZUOCTZHEYEZHANHENDAYIBUFEN,SUIZHEDUOPINGMIANZHONGJIAN(multiplanar reconstruction,MPR)YINGYONGDEPUJI,CTDUIGONGPANGJINRUNZHENDUANDEZHUNQUEXINGYEYOUYIDINGDETIGAO,QIEZENGQIANGSAOMIAOKEYIJINYIBUJIANBIEZHENGCHANGZUZHIYUBINGBIANZUZHI。LIUYUDENG[9]YANJIUBIAOMINGFIGO FENQIDEZHUNQUELVWEI62%,CT DUIGONGJINGAIFENQIDEZHUNQUELVWEI80%,CTFENQIDEZHUNQUELVMINGXIANGAOYU FIGO FENQI。Bipat SDENG[10]DEMetaFENXIXIANSHICTDUIGONGPANGJINRUNZHENDUANDEMINGANDUWEI55%,TEYIDUYUMRJIEJIN。JINHONGXINGDENG[11]YANJIUXIANSHICT DUI ⅡbQIBINGBIANZHENDUANZHUNQUELVYUEWEI66.67%。SUIRAN CT ZAIPANDUANGONGJINGAIGONGPANGQINFANDEZHUNQUELVBUGAO,DANRENGYAOGAOYULINCHUANG FIGO FENQI,ZAISHUQIANCHANGGUIXING CT JIANCHA,CONGCTTUXIANGSHANGLEJIEGONGPANGQINFANDEQINGKUANG,KEYIBUCHONGLINCHUANGFIGO FENQIDEBUZU,WEILINCHUANGZHILIAOFANGANDEXUANZETIGONGBANGZHU[12]。

                  2 、超声

                牛牛游戏厅安卓,{原始关键词}   CHAOSHENGZHENDUANGONGPANGJINRUNDEZHUYAOZHENGXIANGYOU:HUANZHEDEGONGJINGCHUZHONGKUAIYOUFENGFUXUELIU,QIEHUISHENGDI,GONGJINGAIZUZHITUPOGONGJINGJIANZHI,BINGQIEZHOUWEIZUZHICHUXIANBUGUIZEDIHUISHENGDEMAOCIJINRUN。SANWEICHAOSHENGYUNXUDUIYIGEJIDINGDEJIEPOUQUYUDERENHEYIGEQIEMIANJINXINGPINGGU,QIEKEYIZHUNQUEDIGUJIZHONGLIUDEDAXIAOHETIJI。Byun JMDENG[13]DUI24MINGHUANZHEDEYANJIUBIAOMINGSANWEICHAOSHENGDUIGONGPANGJINRUNZHENDUANDEMINGANDUHETEYIDUKEYIFENBIEDADAO75%HE90%。Chiappa VDENG[14]SHOUCIJIANGERWEIHESANWEICHAOSHENGDUIGONGPANGJINRUNZHENDUANDEYIZHIXINGJINXINGLEDUIBIYANJIU,GONG29MINGHUANZHENARULEYANJIU,YANJIUJIEGUOBIAOMINGERWEICHAOSHENGYUMRIPINGGUGONGPANGJINRUNDEFUHELVWEI76%(kappa=0.459),SANWEICHAOSHENGYUMRIPINGGUGONGPANGJINRUNDEFUHELVWEI79%(kappa=0.508)。SUIHOUArribas SDENG[15]JINXINGLEYIXIANGLEISIDEYANJIU,GONGNARULE40MINGHUANZHE,YANJIUJIEGUOXIANSHIERWEICHAOSHENGYUMRIDUIGONGPANGJINRUNZHENDUANDEYIZHIXINGZHONGDENG,WEI70.0%(kappa=0.41);SANWEICHAOSHENGYUMRIDUIGONGPANGJINRUNZHENDUANDEYIZHIXINGHENHAO,WEI80.0%(kappa=0.60)。TONGSHIMa XDENG[16]DUIJINGYINDAODANXINGCHENGXIANG(TVES)LIANHEGAOFENBIANLVJINGYINDAOCHAOSHENG(TVS)JIANCEGONGJINGAIGONGPANGJINRUNDEJIAZHIJINXINGLETANTAO,BINGYUMRIJINXINGLEBIJIAO,JIEGUOTVSYUTVESLIANHEZHENDUANDEMINGANXING GAOYUDANCHUNTVS;MRIHETVS、TVESLIANHEJIANCEDEMINGANXING JUNWEI72.73%,MRIDETEYIXINGWEI82.14%,TVESYUTVSLIANHETEYIXINGWEI78.57%;MRIZHENDUANZHENGQUELVWEI79.49%,TVESYUTVSLIANHEZHENDUANZHENGQUELVWEI76.92%;PEIDUIYANGBENFENXIXIANSHI,MRIDUIGONGPANGJINRUNDEZHENDUANXIAOGUOYUTVESHETVSLIANHEPINGGUWUTONGJIXUECHAYI(PZHIJUN>0.05)。YOUDANYEDENG[17]YANJIUBIAOMING:YISHUHOUBINGLIZHENDUANWEIJINBIAOZHUN,CHAOSHENGJIANCHAHUANZHEYOUWUGONGPANGJINRUNDELINGMINDUWEI 63.6%,TEYIXINGWEI 95.8%,Youden ZHISHUWEI0.594。ZONGTILAISHUOMUQIANDUIYUCHAOSHENGJIANCHAZAIGONGJINGAIGONGPANGJINRUNZHENDUANFANGMIANYINGYONGDEYANJIUBUDUO,YISHUHOUBINGLIWEIJINBIAOZHUNDEYANJIUGENGWEIQUEFA,DANZAIYUMRIDEDUIBIYANJIUXIANSHICHAOSHENGDUIYUGONGPANGJINRUNDEZHENDUANYUMRIJUYOUJIAOGAODEYIZHIXING,ZHIDEJINYIBUTANJIU。

