{"id":542,"date":"2020-05-15T20:25:00","date_gmt":"2020-05-15T11:25:00","guid":{"rendered":"https:\/\/idsc-gunma.jp\/congress\/jstm\/?p=542"},"modified":"2022-05-26T20:22:31","modified_gmt":"2022-05-26T11:22:31","slug":"%e7%a3%81%e6%b0%97%e5%85%b1%e9%b3%b4%e7%94%bb%e5%83%8f%e3%82%ac%e3%82%a4%e3%83%89%e4%b8%8b%e3%83%ac%e3%83%bc%e3%82%b6%e3%83%bc%e7%b5%84%e7%b9%94%e5%86%85%e6%b8%a9%e7%86%b1%e7%99%82%e6%b3%95%e3%81%a7","status":"publish","type":"post","link":"https:\/\/idsc-gunma.jp\/congress\/jstm\/%e7%a3%81%e6%b0%97%e5%85%b1%e9%b3%b4%e7%94%bb%e5%83%8f%e3%82%ac%e3%82%a4%e3%83%89%e4%b8%8b%e3%83%ac%e3%83%bc%e3%82%b6%e3%83%bc%e7%b5%84%e7%b9%94%e5%86%85%e6%b8%a9%e7%86%b1%e7%99%82%e6%b3%95%e3%81%a7\/","title":{"rendered":"\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u30ac\u30a4\u30c9\u4e0b\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u7642\u6cd5\u3067\u6cbb\u7642\u3055\u308c\u305f\u795e\u7d4c\u81a0\u82bd\u816b\uff1a\u305d\u306e\u5b89\u5168\u6027, \u52b9\u679c\u304a\u3088\u3073\u81e8\u5e8a\u6210\u7e3e"},"content":{"rendered":"\n<p>\u30cf\u30a4\u30d1\u30fc\u30b5\u30fc\u30df\u30a2\u306b\u95a2\u3059\u308b\u6700\u8fd1\u306e\u8a71\u984c44<\/p>\n\n\n\n<p><strong>\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u30ac\u30a4\u30c9\u4e0b\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u7642\u6cd5\u3067\u6cbb\u7642\u3055\u308c\u305f\u795e\u7d4c\u81a0\u82bd\u816b\uff1a\u305d\u306e\u5b89\u5168\u6027, \u52b9\u679c\u304a\u3088\u3073\u81e8\u5e8a\u6210\u7e3e<\/strong><\/p>\n\n\n\n<p>\u8fd1\u85e4\u3000\u9686, \u9ed2\u7530\u3000\u654f*<\/p>\n\n\n\n<p>\uff08\u5bcc\u5c71\u5927\u5b66\u5b66\u8853\u7814\u7a76\u90e8\u533b\u5b66\u7cfb\u30fb\u653e\u5c04\u7dda\u8a3a\u65ad\u30fb\u6cbb\u7642\u5b66, *\u8133\u795e\u7d4c\u5916\u79d1\u5b66\uff09<\/p>\n\n\n\n<p>\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u542b\u3081\u6e29\u71b1\u7642\u6cd5\u306f\u4fb5\u8972\u6027\u306e\u4f4e\u3044\u6cbb\u7642\u3068\u3057\u3066\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u3066\u3044\u308b\u304c\uff0c\u8ab2\u984c\u306f\u52a0\u6e29\u90e8\u4f4d\u306e\u6e29\u5ea6\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u306b\u53ef\u8996\u5316\u3067\u304d\u306a\u3044\u3053\u3068\u306b\u3042\u308b\uff0e\u6700\u8fd1\uff0c\u30ec\u30fc\u30b6\u30fc\u52a0\u6e29\u6cd5\u30683\u6b21\u5143\u7684\u306b\u6e29\u5ea6\u5206\u5e03\u306e\u6e2c\u5b9a\u304c\u53ef\u80fd\u306aMRI\u3092\u878d\u5408\u3055\u305b\u305f\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u30ac\u30a4\u30c9\u4e0b\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u7642\u6cd5(MRI-guided