{"id":11959,"date":"2010-04-21T17:39:47","date_gmt":"2010-04-21T09:39:47","guid":{"rendered":"https:\/\/excelmedicalgroup.com\/%e6%9c%aa%e5%88%86%e7%b1%bb\/%e4%bd%95%e8%99%95%e7%90%86%e5%bc%b7%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e%ef%bc%9f\/"},"modified":"2022-01-09T19:52:02","modified_gmt":"2022-01-09T11:52:02","slug":"%e4%bd%95%e8%99%95%e7%90%86%e5%bc%b7%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/case-sharing-zh-hans\/%e4%bd%95%e8%99%95%e7%90%86%e5%bc%b7%e7%9b%b4%e6%80%a7%e8%84%8a%e6%a4%8e%e7%82%8e%ef%bc%9f\/","title":{"rendered":"\u5982\u4f55\u5904\u7406\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff1f"},"content":{"rendered":"<p><section id=\"date\" class=\"kc-elm kc-css-191655 kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-13830 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\">\n\t<div class=\"kc-elm kc-css-225690 kc_shortcode kc_video_play kc_video_wrapper\" data-video=\"https:\/\/youtu.be\/pjxJw8EiKXk\" data-width=\"600\" data-height=\"338.98305084746\" data-fullwidth=\"yes\" data-autoplay=\"\" data-loop=\"yes\" data-control=\"yes\" data-related=\"\" data-showinfo=\"\" data-kc-video-mute=\"\">\n\t\t\t<\/div>\n\n<div class=\"kc-elm kc-css-609524\" style=\"height: 40px; clear: both; width:100%;\"><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"kc-elm kc-css-404605 kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-359301 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\"><div class=\"kc-elm kc-css-814064 kc_text_block\"><\/p>\n<h3>\u5982\u4f55\u5904\u7406\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff1f<\/h3>\n<h3>\u771f\u5b9e\u4e2a\u6848<\/h3>\n<p>\u73b0\u5e7441\u5c81\u7684\u9a6c\u5c0f\u59d0\uff0c\u5728\u597922\u5c81\u65f6\u5df2\u5f00\u59cb\u53d1\u73b0\u7ecf\u5e38\u53cd\u8986\u80cc\u75db\u51fa\u73b0\uff0c\u521d\u65f6\u4ee5\u4e3a\u662f\u808c\u8089\u9178\u75db\uff0c\u6bcf\u6b21\u98df\u6b62\u75db\uff0c\u6d88\u708e\u836f\u4f1a\u597d\u8f6c\u4e00\u70b9\u3002\u4f46\u75c5\u60c5\u5374\u53cd\u53cd\u8986\u8986\uff0c<a href=\"https:\/\/excelmedicalgroup.com\/zh-hans\/common-conditions\/spine-common-conditions\/backpain-lower\/\">\u80cc\u75db<\/a>\u3001\u8170\u75db\u3001\u811a\u75db\u7eed\u6e10\u4e00\u4e00\u6d6e\u73b0\uff0c\u5c24\u5176\u662f\u65e9\u4e0a\u5168\u8eab\u90fd\u4f1a\u50f5\u786c\uff0c\u5f88\u96be\u6d3b\u52a8\u3002<br \/>\u540e\u8f6c\u4ecb\u5230\u98ce\u6e7f\u79d1\uff0c\u8bca\u65ad\u4e3a\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002\u8fd9\u4e8c\u5341\u5e74\u6765\u6bcf\u5929\u90fd\u53ea\u9760\u6b62\u75db\u6d88\u708e\u836f\u5ea6\u65e5\uff0c\u4f46\u90fd\u4e0d\u80fd\u963b\u6b62\u75c5\u7a0b\u6076\u5316\uff0c\u4f46\u810a\u690e\u786c\u76f4\u4e0d\u80fd\u5f2f\u8170\uff0c\u9acb\u5173\u8282\u4ea6\u4e25\u91cd\u9000\u5316\u81f3\u4e32\u6b65\u96be\u884c\uff0c\u9888\u690e\u4e0d\u80fd\u8f6c\u52a8\uff0c\u818a\u80cc\u75bc\u75db\u3002<br \/>\u7b14\u8005\u75312004\u5e74\u5f00\u59cb\u4e3a\u9a6c\u5c0f\u59d0\u6cbb\u7597\uff0c\u81f3\u4eca\u5979\u5df2\u4e0d\u9700\u6bcf\u5929\u9760\u836f\u7269\u6b62\u75db\uff0c\u6cbb\u7597\u9664\u4e86\u5e2e\u52a9\u8212\u7f13\u5173\u8282\u75db\u5916\u4ea6\u53ef\u9632\u6b62\u75c5\u60c5\u6025\u4fc3\u6076\u5316\u3002\u8ba9\u60a3\u8005\u53ef\u8f7b\u677e\u4e00\u70b9\u8fc7\u7740\u65e5\u5e38\u751f\u6d3b\u3002<\/p>\n<p