{"id":905,"date":"2013-01-21T14:06:10","date_gmt":"2013-01-21T06:06:10","guid":{"rendered":"http:\/\/wp.kmu.edu.tw\/rd\/?p=905"},"modified":"2013-02-05T15:08:25","modified_gmt":"2013-02-05T07:08:25","slug":"%e8%ab%96%e6%96%87%e8%88%87%e7%a0%94%e7%a9%b6%e7%b6%93%e9%a9%97%e5%88%86%e4%ba%ab","status":"publish","type":"post","link":"https:\/\/wp.kmu.edu.tw\/rd\/archives\/905","title":{"rendered":"\u8ad6\u6587\u8207\u7814\u7a76\u5206\u4eab"},"content":{"rendered":"<p style=\"text-align: right\"><a href=\"http:\/\/wp.kmu.edu.tw\/rd\/archives\/918\">\u56de\u7b2c0005\u671f\u4e3b\u9801<\/a><\/p>\n<h1>\u4e8c\u3001\u8ad6\u6587\u8207\u7814\u7a76\u7d93\u9a57\u5206\u4eab<\/h1>\n<p><a name=\"Paper1\"><\/a><\/p>\n<ul>\n<li><strong>(\u4e00) \u8ad6\u6587:<\/strong>\n<p style=\"padding-left: 30px\"><strong>Teaching NeuroImages: Hemispheric enhancement in Sturge-Weber syndrome <\/strong>\uff08\u9ad8\u96c4\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u4e2d\u548c\u7d00\u5ff5\u91ab\u9662 \u795e\u7d93\u79d1 \u5f90\u5d07\u582f\u52a9\u7406\u6559\u6388\u63d0\u4f9b\u6458\u8981\uff09<span style=\"font-size: small\"> \u4f5c\u8005\uff1aHo BL, Lan SH, Hsu CY. Neurology. 2012 Aug 14;79(7):e69.\uff08IF:8.312\uff09<\/span><\/p>\n<p style=\"padding-left: 30px\">\u4e00\u4f4d17\u6b72\u7537\u6027\u4f75\u767c\u9032\u884c\u6027\u4e4b\u8907\u96dc\u578b\u90e8\u4efd\u6027\u767c\u4f5c(complex partial seizure) , \u55dc\u7761\u4ee5\u53ca\u6301\u7e8c\u6027\u5de6\u5074\u80a2\u9ad4\u504f\u7671\u3002\u7406\u5b78\u6aa2\u67e5\u767c\u73fe\u75c5\u60a3\u5de6\u5074\u81c9\u9830\u3001\u8ec0\u5e79\u4e0a\u90e8\u548c\u5de6\u4e0a\u80a2\u6709\u5ee3\u6cdb\u7684\u9152\u8272\u6591(port-wine nevus)\u3002\u982d\u90e8\u96fb\u8166\u65b7\u5c64\u53ca\u6838\u78c1\u5171\u632f\u9020\u5f71\u78ba\u7acb\u81e8\u5e8a\u8a3a\u65b7\u70baSturge-Weber\u75c7\u5019\u7fa4\u3002\u5728\u63a5\u53d7aspirin\u53ca\u6297\u7672\u7647\u85e5\u7269\u6cbb\u7642\u5f8c\uff0c\u75c5\u60a3\u6062\u5fa9\u826f\u597d\u4e26\u5728\u5f8c\u7e8c\u5169\u5e74\u8ffd\u8e64\u671f\u9593\u672a\u518d\u6709\u7672\u7647\u767c\u4f5c\u3002<\/p>\n<p style=\"padding-left: 30px\">Sturge-Weber\u75c7\u5019\u7fa4\u662f\u4e00\u7f55\u898b\u7684\u5148\u5929\u6027\u75be\u60a3\uff0c\u7279\u5fb5\u70ba\u597d\u767c\u65bc\u8207\u9871\u5167\u9802\u6795\u8449\u8166\u819c\u8840\u7ba1\u7624\u540c\u5074\u7684\u4e09\u53c9\u795e\u7d93(\u7b2c\u4e00\u53ca\u7b2c\u4e8c\u5206\u652f)\u90e8\u4f4d\u4e4b\u76ae\u819a\u8840\u7ba1\u7624(cutaneous