Laser Interstitial Thermal Therapy\uff0c\u4ee5\u4e0bLITT)\u306e\u5229\u7528\u304c\u8133\u5916\u79d1\u9818\u57df\u3092\u4e2d\u5fc3\u306b\u9032\u307f\uff0c\u7279\u306b\uff0c\u8133\u306e\u6df1\u90e8\u306b\u3042\u308b\u816b\u760d\u3084\u624b\u8853\u9069\u5fdc\u304c\u56f0\u96e3\u306a\u816b\u760d\u306b\u5229\u7528\u53ef\u80fd\u3068\u6ce8\u76ee\u3055\u308c\u3066\u3044\u308b\uff0e<\/p>\n\n\n\n<p>Washington\u5927\u5b66(St Louis, MO, USA)\u306e\u8133\u5916\u79d1\u306e\u30b0\u30eb\u30fc\u30d7\u306f\u8133\u816b\u760d\u306e\u6cbb\u7642\u306bLITT\u3092\u5229\u7528\u3057\u3066\u304a\u308a\uff0c\u6700\u8fd1\u7d44\u7e54\u5b66\u7684\u306b\u795e\u7d4c\u81a0\u82bd\u816b\u3068\u5224\u5b9a\u3055\u308cLITT\u3092\u53d7\u3051\u305f54\u540d\u3092\u5bfe\u8c61\u306b\u3057\u305f\u5f8c\u308d\u5411\u304d\u7814\u7a76\u3092\u5831\u544a\u3057\u305f<sup>1)<\/sup>\uff0e5\u5e74\u534a\u3067\uff0c54\u540d(58\u90e8\u4f4d)\u306bLITT\u3092\u5b9f\u65bd\u3057\u305f\uff0e41\u4f8b\u306f\u518d\u767a\u816b\u760d\u3067\u3042\u308a\uff0c17\u4f8b\u306f\u521d\u767a\u4f8b\u3067\u3042\u3063\u305f\uff0e40\u4f8b\u306f\u8133\u8449\u306b\u4f4d\u7f6e\u3057\u305f\u304c\uff0c18\u4f8b\u306f\u8996\u5e8a\uff0c\u5cf6\u76ae\u8cea\uff0c\u8133\u6881\u306e\u6df1\u90e8\u306b\u4f4d\u7f6e\u3057\u305f\uff0e\u5e73\u5747\u816b\u760d\u4f53\u7a4d\u306f12.5&nbsp;+&nbsp;13.4 cm<sup>3<\/sup>\u3067\u3042\u3063\u305f\uff0e\u816b\u760d\u4f53\u7a4d\u5168\u4f53\u306e\u3046\u3061\uff0c\u9ec4\u8272\u8868\u793a\u306e\u71b1\u640d\u50b7\u3057\u304d\u3044\u5024(Thermal damage threshold: TDT)\u7dda(43 \u2103\uff0c2 \u5206\u76f8\u5f53)\u3067\u6cbb\u7642\u3055\u308c\u305f\u9818\u57df\u306e\u5e73\u5747\u5024\u306f93.3&nbsp;+&nbsp;10.6%\uff0c\u9752\u8272\u8868\u793a\u306eTDT\u7dda(43 \u2103\uff0c10 \u5206\u76f8\u5f53)\u3067\u6cbb\u7642\u3055\u308c\u305f\u9818\u57df\u306e\u5e73\u5747\u5024\u306f88.0&nbsp;+&nbsp;14.2%\u3067\u3042\u3063\u305f\uff0e\u5468\u8853\u671f\u5408\u4f75\u75c7\u306f7\u4f8b\u306b\u8a8d\u3081\u3089\u308c\uff0c\u6b7b\u4ea1\u306f2\u4f8b\u3042\u3063\u305f\uff0e\u5168\u30b3\u30db\u30fc\u30c8\u306e\u5168\u751f\u5b58\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f11.5\u304b\u6708\uff0c\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f6.6\u304b\u6708\u3067\u3042\u3063\u305f\uff0e\u8853