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中国纤维肌痛综合征诊疗指南

中华内科杂志 2023年第2期62卷 129-146页

作者：中华中医药学会风湿病分会海峡两岸医药卫生交流协会风湿免疫病学专业委员会纤维肌痛综合征中西医研究学组首都中西医结合风湿免疫病研究所姜泉黄慈波曾小峰焦娟巩勋不详中国中医科学院广安门医院风湿病科北京100053 深圳大学附属华南医院风湿免疫科深圳518061 中国医学科学院北京协和医学院北京协和医院风湿免疫科北京100730

纤维肌痛综合征(FMS)是一种临床常见疾病,目前我国尚缺少大样本的流行病学数据,临床诊治亦存在诸多难点,制订我国FMS的诊疗指南势在必行。中华中医药学会风湿病分会、海峡两岸医药卫生交流协会风湿免疫病学专业委员会纤维肌痛综合征中... 详细信息

纤维肌痛综合征(FMS)是一种临床常见疾病,目前我国尚缺少大样本的流行病学数据,临床诊治亦存在诸多难点,制订我国FMS的诊疗指南势在必行。中华中医药学会风湿病分会、海峡两岸医药卫生交流协会风湿免疫病学专业委员会纤维肌痛综合征中西医研究学组、首都中西医结合风湿免疫病研究所联合牵头发起,采用推荐意见分级的评估、制订及评价(GRADE)分级体系及国际实践指南报告标准(RIGHT),对我国一线医师关注的FMS的11个临床问题,给出了较为详细的循证推荐意见,旨在推动风湿免疫科、心理科、疼痛科等相关科室高度重视FMS的综合管理及早期识别与干预,早筛查、早评估、早治疗,提高患者的生活质量。

关键词：纤维肌痛诊断治疗指南

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中国儿童戈谢病诊治专家共识(2021)

中华儿科杂志 2021年第12期59卷 1025-1031页

作者：中华医学会儿科学分会内分泌遗传代谢学组中华医学会儿科学分会血液学组中华医学会医学遗传学分会中国罕见病联盟罗小平邱正庆刘玉峰不详华中科技大学同济医学院附属同济医院儿科武汉430030 中国医学科学院北京协和医学院北京协和医院儿科100730 郑州大学第一附属医院儿童医院血液肿瘤科 450052

戈谢病是由于葡萄糖脑苷脂酶活性缺乏,溶酶体内葡萄糖脑苷脂贮积所致的一种肝、脾、骨骼、肺、脑等多器官受累的疾病,儿童患者大多症状较重,早期诊治对提高疗效、改善预后尤为关键。中华医学会儿科学分会内分泌遗传代谢学组、中华医学... 详细信息

戈谢病是由于葡萄糖脑苷脂酶活性缺乏,溶酶体内葡萄糖脑苷脂贮积所致的一种肝、脾、骨骼、肺、脑等多器官受累的疾病,儿童患者大多症状较重,早期诊治对提高疗效、改善预后尤为关键。中华医学会儿科学分会内分泌遗传代谢学组、中华医学会儿科学分会血液学组、中华医学会医学遗传学分会与中国罕见病联盟组织专家共同撰写此共识,旨在帮助儿科医生早期准确识别并规范诊治和管理儿童戈谢病。

关键词：中华医学会儿科医生戈谢病多器官受累罕见病儿科学分会医学遗传学儿童患者

直肠癌术前／术后适形／调强放疗靶区勾画共识与图谱

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中华放射肿瘤学杂志 2018年第3期27卷 227-234页

作者：无唐源金晶朱远刘士新袁响林王文玲王小虎章真田野高远红张红雁蔡勇依荷芭丽·迟蒋力明刘正文碧秀张大昕于大海吴君心林少民石梅李晔雄中国医师协会结直肠肿瘤专委会放疗专委会中华医学会放射肿瘤治疗学分会国家癌症中心/中国医学科学院北京协和医学院肿瘤医院放疗科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院内科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院影像诊断科北京100021 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科北京100021 浙江省肿瘤医院放疗科吉林省肿瘤医院放疗科华中科技大学同济医学院同济医院肿瘤科贵州省肿瘤医院放疗科不详复旦大学附属肿瘤医院放疗科苏州大学附属第二医院放疗科中山大学肿瘤防治中心放疗科安徽省立医院放疗科北京大学肿瘤医院放疗科中山大学附属第一医院放疗科哈尔滨医科大学附属第一医院放疗科江苏省中医院放疗科福建省肿瘤医院放疗科海南省人民医院放疗科第四军医大学西京医院放疗科