angiomas)\u3002\u81e8\u5e8a\u8868\u5fb5\u5305\u62ec\u56e0\u8840\u6813\u5f15\u767c\u4e4b\u985e\u4f3c\u8166\u4e2d\u98a8\u4e8b\u4ef6\u3001\u7672\u7647\u3001\u982d\u75db\u548c\u9752\u5149\u773c\u3002<\/p>\n<\/li>\n<\/ul>\n<p><a name=\"Paper2\"><\/a><\/p>\n<ul>\n<li><strong>(\u4e8c) \u7814\u7a76\u7d93\u9a57\uff1a<\/strong>\n<p style=\"padding-left: 30px\"><strong> \u6211\u5982\u4f55\u5728\u5c0f\u6e2f\u91ab\u9662\u4f5c\u7814\u7a76\uff1f<\/strong> \uff08\u5167\u79d1\u5b78\u9673\u601d\u5609\u52a9\u7406\u6559\u6388\u64b0\u7a3f\uff09<\/p>\n<p style=\"padding-left: 30px\">\u6211\u662f101\u5b78\u5e74\u5ea68\u6708\u5230\u8077\u7684\u65b0\u9032\u6559\u5e2b\uff1a\u5167\u79d1\u5b78\u79d1-\u9673\u601d\u5609\u52a9\u7406\u6559\u6388\u3002\u5f88\u9ad8\u8208 \u63a5\u53d7\u8f9b\u932b\u748b\u7814\u767c\u9577\u7684\u9080\u8acb\u5728\u9ad8\u91ab\u7814\u767c\u8655\u96fb\u5b50\u5831\u4f5c\u7814\u7a76\u7d93\u9a57\u5206\u4eab\u3002<\/p>\n<p style=\"padding-left: 30px\">\u672c\u4eba\u65bc\u6c11\u570b95\u5e748\u6708\u81f3\u5c0f\u6e2f\u91ab\u9662\u5167\u79d1\u5347\u4e3b\u6cbb\u91ab\u5e2b\uff0c\u5728\u7814\u7a76\u65b9\u9762\uff0c\u6709\u5e78\u63a5\u53d7\u5e2b\u9577\u3001\u5b78\u9577\u59ca\u7684\u6559\u5c0e\uff0c\u800c\u5c0d\u7d71\u8a08\u7814\u7a76\u7522\u751f\u4e86\u6fc3\u539a\u7684\u8208\u8da3\u3002\u4e3b\u8981\u7814\u7a76\u65b9\u9762\u5305\u62ec\uff1a\u6162\u6027\u814e\u8870\u7aed\u75c5\u4eba\u5fc3\u81df\u8d85\u97f3\u6ce2\u8207\u5fc3\u8840\u7ba1\u75be\u75c5\u9810\u5f8c\u53ca\u814e\u529f\u80fd\u60e1\u5316\u7684\u76f8\u95dc\u6027\u3001\u7814\u7a76\u975e\u4fb5\u5165\u6027\u52d5\u8108\u786c\u5316\u7be9\u6aa2\u5100\u4e0a\u8e1d\u81c2\u8840\u58d3\u6bd4\u3001\u81c2\u8e1d\u8108\u6ce2\u50b3\u5c0e\u901f\u5ea6\u53ca\u814e\u529f\u80fd\u60e1\u5316\u7684\u76f8\u95dc\u6027\uff0c\u53e6\u5916\u8207\u5f70\u57fa\u8de8\u9662\u6821\u7814\u7a76\u5408\u4f5c\uff1a\u63a2\u8a0e\u81fa\u7063\u6162\u6027\u814e\u81df\u75c5\u75c5\u4eba\u5fc3\u814e\u75c7\u5019\u7fa4\u7684\u5371\u96aa\u56e0\u5b50\u3002\u5f88\u5e78\u904b\u7684\u5728\u7814\u7a76\u65b9\u9762\u6709\u8457\u6975\u4f73\u7684\u6210\u7e3e\uff0c\u9023\u7e8c\u69ae\u7372\u56db\u5e74\u5c0f\u6e2f\u91ab\u9662\u7814\u7a76\u8ad6\u6587\u7e3e\u512a\u4eba\u54e1\u3002\u5176\u5be6\u5927\u5bb6\u90fd\u8aa4\u4ee5\u70ba\u5728\u5c0f\u6e2f\u91ab\u9662\u6c92\u6709\u8fa6\u6cd5\u505a\u7814\u7a76\uff0c\u53ea\u80fd\u5728\u9ad8\u91ab\u505a\uff0c\u9019\u662f\u932f\u8aa4\u7684\u89c0\u5ff5\u3002\u96d6\u7136\u5c0f\u6e2f\u91ab\u9662\u898f\u6a21\u8f03\u9ad8\u91ab\u5c0f\uff0c\u4f46\u505a\u7814\u7a76\u975e\u6578\u5927\u5c31\u662f\u7f8e\uff0c\u53ea\u8981\u6709\u5fc3\uff0c\u6709idea\uff0c\u5728\u90a3\u88e1\u90fd\u53ef\u4ee5\u505a\u51fa\u5f88\u597d\u7684\u7814\u7a76\u3002<\/p>\n<p