style=\"text-align: right;\">\u9a6c\u5c0f\u59d0\uff0841\u5c81\uff09<\/p>\n<h3>\u4ec0\u4e48\u662f\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff1f<\/h3>\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\uff08Ankylosing Spondylitis\uff09\u7b80\u79f0AS\uff0c\u5c5e\u5173\u8282\u53ca\u808c\u8171\u708e\u75c7\uff0c\u4e00\u822c\u53d1\u75c5\u4e8e20-40\u5c81\u7684\u6210\u5e74\u4eba\uff0c\u7537\u5973\u6bd4\u4f8b\u7ea65-10\u6bd41\u3002\u8fd9\u5c5e\u4e8e\u5173\u8282\u53ca\u808c\u8171\u708e\u75c7\u3002\u5173\u8282\u95f4\u65e0\u7f18\u65e0\u6545\u5730\u53d1\u708e\u8d77\u6765\u5f71\u54cd\u808c\u8171\u9644\u7740\u7684\u5173\u8282\u56ca\uff0c\u56e0\u5173\u8282\u957f\u671f\u53d1\u708e\u800c\u53d7\u635f\u540e\u4f1a\u53d8\u6210\u9aa8\u8d28\u5316\uff0c\u5173\u8282\u9010\u6e10\u53d8\u5f97\u50f5\u786c\u3002\u690e\u9aa8\u8fc7\u5ea6\u8017\u635f\u4ee4\u810a\u690e\u4e0e<a href=\"https:\/\/excelmedicalgroup.com\/zh-hans\/case-sharing-zh-hans\/cox-technic\u690e\u9593\u76e4\u810a\u9aa8\u795e\u7d93\u6e1b\u58d3\u6cbb\u7642\u6cd5\/\">\u690e\u95f4\u76d8<\/a>\u8fde\u63a5\u90e8\u4f4d\u9000\u5316\uff0c\u505a\u6210\u7af9\u8282\u6837\u7684\u810a\u690e\u3002<br \/><img decoding=\"async\" class=\"size-full wp-image-6362 aligncenter\" src=\"https:\/\/excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-33.jpg\" alt=\"\" width=\"580\" height=\"280\" srcset=\"https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-33.jpg 580w, https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-33-300x145.jpg 300w\" sizes=\"(max-width: 580px) 100vw, 580px\" \/><\/p>\n<h3>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u6210\u56e0<\/h3>\n<p>\u5f15\u8d77\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u6210\u56e0\u81f3\u4eca\u5c1a\u672a\u80fd\u5b8c\u5168\u4e86\u89e3\uff0c\u4f46\u5e94\u4e0e\u514d\u75ab\u7cfb\u7edf\u7684\u7f3a\u9677\u6709\u5173\u7684\u3002\u60a3\u8005\u7684\u8840\u6db2\u4e2d\u542b\u9ad8\u5ea6\u7684HLA-B27\u56e0\u5b50\uff0c\u636e\u7edf\u8ba1\uff0c95%\u60a3\u8005\u4e2d\u6709HLA-B27\u6297\u539f\u7684\uff0c\u5927\u7ea6\u67092-10%\u7ec8\u4f1a\u53d1\u5c55\u6210\u5f3a\u76f4\u6027\u810a\u690e\u708e\u3002<\/p>\n<h3>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u75c7\u72b6<\/h3>\n<p>\u60a3\u8005\u6709\u6162\u6027\u80cc\u75db\uff0c\u65e9\u4e0a\u611f\u89c9\u5168\u8eab\u50f5\u786c\uff0c\u9ac2\u9ab6\u9aa8\u548c\u9acb\u5173\u8282\u75db\u695a\u3002\u6709\u65f6\u80f8\u9aa8\u53ca\u808b\u9aa8\u6709\u538b\u75db\u611f\uff0c\u4ea6\u4f1a\u51fa\u73b0\u9888\u75db\u53ca\u9888\u90e8\u50f5\u786c\u3002\u5076\u800c\u6709\u808c\u8171\u3001\u97e7\u5e26\u4e0e\u9aa8\u9abc\u4ea4\u63a5\u5904\u53d1\u708e\u3002\u75c5\u60c5\u8f83\u4e25\u91cd\u8005\uff0c\u56e0\u4e3a\u810a\u690e\u9ecf\u8fde\u5f62\u6210\u7af9\u7aff\u5f62\u7684\u690e\u4f53\uff0c\u9020\u6210\u9a7c\u80cc\u6216\u56e0\u800c\u9020\u6210\u795e\u7ecf\u538b\u8feb\u3002<br \/><img decoding=\"async\" class=\"size-full wp-image-6365 aligncenter\" src=\"https:\/\/excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-21.jpg\" alt=\"\" width=\"691\" height=\"217\" srcset=\"https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-21.jpg 691w, https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-21-300x94.jpg 