\u5f8c30\u65e5\u3067\u306e\u5408\u4f75\u75c7\u306f9\u4f8b(\u8133\u6d6e\u816b3\u4f8b\uff0c\u3051\u3044\u308c\u30933\u4f8b\uff0c\u6c34\u982d\u75c71\u4f8b\uff0c\u4f4eNa\u8840\u75c71\u4f8b\uff0c\u611f\u67d31\u4f8b)\u3042\u3063\u305f\uff0e\u5408\u4f75\u75c7\u306e\u51fa\u73fe\u3068\u816b\u760d\u4f53\u7a4d\u306f\u76f8\u95a2\u3057\u306a\u304b\u3063\u305f\uff0e\u60a3\u8005\u306e\u9069\u6b63\u306a\u9078\u629e\u304c\u5fc5\u8981\u3067\u3042\u308b\u304c\uff0cLITT\u306f\u5b89\u5168\u3067\u52b9\u679c\u7684\u306a\u795e\u7d4c\u81a0\u82bd\u816b\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u305f<sup>1)<\/sup>\uff0e\u540c\u3058\u30b0\u30eb\u30fc\u30d7\u306f\u624b\u8853\u304c\u56f0\u96e3\u3068\u3055\u308c\u308b\u8133\u6881\u306e\u795e\u7d4c\u81a0\u82bd\u816b\u6cbb\u7642\u306bLITT\u3092\u5229\u7528\u3057\u3066\u3044\u308b\uff0e\u81e8\u5e8a15\u4f8b\u306b\u3064\u3044\u3066\u89e3\u6790\u3092\u884c\u3063\u305f\uff0e\u60a3\u8005\u306e\u5e73\u5747\u5e74\u9f62\u306f54.7\u6b73\uff0c\u6cbb\u7642\u524d\u306e\u30ab\u30eb\u30ce\u30d5\u30b9\u30ad\u30fc\u6307\u6570\u306f80.7\uff0c\u5e73\u5747\u816b\u760d\u4f53\u7a4d\u306f18.7 cm<sup>3<\/sup>\u3067\u3042\u3063\u305f\uff0e\u7247\u5074\u4e0d\u5168\u9ebb\u75fa\u306f26.6%\u306b\u767a\u751f\u3057\u305f\uff0e\u5408\u4f75\u75c7\u983b\u5ea6\u306f\u816b\u760d\u4f53\u7a4d\u304c&gt;15 cm<sup>3<\/sup>\u3092\u8d85\u3048\u308b\u3068\u9ad8\u304b\u3063\u305f\uff0e\u7121\u5897\u60aa\u751f\u5b58\u671f\u9593\u306e\u4e2d\u592e\u5024\uff0cLITT\u5f8c\u306e\u751f\u5b58\u671f\u9593\uff0c\u5168\u751f\u5b58\u671f\u9593\u306f\u305d\u308c\u305e\u308c3.4\u304b\u6708\uff0c7.2\u304b\u6708\u304a\u3088\u3073 18.2\u304b\u6708\u3067\u3042\u3063\u305f\uff0e\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u4f75\u7528\u3057\u305f\u624b\u8853\u3068\u6bd4\u8f03\u3057\u3066\u3082\u826f\u597d\u306a\u751f\u5b58\u671f\u9593\u304c\u793a\u3055\u308c\u305f<sup>2)<\/sup>\uff0e<\/p>\n\n\n\n<p>\u6700\u8fd1\uff0cLITT\u3067\u306f\u8853\u4e2d\u78c1\u6c17\u5171\u9cf4\u6e29\u5ea6\u6e2c\u5b9a(Magnetic Resonance Thermometry: MRT)\u3092\u5229\u7528\u3057\u305f\u52a0\u6e29\u9818\u57df\u306e\u6e29\u5ea6\u60c5\u5831(\u30d2\u30fc\u30c8\u30de\u30c3\u30d7)\u306b\u3088\u3063\u3066\uff0c\u7d44\u7e54\u306e\u71b1\u640d\u50b7\u90e8\u4f4d\u306e\u60c5\u5831\u3092\u8996\u899a\u7684\u30fb\u5b9a\u91cf\u7684\u306b\u5f97\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u3063\u3066LITT\u6280\u8853\u306f\u3055\u3089\u306b\u9032\u6b69\u3057\u3064\u3064\u3042\u308b<sup>3)<\/sup>\uff0eLITT\u306e\u9069\u5fdc\u306f\u5e83\u304c\u3063\u3066\u304a\u308a\uff0c\u816b\u760d\u3067\u306f\u795e\u7d4c\u81a0\u816b(Grade