style=\"padding-left: 30px\">\u5beb\u7814\u7a76\u8ad6\u6587\u7b2c\u4e00\u500b\u8981\u4ef6\u5373\u70ba\u5c0d\u5beb\u8ad6\u6587\u6709\u8208\u8da3\uff0c\u8981\u6703\u7c21\u55ae\u7684\u7d71\u8a08\u3002\u7576\u7136\u518d\u4f86\u5c31\u662f\u8981\u6709\u8cc7\u6599\u53ef\u4ee5\u5206\u6790\uff0c\u4e0d\u8ad6\u662f\u5e2b\u9577\u7684\u6216\u662f\u81ea\u5df1\u6536\u96c6\u7684\u3002\u6211\u6709\u7a7a\u6642\u5373\u6703\u700f\u89bd\u4e00\u4e0btop journal\u7684\u6700\u65b0\u8b70\u984c\uff0c\u4e26\u6642\u5e38\u601d\u8003\u3002\u82e5\u60f3\u5230\u4ec0\u9ebcidea\u5c31\u8a18\u9304\u8d77\u4f86\uff0c\u5c31\u7b97\u534a\u591c\u4e5f\u722c\u8d77\u4f86\u8a18\u9304\uff1b\u6709idea\u5c31\u53bb\u5be6\u884c(abuse\u81ea\u5df1\u53ca\u5225\u4eba\uff0c\u5c0f\u6e2f\u91ab\u9662\u611f\u60c5\u751a\u597d\uff0c\u540c\u4ec1\u4e4b\u9593\u5e38\u4e0d\u8a08\u8f03\u7684\u4e92\u76f8\u5e6b\u5fd9)\uff1b\u5feb\u5bebIRB\u3001\u5feb\u6536\u96c6data\u3001\u5feb\u8dd1\u7d71\u8a08\uff1b\u82e5\u7d71\u8a08\u6709finding\uff0c\u4e0d\u5403\u98ef\u4e5f\u8981\u5beb\u5b8c\u8ad6\u6587\uff1b\u5efa\u8b70\u53ef\u4ee5\u5c07table\u5148\u505a\u597d\uff0c\u8207\u6307\u5c0e\u6559\u6388\u8a0e\u8ad6\u5beb\u4f5c\u65b9\u5411\uff0c\u624d\u80fd\u4e8b\u534a\u529f\u500d\uff1b\u53e6\u5916\uff0c\u4e00\u500bdatabase\u4e0d\u662f\u53ea\u80fd\u5beb\u4e00\u7bc7\u8ad6\u6587\uff0c\u7576\u6642\u9593\u4e45\u4e86\uff0c\u8a18\u5f97\u8ffd\u8e64\u75c5\u4eba\u7684survival\u53caoutcomes\u3002\u4e5f\u5efa\u8b70\u5e38\u56de\u9ad8\u91ab\u53bb\u53c3\u52a0\u7814\u7a76\u6703\u8b70\uff0c\u4e0d\u53ea\u672c\u79d1\u7684\u6703\u8b70\uff0c\u4e5f\u591a\u53c3\u8207\u5176\u4ed6\u79d1\u7684\u6703\u8b70\uff0c\u555f\u767c\u66f4\u591a\u601d\u8003\u3001\u8c50\u5bcc\u5b78\u7fd2\u5167\u6db5\u3002<\/p>\n<p style=\"padding-left: 30px\">\u5176\u5be6\u4e00\u958b\u59cb\u63a5\u5230\u8f9b\u6559\u6388\u9080\u7a3f\u6642\uff0c\u6709\u8457\u8208\u596e\u53d7\u5230\u8a8d\u540c\u7684\u611f\u52d5\uff0c\u53e6\u5916\u5247\u62b1\u6301\u8457\u6212\u614e\u6050\u61fc\u7684\u5fc3\u60c5\uff1a\u4e0d\u66c9\u5f97\u81ea\u5df1\u662f\u5426\u8db3\u4ee5\u582a\u6b64\u91cd\u4efb\u9f13\u52f5\u5e74\u8f15\u4e3b\u6cbb\u91ab\u5e2b\u3002\u671f\u8a31\u81ea\u5df1\u4e0d\u65b7\u81ea\u6211\u5b78\u7fd2\u65bc\u5145\u5be6\u3002<\/p>\n<\/li>\n<\/ul>\n<p><a