Objective To explore the evaluation index and appointment mechanism of healthy professional titles. Methods We collected the data of people evaluated and appointed as advanced professional titles, and the evaluation and appointment documents in West China Hospital. We analyzed the evaluation index and appointment mechanism. Results A total of 400 people gained senior title promotion. The evaluation indexes focused on academic degrees, papers, research projects, patents, as well as awards and honors. The research achievements reduced of 80% people who had gained senior titles. Conclusion Current evaluation indexes prefer to inflexible index and ignore flexible index. The appointment mechanism lacks outcome evaluation, and the professional title will not be eliminated once appointed. In the future, we should improve the evaluation index and appointment mechanism focusing on the specific characteristics of healthy professional titles.
目的 探討64排螺旋CT血管探針技術在評價腎動脈狹窄中的價值。 方法 回顧分析2010年4月－2012年1月51例行64排螺旋CT腎動脈血管成像且腎動脈狹窄患者的臨床資料，對雙側腎動脈行血管探針重組，分析血管狹窄的原因，以及累及范圍、狹窄程度。 結果 51例患者雙側腎動脈共105支（3支副腎動脈），其中管腔正常腎動脈27支，管腔有狹窄腎動脈78支。管腔狹窄者中，腎動脈斑塊血管共65支，累及范圍主要為局限性，以混合性及輕度狹窄為主；腎動脈夾層4支，累及范圍主要為節段性，假腔內無對比劑，真腔輕中度狹窄為主；腎動脈腫瘤包繞共有9支，累及范圍主要為節段性，腔輕度狹窄為主。 結論 64排螺旋CT血管成像清晰顯示腎動脈，血管探針技術分析血管快速、可靠，能準確評價腎動脈狹窄，對指導臨床治療具有重要的意義。