I &#8211; IV)\uff0c\u8ee2\u79fb\u6027\u8133\u816b\u760d\uff0c\u9ac4\u819c\u816b\u304c\u5bfe\u8c61\u3067\u3042\u308a\uff0c\u3066\u3093\u304b\u3093\u306e\u6cbb\u7642\u3068\u3057\u3066\u306e\u6241\u6843\u4f53\u6d77\u99ac\u5207\u9664\u8853\uff0c\u8133\u6881\u96e2\u65ad\u8853\uff0c\u904e\u8aa4\u816b\u7b49\u306e\u60a3\u90e8\u5207\u9664\u306b\u3082\u5fdc\u7528\u3055\u308c\u3066\u3044\u308b\uff0e\u307e\u305f\uff0c\u8133\u816b\u760d\u306e\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u5f8c\u306b\u767a\u751f\u3059\u308b\u653e\u5c04\u7dda\u58ca\u6b7b\u3082LITT\u306e\u6cbb\u7642\u5bfe\u8c61\u306b\u306a\u3063\u3066\u3044\u308b<sup>4)<\/sup>\uff0e\u73fe\u5728\uff0c\u8133\u816b\u760d\u3092\u5bfe\u8c61\u306b\u3057\u305fLITT\u306e\u81e8\u5e8a\u7814\u7a76<sup>5, 6)<\/sup>\u306e\u6210\u679c\u304c\u96c6\u7a4d\u3055\u308c\u3064\u3064\u3042\u308a\uff0c\u4eca\u5f8c\u306e\u767a\u5c55\u304c\u671f\u5f85\u3055\u308c\u308b\uff0e<\/p>\n\n\n\n<p><strong>\u53c2\u8003\u6587\u732e<\/strong><\/p>\n\n\n\n<p>1)&nbsp; Kamath AA,&nbsp;<em>et al.<\/em>&nbsp;Glioblastoma treated with magnetic resonance imaging-guided laser interstitial thermal therapy: Safety, efficacy, and outcomes. Neurosurgery, 84: 836-43, 2019.<\/p>\n\n\n\n<p>2)&nbsp; Beaumont TL,&nbsp;<em>et al<\/em>. Magnetic resonance imaging-guided laser interstitial thermal therapy for glioblastoma of the corpus callosum. Neurosurgery, 83: 556-65, 2018.<\/p>\n\n\n\n<p>3)&nbsp; Munier SM,&nbsp;<em>et al.<\/em>&nbsp;Understanding the relationship between real-time thermal imaging and thermal damage estimate during magnetic resonance-guided laser interstitial thermal therapy. World Neurosurg, 134: e1093-8, 2020.<\/p>\n\n\n\n<p>4)&nbsp; Ahluwalia M,&nbsp;<em>et al.<\/em>&nbsp;Laser ablation after stereotactic radiosurgery: A multicenter prospective study in patients with metastatic brain tumors and radiation necrosis. J Neurosurg, 130: 804-11, 2018.<\/p>\n\n\n\n<p>5)&nbsp; Shao J,&nbsp;<em>et al.<\/em>&nbsp;Lessons learned in using laser interstitial thermal therapy for treatment of brain tumors: A case series of 238 patients from a single institution. World Neurosurg. 2020 Apr 13. pii: S1878-8750(20)30684-7.