Tài liệu Kết quả phẫu thuật ung thư tuyến giáp thể biệt hóa ở nam giới

Nội dung text: Tài liệu Kết quả phẫu thuật ung thư tuyến giáp thể biệt hóa ở nam giới

1. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& .ӂ748Ҧ3+Ү87+8Ұ781*7+Ѭ78<ӂ1*,ẩ3 7+ӆ%,ӊ7+ẽ$Ӣ1$0*,Ӟ, 1JX\ӉQ;XkQ+ұX Yj1JX\ӉQ7KDQK/RQJ1 17Ú͵QJĈ̹LKͥF<+j1ͱL 2%͟QKYL͟QĈ̹LKͥF<+j1ͱL 8QJWḰWX\͗QJLiSͷQDPJLͳLFyPͱWVͩÿL͛PNKiFEL͟WVRYͳLQ·JLͳLQḰNtFKWḰͳFXOͳQK˿QW͡O͟GL FăQK̹FKFDRK˿Q&iFÿ͏FÿL͛PQj\̻QKḰͷQJÿ͗QFK͡ÿͣQKFNJQJQḰN͗WTX̻SK̓XWKXͅW1JKLrQF΁XWL͗Q F΁XWUrQE͟QKQKkQQDPJLͳLXQJWḰWX\͗QJLiSWK͛EL͟WKyDÿ́ͻFSK̓XWKXͅWW̹L%͟QKYL͟QĈ̹LKͥF< +j1ͱLW΃WKiQJÿ͗QWKiQJQK͉PÿiQKJLiN͗WTX̻SK̓XWKXͅWͷQKyPE͟QKQKkQQj\7͡O͟ F͇WWX\͗QJLiSWRjQEͱYjYpWK̹FKFͭO̿QÓͻWOjYj.KjQWL͗QJYjF˿QFRU~WQJyQWD\FKkQOj KDLEL͗QFK΁QJKD\J͏SQK̽WFKL͗PO̿QÓͻWYjVDRKFDRK˿QͷQKyPF͇WWX\͗QJLiSWRjQ Eͱ7͡O͟EL͗QFK΁QJFNJQJFDRK˿QͷQKyPFyYpWK̹FKFͭQḰQJNK{QJFyờQJKƭDWKͩQJNr9pWK̹FKFͭGΉ SKzQJQrQÿ́ͻFFkQQK͇FͷQKyPE͟QKQKkQXQJWḰWX\͗QJLiSQDPJLͳL 7ӯNKyDXQJWKѭWX\ӃQJLiSWKӇELӋWKyDQDPJLӟLNӃWTXҧSKүXWKXұW ,ĈҺ79Ҩ1Ĉӄ 8QJ WKѭ WX\ӃQ JLiS Oj EӋQK Oờ XQJ WKѭ WӍOӋPҳFXQJWKѭWX\ӃQJLiSFDRKѫQNKRҧQJ SKә ELӃQ QKҩW FӫD KӋ QӝL WLӃW Fy WӍ OӋ JLD 2 ÿӃQ  OҫQ VR YӟL QDP JLӟL &iF QJKLrQ WăQJQKDQKFKyQJWUrQWRjQWKӃJLӟLYӟLVӕ FӭX YӅ YDL WUz FӫD HVWURJHQ WURQJ Vӵ SKiW FD PӟL PҳF WăQJ JҩS  OҫQ WҥL +RD .Ǥ Yj WULӇQFӫDWӃEjRWX\ӃQJLiSFKRWKҩ\KRUPRQH $XVWUDOLD WURQJ ED WKұS NӍ YӯD TXD 7KHR JLӟLWtQKFyWiFÿӝQJOrQTXiWUuQKSKkQEjR */2%2&$1XQJWKѭWX\ӃQJLiSFKLӃP FӫDWӃEiRWX\ӃQJLiSYjGRÿyFyWKӇJyS WURQJWҩWFҧFiFORҥLXQJWKѭQyLFKXQJ SKҫQWURQJVӵSKiWVLQKXQJWKѭWX\ӃQJLiS3 EӋQKWKѭӡQJJһSÿӭQJKjQJWKӭӣQӳJLӟL 7URQJFiFQJKLrQFӭXOkPVjQJEӋQKQKkQ YӟLFDPӟLPҳFKjQJQăPYjÿӭQJ QDP JLӟL Fy NtFK WKѭӟF X OӟQ KѫQ WҥL WKӡL KjQJWKӭFKXQJFKRFҧKDLJLӟLYӟL ÿLӇPFKҭQÿRiQWӍOӋXJLӟLKҥQWURQJQKXP{ FDPӟLPҳFKjQJQăP39LӋW1DPFNJQJOjPӝW JLiSWKҩSKѫQYjWKѭӡQJFyGLFăQKҥFKKѫQ WURQJFiFQѭӟFFyWӹOӋPҳF877*FDREӋQK EӋQKQKkQQӳJLӟL&iFÿһF ÿLӇPQj\FyWKӇ ÿӭQJKjQJWKӭYӟLFDPӟLPҳFYj ҧQK KѭӣQJ ÿӃQ FKӍ ÿӏQK FNJQJ QKѭ NӃW TXҧ FD Wӱ YRQJ PӛL QăP Wӹ OӋ PҳF FKXҭQ WKHR SKүXWKXұWӣKDLJLӟL'RÿyNӃWTXҧSKүX WXәLOjGkQ3 WKXұWXQJWKѭWX\ӃQJLiSӣEӋQKQKkQQDP 8QJWKѭWX\ӃQJLiStWJһSӣQDPJLӟLKѫQ JLӟLFҫQÿѭӧFTXDQWkPQJKLrQFӭX+LӋQWҥL VRYӟLQӳJLӟL&iFVӕOLӋXFKRWKҩ\QӳJLӟLFy ӣ 9LӋW 1DP FKѭD Fy QKLӅX NӃW TXҧ QJKLrQ FӭXYӅQKyPEӋQKQKkQQDP'RYұ\FK~QJ W{L WKӵF KLӋQ QJKLrQ FӭX Qj\ YӟL PөF WLrX 7iFJL̻OLrQK͟1JX\͝Q;XkQ+ͅX 7Ú͵QJĈ̹LKͥF<+j1ͱL ĈiQhJLiÿһF ÿLӇPOkPVjQJFұQOkPVjQJ (PDLOGUQJX\HQ[XDQKDX#JPDLOFRP NӃWTXҧÿLӅXWUӏSKүXWKXұWXQJWKѭWX\ӃQJLiS 1Jj\QKͅQ WKӇELӋWKyDӣQDPJLӟL 1Jj\ÿ́ͻFFK̽SQKͅQ  TCNCYH 138 (2) - 2021
2. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& ĈӔ,7ѬӦ1*9ơ3+ѬѪ1*3+ẩ3 %LӃQFKӭQJFKҧ\PiX ĈӕLWѭӧQJ &iFKÿiQKJLiYQJFәVѭQJSKӗQJFy WKӇFyNKyWKӣGүQOѭXFKҧ\PiXÿӓWѭѫLYjFy 1JKLrQ FӭX ÿѭӧF WKӵF KLӋQ WUrQ  EӋQK FөFPiXÿ{QJFyWKӇNqPWKHRPҥFKQKDQK QKkQQDPJLӟLÿѭӧFFKҭQÿRiQXQJWKѭWX\ӃQ KX\ӃWiSKҥ JLiSWKӇELӋWKyDYjSKүXWKXұWWҥL%ӋQKYLӋQĈҥL KӑF<+j1ӝLWӯWKiQJÿӃQWKiQJ 1KLӉPWUQJYӃWPә 7LrXFKXҭQOӵDFKӑQEӋQKQKkQ &iFKÿiQKJLiWRjQWKkQVӕWYӃWPәQӅ ÿӓFyPӫF{QJWKӭFEҥFKFҫXWăQJWUrQ*O %ӋQKQKkQQDPJLӟLÿѭӧFFKҭQÿRiQXQJ WKѭWX\ӃQJLiSYjSKүXWKXұWWX\ӃQJLiSWҥLEӋQK %LӃQFKӭQJWәQWKѭѫQJ7.7441VDXPә YLӋQĈҥLKӑF<+j1ӝLFyNӃWTXҧ[pWQJKLӋP &iFKÿiQKJLi JLҧLSKүXEӋQKXWX\ӃQJLiSNKҷQJÿӏQKOjXQJ &ѫ QăQJ NKjQ WLӃQJ NKy WKӣ WKDQK TXҧQ WKѭELӇXP{WX\ӃQJLiSWKӇELӋWKyD NKyWKӣFKұPWKuKtWYjRFyWLӃQJWKӣUtW +ӗVѫEӋQKỏn ÿҫ\ ÿӫNӃWTXҧNKiPOkP 1ӝLVRLWDLPNJLKӑQJGk\WKDQKGLÿӝQJEuQK VjQJFұQOkPVjQJWUѭӟFYjVDXPә WKѭӡQJKҥQFKӃGLÿӝQJVRViQKYӟLErQÿӕL  7KӡL JLDQ Wӯ WKiQJ  ÿӃQ thỏng GLӋQKD\FӕÿӏQKPӝWErQKD\KDLErQ  /LӋW7.7441WҥPWKӡLGѭӟLWKiQJVDX 7LrXFKXҭQORҥLWUӯ SKүXWKXұWPӝWErQKD\KDLErQ  %ӋQK QKkQ ÿm ÿѭӧF SKүX WKXұW XQJ WKѭ /LӋW7.7441YƭQKYLӉQWUrQWKiQJVDX WX\ӃQJLiSWҥLWX\ӃQWUѭӟF SKүXWKXұWPӝWErQKD\KDLErQ %ӋQKQKkQFNJÿӃQÿLӅXWUӏWLӃSYuWiLSKiWGL %LӃQFKӭQJKҥFDQ[LPiXVDXPә FăQKRһFOờGRNKiF &iFKÿiQKJLi &iFEӋQKOờQӝLNKRDNKiFOjPWăQJQһQJ FiFELӃQFKӭQJKұXSKүX 7rEuÿҫXFKLTXDQKPLӋQJKD\OѭӥL 