肛门指检到底能不可筛查出直肠癌
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">闭着眼睛我都<span style="color: black;">晓得</span>你们最不愿意做的体检项目有<span style="color: black;">那些</span>：<strong style="color: blue;">肠镜、胃镜、肛门指检</strong>。对大<span style="color: black;">都数</span>人<span style="color: black;">来讲</span>肠镜胃镜的异物感或可忍受，大不了一个<span style="color: black;">麻木</span>打完哪管那洪水滔天。但肛门指检有多少人是能躲就躲，<span style="color: black;">亦</span>是，在清醒的状态下被陌生人用手指</span><strong style="color: blue;"><span style="color: black;">“爆菊”</span></strong><span style="color: black;">，<span style="color: black;">通常</span>人把这画面一脑补，再加上各色网络流传的经典表情以及捡肥皂等各类传说，怎么说多少心里<span style="color: black;">亦</span>有点难以接受。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkKKr5KTcgMhbuwMGJXmcOpyvOdllTtTzrPuw5Anxum02L614tQIgciaw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">事实上肛门指检确实是体检中最容易被弃检的一项，而<span style="color: black;">检测</span>的<span style="color: black;">过程</span>，<span style="color: black;">亦</span>几乎和<span style="color: black;">大众</span>脑补的<span style="color: black;">状况</span>差不太多，<span style="color: black;">重点</span><span style="color: black;">过程</span>如下：</span></p><span style="color: black;"><strong style="color: blue;"><span style="color: black;">1.清洗双手，佩戴手套</span></strong></span><img src="https://mmbiz.qpic.cn/mmbiz_jpg/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkicVym4qsuXf5h0iaATeq3y70icnT1fWB9gp1F7XVwtL7Evul0G2qW5QJA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">大夫</span>在进行<span style="color: black;">检测</span>前均会进行<strong style="color: blue;"> " 刷手 "</strong>，即反复清洗双手，还会特地<span style="color: black;">运用</span>含有酒精<span style="color: black;">成份</span>的消毒凝胶对双手进行再次清洗，以<span style="color: black;">保准</span>深入私处的<span style="color: black;">检测</span>清洁有效。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2.选好姿势，缓解心理压力</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkBuXDod4cB4ow5GthYl1oQ7icZ1icHuPaBqw1Y91IhMhqKphEWHvUWQjQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span>而言，适用于菊花<span style="color: black;">检测</span>的姿势有三种。<strong style="color: blue;">一是膝胸式</strong><strong style="color: blue;">，</strong>此种<span style="color: black;">办法</span>较适用于男性病人，以便附带进行前列腺<span style="color: black;">检测</span>。<strong style="color: blue;">二是左侧卧式</strong><strong style="color: blue;">，</strong>像婴儿<span style="color: black;">同样</span>弯曲双膝，双手置于胸前，此<span style="color: black;">办法</span>男女皆可采用。<strong style="color: blue;">三是仰卧式，</strong>身体虚弱的<span style="color: black;">病人</span><span style="color: black;">能够</span>采用此种方式，以最大程度减轻<span style="color: black;">病人</span>的不适感。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">3.润滑食指</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkI6HQUSLTpcVDeMdZemsCQ9bACXficI87OjAqjibxwUbjR7S0wIkXm5og/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为避免病人<span style="color: black;">显现</span>不适或<span style="color: black;">病痛</span>感，<span style="color: black;">大夫</span>会将润滑油（<span style="color: black;">通常</span>是液体石蜡或凡士林）涂抹在</span><span style="color: black;">手套上，使菊花<span style="color: black;">周边</span>的组织<span style="color: black;">尽可能</span>放松。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">4.指尖旋转跳跃</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbka3PdicfRfR9M0bfWVjwvx48lSiac6qBb7A9TDzb1t3woPtxq7CAls6gg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">大夫</span>的食指就此在<span style="color: black;">病人</span>的菊花处展开了旋转跳跃式舞蹈，触及的不同<span style="color: black;">状况</span>会指向不同的病症，这<span style="color: black;">亦</span>是<span style="color: black;">大夫</span>做出诊断的<span style="color: black;">重要</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">5.