目的在三维放疗时代，为直肠癌术前／术后放疗制定靶区勾画的中国专家共识，并辅以高分辨率图谱。方法收集直肠癌放疗靶区勾画的国际指南，结合国内肿瘤中心的经验，起草“直肠癌术前／术后适形调强放疗靶区勾画共识与图谱”。在“中国... 详细信息

目的在三维放疗时代，为直肠癌术前／术后放疗制定靶区勾画的中国专家共识，并辅以高分辨率图谱。方法收集直肠癌放疗靶区勾画的国际指南，结合国内肿瘤中心的经验，起草“直肠癌术前／术后适形调强放疗靶区勾画共识与图谱”。在“中国医师协会结直肠肿瘤专委会放疗专委会”集中会议上进行讨论及投票，由专门的执行小组对最终的结果进行归纳。结果主要针对直肠癌放疗的定位技术、术前放疗靶区定义、根治术后放疗靶区定义、OAR定义、剂量和分割等方面，根据证据的强弱和专家意见一致的程度，给予分级推荐；同时在高分辨率CT上提供了CTV的图示。结论为直肠癌放疗提供中国专家共识，规范直肠癌放疗流程，减少不同单位或不同医生之间勾画的差异。

关键词：直肠肿瘤/放射疗法靶区勾画三维放疗技术

Clinical practice guideline for transurethral plasmakinetic resection of prostate for benign prostatic hyperplasia(2021 Edition)

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Military Medical Research 2022年第5期9卷 515-533页

作者： Xian-Tao Zeng Ying-Hui Jin Tong-Zu Liu Fang-Ming Chen De-Gang Ding Meng Fu Xin-Quan Gu Bang-Min Han Xing Huang Zhi Hou Wan-Li Hu Xin-Li Kang Gong-Hui Li Jian-Xing Li Pei-Jun Li Chao-Zhao Liang Xiu-Heng Liu Zhi-Yu Liu Chun-Xiao Liu Jiu-Min Liu Guang-Heng Luo Yi Luo Wei-Jun Qin Jian-Hong Qiu Jian-Xin Qiu Xue-Jun Shang Ben-Kang Shi Fa Sun Guo-Xiang Tian Ye Tian Feng Wang Feng Wang Yin-Huai Wang Yu-Jie Wang Zhi-Ping Wang Zhong Wang Qiang Wei Min-Hui Xiao Wan-Hai Xu Fa-Xian Yi Chao-Yang Zhu Qian-Yuan Zhuang Li-Qun Zhou Xiao-Feng Zou Nian-Zeng Xing Da-Lin He Xing-Huan Wang 无 department of Urology Institute of UrologyZhongnan Hospital of Wuhan UniversityWuhan430071China Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan430071China department of Urology Tianjin Third Central Hospital Affiliated To Nankai UniversityTianjin300170China department of Urology Henan Provincial People’s HospitalZhengzhou University People’s HospitalZhengzhou450003China department of Urology Beijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing102218China department of Urology China-Japan Union Hospital of Jilin UniversityChangchun130033China department of Urology Shanghai General HospitalShanghai Jiao Tong University School of MedicineShanghai200080China department of Urology Qinghai University Affiliated HospitalXi’ning810012China department of Urology People’s Hospital of Hainan ProvinceHainan Affiliated Hospital of Hainan Medical University HaikouHaikou570311China department of Urology Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou310016China department of Urology General Hospital of Ningxia Medical UniversityYinchuan750003China department of Urology The First Affiliated Hospital of Anhui Medical UniversityHefei230022China department of Urology Renmin Hospital of Wuhan UniversityWuhan430060China department of Urology The Second Hospital of Dalian Medical UniversityDalian116023LiaoningChina department of Urology Zhujiang Hospital of Southern Medical UniversityGuangzhou510282China department of Urology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou510080China department of Urology Surgery Guizhou Province People’s HospitalGuiyang550002China department of Urology Xijing Hospital of Air Force Military Medical UniversityXi’an710032China department of Urology The 980St Hospital of the PLA Joint Logistics Support Force(Bethune International Peace Hospital of PLA)Shijiazhuang050082China department of Urology