                  3 、MRI

                  GONGPANGJINRUNZAIMRISHANGDEZHENGXIANGZHUYAOYOU:ZAIT2XULIESHANGGONGJINGJIANZHIDIXINHAOHUANWANZHENGXINGDEPOHUAI;BANGGUANGJIZHICHANGDEDIXINHAOBIDEZHONGDUANBANGONGJINGAIZHONGKUAILIANXUXINGYICHANGTISHIBANGGUANGJIZHICHANGDEJINRUN。2018NIAN,GONGJINGAIDEFIGOFENQIJINXINGLEZHONGDADEXIUDING,JIANGMRIZHENGSHINARUFIGOFENQIXITONG[18],MRIZUOWEIYIZHONGANQUAN、KEZHONGFU、WUFUSHEDECHENGXIANGJISHU,ZHENGCHENGWEIZHILIAOQIANYUFENQIDESHOUXUANJIANCHA[19]。MRIYOULIANGHAODEZUZHIFENBIANLV,GUDUIGONGPANGJINRUNDEZHENDUANYOUHENGAODEZHUNQUEXING。MRIBAOKUOCHANGGUIXULIE、GONGNENGXULIEJIZENGQIANGSAOMIAO,QIEKEYIDUOFANGWEICHENGXIANG,KEYIDUOFANGWEI、DUOJIAODUGUANCHAGONGJINGJINRUNQINGKUANG。Kumar JU DENG[20]DEYANJIUZHENGSHIDUIBIT1ZENGQIANGCHENGXIANG,YUCHANGGUIT1HET2JIAQUANCHENGXIANGDUIGONGJINGAIGONGPANGJINRUNDEPINGJIAXIAOGUOYIZHI,MEIYOUEWAIDEYOUSHI。Yang KDENG[21]YANJIUXIANSHIMRIDUIGONGPANGJINRUNDEZHENDUANZHUNQUELVWEI77.2%,LINGMINDUWEI53.8%,TEYIXINGWEI82.1%;Shweel ADENG[22]DEYANJIUBIAOMINGMRIDUIGONGPANGJINRUNZHENDUANDEMINGANDUWEI100%、TEYIDUWEI85.7%;Maarten GDENG[23]DEMetaFENXINARULE3 254MINGGONGJINGAIHUANZHE,JIEGUOXIANSHIMRDUIGONGPANGJINRUNDELINGMINDUWEI84%、TEYIDUWEI92%,ERLINCHUANGJIANCHADUIGONGPANGJINRUNZHENDUANDEMINGANDUWEI40%、TEYIDUWEI93%。TONGSHIXINDEMRICHENGXIANGJISHUYEZAIBUDUANBEICHANGSHIYONGLAITIGAOGONGPANGJINRUNZHENDUANDEZHUNQUEXING,RUMISANJIAQUANCHENGXIANG(DWI)SHIMUQIANWEIYINENGGOUHUOTIGUANCHASHUIFENZIWEIGUANHUODONGDECHENGXIANGFANGFA,ZHONGLIUZUZHIYINXIBAOMIDUDA,SHUIFENZIKUOSANSHOUXIAN,ZAIDWIXULIEBIAOXIANWEIMINGXIANGAOXINHAO,YUZHOUWEIZUZHIXINGCHENGLIANGHAODUIBI,KEYITONGGUOXUANZEBINGZAOBINGCELIANGXIANGYINGDEBIAOGUANMISANXISHU,XIEZHUDUIGONGPANGYICHANGBINGBIANDEXINGZHIJINXINGPANDUAN。FUZEHONG[24]DENGDUIBIYANJIULEMRIPINGSAOJIMRIPINGSAO+DWIDUIGONGJINGAIFENQIDEYINGYONGJIAZHI,DUI128MINGGONGJINGAIHUANZHEDEYANJIUJIEGUOXIANSHIMRIPINGSAO+DWIDUIGONGJINGAIFENQIZHENDUANDEZHUNQUELVLVEGAOYUMRIPINGSAO,DANZUJIANBIJIAO,CHAYIWUTONGJIXUEYIYI(P>0.05),ZONGJIECHUMRIPINGSAO+DWI YONGYUGONGJINGAILINCHUANGFENQIZHENDUANZHUNQUEXINGGENGGAO,QIEGENGYOUZHUYUJIANBIEZHENDUANZHENGCHANGGONGJINGHEGONGJINGAIZUZHI。SUOYIMRDUIGONGPANGJINRUNDEZHENDUANJUYOUHENGAODEYINGYONGJIAZHI,QIEJUYOUBUDUANTIGAODEQIANLI。