name=\"Paper3\"><\/a><\/p>\n<ul>\n<li><strong>(\u4e09) \u6f14\u8b1b\u5fc3\u5f97:(\u9b4f\u798f\u5168\u9662\u58eb\u6f14\u8b1b\u8a18\u8981)<\/strong>\n<p style=\"padding-left: 30px\"><strong>\u984c\u76ee\uff1aPerpetual Pursuit of Professional Excellence -\u201cThinking Big and Aiming High\u201d<\/strong>\uff08102\u5e741\u670813\u65e5\u5728\u9ad8\u91ab\u6821\u53cb\u6703\u6f14\u8b1b \u8f9b\u932b\u748b\u6559\u6388\u6458\u8a18\uff09<\/p>\n<p style=\"padding-left: 30px\">\u9b4f\u798f\u5168\u9662\u58eb1972\u5e74\u9ad8\u96c4\u91ab\u5b78\u9662\u91ab\u5b78\u7cfb\u7562\u696d, 1977\u5e74\u8ddf\u96a8\u7f85\u6167\u592b\u9662\u9577\u7531\u99ac\u5055\u91ab\u9662\u5230\u9577\u5e9a\u91ab\u9662\u4efb\u8077\u30021979-1981\u5e74\u5230\u52a0\u62ff\u5927\u591a\u502b\u591a\u5927\u5b78\u9644\u8a2d\u91ab\u5b78\u4e2d\u5fc3\u6574\u5f62\u5916\u79d1\u9032\u4fee, \u4ed6\u8a18\u53d6\u7f85\u6167\u592b\u9662\u9577\u7684\u53ee\u5680\u300c\u5b78\u65b0\u7684\u3001\u53f0\u7063\u6b20\u7f3a\u7684\uff0c\u53c8\u80fd\u5c0d\u4eba\u6c11\u6709\u7528\u7684\u6771\u897f\u300d\uff0c\u9078\u64c7\u4e86\u7576\u5e74\u624d\u525b\u840c\u82bd\u7684\u986f\u5fae\u91cd\u5efa\u624b\u8853(reconstructive microsurgery)\u3002\u5f9e\u6b64\u958b\u555f\u4e86\u9b4f\u6559\u6388\u4eab\u8b7d\u570b\u969b\u7684\u6210\u5c31\uff0c\u9020\u798f\u4e00\u842c\u591a\u540d\u5916\u50b7\u3001\u764c\u75c7\u624b\u8853\u548c\u5148\u5929\u7578\u5f62\u7684\u7d44\u7e54\u7f3a\u640d\u7684\u75c5\u4eba\u30022012 \u5e747\u67085\u65e5\uff0c\u9b4f\u6559\u6388\u7576\u9078\u4e86\u4e2d\u592e\u7814\u7a76\u9662\u58eb\uff0c\u662f\u5916\u79d1\u91ab\u5e2b\u7576\u9078\u9662\u58eb\u7684\u7b2c\u4e00\u4eba\u3002<\/p>\n<p style=\"padding-left: 30px\">\u7576\u9078\u9662\u58eb\u5f8c\uff0c\u9b4f\u6559\u6388\u57fa\u65bc\u611b\u8b77\u6bcd\u6821\u4e4b\u71b1\u8aa0\uff0c\u63a5\u53d7\u9ad8\u91ab\u6821\u53cb\u6703\u9080\u8acb\u5728\u53f0\u5317\u6f14\u8b1b\uff0c\u8b1b\u8ff0\u4ed6\u5728\u986f\u5fae\u5916\u79d1\u624b\u8853\u7684\u8a13\u7df4\u3001\u6539\u9769\u548c\u5275\u65b0\uff0c\u9019\u5353\u8d8a\u7684\u6b77\u7a0b\u662f\u9ad8\u91ab\u5b78\u5f1f\u59b9\u61c9\u5b78\u7fd2\u7684\u5178\u7bc4\u3002<\/p>\n<p style=\"padding-left: 30px\"><strong>\u624e\u624e\u5be6\u5be6\u5efa\u7acb\u518d\u690d\u986f\u5fae\u624b\u8853 (replantation microsurgery) \u7684\u6839\u57fa<\/strong><\/p>\n<p style=\"padding-left: 