<\/p>\n\n\n\n<p>6)&nbsp; Shah AH,&nbsp;<em>et al<\/em>. The role of laser interstitial thermal therapy in surgical neuro-oncology: Series of 100 consecutive patients. Neurosurgery. 2019 Nov 19. pii: nyz424.<\/p>\n\n\n\n<p><strong>\u7528\u8a9e\u89e3\u8aac<\/strong><\/p>\n\n\n\n<p><strong>\u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u30ac\u30a4\u30c9\u4e0b\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u7642\u6cd5\uff1a<\/strong><\/p>\n\n\n\n<p>\u30cf\u30a4\u30d1\u30fc\u30b5\u30fc\u30df\u30a2\u306e\u4e00\u3064\u3067\u3042\u308b\u30ec\u30fc\u30b6\u30fc\u30b5\u30fc\u30df\u30a2\u3092MRI\u306e\u8a3a\u65ad\u4e0b\u3067\u884c\u3046\u8a66\u307f\u306f1990\u5e74\u4ee3\u306b\u767a\u8868\u3055\u308c\u305f\u304c\uff0cMRI\u30ac\u30a4\u30c9\u4e0b\u3067\u306e\u6e29\u5ea6\u6e2c\u5b9a\u3092\u4e00\u4f53\u5316\u3055\u305b\u305f\u7d44\u7e54\u5185\u6e29\u71b1\u6cbb\u7642\u306b\u95a2\u3059\u308b\u5831\u544a\u306f2012\u5e74\u4ee5\u964d\u3068\u306a\u308b\uff0e\u73fe\u5728\uff0cMRI\u8a98\u5c0e\u8133\u816b\u760d\u6cbb\u7642\u7528\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u6cbb\u7642\u30b7\u30b9\u30c6\u30e0\u3068\u3057\u3066\uff0cthe NeuroBlate<sup>R<\/sup>&nbsp;System (Monteris Medical, Winnipeg, Manitoba, Canada)\u3068the Visualase<sup>TM<\/sup>&nbsp;Thermal Therapy System (Visualase Inc., Houston, Texas, USA, \u73fe\u5728\u306fMEdtronic\u793e)\u306e2\u6a5f\u7a2e\u304c\u5e02\u5834\u306b\u51fa\u3066\u3044\u308b\uff0e\u5171\u306b\uff0cMRI\u3092\u7528\u3044\u305f\u753b\u50cf\u53d6\u5f97\uff0c\u6e29\u5ea6\u6e2c\u5b9a\u3068\u30ec\u30fc\u30b6\u30fc\u306b\u3088\u308b\u52a0\u6e29\u3092\u878d\u5408\u4e00\u4f53\u5316\u3057\u305f\u88c5\u7f6e\u3067\u3042\u308a\uff0c\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u8f2a\u90ed\u30923\u6b21\u5143\u3067\u76e3\u8996\u3067\u304d\u308b\uff0e\u6700\u5c0f\u306e\u4fb5\u8972\u306b\u3088\u308b\u6cbb\u7642\u3092\u76ee\u6307\u3057\u3066\u304a\u308a\uff0c\u5f8c\u8005\u306f\u7d30\u3044\u30ec\u30fc\u30b6\u30fc\u30ab\u30c6\u30fc\u30c6\u30eb\u3067\u76f4\u5f841.65 mm\u306e\u4f7f\u7528\u3092\u7279\u9577\u3068\u3057\u3066\u3044\u308b\uff0e<\/p>\n\n\n\n<p><strong>\u795e\u7d4c\u81a0\u82bd\u816b\uff1a<\/strong><\/p>\n\n\n\n<p>Glioblastoma