3KѭѫQJSKiS &ѫQ7rWDQLFRFӭQJFѫYQJPһWWD\FKkQ 1JKLrQFӭXP{WҧWLӃQFӭX ;pWQJKLӋPVLQKKyDPiXFDQ[LLRQKyD Yj37+KVDXPә&DQ[LLRQKyDWKiQJYj &iFFKӍVӕQJKLrQFӭX WKiQJVDXPә .KDLWKiFFiFWK{QJWLQ  +ҥ FDQ[L WҥP WKӡL FDQ[L LRQ KyD KX\ӃW ĈһFÿLӇPNKӕLXJLiSEDRJӗPNtFKWKѭӟF WKDQKGѭӟLPPRO/WURQJWKiQJVDXPә VӕOѭӧQJYӏWUtSKkQORҥL7,5$'6ÿѭӧF  +ҥ FDQ[L YƭQK YLӉQ FDQ[L LRQ KyD KX\ӃW [iFÿӏQKWKHRVLrXkPNӃWTXҧ)1$JLҧLSKүX WKDQKGѭӟLPPROOWUrQWKiQJVDXPә EӋQKVDXPә %LӃQFKӭQJWUjQGӏFKGѭӥQJFKҩSVDXPә 3KѭѫQJSKiSSKүXWKXұWFҳWWK\HRWX\ӃQ 4XDQViWGӏFKGүQOѭXVDXPә JLiS KD\ FҳW WX\ӃQ JLiS WRjQ Eӝ FKӍ ÿӏQK GӵD WUrQNKX\ӃQFiRFӫD+LӋSKӝLSKzQJFKӕQJXQJ ;ӱOờVӕOLӋX WKѭ+RD.u5SKѭѫQJSKiSYpWKҥFKFәNK{QJ 7KHRSKҫQPӅP63667KӕQJNrP{ YpW KҥFK YpW KҥFK Fә WUXQJ WkP YpW KҥFK Fә WҧJӗPWӍOӋSKҫQWUăPWUӏVӕWUXQJEuQKÿӝOӋFK ErQFKӍÿӏQKWKHROӵDFKӑQFӫDWӯQJSKүXWKXұW FKXҭQ6RViQKVӵNKiFELӋWJLӳDWӍOӋEҵQJ YLrQGӵDWUrQFiFSKiFÿӗKLӋQKjQK WHVWȤ)LVKHUả([DFWWHVW0ӭFờQJKƭDWKӕQJ &iFEL͗QFK΁QJVDXPͭ NrS TCNCYH 138 (2) - 2021 
3. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& ĈҥRÿӭFQJKLrQFӭX 0ӑLWK{QJWLQWKXWKұSWӯEӋQKQKkQÿѭӧF 1JKLrQFӭXÿѭӧFVӵÿӗQJờFӫD%ӋQKYLӋQ ÿҧP EҧR Et PұW Yj FKӍ GQJ FKR PөF ÿtFK ĈҥLKӑF<+j1ӝL QJKLrQFӭX 1JKLrQ FӭX FKӍ QKҵP PөF ÿtFK QkQJ FDR %ӋQK QKkQ ÿѭӧF ÿLӅX WUӏ WKHR SKiF ÿӗ Yj FKҩWOѭӧQJFKҭQÿRiQYjÿLӅXWUӏEӋQKNK{QJ QJKLrQFӭXNK{QJҧQKKѭӣQJWӟLNӃWTXҧÿLӅX SKөFYөPөFÿtFKQjRNKiF WUӏFӫDQJѭӡLEӋQK .ӂ748Ҧ &iF\ӃXWӕOkPVjQJEӋQKKӑF ĈӝWXәLWUXQJEuQKFӫDFiFEӋQKQKkQWURQJQJKLrQFӭXOj± WURQJÿyEӋQKQKkQQKӓ WXәLQKҩWOjWXәLFDRWXәLQKҩWOjWXәL/ӭDWXәLKD\JһSQKҩWOjWXәLFKLӃPWӍOӋ %ҧQJĈһFÿLӇPNKӕLXJLiS &KӍVӕ 6ӕOѭӧQJEӋQKQKkQ1  7ӍOӋ ”FP 67  .tFKWKѭӟFX FPX”FP 22  !FP 13  ĈѫQә 77  6ӕOѭӧQJX ĈDә 25  0ӝWWK\   9ӏWUtX (RJLiS 6  +DLWK\ 15  36 3KkQORҥL    7,5$'6 5   'ѭѫQJWtQK 76  .