移出手指，清洗菊花</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkvqK4vomn0RwKod9WDLnDCzX4DRrMpJEc6AzI6IwyicVf932g2zr6oWg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">大夫</span>移出手指后，会观察手套<span style="color: black;">是不是</span>会被血染，若有<span style="color: black;">流血</span><span style="color: black;">状况</span><span style="color: black;">显现</span>，则<span style="color: black;">必须</span>进一步的诊断。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">经过</span><span style="color: black;">检测</span>菊花，<span style="color: black;">咱们</span><span style="color: black;">能够</span>对<strong style="color: blue;">直肠息肉、内痔、肛瘘</strong>等<span style="color: black;">疾患</span>进行初步的诊断，<span style="color: black;">保证</span><span style="color: black;">咱们</span>在发病初期就能进行<span style="color: black;">即时</span>的治疗。显然，<span style="color: black;">针对</span>大<span style="color: black;">都数</span>人<span style="color: black;">来讲</span>，这是一种方便快捷且实用经济的<span style="color: black;">检测</span>办法，但不可否认，<strong style="color: blue;"><span style="color: black;">亦</span>确实是一种<span style="color: black;">按照</span><span style="color: black;">检测</span>者个人主观感受来判断<span style="color: black;">疾患</span>的<span style="color: black;">办法</span>，它的准确性并不是百分百。</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_gif/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkN37zY1BbVCibmsBA8TyDsOsAgTv04ibqVW2gCke8ChXwhAPlc7ZibCsPw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">但<span style="color: black;">倘若</span>你是想<span style="color: black;">检测</span>预防结直肠癌的<span style="color: black;">病人</span>，肛门指检的用处就没<span style="color: black;">那样</span>大了。据中国医学科学院肿瘤医院防癌科副<span style="color: black;">专家</span>医师毕晓峰博士<span style="color: black;">暗示</span>，<strong style="color: blue;">临床中虽然<span style="color: black;">经过</span>肛门指检<span style="color: black;">检测</span>出的直肠癌占比达到了三分之二，</strong><strong style="color: blue;">但大<span style="color: black;">都数</span><span style="color: black;">病人</span>在<span style="color: black;">经过</span>指检<span style="color: black;">发掘</span>直肠癌的时候<span style="color: black;">已然</span>到了中晚期，</strong><span style="color: black;">亦</span>正<span style="color: black;">由于</span>如此，才在直肠末端<span style="color: black;">显现</span>了<strong style="color: blue;"><span style="color: black;">显著</span>的肿块或溃疡</strong>等症状。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">实质</span>上，直肠癌本应是<span style="color: black;">能够</span>很早就<span style="color: black;">发掘</span>的癌症。<strong style="color: blue;">几乎所有的结直肠癌，都<span style="color: black;">是由于</span>结直肠腺瘤<span style="color: black;">生长</span>而来，</strong>这个<span style="color: black;">生长</span>过程保守估计在 7～10 年以上。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 它的发展过程大概是<span style="color: black;">这般</span>的：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1. 癌症最<span style="color: black;">起始</span>，可能只是一个腺瘤；</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2～3. 经过数年的发展，腺瘤<span style="color: black;">出现</span>癌变，并<span style="color: black;">持续</span>生长；</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4. 继续生长的<span style="color: black;">同期</span>，<span style="color: black;">最后</span><span style="color: black;">显现</span>转移。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结直肠癌发展进程示意</span><span style="color: black;">▼</span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkZ76FMfibpSEdjia4L3vZ8Nc29Lib7gPt7sAjiaqdjTORSzeYZTnvN9M2uw/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">只要能在癌症<span style="color: black;">初期</span>，<span style="color: black;">乃至</span>在还没癌变的时候<span style="color: black;">发掘</span>它，</span><span style="color: black;">切除<span style="color: black;">反常</span>组织，就能有效阻止结直肠癌的<span style="color: black;">出现</span>和发展。