multiforme(\u7565\u8a9e\u306fGBM)\uff0c\u591a\u5f62\u81a0\u82bd\u7d30\u80de\u816b\uff0c\u591a\u5f62\u81a0\u82bd\u816b\u3068\u3082\u3044\u3046\uff0e\u795e\u7d4c\u81a0\u816b\u306e\u4e2d\u3067Grade(\u60aa\u6027\u5ea6)IV\u306b\u5206\u985e\u3055\u308c\u308b\uff0e\u6cbb\u7642\u306f\u624b\u8853\u306b\u52a0\u3048\u3066\u653e\u5c04\u7dda\u7642\u6cd5\u304a\u3088\u3073\u5316\u5b66\u7642\u6cd5(\u30c6\u30e2\u30be\u30ed\u30df\u30c9\uff0c\u3079\u30d0\u30b7\u30ba\u30e0)\u304c\u884c\u308f\u308c\u308b\u304c\uff0c5\u5e74\u751f\u5b58\u7387\u306f8\uff5e10\uff05\u3068\u4f4e\u3044\uff0e\u795e\u7d4c\u81a0\u816b\u306e\u4e2d\u3067\u6700\u3082\u591a\u3044\u306e\u306f\uff0cGrade II\u306e\u7030\u6f2b\u6027\u661f\u7d30\u80de\u816b\uff0c\u4e4f\u7a81\u8d77\u81a0\u816b\u3067\u3042\u308a\uff0cGrade III\u306b\u306f\u9000\u884c\u6027\u661f\u7d30\u80de\u816b\uff0c\u9000\u884c\u6027\u4e4f\u7a81\u8d77\u81a0\u816b\u304c\u3042\u308b\uff0e<\/p>\n\n\n\n<p><strong>\u30ab\u30eb\u30ce\u30d5\u30b9\u30ad\u30fc\u6307\u6570<\/strong>\uff1a<\/p>\n\n\n\n<p>Karnofsky Performance Status\uff08\u30ab\u30eb\u30ce\u30d5\u30b9\u30ad\u30fc \u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9 \u30b9\u30c6\u30fc\u30bf\u30b9\uff09\u306e\u3053\u3068\u3067\uff0c\u7565\u8a9e\u306fKPS\u3067\u3042\u308b. \u5168\u8eab\u72b6\u614b\u3092\u30b9\u30b3\u30a2\u5316\u3057\u305f\u3082\u306e\u3067\uff0c\u60a3\u8005\u304c\u65e5\u5e38\u751f\u6d3b\u3067\u3069\u306e\u7a0b\u5ea6\u6d3b\u52d5\u80fd\u529b\u304c\u3042\u308b\u304b\u30920\uff5e100\uff05\u307e\u3067\u306e11\u6bb5\u968e\u306b\u5206\u985e\u3057\u3066\u3044\u308b\u3082\u306e\u3067\u3042\u308a, 100\uff05\u304c\u6b63\u5e38\u3067\u75c7\u72b6\u3082\u51fa\u3066\u3044\u306a\u3044\u72b6\u614b\u3067, \u6570\u5024\u304c\u4e0b\u304c\u308b\u306b\u3057\u305f\u304c\u3044\u5168\u8eab\u72b6\u614b\u304c\u60aa\u3044\u3053\u3068\u3092\u793a\u3059. \u30ab\u30eb\u30ce\u30d5\u30b9\u30ad\u30fc\u306e\u4e00\u822c\u5168\u8eab\u72b6\u614b\u30b9\u30b3\u30a2\u3068\u3082\u3044\u3046.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u30cf\u30a4\u30d1\u30fc\u30b5\u30fc\u30df\u30a2\u306b\u95a2\u3059\u308b\u6700\u8fd1\u306e\u8a71\u984c44 \u78c1\u6c17\u5171\u9cf4\u753b\u50cf\u30ac\u30a4\u30c9\u4e0b\u30ec\u30fc\u30b6\u30fc\u7d44\u7e54\u5185\u6e29\u71b1\u7642\u6cd5\u3067\u6cbb\u7642\u3055\u308c\u305f\u795e\u7d4c\u81a0\u82bd\u816b\uff1a\u305d\u306e\u5b89\u5168\u6027, \u52b9\u679c\u304a\u3088\u3073\u81e8\u5e8a\u6210\u7e3e \u8fd1\u85e4\u3000\u9686, \u9ed2\u7530\u3000\u654f* \uff08\u5bcc\u5c71\u5927\u5b66\u5b66\u8853\u7814\u7a76\u90e8\u533b\u5b66\u7cfb\u30fb\u653e\u5c04\u7dda\u8a3a\u65ad\u30fb\u6cbb\u7642\u5b66, *\u8133\u795e 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