{"id":370135,"date":"2025-11-19T10:53:42","date_gmt":"2025-11-19T02:53:42","guid":{"rendered":"https:\/\/heho.com.tw\/?p=370135"},"modified":"2025-11-19T10:56:12","modified_gmt":"2025-11-19T02:56:12","slug":"%e6%88%90%e7%86%9f%e7%94%b7%e4%ba%ba%e6%9c%83%e6%9c%89%e7%9a%84%e5%9b%b0%e6%93%be%ef%bc%9f%e6%94%9d%e8%ad%b7%e8%85%ba%e6%aa%a2%e6%9f%a5%e6%80%8e%e9%ba%bc%e9%81%b8%ef%bc%9f%e6%b3%8c%e5%b0%bf%e5%a4%96","status":"publish","type":"post","link":"https:\/\/heho.com.tw\/archives\/370135","title":{"rendered":"\u6210\u719f\u7537\u4eba\u6703\u6709\u7684\u56f0\u64fe\uff1f\u651d\u8b77\u817a\u6aa2\u67e5\u600e\u9ebc\u9078\uff1f\u6ccc\u5c3f\u5916\u79d1\u6b0a\u5a01\u91ab\u5e2b\u6b50\u5bb4\u6cc9\uff1a\u6559\u4f60\u600e\u9ebc\u6311\u5c0d\u6aa2\u67e5"},"content":{"rendered":"\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u6392\u5c3f\u4e0d\u9806\u3001\u591c\u9593\u983b\u5c3f\uff0c\u662f\u8a31\u591a\u300c\u6210\u719f\u7537\u4eba\u300d\u8aaa\u4e0d\u51fa\u53e3\u7684\u56f0\u64fe\u3002\u4f46\u9019\u7a76\u7adf\u662f\u826f\u6027\u7684<a href=\"https:\/\/heho.com.tw\/search?source=keyword#gsc.q=\u651d\u8b77\u817a\u80a5\u5927\" data-internallinksmanager029f6b8e52c=\"2768\" title=\"\u651d\u8b77\u817a\u80a5\u5927\" target=\"_blank\" rel=\"noopener\">\u651d\u8b77\u817a\u80a5\u5927<\/a>\uff0c\u9084\u662f\u6f5b\u85cf\u8457\u764c\u75c7\u98a8\u96aa\uff1f\u6839\u64da\u7d71\u8a08\uff0c\u651d\u8b77\u817a\u764c\u5df2\u662f\u53f0\u7063\u7537\u6027\u7b2c\u4e09\u5927\u764c\u75c7 \uff0c\u4e14\u65e9\u671f\u5e7e\u4e4e\u6c92\u6709\u75c7\u72c0 \u3002\u4e00\u65e6\u51fa\u73fe\u75c7\u72c0\uff0c\u5f80\u5f80\u70ba\u6642\u5df2\u665a\u3002\u300c\u5230\u5e95\u8a72\u505a\u54ea\u9805\u6aa2\u67e5\uff1f\u300d\u6210\u4e86\u8a31\u591a\u7537\u6027\u7684\u5171\u540c\u7591\u554f\u3002PSA\u503c\u9ad8\u5c31\u4ee3\u8868\u7f79\u764c\u55ce\uff1f\u50b3\u7d71\u5207\u7247\u6703\u4e0d\u6703\u6709\u907a\u6f0f\uff1f\u8eab\u70ba\u6ccc\u5c3f\u5916\u79d1\u6b0a\u5a01\u91ab\u5e2b\u3001\u540c\u6642\u4e5f\u662f\u7ae5\u7d9c\u5408\u91ab\u9662\u7814\u767c\u5275\u65b0\u4e2d\u5fc3\u7684\u6b50\u5bb4\u6cc9\u9662\u9577\u70ba\u60a8\u4e00\u4e00\u89e3\u6790\uff0c\u6559\u60a8\u5982\u4f55\u770b\u61c2\u4e26\u6311\u5c0d\u6700\u9069\u5408\u81ea\u5df1\u7684\u651d\u8b77\u817a\u6aa2\u67e5\u3002<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c\u4e00\u7ad9\uff1a\u8a8d\u8b58\u6210\u719f\u7537\u4eba\u7684\u300c\u56f0\u64fe\u300d\u2014 \u98a8\u96aa\u8207\u8b66\u8a0a<\/h2>\n\n\n\n<p>\u4e00\u822c\u6c11\u773e\u5728\u9078\u64c7\u6aa2\u67e5\u524d\uff0c\u53ef\u4ee5\u5148\u5f9e<strong>\u65e5\u5e38\u89c0\u5bdf\u662f\u5426\u51fa\u73fe\u76f8\u95dc\u75c7\u72c0<\/strong>\u3001<strong>\u8a55\u4f30\u81ea\u5df1\u662f\u5426\u5c6c\u65bc\u9ad8\u98a8\u96aa\u65cf\u7fa4<\/strong>\uff0c\u4e26\u4ee5<strong>\u5e74\u9f61<\/strong>\u4f5c\u70ba\u91cd\u8981\u7684\u53c3\u8003\u4f9d\u64da\u3002\u6b50\u5bb4\u6cc9\u9662\u9577\u6307\u51fa\uff0c\u651d\u8b77\u817a\u764c\u597d\u767c\u65bc 60 \u6b72\u4ee5\u4e0a\u7537\u6027\uff0c\u4f46\u98a8\u96aa\u5176\u5be6\u5728 40 \u6b72\u5f8c\u5c31\u958b\u59cb\u4e0a\u5347\uff0c\u8d8a\u65e9\u5efa\u7acb\u8b66\u89ba\u3001\u8d8a\u6709\u52a9\u65bc\u53ca\u65e9\u767c\u73fe\u554f\u984c\u3002<\/p>\n\n\n\n<p><strong>1. \u75c7\u72c0\u7684\u8ff7\u601d\uff1a\u80a5\u5927\u4e0d\u7b49\u65bc\u764c\u75c7<\/strong> \u8a31\u591a\u4eba\u6703\u5c07\u6392\u5c3f\u75c7\u72c0\u6b78\u56e0\u65bc\u826f\u6027\u7684\u300c\u651d\u8b77\u817a\u80a5\u5927\u300d\uff08\u6216\u7a31\u816b\u5927\uff09\u3002\u6b50\u5bb4\u6cc9\u9662\u9577\u63d0\u9192\uff0c\u651d\u8b77\u817a\u80a5\u5927\u4e26\u4e0d\u6703\u76f4\u63a5\u8b8a\u6210\u764c\u75c7 \uff0c\u4f46\u5169\u8005\u65e9\u671f\u7684\u6392\u5c3f\u75c7\u72c0\u76f8\u4f3c\uff0c\u5bb9\u6613\u4f7f\u4eba\u653e\u9b06\u8b66\u60d5 \u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u65e9\u671f\u8b66\u8a0a\uff1a<\/strong> \u65e9\u671f\u901a\u5e38\u7121\u75c7\u72c0\u3002\u8f03\u5e38\u898b\u7684\u662f\u6392\u5c3f\u75c7\u72c0\u3001\u591c\u5c3f\u3001\u5c3f\u6d41\u8b8a\u7d30\u7b49 \u3002<\/li>\n\n\n\n<li><strong>\u665a\u671f\u8b66\u8a0a\uff1a<\/strong> \u82e5\u51fa\u73fe<strong>\u4e0b\u80cc\u6216\u9aa8\u982d\u75bc\u75db<\/strong>\u3001\u9ad4\u91cd\u6e1b\u8f15\u3001\u8ca7\u8840\u3001\u751a\u81f3\u4e0b\u80a2\u9ebb\u75fa\uff0c\u53ef\u80fd\u5df2\u662f\u665a\u671f\u8f49\u79fb \u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u8ab0\u662f\u9ad8\u98a8\u96aa\u7fa4\uff1f<\/strong> \u6b50\u5bb4\u6cc9\u9662\u9577\u6307\u51fa\uff0c\u9664\u4e86\u5e74\u7d00\uff0c\u4ee5\u4e0b\u65cf\u7fa4\u66f4\u61c9\u63d0\u65e9\u6ce8\u610f\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u5bb6\u65cf\u75c5\u53f2\uff1a<\/strong> \u5144\u5f1f\u6216\u53d4\u4f2f\u4e2d\uff0c\u6709\u8d85\u904e 