Benign prostatic hyperplasia (BPH) is highly prevalent among older men, impacting on their quality of life, sexual function, and genitourinary health, and has become an important global burden of disease. Transurethral plasmakinetic resection of prostate (TUPKP) is one of the foremost surgical procedures for the treatment of BPH. It has become well established in clinical practice with good efficacy and safety. In 2018, we issued the guideline “2018 Standard Edition”. However much new direct evidence has now emerged and this may change some of previous recommendations. The time is ripe to develop new evidence-based guidelines, so we formed a working group of clinical experts and methodologists. The steering group members posed 31 questions relevant to the management of TUPKP for BPH covering the following areas: questions relevant to the perioperative period (preoperative, intraoperative, and postoperative) of TUPKP in the treatment of BPH, postoperative complications and the level of surgeons’ surgical skill. We searched the literature for direct evidence on the management of TUPKP for BPH, and assessed its certainty generated recommendations using the grade criteria by the European Association of Urology. Recommendations were either strong or weak, or in the form of an ungraded consensus-based statement. Finally, we issued 36 statements. Among them, 23 carried strong recommendations, and 13 carried weak recommendations for the stated procedure. They covered questions relevant to the aforementioned three areas. The preoperative period for TUPKP in the treatment of BPH included indications and contraindications for TUPKP, precautions for preoperative preparation in patients with renal impairment and urinary tract infection due to urinary retention, and preoperative prophylactic use of antibiotics. Questions relevant to the intraoperative period incorporated surgical operation techniques and prevention and management of bladder explosion. The application to different

关键词： Transurethral plasmakinetic resection of prostate Benign prostatic hyperplasia Recommendation Treatment Guideline

Value of Kidney Disease Improving Global Outcomes Urine Output Criteria in Critically III Patients： A Secondary Analysis of a Multicenter Prospective Cohort Study

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Chinese Medical Journal 2016年第17期129卷 2050-2057页

作者： Jun-Ping Qin Xiang-You Yu Chuan-Yun Qian Shu-Sheng Li Tie-He Qin Er-Zhen Chen Jian-Dong Lin Yu-Hang Ai Da-Wei Wu De-Xin Liu Ren-Hua Sun Zhen-Jie Hu Xiang-Yuan Cao Fa-Chun Zhou Zhen-Yang He Li-Hua Zhou You-Zhong An Yan Kang Xiao-Chun Ma Ming-Yan Zhao Li Jiang Yuan Xu Bin Du Medical Intensive Care Unit Peking Union Medical College Hospital Beijing 100730 China department of Critical Care Medicine Beijing Tongren Hospital Capital Medical University Beijing 100730 China department of Critical Care Medicine First Affiliated Hospital Xinjiang Medical University Urumqi Xinjiang 830054 China department of Emergency Medicine and Medical Intensive Care Unit The First Affiliated Hospital of Kunming Medical University Kunming Yunnan 650032 China department o1 Critical Care Medicine Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei 430030 China department of Critical Care Medicine Guangdong General Hospital Guangzhou Guangdong 510080 China department of Emergency Medicine Ruijin Hospital Shanghai Jiao Tong University Shanghai 200025 China department of Critical Care Medicine The First Affiliated Hospital of Fujian Medical University Fuzhou Fujian 350005 China department of Critical Care Medicine Xiangya Hospital Central South University Changsha Hunan 410008 China department of Critical Care Medicine Qilu Hospital Shandong University Jinan Shandong 250012 China department of Emergency and Critical Care Medicine The Second Hospital of Jilin University Changchun Jilin 130041 China department of Critical Care Medicine Zhejiang Provincial People's Hospital Hangzhou Zhejiang 310014 China department of Critical Care Medicine Hebei Medical University Fourth Hospital Shijiazhuang Hebei 050011 China department of Critical Care Medicine Affiliated Hospital of Ningxia Medical University Yinchuan Ningxia 750004 China department of Emergency and Intensive Care Medicine The First Affiliated Hospital Chongqing Medical University Chongqing 400016 China department of Critical Care Medicine Hainan Provincial People's Hospital Haikou Hainan 570311 China department of Critical Care Medicine The Affiliated Hospital of Inner Mongolia Medical College Hohhot Inner Mongolia 010050 China department of C