                  4 、PET/CT

                牛牛游戏厅安卓,{原始关键词}   PET/CTSHIPETJICTDERONGHETUXIANG。YINGONGJINGAIDEGUONEIWAIZHENLIAOZHINANDOUTUIJIANⅠb1QIYISHANGDEHUANZHEXINGQUANSHENPET/CTJIANCHA,PET/CTZAIGONGJINGAIHUANZHEZHONGDEYINGYONGBIJIAOPUBIAN,QIZHUYAOGONGNENGSHIPINGJIAZHONGLIUSHIFOUYOUZHUANYI,QIDUIYULINBAJIEZHUANYIYIJIYUANCHUZHUANYIDEZHENDUANJIAZHIHENMINGQUE。PET/CTJIEHELEXINGTAIXUEHEGONGNENGSHUJU,YOUYANJIUZHENGSHITADUIXUDUOSHITIZHONGLIUDEFENQISHIFEICHANGJINGQUEDE,JIAOCHUANTONGFENQIXITONGGENGKEGUAN、ZHUNQUE。Yang ZDENG[25]DUI113MINGGONGJINGAIHUANZHEDEHUIGUXINGFENXIXIANSHIPET/CTZHENDUANGONGJINGAIJIANZHIJINRUNDEMINGANXINGHETEYIXINGFENBIEWEI98.4%HE59.2%,DUIZHONGLIUFENQIDEZHUNQUELVWEI94.7%。Antoch GDENG[26]DUI260WEISHITIZHONGLIUDEHUIGUXINGFENXIXIANSHIPET/CTDUIZHONGLIUDEFENQIYAOBIDANDUDECT,DANDUDEPET,YIJIZONGHEPETHECTJIANCHAJIEGUODECHUDEZHENDUANGENGZHUNQUE,TAMENDEZHUNQUEXINGFENBIEWEI63%、64%JI79%,ERPET/CTDEZHUNQUEXINGWEI84%。SHUOMINGPET/CTRONGHETUXIANGDEJIAZHIDAYUPETJICTDANDUDEJIAZHI,QIDUIGONGPANGJINRUNDEZHENDUANYEYOUJIAOGAODEJIAZHI。