ӃWTXҧ)1$ 1JKLQJӡ 23  ặPWtQK 3  7URQJQJKLrQFӭXFӫDFK~QJW{LSKҫQOӟQFiFEӋQKQKkQFyXÿѫQÿӝFFKLӃPFKӫ \ӃXSKiWKLӋQXӣJLDLÿRҥQVӟPNKLNtFKWKѭӟFQKӓKѫQKRһFEҵQJFP8ӣFҧWK\JһS ӣEӋQKQKkQFKLӃPFiFWUѭӡQJKӧSĈiQKJLiWUrQVLrXkPWKHRSKkQORҥL7,5$'6FKӫ \ӃXOj7,5$'6FKLӃP7ҩWFҧFiFEӋQKQKkQÿӅX ÿѭӧFFKӑFK~WWӃEjREҵQJNLPQKӓÿӇ FKҭQÿRiQWURQJÿy ÿDVӕFyNӃWTXҧiFWtQKFKLӃPWUrQEӋQKQKkQFyNӃWTXҧQJKL QJӡ&y%1FyNӃWTXҧ)1$OjQKWtQKWUѭӟFPә&ҧ%1ÿӅXFyKuQKҧQKVLrXkPQJKLQJӡFDR 7,5$'6EÿѭӧFSKүXWKXұWYjVLQKWKLӃWWӭFWKuWURQJPәÿӅXFKRNӃWTXҧFDUFLQRPDWX\ӃQJLiS  TCNCYH 138 (2) - 2021
4. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& .ӃWTXҧSKүXWKXұW %ҧQJ3KkQORҥLWKHRSKѭѫQJSKiSSKүXWKXұWWX\ӃQJLiSYjYpWKҥFKFә &iFSKѭѫQJSKiSSKүXWKXұW 6ӕ%1 7әQJ .K{QJYpWKҥFK  33 &ҳWWK\HRJLiS &yYpWKҥFK   &ҳWWX\ӃQJLiS .K{QJYpWKҥFK   WRjQEӝ &yYpWKҥFK   7әQJ  7ӍOӋEӋQKQKkQÿѭӧFSKүXWKXұWFҳWWRjQEӝWX\ӃQJLiS7%7*FKLӃPSKҫQOӟQYӟLWӍOӋJҫQ EӋQKQKkQÿѭӧFSKүXWKXұWFҳWWK\YjHRJLiSFyWӍOӋNKRҧQJ7URQJFҧQKyPSKҫQOӟQFiF EӋQKQKkQÿѭӧFYpWKҥFKFәWURQJÿyWӍOӋEӋQKQKkQÿѭӧFYpWKҥFKFәFӫDQKyPFҳW7*7%FDR KѫQVRYӟLQKyPÿѭӧFFKӍÿӏQKFҳWWK\HRWӍOӋWѭѫQJӭQJOjYj %ҧQJ3KkQORҥLYpWKҥFKFәWKHRYӏWUtYpWKҥFK 9pWKҥFKFә 6ӕ%1 7ӍOӋ &KӍYpWKҥFKFәWUXQJWkP 56  9pWKҥFKFәWUXQJWkP 9pWKҥFKFәPӝWErQ 22  YjKҥFKFәErQ 9pWKҥFKFәKDLErQ   7әQJ  100  &yWUѭӡQJKӧSÿѭӧFYpWKҥFKFKLӃPWҩWFҧÿӅXYpWKҥFKFәWUXQJWkP7URQJVӕ FiF%1ÿѭӧFYpWKҥFKWӍOӋYpWKҥFKFәWUXQJWkPÿѫQWKXҫQOj7ӍOӋYpWKҥFKFәWUXQJWkPYj KҥFKFәErQOjWURQJÿyFKӫ\ӃXOjYpWKҥFKFәPӝWErQ %ҧQJ&iFELӃQFKӭQJVDXSKүXWKXұWWURQJJLӡJLӡWXҫQ &iFELӃQFKӭQJVDXSKүXWKXұW JLӡ JLӡ WXҫQ &Kҧ\PiX    .KyWKӣ    .KjQWLӃQJ    7rEuFRU~WQJyQWD\FKkQ    5zEҥFKKX\ӃW    TCNCYH 138 (2) - 2021 
5. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& %LӃQFKӭQJFKҧ\PiXYjNKyWKӣtWJһSYjFKӍWURQJJLӡÿҫXFKLӃP.KjQWLӃQJYjFѫQ FRU~WQJyQWD\FKkQOjKDLELӃQFKӭQJKD\JһSQKҩWELӇXKLӋQU}VDXJLӡYjJLҧPGҫQVDXWXҫQ &KӍFyEӋQKQKkQFyELӃQFKӭQJUzEҥFKKX\ӃWFKLӃP %ҧQJ0ӕLOLrQTXDQJLӳDWӍOӋNKjQWLӃQJYjFiF\ӃXWӕ .KjQWLӃQJVDXPә ĈһFÿLӇP *LiWUӏS &y .K{QJ &ҳW7*7%   3KүXWKXұW S  &ҳWWK\HR   .K{QJYpWKҥFK   1ҥRYpWKҥFKFә S  &yYpWKҥFK   7ӍOӋEӏNKjQWLӃQJӣQKyPEӋQKQKkQFҳW7%7*FDRKѫQVRYӟLQKyPEӋQKQKkQFҳWWK\YjHR JLiSVӵNKiFELӋWFyờQJKƭDWKӕQJNrS7ӍOӋEӋQKQKkQEӏNKjQWLӃQJӣQKyPFyYpWKҥFK