30px\">\u4e09\u5341\u5e74\u524d\u7684\u53f0\u7063\u5c64\u51fa\u4e0d\u7aae\u7684\u5de5\u696d\u50b7\u5bb3\u9020\u6210\u8a31\u591a\u624b\u90e8\u58d3\u788e\u50b7\u6216\u622a\u80a2\u7684\u50b7\u60a3\u3002\u9b4f\u9662\u58eb\u9032\u884c\u4e86\u5404\u7a2e\u65b7\u6307\u548c\u65b7\u81c2\u986f\u5fae\u518d\u690d\u3001\u4e0a\u4e0b\u80a2\u5916\u50b7\u6216\u5148\u5929\u7578\u5f62\u7684\u986f\u5fae\u91cd\u5efa\u624b\u8853\uff0c\u6062\u5fa9\u4ed6\u5011\u56db\u80a2\u548c\u5668\u5b98\u4e4b\u529f\u80fd\u548c\u5fc3\u9748\u4e4b\u5065\u5eb7\u3002\u7531\u65bc\u986f\u5fae\u624b\u8853\u9700\u8981\u5728\u9ad8\u5ea6\u7cbe\u5bc6\u986f\u5fae\u93e1\u4e0b\uff0c\u5229\u7528 micro-instruments, micro-sutures\u7d14\u719f\u64cd\u4f5c\uff0c\u7e2b\u5408\u5c0f\u8840\u7ba1\u3001\u795e\u7d93\u548c\u808c\u8171\uff0c\u5fc5\u9808\u5177\u5099\u7210\u706b\u7d14\u9752\u7684\u6280\u8853\u3001\u92b3\u5229\u7684\u773c\u529b\u53ca\u5805\u5f37\u7684\u9ad4\u529b\u3002\u4f8b\u59820.1\u516c\u5206\u5167\u5f91\u5927\u5c0f\u7684\u8840\u7ba1\u8981\u7e2b8\u91dd\uff0c\u76f4\u5230\u5b8c\u5168\u543b\u5408\uff0c\u6bcf\u4e00\u91dd\u90fd\u4e0d\u80fd\u6709\u5dee\u932f\u3002\u4e00\u6b21\u624b\u8853\u81f3\u5c11\u516b\u5c0f\u6642\uff0c\u6709\u6642\u4e00\u4e8c\u5341\u5e7e\u500b\u5c0f\u6642\u3002\u5728\u81ea\u6211\u8981\u6c42\u56b4\u5bc6\u8a13\u7df4\u4e0b\uff0c\u9b4f\u6559\u6388\u57f9\u990a\u4e86\u624e\u5be6\u7684\u6839\u57fa\uff0c\u5275\u9020\u4e86\u65e5\u5f8c\u8a31\u591a\u570b\u969b\u7b2c\u4e00\u7684\u7d00\u9304\u3002<em>\u76f4\u52302011\u5e7412\u6708, \u9b4f\u9662\u58eb\u5718\u968a\u5b8c\u62104061\u4f4d \u986f\u5fae\u624b\u8853\u518d\u690d\u75c5\u4f8b\u3002<\/em><\/p>\n<p style=\"padding-left: 30px\"><strong>\u767c\u73fe\u554f\u984c \u8d85\u8d8a\u50b3\u7d71 \u5275\u7acb\u65b0\u65b9\u6cd5<\/strong><\/p>\n<p style=\"padding-left: 30px\">\u96d6\u7136\u986f\u5fae\u518d\u690d\u624b\u8853\u6210\u529f\uff0c\u4f46\u662f\u60a3\u8005\u624b\u6307\u6216\u62c7\u6307\u5e38\u56e0\u65b7\u80a2\u5c0e\u81f4\u624b\u529f\u80fd\u7684\u6b98\u969c\u7121\u6cd5\u6062\u5fa9\uff0c\u6216\u8005\u7121\u624b\u6307\u53ef\u4ee5\u518d\u690d\uff0c\u9b4f\u9662\u58eb\u65bc\u662f\u6f5b\u5fc3\u947d\u7814\u5404\u7a2e\u5927\u8173\u8dbe\u3001\u4fee\u5851\u5927\u8173\u8dbe(Trimmed Toe)\u3001\u7b2c\u4e8c\u8173\u8dbe\u3001\u5408\u4f75\u7b2c\u4e8c\u4e09\u8173\u8dbe\u3001\u90e8\u5206\u8173\u8dbe\u3001\u8dbe\u7403\u76ae\u74e3\u7b49\u5341\u5e7e\u7a2e\u8173\u8dbe\u79fb\u690d\u91cd\u5efa\u624b\u6307(Toe-to-Hand