                  5 、总结及展望

                牛牛游戏厅安卓,{原始关键词}   ZONGSHANGSUOSHU,MR,CHAOSHENG,CTZHEISANZHEGEYOUQIYOUSHIYUBUZU。MRZHUNQUEXINGZUIGAO,DANQISAOMIAOSUDUMAN,QIEJIAGEJIAOGUI;CHAOSHENGLIANJIAFANGBIANYIHUODEQIEKEDONGTAIGUANCHA,ZHUNQUEDUYEJIAOGAO,DANZHONGFUXINGJIAOCHA,QIEDUICHAOSHENGYISHIDEJINGYANYAOQIUJIAOGAO;CTSAOMIAOSUDUKUAI,JIAGEXIANGDUIDILIAN,DANZHUNQUEXINGXIANGDUIJIAODI。

                牛牛游戏厅安卓,{原始关键词}   JINJINIANLAIRONGHETUXIANGZHUJIANXINGQI,CHUXIANZAIYINGYONGXIANGDUIGUANGFANDEPET/CTWAI,MRIHESHISHIGAOFENBIANLVCHAOSHENGDERONGHEYEZHUJIANYOURENYANJIU、TANSUO。Théodore CDENG[27]DEYANJIUZHENGSHIMRIJICHAOSHENGRONGHECHENGXIANGKEZUOWEIMRIDEBUCHONGJISHU,TIGAODUIGONGJINGAIBINGBIANDEZHENDUANNENGLI,BINGKEYIGAISHANGONGJINGAIGONGPANGJINRUNDEZHENDUANZHUNQUEXING。PET/MRZUOWEIPETJIMRIDERONGHETUXIANG,JIEHELEMRIDEGAORUANZUZHIDUIBI、GAOFENBIANLVDEXINGTAIXUEXINXIYUPETDEDAIXIESHUJU,BEIZHENGMINGYOUHENQIANGDADEZHENDUANQIANLI[28,29]。Tong WangDENG[30]DUI79MINGGONGJINGAIHUANZHEJINXINGLEJIYU18F-FDG PET/MRTISUFENGEFAPINGJIAGONGJINGAIGONGPANGJINRUNDECHUBUYANJIU,YANJIUJIEGUOXIANSHIPET/MRIYUMRIZHENDUANJIEGUOYIZHIXINGJIAOHAO(kappa=0.693,P<0.001),PET/MRDEZHUNQUEXINGWEI78.5%,MINGANDUWEI64.9%,NPV(YINXINGYUCEZHI)WEI74.5%,JUNLVEGAOYUMRI(FENBIEWEI74.7%、59.5%、71.2%),CHAYIWUTONGJIXUEYIYI(P=1.000);TONGSHIPET/MR+HUIDUZHIDUIGONGPANGJINRUNZHENDUANDEZHUNQUEXING、MINGANDUHENPVFENBIEWEI87.3%、83.8%HE 86.4%,JUNGAOYUMRIJIANCHA,CHAYIYOUTONGJIXUEYIYI(PZHIJUN<0.05)。SHANGJINDENG[31]RENDUI40LIGONGJINGAIHUANZHEDEDUIBIYANJIUXIANSHIPET/MRFENQIYUJINBIAOZHUNDEZHENDUANYIZHIXINGXIANZHEGAOYUPET/CT,ERZHEDUIGONGJINGAIFENQIZHENDUANDECHAYIYOUTONGJIXUEYIYI(χ2=10.286,P=0.002);ZONGJIECHU PET/CTHEPET/MRDUIJIANCHUGONGJINGAIYUANFAZAOJUNYOUJIAOGAODEZHENDUANJIAZHI,DANPET/MRDUIGONGJINGAIFENQIJIPANDINGLINBAJIEZHUANYIYOUGENGDADEZHENDUANYOUSHI。 Grueneisen JDENG[32]DUI27GEGONGJINGAIHUANZHEDEYANJIUZHENGSHILEPET/MRDUIYUANFAXINGJUBUZHONGLIUHEGONGJINGAIHUANZHEFENQIDEZHENDUANBIAOXIANYOUJIAOGAODEZHENDUANXING。CIWAI,PET/MRHAIKEYITIGONGDUOGEPETJIMRIGONGNENGXULIECANSHU,KEYIYONGYUPINGGUZHONGLIUDEQINXIXINGHEYUHOU。YINCI,PET/MRZUOWEIWEILAIGONGJINGAIHUANZHEZHILIAOJUECEQIANDEJIANCHAJUYOUHENDADEQIANLI。QIYOUWANGCHENGWEIZHENDUANGONGJINGAIGONGPANGJINRUNZHUNQUELVZUIGAODEYINGXIANGXUEJIANCHA。

                  参考文献

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