</span></strong><span style="color: black;">早<span style="color: black;">发掘</span>不仅花钱少，<span style="color: black;">存活</span>率<span style="color: black;">亦</span>更高。<span style="color: black;">倘若</span>等到晚期才<span style="color: black;">发掘</span>，不仅更凶险，治疗所需的<span style="color: black;">花费</span><span style="color: black;">亦</span>会给家庭带来巨大的经济<span style="color: black;">包袱</span>。</span><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">初期</span>结直肠癌治疗后5年<span style="color: black;">存活</span>率高达90%，而晚期，<span style="color: black;">仅有</span>12%。</strong></span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">显然，<span style="color: black;">倘若</span>目的是<span style="color: black;">检测</span>预防结直肠癌，肛门指检虽然有用，却不<span style="color: black;">那样</span><span style="color: black;">即时</span>。<span style="color: black;">亦</span>正是<span style="color: black;">由于</span>如此，所有的关于直肠癌的体检筛查，都不会<span style="color: black;">举荐</span><span style="color: black;">运用</span>肛门指检来完成。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkeuOrPbZZic2afzHJvpLG9l5f7YNFK1icaiarFQwKTuR5qyticHdia3hvEkQ/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">当然，这<span style="color: black;">亦</span>不<span style="color: black;">寓意</span>着你<span style="color: black;">能够</span>逃脱被捅菊花的命运，<span style="color: black;">平常</span>的筛查结直肠的<span style="color: black;">办法</span>有七种：结肠镜、免疫法粪便隐血、粪便愈创木酯<span style="color: black;">实验</span>、乙状结肠镜加免疫法粪便隐血、结肠 CT <span style="color: black;">影像</span>（仿真结肠镜）、多靶点粪便 DNA 检测、单独的乙状结肠镜。而肠镜<span style="color: black;">检测</span>能够<span style="color: black;">帮忙</span><span style="color: black;">大夫</span>直接观察到结直肠内部<span style="color: black;">状况</span>，最大限度地减少误诊和漏诊。<strong style="color: blue;"><span style="color: black;">因此</span>真正最适合筛查结直肠癌的，<span style="color: black;">便是</span>开头<span style="color: black;">咱们</span>说过的——肠镜。</strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_png/gOnzx3ndNgGaNPDoREYIRuI7ibpUSNMbkG5P5KC6MQF13WzUur6ibclR4nYsEiatYgPDtROwDZWEGcjzYFcD3EULg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">肠镜是一根由肛门伸进肠子的细长软管，头部有灯光、摄像头、充气口和冲水口，用于观察肠道内部<span style="color: black;">状况</span>，相比于其他<span style="color: black;">检测</span>方式，肠镜<span style="color: black;">针对</span>肠道内部的<span style="color: black;">状况</span><span style="color: black;">检测</span>更为直观。当然，<span style="color: black;">亦</span>正是<span style="color: black;">由于</span>方式上的<span style="color: black;">原由</span>，有些人会刻意避开肠道<span style="color: black;">检测</span>，怕<span style="color: black;">检测</span>过于难受，但<span style="color: black;">实质</span>上，肠镜<span style="color: black;">检测</span><span style="color: black;">无</span><span style="color: black;">那样</span>恐怖。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">肠镜<span style="color: black;">检测</span>确实有不适感，但能忍受</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">每一个</span>人<span style="color: black;">针对</span><span style="color: black;">病痛</span>的感受和忍耐度是不同的，肠镜<span style="color: black;">检测</span>确实会有胀痛或牵拉等不适感，但大<span style="color: black;">都数</span>人<span style="color: black;">能够</span>忍受，顺利完成<span style="color: black;">检测</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">肠镜<span style="color: black;">检测</span>不<span style="color: black;">必须</span>每年都做</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">通常</span><span style="color: black;">来讲</span>，</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">倘若</span><span style="color: black;">第1</span>次肠镜<span style="color: black;">检测</span><span style="color: black;">无</span><span style="color: black;">发掘</span><span style="color: black;">反常</span>，那 3~5 年之后再复查肠镜</strong>；</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">发掘</span>腺瘤等<span style="color: black;">反常</span><span style="color: black;">状况</span>，那 1～2 年需再<span style="color: black;">检测</span>。