FәFNJQJFDRKѫQVRYӟLQKyPNK{QJYpWKҥFKFәWX\QKLrQVӵNKiFELӋWQj\NK{QJFyờQJKƭDWKӕQJ NrS! %ҧQJ0ӕLOLrQTXDQJLӳDWӍOӋWrEuFRU~WFKkQWD\YjFiF\ӃXWӕ 7rEuFRU~WFKkQWD\VDXPә ĈһFÿLӇP *LiWUӏS &y .K{QJ &ҳWWK\HR   3KүXWKXұW S  &ҳW7*7%   &yYpWKҥFK   1ҥRYpWKҥFKFә S  .K{QJYpWKҥFK   7ӍOӋWrEuFRU~WQJyQӣQKyPEӋQKQKkQFҳW7%7*FDRKѫQVRYӟLQKyPEӋQKQKkQFҳWWK\YjHRJLiS VӵNKiFELӋWFyờQJKƭDWKӕQJNrS7ӍOӋEӋQKQKkQFyFѫQWrEuFRU~WFKkQWD\ӣQKyPFyYpW KҥFKFәFNJQJFDRKѫQVRYӟLQKyPNK{QJYpWKҥFKFәWX\QKLrQVӵNKiFELӋWQj\NK{QJFyờQJKƭD WKӕQJNrS! ,9%ơ1/8Ұ1  7URQJ QKyP EӋQK QKkQ QJKLrQ FӭX FӫD Oj  FDR QKҩW Oj  WXәL %ӋQK QKkQ WKXӝF FK~QJW{LÿӝWXәLWUXQJEuQKOj“EӋQK QKyPKRһF!WXәLFKLӃPWURQJ QKkQWUҿQKҩWOjWXәLÿӝWXәLKD\JһSQKҩWOj ÿyFyWKXӝFQKyPWXәL6 7URQJQJKLrQ WXәLFKLӃPWӍOӋ7KHR+RjQJ+X\ FӭXFӫDFK~QJW{LÿDVӕFiFEӋQKQKkQÿӃQ +QJOӭDWXәLKD\JһSOjWXәLFKLӃPWӹ NKiP ӣ JLDL ÿRҥQ VӟP KRһF NKiP ÿӏQK Nu OӋWXәLWUXQJEuQKOjWKҩSQKҩW WuQKFӡSKiWKLӋQXJLiSNKLX”FPFKLӃP  TCNCYH 138 (2) - 2021
6. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& XÿѫQәYjNKXWU~ӣWK\ Fy WKӇ Oj QJX\rQ QKkQ13 1JRjL UD QJѭӡL WD JLiS.ӃWTXҧ[pWQJKLӋPWӃEjRKӑF WKҩ\WX\ӃQFұQJLiSӣQDPJLӟLFyNtFKWKѭӟF FKRWKҩ\FyWUѭӡQJKӧSiFWtQK YjWUӑQJOѭӧQJOӟQKѫQӣQӳYjWUѭӡQJPә QJKL QJӡ Yj  EӋQK QKkQ OjQK WtQK &iF KҽSKѫQӣQӳJLӟLFNJQJFyWKӇJySSKҫQJk\ QKkQJLiSÿѭӧFSKiWKLӋQӣQDPJLӟLFyWӍOӋ NKyNKăQFKRYLӋFEӝFOӝYjEҧRWӗQWX\ӃQFұQ iFWtQKFDRKѫQQӳJLӟL25 &, JLiSWURQJPә11 S7 'RÿyYLӋFFKҭQ 1Jj\ QD\ SKүX WKXұW WX\ӃQ JLiS NKi DQ ÿRiQOjQKWtQKEҵQJ)1$ӣQDPJLӟLFyQJX\ WRjQQKѭQJWәQWKѭѫQJWKҫQNLQKWKDQKTXҧQ FѫVDLVӕFDRKѫQYjPӝWVӕWiFJLҧÿһWUDJLҧ YүQÿѭӧFJKLQKұQWURQJFiFWjLOLӋXYӟLWӍOӋ WKX\ӃWUҵQJYLӋFFKӑFWӃEjRӣEӋQKQKkQQDP NKRҧQJ  ÿӃQ  WKұP FKt Fy WjL OLӋX JLӟLFyWKӇOjNK{QJFҫQWKLӃWPjQrQFkQQKҳF OrQÿӃQ7X\QKLrQKҫXKӃWÿӅXOjWҥP SKүX WKXұW FKҭQ ÿRiQ 7X\ QKLrQ NӃW TXҧ WKӡLWӍOӋWәQWKѭѫQJNK{QJKӗLSKөFFKӍ[ҩS QJKLrQFӭXFӫD6FKLURYjFӝQJVӵWUrQ [Ӎ  W\ QJKLrQ FӭX 7URQJ QJKLrQ FӭX EӋQKQKkQQDPJLӟLFKRWKҩ\WӍOӋkPWtQKJLҧ FӫDFK~QJW{LNKjQWLӃQJWҥLWKӡLÿLӇPKVDX FӫD)1$FKӍOjGRYұ\)1$YүQOjPӝW SKүXWKXұWFKLӃPWӍOӋVDXKELӇXKLӋQ [pWQJKLӋPFyÿӝWLQFұ\YjKLӋXTXҧFDRWURQJ U}QKҩWYӟLYjJLҧPGҫQVDXWXҫQYӟL FKҭQÿRiQXQJWKѭWX\ӃQJLiSӣQDPJLӟL  FKӍ Fy  EӋQK QKkQ Eӏ NKjQ WLӃQJ NpR 7URQJQJKLrQFӭXFӫDFK~QJW{LWӍOӋEӋQK GjLWUrQWKiQJ.