Transplantation)\uff0c\u8fc42011\u5e7412\u6708\u7d2f\u7a4d2050\u500b\u8173\u8dbe\u91cd\u5efa\u65b7\u6307\uff0c\u53d7\u60e0\u75c5\u60a3\u53ef\u4ee5\u91cd\u65b0\u57f7\u5200\u7576\u5916\u79d1\u91ab\u5e2b\u3001\u7e6a\u756b\u3001\u73a9\u4fdd\u9f61\u7403\u3001\u6f14\u594f\u92fc\u7434\u6216\u9577\u7b1b\uff0c\u6c92\u624b\u6307\u7684\u60a3\u8005\u80fd\u6062\u5fa9\u7a7f\u8863\u5403\u98ef\u7684\u65e5\u5e38\u529f\u80fd\u3002\u9b4f\u9662\u58eb\u4e26\u5f9e\u4e8b\u4ed6\u5011\u7684\u8173\u8dbe\u904b\u52d5\u529f\u80fd\u53ca\u77e5\u89ba\u795e\u7d93\u5b78\u7814\u7a76\uff0c\u8173\u8dbe\u6458\u53d6\u5f8c\u8173\u7684\u6b65\u614b\u529f\u80fd\u5206\u6790\u3002\u767c\u8868\u6700\u56f0\u96e3\u7684\u56db\u6307\u6216\u4e94\u6307\u5168\u5931\u4e4b\u5206\u985e\u53ca\u8173\u8dbe\u79fb\u690d\u7684\u7406\u60f3\u91cd\u5efa\u65b9\u5f0f\uff0c\u64b0\u5beb\u7d04\u8fd1\u767e\u7bc7\u6587\u7ae0\uff0c\u6210\u70ba\u5168\u4e16\u754c\u986f\u5fae\u91cd\u5efa\u91ab\u5e2b\u6b32\u9032\u884c\u8173\u8dbe\u79fb\u690d\u524d\u9700\u8981\u62dc\u8b80\u7684\u6307\u5f15\u6587\u7ae0\uff0c\u9b4f\u9662\u9577\u7684\u8173\u8dbe\u79fb\u690d\u8ad6\u8457\u88ab\u570b\u969b\u5949\u70ba\u572d\u81ec\u3002<\/p>\n<p style=\"padding-left: 30px\">\u9664\u4e86\u6210\u529f\u5c07\u6578\u5343\u6839\u8173\u8dbe\u81ea\u9ad4\u79fb\u690d\u81f3\u624b\u6307\u5916\uff0c\u4ed6\u4e5f\u81ea\u5275\u5c07\u5c0f\u817f\u5916\u5074\u7684\u8153\u9aa8\u9aa8\u76ae\u74e3\u79fb\u690d\u5230\u624b\u81c2\u9aa8\u3001\u5927\u817f\u9aa8(Fibula osteoseptocutaneous flap transplantation)\u7b49\uff0c\u514d\u53bb\u5916\u50b7\u622a\u80a2\u3002\u9b4f\u9662\u58eb\u9084\u5229\u7528\u591a\u7a2e\u76ae\u74e3\u9032\u884c\u591a\u7a2e\u5668\u5b98\u7f3a\u640d\u7684\u81ea\u9ad4\u79fb\u690d(microsurgical autogenous free tissue transplantation)\uff0c\u4f8b\u5982\u4e73\u764c\u60a3\u8005\u4e73\u764c\u5207\u9664\u5f8c\u7684\u4e73\u623f\u91cd\u5efa\u3002<\/p>\n<p style=\"padding-left: 30px\"><strong>\u986f\u5fae\u624b\u8853\u7684\u5275\u65b0\u548c\u8f49\u8b6f\u61c9\u7528<\/strong><\/p>\n<p style=\"padding-left: 30px\">\u53e3\u8154\u764c\u548c\u982d\u9838\u90e8\u764c\u75c7\u60a3\u8005\u9010\u5e74\u589e\u52a0\uff0c\u5e38\u56e0\u624b\u8853\u9020\u6210\u4e0a\u4e0b\u984e\u9aa8\u3001\u53e3\u8154\u9ecf\u819c\u3001\u820c\u982d\u53ca\u984f\u9762\u7f3a\u640d\uff0c\u50b3\u7d71\u7684\u524d\u80f8\u8207\u80a9\u8180\u7684\u76ae\u74e3\u8f49\u79fb\u7684\u7f3a\u9ede\u9650\u5236\u4e86\u60a3\u8005\u591a\u7a2e\u529f\u80fd\u548c\u7f8e\u89c0\uff0c\u65bc\u662f\u9b4f\u9662\u58eb\u7a4d\u6975\u63a2\u8a0e\u5927\u817f\u5916\u5074\u7a7f\u900f\u652f\u76ae\u74e3(anterolateral