Background： Urine output （UO） is an essential criterion of the Kidney Disease Improving Global Outcomes （KD1GO） definition and classification system tbr acute kidney injury （AKI）, of which the diagnostic value has not been extensively studied. We aimed to determine whether AKI based on KDIGO UO criteria （KDtGOLro） could improve the diagnostic and prognostic accuracy, compared with KDIGO serum creatinine criteria （KDIGOscr）.Methods： We conducted a secondary analysis of the database of a previous study conducted by china Critical Care Clinical Trial Group （CCCCTG）, which was a 2-month prospective cohort study （July 1,2009 to August 31,2009） involving 3063 patients in 22 tertiary Intensive Care Units in Mainland of china. AKI was diagnosed and classified separately based on KDIGOt,o and KDlGOsc,. Hospital mortality of patients with more severe AKI classification based on KDIGOvo was compared with other patients by univariate and multivariate regression analyses. Results： The prevalence of AKl increased from 52.4% based on KDIGOscr to 55.4% based on KD1GOsc~ combined with KDIGOuo. KDIGOv~~ also restllted in an upgrade of AKI classification in 7.3% of patients, representing those with more severe AK1 classification based on KDIGOvo. Compared with non-AKI patients or those with maximum AKI classification by KDIGOscr, those with maximum AKI classification by KDIGOuo had a significantly higher hospital mortality of 58.4% （odds ratio [OR]： 7.580, 95% confidence interval [CI]： 4.141-13.873, P 〈 0.001）. In a multivariate logistic regression analysis, AKI based on KDIGOuo （OR： 2.891, 95% CI： 1.964-4.254, P 〈 0.001）, but not based on KDIGOscr （OR： 1.322, 95% CI： 0.902-1.939, P = 0.152）, was an independent risk factor for hospital mortality. Conclusion： UO was a criterion with additional value beyond creatinine criterion for AKI diagnosis and classification, which can help identify a group of patients with high risk of death.

关键词： Acute Kidney Injury Critically Ill Mortality Serum Creatinine Urine Output

Chinese guidelines for the application of colon cancer staging recognition systems based on artificial intelligence platforms (2021)

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Intelligent Medicine 2021年第1期1卷 37-42页

作者： Yun Lu Shuai Li Yuan Gao Yong Dai Bo Feng Fanghai Han Jiagang Han Jingjing He Xinxiang Li Guole Lin Qian Liu Guiying Wang Quan Wang Zhenning Wang Zheng Wang Aiwen Wu Bin Wu Yingchi Yang Hongwei Yao Wei Zhang Jianping Zhou Aimin Hao Zhongtao Zhang 无 department of General Surgery The Affiliated Hospital of Qingdao UniversityQingdaoShandong 266003China Beihang university State Key Laboratory of Virtual Reality Technology and Systems Beijing 100191China department of General Surgery Qilu Hospital of Shandong UniversityJinanShandong 250012China department of General Surgery Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200020China Shanghai Minimally Invasive Surgery Center Ruijin HospitalShanghai Jiao Tong University School of MedicineShanghai 200020China department of Gastrointestinal Surgery Sun Yat-sen Memorial HospitalSun Yat-sen UniversityGuangzhouGuangdong 510120China department of General Surgery Beijing Chaoyang HospitalCapital Medical UniversityBeijing 100027China Institute of International Law Chinese Academy of Social SciencesBeijing 102442China department of Colorectal Surgery Fudan University Shanghai Cancer CenterShanghai 200032China department of Oncology Shanghai Medical CollegeFudan UniversityShanghai 200032China department of General Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Third Hospital of Hebei Medical university ShijiazhuangHebei 50051China department of Colon and Rectum Surgery The First Hospital of Jilin UniversityChangchunJilin 130031China department of Surgical Oncology and General Surgery Key Laboratory of Precision Diagnosis and Treatment of Gastrointestinal TumorsMinistry of EducationThe First Affiliated Hospital of China Medical UniversityShenyangLiaoning 110001China department of Gastrointestinal Surgery Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanHubei 430030China Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education) Department of Unit II