ӃWTXҧFӫDFK~QJW{LFyFDR QKkQ Kҥ FDQ[L PiX Fy ELӇX KLӋQ OkP VjQJ KѫQ VR YӟL QJKLrQ FӭX FӫD7UҫQ 9ăQ7K{QJ FѫQ Wr Eu FR U~W ÿҫX QJyQ FKkQ WD\ VDX K YӟL  FiF WUѭӡQJ KӧS Fy NKjQ WLӃQJ OjELӇXKLӋQU}QKҩWWҥLWKӡLÿLӇP 72h VDXSKүXWKXұWJLӡÿLӅXQj\FyWKӇÿѭӧF YӟL  VDX ÿy JLҧP GҫQ WҥL WKӡL ÿLӇP 1 JLҧLWKtFKOjWӍOӋEӋQKQKkQÿѭӧFFKӍÿӏQKFҳW WXҫQOj7ӍOӋKҥFDQ[LWURQJQJKLrQFӭX 7%7*NqPYpWKҥFKFәWURQJQJKLrQFӭXFӫD FӫD FK~QJ W{L WKҩS KѫQ PӝW Vӕ QJKLrQ FӭX FK~QJ W{L FDR KѫQ QrQ QJX\ Fѫ WәQ WKѭѫQJ WUѭӟFÿyWUrQTXҫQWKӇFKXQJ6RViQKYӟL Gk\7.7441FNJQJWăQJOrQWѭѫQJӭQJ150ӝW FiFQJKLrQFӭXNKiFWUrQÿӕLWѭӧQJQDPJLӟL VӕQJKLrQFӭXVRViQKWӍOӋOLӋWGk\7.7441 6DQGV Yj FӝQJ Vӵ EiR FiR WӍ OӋ Kҥ FDQ[L Fy VDXPәJLӳDEӋQKQKkQQDPYjQӳWX\QKLrQ WULӋXFKӭQJVDXPәOjWKҩSKѫQӣQӳ ÿDVӕNK{QJJKLQKkQVӵNKiFELӋW JLӟLOjS11&iFWiFJLҧNӃWOXұQ 7URQJ QJKLrQ FӭX FӫD FK~QJ W{L WӍ OӋ Kҥ UҵQJQӳJLӟLFyQJX\FѫKҥFDQ[LVDXPәFDR FDQ[LYjNKjQWLӃQJFy[XKѭӟQJFDRKѫQӣ JҩSÿ{LQDPJLӟLYӟL55 &, QKyPFyYpWKҥFKFәVRYӟLNK{QJYpWKҥFK 11&ѫFKӃVLQKEӋQKKӑFFӫDVӵNKiFELӋW WX\ QKLrQ Vӵ NKiF ELӋW Oj NK{QJ Fy ờ QJKƭD Qj\FKѭDÿѭӧFQJKLrQFӭXU}UjQJWX\QKLrQ WKӕQJ Nr 7URQJ NKL ÿy PӝW Vӕ QJKLrQ FӭX FyPӝWVӕJLҧWKLӃWÿѭӧF ÿһWUDĈҫXWLrQSKө NKiFOҥLFKRWKҩ\YpWKҥFKFәOj\ӃXWӕQJX\ QӳWKѭӡQJFyFiFUӕLORҥQQӝLWLӃWÿLNqPҧQK FѫOjPWăQJWӍOӋFӫDKDLELӃQFKӭQJQj\ KѭӣQJ ÿӃQ FKX\ӇQ KyD FDQ[L Yj YLWDPLQ ' &yWKӇFӥPүXWURQJQJKLrQFӭXFӫDFK~QJW{L KѫQӣQDPJLӟLYtGөQKѭWuQKWUҥQJPmQNLQK FKѭDÿӫOӟQÿӇSKiWKLӋQVӵNKiFELӋW7URQJ KRһFORmQJ[ѭѫQJNqPWKHR12 ҦQKKѭӣQJFӫD WKӵFKjQKOkPVjQJQKyPEӋQKQKkQ ÿѭӧF KRUPRQH VWHURLGV VLQK GөF OrQ EjL WLӃW 37+ FҳW7%7*YjYpWKҥFKFәFҫQÿѭӧFWKHRG}L YjVӵNKiFELӋWYӅJHQWURQJFRQÿѭӡQJGүQ ViWVDXSKүXWKXұWÿӇSKiWKLӋQVӟPFiFELӃQ WUX\ӅQWtQKLӋXSKLrQPmYjGӏFKPm37+FNJQJ FKӭQJFyWKӇ[ҧ\UD TCNCYH 138 (2) - 2021 
7. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& 9.ӂ7/8Ұ1 GRLMVXUJ ĈӝWXәLWUXQJEuQKWURQJQJKLrQFӭXOj“  +DGGDG 5, 1DVU & %LVFKRII / OӭDWXәLKD\JһSQKҩWOjWXәLFKLӃP HW DO 1&&1 *XLGHOLQHV ,QVLJKWV 7K\URLG WӍOӋ.KӕLXFKӫ\ӃXӣWK\ &DUFLQRPD 9HUVLRQ  -RXUQDO RI WKH NtFKWKѭӟF”FP7ӍOӋkPWtQKJLҧFӫD 1DWLRQDO &RPSUHKHQVLYH &DQFHU 1HWZRUN FKӑFK~WWӃEjRNLPQKӓOj  GRL MQFFQ 7әQ WKѭѫQJ WKҫQ NLQK WKDQK TXҧQ TXһW QJѭӧF Yj WX\ӃQ FұQ JLiS YӟL ELӇX KLӋQ NKjQ  +RjQJ+X\+QJĈiQKJLiGLFăQKҥFK WLӃQJYjFѫQFRU~WWD\FKkQOjKDLELӃQFKӭQJ FӫDXQJWKѭELӇXP{WX\ӃQJLiS/XұQYăQ%iF KD\JһSQKҩWVDXSKүXWKXұWWKӇKLӋQU}VDX VӻQӝLWU~7UѭӡQJĈҥLKӑF<+j1ӝL JLӡYӟLWӍOӋYjVDXÿyJLҧPGҫQ  5DJR7)LRUH(6FXWDUL0HWDO0DOH YjKҫXKӃWWәQWKѭѫQJQj\OjWҥPWKӡL VH[ VLQJOH QRGXODULW\ DQG \RXQJ DJH DUH 7ӹ OӋ ELӃQ FKӭQJ WăQJ OrQ ӣ QKyP EӋQK DVVRFLDWHG ZLWK WKH ULVN RI ¿QGLQJ D SDSLOODU\ QKkQFҳWWRjQEӝWX\ӃQJLiSVRYӟLQKyPFҳW WK\URLGFDQFHURQ¿QHQHHGOHDVSLUDWLRQF\WRORJ\ WK\HRӢQKyPÿѭӧFYpWKҥFKFәFNJQJFDR LQDODUJHVHULHVRISDWLHQWVZLWKQRGXODUWK\URLG KѫQVRYӟLQKyPNK{QJÿѭӧFYpWKҥFKQKѭQJ GLVHDVH (XU - (QGRFULQRO  NK{QJFyờQJKƭDWKӕQJNr GRL(-(  %HUUL 51 /OR\G /5 'H¿QLQJ WKH UROH 7ơ,/,ӊ87+$0.+Ҧ2 RI ¿QHQHHGOH DVSLUDWLRQ RI WK\URLG QRGXOHV  %UD\ ) )HUOD\ - 6RHUMRPDWDUDP , LQ PDOH SDWLHQWV LV LW QHFHVVDU\" $P - 6XUJ 6LHJHO 5/ 7RUUH /$ -HPDO $ *OREDO FDQFHU  GLVFXVVLRQ  VWDWLVWLFV  */2%2&$1 HVWLPDWHV RI GRLMDPMVXUJ LQFLGHQFH DQG PRUWDOLW\ ZRUOGZLGH IRU   6FKLUR$-3LQFKRW61&KHQ+6LSSHO FDQFHUV LQ  FRXQWULHV &$ &DQFHU - &OLQ 56&OLQLFDO(I¿FDF\RI)LQH1HHGOH$VSLUDWLRQ GRLFDDF %LRSV\ RI 7K\URLG 1RGXOHV LQ 0DOHV - 6XUJ  6FKRQIHOG 6- 1HWD * 6WXUJLV (0 HW 5HV  GRLM DO&RPPRQ*HQHWLF9DULDQWVLQ6H[+RUPRQH MVV 3DWKZD\*HQHVDQG3DSLOODU\7K\URLG&DQFHU  0DL 7KӃ 9ѭѫQJ 1KұQ [pW ÿһF ÿLӇP 5LVN7K\URLGGRL OkPVjQJFұQOkPVjQJYjNӃWTXҧSKүXWKXұW WK\ FӫDEӋQKQKkQYLXQJWKѭWX\ӃQJLiSWKӇQK~WҥL  =HQJ 4 &KHQ ** 9ODQWLV $& YDQ %ӋQKYLӋQ./XұQYăQWKҥFVƭ\KӑF7UѭӡQJ +DVVHOW &$ 2HVWURJHQ PHGLDWHV WKH JURZWK ĈҥLKӑF<+j1ӝL RI KXPDQ WK\URLG FDUFLQRPD FHOOV YLD DQ  6DQGV 1% 3D\QH 5- &{Wp 9 RHVWURJHQ UHFHSWRU(5. SDWKZD\ &HOO 3UROLI +LHU 03 %ODFN 0- 7DPLOLD 0 )HPDOH  GRLM JHQGHU DV D ULVN IDFWRU IRU WUDQVLHQW SRVW [ WK\URLGHFWRP\ K\SRFDOFHPLD 2WRODU\QJRO  0LWFKHOO,/LYLQJVWRQ(+&KDQJ$<HW +HDG 1HFN 6XUJ  DO7UHQGVLQWK\URLGFDQFHUGHPRJUDSKLFVDQG GRL VXUJLFDOWKHUDS\LQWKH8QLWHG6WDWHV6XUJHU\  &KR-13DUN:60LQ6<3UHGLFWRUV  GLVFXVVLRQ H DQG ULVN IDFWRUV RI K\SRSDUDWK\URLGLVP DIWHU  TCNCYH 138 (2) - 2021
8. 7Ҥ3&+ậ1*+,ầ1&Ӭ8<+Ӑ& WRWDO WK\URLGHFWRP\ ,QWHUQDWLRQDO -RXUQDO KӑF<+j1ӝL/XұQYăQWKҥFVƭ\KӑF7UѭӡQJ RI 6XUJHU\  GRLM ĈҥLKӑF<+j1ӝL LMVX  $O6DLHJK $0 &RUUHODWLRQ %HWZHHQ  'HO 5LR 3 5RVVLQL 0 0RQWDQD &0 7\SHV RI 7K\URLG 6XUJHU\ *RLWUH 3DWKRORJ\ HW DO 3RVWRSHUDWLYH K\SRFDOFHPLD DQDO\VLV DQG 5HFXUUHQW /DU\QJHDO 1HUYH ,QMXU\ RI IDFWRUV LQÀXHQFLQJ HDUO\ K\SRFDOFHPLD 5HWURVSHFWLYH&RKRUW6WXG\-RXUQDORI6XUJHU\ GHYHORSPHQW IROORZLQJ WK\URLG VXUJHU\ %0& DQG5HVHDUFK 6XUJHU\  GRLV  &KDGZLFN '5 +\SRFDOFDHPLD DQG \ SHUPDQHQW K\SRSDUDWK\URLGLVP DIWHU WRWDO  -ROLDW *5 *XDUQHUR 9 'HPDUWLQHV ELODWHUDOWK\URLGHFWRP\LQWKH%$(765HJLVWU\ 1 6FKZHL]HU 9 0DWWHU 0 5HFXUUHQW *ODQG 6XUJ 6XSSO 66 ODU\QJHDO QHUYH LQMXU\ DIWHU WK\URLG DQG GRLJV SDUDWK\URLG VXUJHU\ ,QFLGHQFH DQG  *LRUGDQR'9DOFDYL57KRPSVRQ*% SRVWRSHUDWLYHHYROXWLRQDVVHVVPHQW0HGLFLQH HWDO&RPSOLFDWLRQVRIFHQWUDOQHFNGLVVHFWLRQ %DOWLPRUH H GRL LQ SDWLHQWV ZLWK SDSLOODU\ WK\URLG FDUFLQRPD 0' UHVXOWVRIDVWXG\RQSDWLHQWVDQGUHYLHZ  7UҫQ9ăQ7K{QJĈiQKJLiNӃWTXҧVӟP RI WKH OLWHUDWXUH 7K\URLG  SKүXWKXұWXQJWKѭWX\ӃQJLiSWҥLEӋQKYLӋQĈҥ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¿FDQW3URSK\ODFWLFO\PSKQRGHGLVVHFWLRQVKRXOGEHFRQVLGHUHGLQPDOHVZLWKZHOOGLIIHUHQWLDWHG WK\URLGFDUFLQRPD .H\ZRUGVGLIIHUHQWLDWHGWK\URLGFDQFHUPDOHVXUJLFDORXWFRPH TCNCYH 138 (2) - 2021