2 \u4eba\u78ba\u8a3a<a href=\"https:\/\/cancer.heho.com.tw\/archives\/category\/cancer_encyclopedia\/%e8%aa%8d%e8%ad%98%e7%99%8c%e7%97%87\/prostate-cancer\" data-internallinksmanager029f6b8e52c=\"2956\" title=\"\u651d\u8b77\u817a\u764c\" target=\"_blank\" rel=\"noopener\">\u651d\u8b77\u817a\u764c<\/a> \u3002<\/li>\n\n\n\n<li><strong>\u7279\u5b9a\u57fa\u56e0\uff1a<\/strong> \u5e36\u6709BRCA1\/2 \u7b49\u57fa\u56e0\u7a81\u8b8a\u8005 \u3002<\/li>\n\n\n\n<li><strong>\u751f\u6d3b\u578b\u614b\uff1a<\/strong> \u9577\u671f\u9ad8\u8102\u80aa\u98f2\u98df\u3001\u5e38\u5403\u901f\u98df\u3001\u80a5\u80d6\u6216\u7f3a\u4e4f\u904b\u52d5\u8005 \u3002<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"630\" src=\"https:\/\/heho.com.tw\/wp-content\/uploads\/2025\/11\/1763453542.8439.jpg\" alt=\"\" class=\"wp-image-370165\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c\u4e8c\u7ad9\uff1a\u651d\u8b77\u817a\u6aa2\u67e5\u600e\u9ebc\u9078\uff1f\u2014 \u50b3\u7d71\u8207\u7cbe\u6e96\u5de5\u5177\u5927\u8a55\u6bd4<\/h2>\n\n\n\n<p>\u300c\u6211\u5230\u5e95\u8a72\u505a\u54ea\u7a2e\u6aa2\u67e5\uff1f\u300d\u9019\u662f\u9580\u8a3a\u6700\u5e38\u807d\u5230\u7684\u554f\u984c\u3002\u6b50\u5bb4\u6cc9\u9662\u9577\u5206\u6790\uff0c\u5f9e\u7be9\u6aa2\u5230\u78ba\u8a3a\uff0c\u5de5\u5177\u7684\u300c\u7cbe\u6e96\u5ea6\u300d\u548c\u300c\u4fb5\u5165\u6027\u300d\u662f\u4e3b\u8981\u8003\u91cf\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u57fa\u790e\u7be9\u6aa2\u5de5\u5177<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>PSA\uff08\u524d\u5217\u817a\u7279\u7570\u6297\u539f\uff09\u8840\u6db2\u6aa2\u6e2c<\/strong> <br><strong>\u7c21\u4ecb\uff1a<\/strong> \u62bd\u8840\u6aa2\u6e2cPSA\u6fc3\u5ea6\uff0c\u662f\u76ee\u524d\u6700\u7c21\u4fbf\u7684\u7be9\u6aa2\u5de5\u5177 \u3002 <br><strong>\u512a\u9ede\uff1a <\/strong>\u975e\u4fb5\u5165\u6027\u3001\u7c21\u4fbf \u3002 <br><strong>\u9650\u5236\uff1a<\/strong> \u7279\u7570\u6027\u4f4e\u3002\u6b50\u9662\u9577\u6307\u51fa\uff0cPSA\u503c\u9ad8\u4e0d\u4ee3\u8868\u5c31\u662f\u764c\u75c7\uff0c\u53ef\u80fd\u56e0\u767c\u708e\u3001\u826f\u6027\u80a5\u5927\u3001\u751a\u81f3\u64cd\u4f5c\u523a\u6fc0\uff08\u5982\u9a0e\u81ea\u884c\u8eca\uff09\u800c\u5347\u9ad8 \u3002\u66f4\u91cd\u8981\u7684\u662f\uff0c<strong>PSA\u503c\u5c0f\u65bc 4 \u7684\u60a3\u8005\u4e2d\uff0c\u4ecd\u6709\u7d04 5%\u81f3 10%\u88ab\u8a3a\u65b7\u51fa\u651d\u8b77\u817a\u764c \u3002<\/strong><\/li>\n\n\n\n<li><strong>\u76f4\u8178\u6307\u8a3a<\/strong><br><strong>\u7c21\u4ecb\uff1a<\/strong> \u91ab\u5e2b\u7d93\u76f4\u8178\u89f8\u6478\u524d\u5217\u817a\uff0c\u8a55\u4f30\u662f\u5426\u6709\u786c\u584a \u3002<br><strong>\u512a\u9ede\uff1a<\/strong> \u64cd\u4f5c\u7c21\u6613\u3001\u5373\u6642 \u3002<br><strong>\u9650\u5236\uff1a<\/strong> \u7121\u6cd5\u5075\u6e2c\u5230\u65e9\u671f\u6216\u4f4d\u7f6e\u8f03\u6df1\u7684\u816b\u7624 \u3002<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">\u9032\u968e\u8a3a\u65b7\u5de5\u5177\uff08\u7576\u7be9\u6aa2\u7570\u5e38\u6642\uff09<\/h3>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>PHI\uff08\u651d\u8b77\u817a\u764c\u5065\u5eb7\u6307\u6578\uff09<\/strong><br><strong>\u7c21\u4ecb\uff1a<\/strong> \u540c\u6a23\u662f\u62bd\u8840\u6aa2\u6e2c\uff0c\u4f46\u6bd4\u55ae\u770bPSA\u66f4\u7cbe\u6e96\u7684\u751f\u7269\u6a19\u8a18\u3002<br><strong>\u9069\u7528\u6642\u6a5f\uff1a<\/strong> \u5c08\u9580\u7528\u4f86\u8f14\u52a9\u5224\u65b7\u3002\u6b50\u9662\u9577\u8aaa\u660e\uff0c\u7576\u75c5\u4ebaPSA\u4ecb\u65bc 4-10 ng\/mL\uff0c\u4e14\u5176\u4ed6\u5f71\u50cf\u96e3\u4ee5\u5224\u65b7\u6642\uff0c\u53ef\u4f7f\u7528PHI \u3002<br><strong>\u512a\u9ede\uff1a<\/strong> \u5065\u4fdd\u7f72\u5df2\u901a\u904e\u7d66\u4ed8\uff08\u9650\u5236\u689d\u4ef6\u4e0b\uff09\uff0c\u6709\u52a9\u65bc\u91ab\u5e2b\u7d9c\u5408\u5224\u8b80\uff0c<strong>\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u4fb5\u5165\u6027\u5207\u7247<\/strong>\u3002<\/li>\n\n\n\n<li><strong>\u50b3\u7d71\u8d85\u97f3\u6ce2\u5c0e\u5f15\u7a7f\u523a\uff08\u7d93\u76f4\u8178\u8d85\u97f3\u6ce2\u5c0e\u5f15\u7a7f\u523a TRUS Biopsy\uff09<\/strong><br><strong>\u7c21\u4ecb\uff1a<\/strong> \u7d93\u76f4\u8178\uff0c\u4ee5\u8d85\u97f3\u6ce2\u5c0e\u5f15\uff0c\u96a8\u6a5f\u5728\u524d\u5217\u817a\u5de6\u53f3\u5169\u5074\u5171\u5207\u7247 12 \u91dd\u3002<br><strong>\u9650\u5236\uff1a<\/strong> \u9019\u662f\u4fb5\u5165\u6027\u78ba\u8a3a\u65b9\u5f0f\uff0c\u4f46\u6709\u9ad8\u98a8\u96aa\u3002\u6b50\u9662\u9577\u6bd4\u55bb\uff0c\u9019\u7a2e\u300c\u96a8\u6a5f\u63a1\u6a23\u300d\u4e0d\u898b\u5f97\u80fd\u5207\u5230\u764c\u75c7\u75c5\u7076\uff0c<strong>\u53ef\u80fd\u6703\u6709\u300c\u6f0f\u7db2\u4e4b\u9b5a\u300d<\/strong>\u3002\u4e14\u6709\u611f\u67d3\u3001\u51fa\u8840\u98a8\u96aa \u3002<\/li>\n\n\n\n<li><strong>\u78c1\u632f\u9020\u5f71\u878d\u5408\u7cbe\u6e96\u7a7f\u523a\uff08\u7d93\u6703\u9670\u78c1\u632f\u9020\u5f71\u878d\u5408\u7cbe\u6e96\u7a7f\u523a MRI Fusion Biopsy\uff09<\/strong><br><strong>\u7c21\u4ecb\uff1a<\/strong> \u5148\u9032\u7684\u5207\u7247\u65b9\u5f0f\u3002\u5148\u62cd\u651d\u9ad8\u89e3\u6790\u5ea6\u7684\u78c1\u632f\u9020\u5f71\uff08mpMRI\uff09\u9396\u5b9a\u61f7\u7591\u7684\u75c5\u7076\uff0c\u518d\u878d\u5408\u8d85\u97f3\u6ce2\u5f71\u50cf\uff0c<strong>\u300c\u7cbe\u6e96\u5730\u300d\u91dd\u5c0d\u53ef\u7591\u8655\u9032\u884c\u5207\u7247<\/strong> \u3002<br><strong>\u512a\u9ede\uff1a<\/strong> \u5927\u5e45\u589e\u52a0\u8a3a\u65b7\u6a5f\u7387\uff0c\u89e3\u6c7a\u4e86\u50b3\u7d71\u5207\u7247\u300c\u4e82\u69cd\u6253\u9ce5\u300d\u7684\u554f\u984c \u3002<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">\u6700\u65b0\u8da8\u52e2\uff1a\u9ad8\u968e\u5f71\u50cf\u8a3a\u65b7<\/h3>\n\n\n\n<ol start=\"6\" class=\"wp-block-list\">\n<li>PSMA PET\uff08\u651d\u8b77\u817a\u764c\u6b63\u5b50\u9020\u5f71\uff09<br><strong>\u7c21\u4ecb\uff1a<\/strong> \u76ee\u524d\u6700\u7cbe\u6e96\u7684\u5f71\u50cf\u6aa2\u67e5\u5de5\u5177\u4e4b\u4e00\uff0c\u751a\u81f3\u53ef\u88dc\u8db3MRI\u7684\u4e0d\u8db3\u4e4b\u8655 \u3002<br><strong>\u9069\u7528\u6642\u6a5f\uff1a<\/strong> \u7ae5\u7d9c\u5408\u91ab\u9662\u6838\u91ab\u79d1\u66fe\u80fd\u6cc9\u4e3b\u4efb\u6307\u51fa\uff0c\u4f9d\u570b\u969b\u6307\u5f15\uff0cPSMA PET\u76ee\u524d<strong>\u5efa\u8b70\u7528\u65bc\u300c\u4e2d\u5ea6\u81f3\u9ad8\u5ea6\u98a8\u96aa\u300d\u7684\u78ba\u8a3a\u60a3\u8005<\/strong>\uff0c\u4ee5\u8a55\u4f30\u662f\u5426\u6709\u6dcb\u5df4\u3001\u9aa8\u9abc\u6216\u5176\u4ed6\u5668\u5b98\u8f49\u79fb \u3002\u6b64\u5916\uff0c\u4e5f\u7528\u65bc\u6cbb\u7642\u5f8c\u61f7\u7591\u300c\u751f\u5316\u6027\u5fa9\u767c\u300d\u7684\u75c5\u4eba\uff0c\u627e\u51fa\u5fa9\u767c\u9ede \u3002<br><strong>\u672a\u4f86\u8da8\u52e2\uff1a<\/strong> \u7ae5\u7d9c\u5408\u91ab\u9662\u6b63\u9032\u884c\u81e8\u5e8a\u8a66\u9a57\uff08PSCAN\uff09\uff0c\u8a55\u4f30\u5c07 