The incidence and mortality of colon cancer in china are increasing each *** present,treatment selection for colon cancer patients mainly depends on imaging results,which require a large number of radiologists to *** china,there is a shortage and uneven distribution of experienced radiologists,which leads to delays and bias in the evaluation of imaging *** on these considerations,the Colorectal Surgery Group of the Surgery Branch of the Chinese Medical Association in collaboration with experts at Beihang university has independently developed an artificial intelligence(AI)-based recognition system for the preoperative determination of colon cancer stage to partially replace the work of and relieve the pressure on *** guidelines aim to standardize the use of AI-based recognition systems in the preoperative staging of colon cancer and guide their clinical application.

关键词： Artificial intelligence Colon cancer Deep learning Preoperative staging

成人风湿免疫病患者新型冠状病毒疫苗接种及风险防控中国专家共识(2023版)

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中华风湿病学杂志 2023年第10期27卷 649-658页

作者：郑文洁张卓莉何岚李芬穆荣魏蔚武丽君谢其冰杨念生杨娉婷张文董凌莉赵岩中国初级卫生保健基金会风湿免疫学专业委员会中华医学会风湿病学分会中国医学科学院北京协和医学院北京协和医院风湿免疫科北京100730 北京大学第一医院风湿免疫科北京100034 西安交通大学第一附属医院风湿免疫科西安710061 中南大学湘雅二医院风湿免疫科长沙410011 北京大学第三医院风湿免疫科北京100191 天津医科大学总医院风湿免疫科天津300052 新疆维吾尔自治区人民医院风湿免疫科乌鲁木齐830001 四川大学华西医院风湿免疫科成都610000 中山大学附属第一医院风湿免疫科广州510080 中国医科大学附属第一医院风湿免疫科沈阳110001 华中科技大学同济医学院附属同济医院风湿免疫科武汉430030 不详

新型冠状病毒感染从2019年年底以来席卷全球, 给人类健康带来危害, 疫苗接种是预防新型冠状病毒感染和降低感染后重症化的有效手段。加快新型冠状病毒疫苗接种速度、扩大接种范围、提高全人群疫苗接种率已成为国际社会防控新型冠状病毒... 详细信息

新型冠状病毒感染从2019年年底以来席卷全球, 给人类健康带来危害, 疫苗接种是预防新型冠状病毒感染和降低感染后重症化的有效手段。加快新型冠状病毒疫苗接种速度、扩大接种范围、提高全人群疫苗接种率已成为国际社会防控新型冠状病毒蔓延的共识。风湿免疫病患者是罹患新型冠状病毒感染的高危人群, 该群体因疾病本身和长期用药往往处于免疫功能紊乱状态, 存在新型冠状病毒疫苗类型选择、使用方法、免疫应答减弱、突破性感染等一系列问题。本文基于国内外最新循证医学证据, 就成人风湿免疫病患者接种新型冠状病毒疫苗与新型冠状病毒预防的相关问题提出建议并形成专家共识, 以供临床医生及卫生保健人员参考。

