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乳腺癌术式变革与现代医学目的之碰撞——从根治到生存质量的医学价值转向

The Collision between the Reform of Breast Cancer Surgery and Modern Medical Aims: The Medical Value Shift from Radical Treatment to Quality of Life

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【作者】 王慧玲; 黄婷; 方萌; 张超杰;

【Author】 WANG Huiling;HUANG Ting;FANG Meng;ZHANG Chaojie;Department of Breast and Thyroid Surgery, Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University;Hunan Research Institute of Geriatrics;

【通讯作者】 张超杰;

【机构】 湖南省人民医院/湖南师范大学附属第一医院乳甲外科; 湖南省老年医学研究所;

【摘要】 现代医学正面临的核心冲突在于:技术祛魅带来的身体客体化与患者主体性诉求之间的失衡;循证医学标准化框架与个体化生命体验之间的矛盾;传统“治愈”概念与“带瘤生存”新范式之间的分歧。这些冲突暴露出现今医学单纯技术路径的局限性,要求医学实践建立更复杂的伦理坐标系。未来医学发展需要实现从二元对立到动态平衡的变迁;从专家权威模式转向医患主体间对话;从疾病消除目标转向生命意义重建,在技术时代重新确立那些使生命值得存在的不可量化价值。

【Abstract】 The Collision between the Reform of Breast Cancer Surgery and Modern Medical Aims: The Abstract:Modern medicine is facing a core set of conflicts: the imbalance between the objectification of the body caused by technological disenchantment and patients’ demands for subjectivity; the contradiction between the standardized framework of evidence-based medicine and individual life experiences; and the divergence between the traditional concept of "cure" and the new paradigm of "survival with tumor". These tensions expose the limitations of a purely technical medical model and call for a more complex ethical framework in medical practice. The study proposes that the future medical development requires three paradigm shifts: from binary opposition to dynamic equilibrium; from expert-authority models to intersubjective physicianpatient dialogue; and from disease elimination goals to life meaning reconstruction. In the age of technology, it is imperative to reestablish those intangible values that make life worth living.

【基金】 2021年湖南省卫健委基金项目(202104012788);2024年吴阶平医学基金项目(320.6750.2024-21-112)
  • 【文献出处】 医学与哲学 ,Medicine & Philosophy , 编辑部邮箱 ,2025年14期
  • 【分类号】R737.9
  • 【下载频次】16
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