18F-PSMA-1007\uff08\u4e00\u7a2ePSMA\u793a\u8e64\u5291\uff09\u7528\u65bc\u66f4\u65e9\u671f\u3001PSA\u4ecb\u65bc 4-20 \u7684\u7591\u4f3c\u60a3\u8005\uff0c\u521d\u6b65\u986f\u793a\u80fd\u6709\u6548\u63d0\u5347\u6d3b\u6aa2\u6210\u529f\u7387 \u3002<br><strong>\u8cbb\u7528\uff1a<\/strong> 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\u82e5\u5df2\u662f\u7b2c 4 \u671f\uff08\u5df2\u8f49\u79fb\uff09\uff0c5 \u5e74\u5b58\u6d3b\u7387\u53ef\u80fd\u50c5\u7d04 50% \u3002<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"865\" height=\"649\" src=\"https:\/\/heho.com.tw\/wp-content\/uploads\/2025\/11\/1763450994.8415.png\" alt=\"\" class=\"wp-image-370148\"\/><figcaption class=\"wp-element-caption\">\u7ae5\u7d9c\u5408\u91ab\u9662\u6b50\u5bb4\u6cc9\u9662\u9577\uff08\u53f3\u4e09\uff09\u3001\u8f14\u5927\u91ab\u9662\u6ccc\u5c3f\u79d1\u5f35\u5b5f\u9716\u91ab\u5e2b\uff08\u53f3\u4e8c\uff09\u8207\u9ad8\u96c4\u69ae\u7e3d\u6ccc\u5c3f\u79d1\u6797\u5b50\u5e73\u91ab\u5e2b\uff08\u5de6\u4e09\uff09\u5171\u540c\u547c\u7c72\uff0c\u65e9\u671f\u8a3a\u65b7\u8207\u7cbe\u6e96\u8a3a\u65b7\u6cbb\u7642\u662f\u63d0\u5347\u6cbb\u7642\u6210\u6548\u8207\u751f\u6d3b\u54c1\u8cea\u7684\u95dc\u9375\u3002\u7167\u7247\uff0f\u53f0\u7063\u65b0\u5275\u91ab\u7642\u5b78\u6703<\/figcaption><\/figure>\n\n\n\n<p>\u9762\u5c0d\u65e5\u76ca\u6f38\u589e\u7684\u7537\u6027\u764c\u75c7\u98a8\u96aa\uff0c\u570b\u5167\u4e5f\u6709\u5c08\u5bb6\u547c\u7c72\uff0c\u61c9\u6bd4\u7167\u570b\u5916\u5c07\u651d\u8b77\u817a\u764c\u7d0d\u5165\u570b\u5bb6\u764c\u75c7\u7be9\u6aa2\u3002\u5c0d\u6b64\uff0c\u885b\u798f\u90e8\u90e8\u9577\u77f3\u5d07\u826f\u4e5f\u8868\u793a\uff0c\u885b\u798f\u90e8\u5c07\u555f\u52d5\u6210\u672c\u6548\u76ca\u8a55\u4f30\uff0c\u4e26\u65bc\u534a\u5e74\u5167\u63d0\u51fa\u516c\u8cbb\u7be9\u6aa2\u7684\u5177\u9ad4\u898f\u5283\u3002\u4f46\u4e0d\u8ad6\u662f\u5426\u6709\u516c\u8cbb\u7be9\u6aa2\uff0c\u6210\u719f\u7537\u4eba\u90fd\u8a72\u5c0d\u300c\u651d\u8b77\u817a\u75be\u75c5\u9810\u9632\u300d\u6709\u4e00\u5b9a\u8a8d\u77e5\uff0c\u5f9e\u57fa\u790e\u7684PSA\u7be9\u6aa2\uff0c\u5230\u9032\u968e\u7684PHI\u3001MRI\u878d\u5408\u5207\u7247\uff0c\u518d\u5230\u9ad8\u968e\u7684PSMA 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