thigh perforator flap)\u7684\u52d5\u975c\u8108\u5f91\u8def\u7684\u89e3\u5256\u8207\u6458\u53d6\u65b9\u5f0f\uff0c\u6210\u529f\u5730\u5c07\u5927\u817f\u5916\u5074\u7a7f\u900f\u652f\u76ae\u74e3\u61c9\u7528\u5230\u982d\u9838\u90e8\u91cd\u5efa\uff0c\u4e14\u61c9\u7528\u5230\u80a2\u9ad4\u3001\u8ec0\u5e79\u548c\u8eab\u9ad4\u5404\u8655\u91cd\u5efa\u3002\u540c\u6a23\u9b4f\u9662\u58eb\u5229\u7528\u8153\u9aa8\u9aa8\u76ae\u74e3\u5f4e\u66f2\u6210\u4e0b\u984e\u9aa8\u72c0\uff0c\u88dd\u4e0a\u7259\u9f52\uff0c\u9644\u4ee5\u76ae\u74e3\uff0c\u7528\u4f86\u91cd\u5efa\u60a3\u8005\u7684\u4e0b\u5df4\uff0c\u4e5f\u767c\u5c55\u51fa\u5229\u7528\u524d\u5074\u5927\u817f\u76ae\u74e3\u79fb\u690d\u65b0\u820c\u982d\uff0c\u8b93\u904e\u53bb\u7121\u6cd5\u624b\u8853\u7684\u820c\u764c\u60a3\u8005\u56e0\u820c\u982d\u91cd\u5efa\uff0c\u53ef\u4ee5\u4fdd\u7559\u751f\u547d\u3001\u4ee5\u53ca\u9032\u98df\u8207\u8aaa\u8a71\u7684\u80fd\u529b\u3002\u9b4f\u6559\u6388\u5a13\u5a13\u9053\u4f86\uff1a<em>\u300c\u5f88\u591a\u624b\u8853\u6539\u826f\uff08refine\uff09\u548c\u5275\u65b0(innovate)\u7684\u958b\u59cb\u5176\u5be6\u662f\u6e90\u81ea\u6211\u770b\u5230\u60a3\u8005\u8eab\u5fc3\u7684\u75db\u82e6\u548c\u751f\u547d\u5782\u5371\u7684\u6399\u624e\uff0c\u65bc\u662f\u6211\u7d5e\u76e1\u8166\u6c41\u601d\u7d22\u6709\u4ec0\u9ebc\u65b0\u7684\u65b9\u6cd5\u53ef\u4ee5\u62ef\u6551\u75c5\u4eba\u7684\u751f\u547d\uff0c\u66f4\u6539\u5584\u4ed6\u5011\u5668\u5b98\u7684\u529f\u80fd\u548c\u5fc3\u9748\u7684\u5065\u5168\u3002\u300d<\/em><\/p>\n<p style=\"padding-left: 30px\">\u5982\u4eca\uff0c\u9b4f\u6559\u6388\u7684\u8173\u8dbe\u79fb\u690d\u3001\u9aa8\u76ae\u74e3\u79fb\u690d\u8207\u53e3\u8154\u982d\u9838\u764c\u4e4b\u820c\u982d\u548c\u4e0b\u5df4\u91cd\u5efa\u6280\u8853\u5df2\u6210\u70ba\u5168\u4e16\u754c\u91cd\u5efa\u5916\u79d1\u624b\u8853\u7684\u6559\u79d1\u66f8\uff1b\u4ed6\u7684\u958b\u5200\u623f\u88e1\uff0c\u7e3d\u6709\u4e00\u3001\u4e8c\u5341\u4f4d\u570b\u969b\u91ab\u5e2b\u53d6\u7d93\u5b78\u7fd2\uff0c\u56e0\u70ba\u6b64\u6280\u8853\u7684\u539f\u5275\u4eba\u5c31\u662f\u9b4f\u9662\u58eb\u30022006\u5e74\u7372\u7f8e\u570b\u986f\u5fae\u91cd\u5efa\u91ab\u5b78\u6703\uff08American Society for Reconstructive Microsurgery\uff09\u7684\u6700\u9ad8\u69ae\u8b7d\u734eHarry Buncke