300w, https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic-21-600x188.jpg 600w\" sizes=\"(max-width: 691px) 100vw, 691px\" \/><\/p>\n<h3>\u8bca\u65ad\u6807\u51c6\uff08Linden Criteria\uff09<\/h3>\n<p>1) \u53d1\u708e\u6027\u80cc\u75db\uff0c45\u5c81\u524d\u53d1\u75c5<br \/>2) \u8840\u4e2dHLA-B27\u7a0b\u9633\u6027\u53ca\u53d1\u708e\u6307\u6807(CPR\u53caESR) \u4e8e\u6d3b\u8dc3\u671f\u53ef\u89c1\u589e\u52a0<br \/>3) \u6709\u5f3a\u76f4\u6027\u810a\u690e\u708e\u5bb6\u4eba\u75c5\u53f2\u53ca\u4ee5\u4e0b\u4efb\u4f55\u4e00\u9879:<br \/>i) \u53cd\u8986\u6027\u65e0\u6cd5\u89e3\u91ca\u7684\u80f8\u75db\u6216\u50f5\u786c<br \/>ii) \u5355\u4fa7\u8461\u8404\u819c\u708e\u53ca\u808c\u8171\u3001\u97e7\u5e26\u4e0e\u9aa8\u9abc\u4ea4\u63a5\u5904\u53d1\u708e<br \/>iii) \u5176\u5b83\u810a\u690e\u5173\u8282\u75c5\u53d8\u7684\u8840\u6e05\u7a0b\u9634\u6027<br \/>4) \u8170\u690e\u8fd0\u52a8\u8303\u56f4\u53d7\u9650<br \/>5) \u6269\u80f8\u8303\u56f4\u53d7\u9650<br \/>6) X-\u5149\u4e2d\u7a0b\u9ac2\u9ab6\u9aa8\u5173\u8282\u708e<br \/><img decoding=\"async\" class=\"size-full wp-image-6368 aligncenter\" src=\"https:\/\/excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic11.jpg\" alt=\"\" width=\"216\" height=\"492\" srcset=\"https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic11.jpg 216w, https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/06\/pic11-132x300.jpg 132w\" sizes=\"(max-width: 216px) 100vw, 216px\" \/><\/p>\n<h3>\u6cbb\u7597\u76ee\u6807\u53ca\u65b9\u6cd5<\/h3>\n<p>\u5f3a\u76f4\u6027\u810a\u690e\u708e\u7684\u60a3\u8005\u9700\u63a5\u53d7\u957f\u671f\u6cbb\u7597\uff0c\u751a\u81f3\u7ec8\u8eab\u6cbb\u7597\u6765\u51cf\u8f7b\u75db\u695a\u53ca\u4fdd\u4f8d\u810a\u690e\u6d3b\u52a8\u8303\u56f4\u53ca\u529f\u80fd\u3002<br \/>\u7531\u4e8e\u60a3\u8005\u7684\u810a\u690e\u53ca\u808c\u8171\u90fd\u5f88\u50f5\u786c\u53ca\u62c9\u7d27\uff0c\u56e0\u6b64\u4e0d\u80fd\u4ee5\u77eb\u6b63\u6cd5\u690e\u52a8\u810a\u9aa8\uff0c\u4f46\u53ef\u5229\u7528<a href=\"https:\/\/excelmedicalgroup.com\/zh-hans\/service\/spine-performance\/non-surgical-procedures\/cox-decompression-technic\/\">Cox \u51cf\u538b\u5e8a<\/a>\u4e00\u8fb9\u8f7b\u529b\u62c9\u52a8\u810a\u690e\uff0c\u4e00\u8fb9\u4ee5\u624b\u6309\u538b\u690e\u8282\uff0c\u8fd9\u53ef\u4ee4\u60a3\u5904\u589e\u52a0\u8840\u6db2\u5faa\u8fd8\u53c8\u53ef\u8212\u7f13\u5173\u8282\u62c9\u7d27\u7684\u75db\u695a\u3002<\/p>\n<p>\u53e6\u5916\uff0c\u8fd0\u52a8\u5bf9\u75c5\u4eba\u662f\u975e\u5e38\u91cd\u8981\u7684\uff0c\u8981\u4fdd\u6301\u810a\u690e\u6d3b\u52a8\uff0c\u5982\u4f38\u5c55\u8fd0\u52a8\u3001\u6e38\u6cf3\u90fd\u53ef\u4ee5\u3002\u5f53\u7136\u8981\u6ce8\u610f\u6b63\u786e\u59ff\u52bf\u4ee5\u9884\u9632\u810a\u690e\u53d8\u5f62\u3002<\/p>\n<p>\u836f\u7269\u6cbb\u7597\uff1a<\/p>\n<p>1) \u4ee5\u6d88\u708e\u6b62\u75db\u836f(NSAID) \u6765\u51cf\u8f7b\u75db\u695a\uff0c\u4f46\u53ef\u80fd\u5f15\u8d77\u7684\u526f\u4f5c\u7528\u4e3a\u80a0\u80c3\u4e0d\u9002\u3001\u6c34\u80bf\u3001\u80be\u529f\u80fd\u969c\u788d\u3002<br \/>2) \u4ee5\u751f\u7269\u5236\u5242\u6765\u6291\u5236\u4f53\u5185\u7684\u7532\u578b\u80bf\u7624\u574f\u6b7b\u56e0\u5b50(TNF-a) \u7684\u6d3b\u52a8\uff0c\u56e0\u4e3a\u5bfc\u81f4\u53d1\u708e\u7684\u5e38\u89c1\u4e3b\u56e0\u5c31\u662f\u4f53\u5185TNF-a\u56e0\u5b50\u8fc7\u591a\u5f15\u8d77\u708e\u75c7\u3002\u8fd9\u9488\u5bf9\u8eab\u4f53\u514d\u75ab\u6027\u75be\u75c5\u7684\u7597\u6cd5\uff0c\u4e00\u822c\u5065\u8bae\u75c5\u53d1\u65e9\u671f\u4f7f\u7528\u3002<\/p>\n<p>\u65e9\u671f\u8bca\u65ad\u53ca\u6cbb\u7597\u662f\u53ef\u6539\u5584\u75c5\u60c5\uff0c\u5982\u5e74\u9752\u4eba\u6709\u53cd\u8986\u6027\u80cc\u75db\uff0c\u4ea6\u6709\u65e9\u6668\u50f5\u786c\u5f81\u72b6\uff0c\u5e94\u7acb\u523b\u627e\u533b\u751f\u68c0\u67e5\uff0c\u627e\u51fa\u75c5\u56e0\u3002<\/p>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/section><section id=\"dr-matty\" class=\"kc-elm kc-css-168364 kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-580178 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\">\n<div class=\"kc-elm kc-css-95391 divider_line\">\n\t<div class=\"divider_inner divider_line1\">\n\t\t\t<\/div>\n<\/div>\n<div class=\"kc-elm kc-css-765558 kc_row kc_row_inner\"><div class=\"kc-elm kc-css-594320 kc_col-sm-6 kc_column_inner kc_col-sm-6\"><div class=\"kc_wrapper kc-col-inner-container\"><div class=\"kc-elm kc-css-780056 kc_shortcode kc_single_image\">\n\n        <img decoding=\"async\" src=\"https:\/\/www.excelmedicalgroup.com\/wp-content\/uploads\/2018\/02\/dr-matty-wong.jpg\" class=\"\" alt=\"\" \/>    <\/div>\n<\/div><\/div><div class=\"kc-elm kc-css-868004 kc_col-sm-6 kc_column_inner kc_col-sm-6\"><div class=\"kc_wrapper kc-col-inner-container\"><div class=\"kc-elm kc-css-455456 kc_text_block\"><\/p>\n<p style=\"text-align: left;\"><span style=\"text-decoration: underline;\"><strong>\u7b14\u8005<\/strong><\/span><\/p>\n<p>\n<\/div><div class=\"kc-elm kc-css-14422 kc_text_block our-doctor-fixed-height\"><\/p>\n<p style=\"padding: 15px 0px; text-align: left;\"><strong>\u738b\u51e4\u6069  \u9999\u6e2f\u6ce8\u518c\u810a\u9aa8\u795e\u7ecf\u79d1\u533b\u751f<\/strong><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #bd9a5f; font-size: 16px;\">\u7f8e\u56fd\u810a\u9aa8\u795e\u7ecf\u79d1\u533b\u5b66\u9662\u535a\u58eb<\/span><\/p>\n<p>\n<\/div>\n<div class=\"kc-elm kc-css-401412\">\n\t<a class=\"kc_button\" href=\"https:\/\/excelmedicalgroup.com\/zh-hans\/dr-matty-f-y-wong\/\" target=\"_self\" title=\"\" onclick=\"\">\n\t\t\u66f4\u591a\t<\/a>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":6486,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[153,186],"tags":[],"class_list":["post-11959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case-sharing-zh-hans","category-186"],"_links":{"self":[{"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/posts\/11959","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=11959"}],"version-history":[{"count":7,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/posts\/11959\/revisions"}],"predecessor-version":[{"id":18725,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/posts\/11959\/revisions\/18725"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/media\/6486"}],"wp:attachment":[{"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=11959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=11959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.excelmedicalgroup.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=11959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}