关键词：风湿免疫病冠状病毒感染疫苗接种单克隆抗体

人文与经济地理学的传承与创新：青年学者的责任

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地理研究 2018年第3期37卷 449-472页

作者：陈明星周素红何深静叶超汪明峰孙威王开泳刘艳军朱晟君马海涛姚华松马仁锋张华余建辉吴康王丰龙黄耿志赵荣钦郝庆刘春腊郑捷刘海猛中国科学院地理科学与资源研究所区域可持续发展分析与模拟院重点实验室北京100101 中山大学地理科学与规划学院广州510275 香港大学城市规划与设计系中国香港999077 华东师范大学地理科学学院上海200241 华东师范大学城市与区域科学学院上海200241 东北师范大学地理科学学院长春130024 北京大学城市与环境学院北京100871 广州大学广州发展研究院广州510405 宁波大学昂热大学联合学院地理与空间信息技术系宁波315211 环境遥感与数字城市北京市重点实验室北京师范大学地理科学学部北京100875 首都经济贸易大学城市经济与公共管理学院北京100070 华东师范大学城市发展研究院上海200062 广州地理研究所广州510070 华北水利水电大学资源与环境学院郑州450045 中国国土资源经济研究院北京101149 湖南师范大学资源与环境科学学院长沙410081 嘉兴港区开发建设管理委员会嘉兴314201

2018年1月27-28日,人文与经济地理学青年论坛暨第二届中国科学院区域可持续发展分析与模拟重点实验室青年论坛在北京国家会议中心成功举办。青年论坛以"人文与经济地理学的传承与创新:青年学者的责任与行动"为主题。莅临会场的院士、前... 详细信息

2018年1月27-28日,人文与经济地理学青年论坛暨第二届中国科学院区域可持续发展分析与模拟重点实验室青年论坛在北京国家会议中心成功举办。青年论坛以"人文与经济地理学的传承与创新:青年学者的责任与行动"为主题。莅临会场的院士、前辈和主管部门领导纷纷表示鼓励、支持和关怀青年人才的更快更好的成长。在这样的背景下,以这次青年论坛主题为题,在新时代传承和创新人文与经济地理学,青年学者责无旁贷,追寻地理学家的精神,集中探讨青年学者的责任与行动,展示人文与经济地理青年学者的思考和风采。

关键词：人文与经济地理学青年学者责任行动传承创新新时代

可降解神经套接管制备及临床试验流程专家共识

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生物骨科材料与临床研究 2021年第4期18卷 1-7页

作者：中国医学装备协会医用增材制造专业委员会李慈齐大虎张蒙袁博朱皓肖骏康皓方忠赵宇胡懿郃戴红莲周钢张培训不详北京大学人民医院创伤骨科北京100044 华中科技大学同济医学院附属同济医院骨科湖北武汉430030 天津市医疗器械质量监督检验中心天津300384 中国医学科学院北京协和医学院北京协和医院骨科北京100730 中南大学湘雅医院骨科湖南长沙410008 武汉理工大学材料复合新技术国家重点实验室湖北武汉430070 华中科技大学材料成形与模具技术国家重点实验室湖北武汉430074

周围神经损伤是一种常见临床疾病,损伤后的有效修复是减少损伤并发症、改善预后的重要措施。临床上治疗单纯横断伤或微小缺损的神经损伤多采用显微外科对位缝合方式吻合神经断端,但临床修复效果难达到预期。基于周围神经选择性再生学说... 详细信息

周围神经损伤是一种常见临床疾病,损伤后的有效修复是减少损伤并发症、改善预后的重要措施。临床上治疗单纯横断伤或微小缺损的神经损伤多采用显微外科对位缝合方式吻合神经断端,但临床修复效果难达到预期。基于周围神经选择性再生学说,研究者发现小间隙套接缝合的修复效果明显好于传统的神经外膜缝合方法。因此,研发一种用来桥接周围神经断端的周围神经套接管具有重要的科学和临床意义。为达到更好的周围神经损伤临床修复效果,专家组研发并制作了具有良好的可降解性、生物相容性、无免疫毒性的周围神经套接管。该套接管的应用可以减少操作难度及手术时间,有效促进周围神经的选择性再生。然而关于可降解神经套接管治疗周围神经损伤的临床科研应用流程还缺乏统一的定论和共识,为了规范周围神经套接管的制备和临床试验流程,本共识专家组结合周围神经损伤特点并经过反复讨论,达成了此共识。本共识为临床医师研发和使用周围神经套接管提供建议和指导。

关键词：周围神经套接管小间隙套接缝合周围神经损伤降解材料临床应用