</span></strong><span style="color: black;"><span style="color: black;">详细</span><span style="color: black;">检测</span>频率遵医嘱，但<span style="color: black;">通常</span><span style="color: black;">状况</span>下不<span style="color: black;">必须</span>每年都做。</span><span style="color: black;">几年做一次，即便会有点难受，但能让自己和家人安心，<span style="color: black;">亦</span>还是挺划算的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">能够</span><span style="color: black;">选取</span><span style="color: black;">没</span>痛肠镜</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">随着医学的发展，<span style="color: black;">此刻</span><span style="color: black;">能够</span><span style="color: black;">经过</span><span style="color: black;">麻木</span>技术，降低<span style="color: black;">检测</span>带来的痛苦。<span style="color: black;">倘若</span>你真的很怕痛，不妨和<span style="color: black;">大夫</span>商量商量，预约一个<span style="color: black;">没</span>痛肠镜<span style="color: black;">检测</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/C5SQQqicqEc2e2TDl8N92lESXs00ZJYXOTCWWK54iaBiapTVgbPHGWmDIB3COibD2JD0ZIicISkhviaYUBx2N4FGiaznA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">在中国，每年有 38 万人被查出结直肠癌，19 万人因它死亡。<strong style="color: blue;">随着年龄的增长，结直肠癌的<span style="color: black;">出现</span>率会<span style="color: black;">逐步</span><span style="color: black;">上升</span>，40～50 岁以后<span style="color: black;">明显</span><span style="color: black;">提升</span>。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">因此呢</span>，50岁以上的<span style="color: black;">伴侣</span><span style="color: black;">或</span>结直肠癌的高危人群，都应进行肠镜<span style="color: black;">检测</span>，<span style="color: black;">经过</span>尽可能<span style="color: black;">初期</span>的<span style="color: black;">检测</span>，远离结直肠癌。而不是在<span style="color: black;">病痛</span>难忍之后，<span style="color: black;">经过</span>肛门指<span style="color: black;">检测</span>出晚期癌症，即便确诊，却<span style="color: black;">已然</span>可能是另一个<span style="color: black;">结果</span>了。</span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/C5SQQqicqEc3QmlP8ziaq4uuicibV3PwZ5qbTrvOWXIbysT71HUwrvPQQKgJk8GO7lEYiclunic6Ch93X1FH3YJoDgSQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">提前预约,避免<span style="color: black;">看病</span>高峰</span>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/CI4VGkoPWiaEnPSk8F7icFib3ac5VDzxZzkkdMQZwIZImph2DtUrxB6TrDg6p9gDONtmGQv49NZGVNRSHZgmOLhOA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/CI4VGkoPWiaEnPSk8F7icFib3ac5VDzxZzkqEEIxTIGttV7uYgx0Enhj9mkibNqE65OGxt3Ld0cFqJqe0lxecEhYsA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/CI4VGkoPWiaEnPSk8F7icFib3ac5VDzxZzkG4bugFdKcibec0h5SSnG95wD0pnj3uA6LZAeJzkxPqYibyVdlrcyFtkA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/CI4VGkoPWiaEnPSk8F7icFib3ac5VDzxZzkVVU1pybcqzjZO3ePzNjvhte9gtaStWsVEC0jTR7GcBO5KyFqAUAE3Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_png/CI4VGkoPWiaEnPSk8F7icFib3ac5VDzxZzkk5UBdpMNQtmibAwvBibLm3RXicrXFKYibacQX1QtzgThAZ2O520VJapasg/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/C5SQQqicqEc0YX6LiaYQDIu8TCpsbZibICic0Tyot9vhzxibkLzXYbXw4y2zHTSZwUCppjDrugbmwYLXnWoRCVRSRqw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/C5SQQqicqEc0xAPZnTjnC73jibCna7TpjRrNeBFOliconyicmftubDaXmINoVU4uQibhVI9TySyqhwKhRFvVm7x0bicg/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/C5SQQqicqEc1GXR6Trhcq66PIRcgzxUfWz04VbUm9WCUgyPstrzoTwrsemhkcwklNVEaiafOibXofnIP5IKbNdR7A/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
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