Lecture\uff0c\u6b64\u88ab\u8996\u70ba\u986f\u5fae\u91cd\u5efa\u9818\u57df\u7684\u8afe\u8c9d\u723e\u734e\u3002\u4e5f\u88ab\u63a8\u8209\u70ba\u6574\u5f62\u5916\u79d1\u6b77\u53f2\u56db\u767e\u5e74\u4f86\u6700\u6709\u5275\u610f\u7684\u4e8c\u5341\u4f4d\u91ab\u5e2b\uff0c\u4e14\u662f\u552f\u4e00\u7684\u4e9e\u6d32\u4eba\u3002\u4eca\u5e74\u53c8\u7372\u5f972012\u5e74\u6574\u5f62\u5916\u79d1\u81e8\u5e8a\u7814\u7a76\u57fa\u91d1\u6703\u5091\u51fa\u6210\u5c31\u734e\uff08Plastic Surgery Foundation Award for Outstanding Achievement in Clinical Research\uff09\u3002\u6b64\u734e\u958b\u59cb\u65bc2008\u5e74\uff0c\u9b4f\u9662\u58eb\u5728\u7b2c\u4e94\u5c46\u7372\u734e\uff0c\u70ba\u7b2c\u4e00\u500b\u975e\u7f8e\u570b\u4eba\u7372\u734e\u3002<\/p>\n<p style=\"padding-left: 30px\"><strong>\u8981\u6709\u8de8\u51fa\u53f0\u7063 \u9818\u5148\u4e16\u754c\u7684\u5b8f\u89c0\u7406\u5ff5 <\/strong><\/p>\n<p style=\"padding-left: 30px\">\u4eca\u65e5\u9b4f\u9662\u58eb\u7684\u6210\u529f\u4f86\u81ea\u4ed6\u7684\u5b8f\u89c0\u7406\u5ff5(Thinking big)\u548c\u9ad8\u8d85\u7684\u76ee\u6a19(Aiming high)\uff0c\u505a\u70ba\u4e00\u500b\u91ab\u5b78\u4e2d\u5fc3\u7684\u91ab\u5e2b\u300c\u8981\u505a\uff0c\u5c31\u505a\u6700\u597d\u7684\u300d\uff0c\u52d9\u6c42\u5c07\u81ea\u5df1\u7684\u91ab\u7642\u9818\u57df\u767c\u5c55\u6210\u9818\u5148\u4e16\u754c\u7684\u821e\u53f0\u3002\u9b4f\u9662\u58eb\u7e3d\u662f\u80fd\u7528\u5fc3\u53bb\u767c\u73fe\u65b0\u554f\u984c\u65b0\u65b9\u6cd5\uff0c\u958b\u5275\u81ea\u5df1\u91ab\u9662\u6574\u578b\u5916\u79d1\u7684\u512a\u52e2\uff0c\u7cbe\u76ca\u6c42\u7cbe\uff0c\u5c07\u986f\u5fae\u91cd\u5efa\u63a8\u5c55\u6210\u4e16\u754c\u6700\u9802\u5c16\u7684\u986f\u5fae\u91cd\u5efa\u4e2d\u5fc3\u3002\u4ed6\u983b\u7e41\u7684\u51fa\u570b\u53c3\u52a0\u91ab\u5b78\u6703\u8207\u570b\u969b\u4eba\u624d\u7684\u4ea4\u5f80\uff0c\u64f7\u53d6\u6574\u5916\u91ab\u5b78\u7684\u65b0\u77e5\uff0c\u4e5f\u5c07\u81ea\u5df1\u6539\u826f\u548c\u539f\u5275\u7684\u986f\u5fae\u91cd\u5efa\u624b\u8853\u65bc\u570b\u969b\u767c\u8868\uff0c\u81f32011\u5e74\u5171\u767c\u8868434\u7bc7\u8ad6\u6587\uff0c\u88ab\u5f15\u75286646\u6b21\uff0c\u6559\u79d1\u66f867\u7ae0\uff0c\u53d7\u9080\u570b\u5916\u6f14\u8b1b560\u6b21\u30022001-2003\u5e74\u64d4\u4efb\u4e16\u754c\u986f\u5fae\u91cd\u5efa\u91ab\u5b78\u6703\uff08World Society of Reconstructive Microsurgery\uff09\u7406\u4e8b\u9577\uff0c\u4e26\u53d7\u9080\u5230\u54c8\u4f5b\u91ab\u5b78\u9662(2006\u5e74Monks Lecturer)\u3001\u970d\u6d66\u91d1\u65af\u7b49\u91ab\u5b78\u4e2d\u5fc3\u7576\u5ba2\u5ea7\u6559\u6388\u516d\u5341\u4e00\u6b21\u3002<\/p>\n<p style=\"padding-left: 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