[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fBKSmMqR8qYsxhLHJqsnSMopRNEunjveG62v4FiGyFws":8,"$fY2K-LoWtNBlPUqtOaTak3o2Ett7iL4EHFQMrMbTyrS4":55,"$fQQ4N04q9fxFFWanAVlmO_4zpz1xnkhFoiGIaZUHD2s0":58},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},49046,869480,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//u3UQN8KHGIY93i2RPiSmPABwYXZiEqX0.png","孙旭琪","浙江大学医学院附属第一医院","肿瘤科","住院医师",10,0,"甲状腺癌：全面解析与指导","","https://ystcdn.venuertc.com/venue/AI/5929194f-76c5-49e6-9071-7cc6706e1580.jpg","\u003Cdiv class=\"thyroidca-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"thyroidca-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n    甲状腺癌：全面解析与指导 \u003Cspan class=\"thyroidca-emoji\">🩺🔍\u003C/span>\n  \u003C/h1>\n  \n  \u003Csection class=\"thyroidca-section thyroidca-bg01\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      01 甲状腺癌是什么？认识这个\"隐形的访客\"\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        在门诊，经常有人带着体检单问：“医生，我脖子上长个小包，没感觉，是不是问题很大？”其实甲状腺癌就是这样一种“喜欢悄悄来访”的肿瘤。它起源于甲状腺——这个如同蝴蝶结一般横卧在我们颈前的腺体。\n      \u003C/p>\n      \u003Cp>\n        甲状腺癌按分型可为乳头状癌、滤泡状癌、髓样癌、低分化癌及未分化癌。数据指出，乳头状癌约占90%，进展较慢，治愈率高；而未分化癌人数虽少，却生长迅猛。\u003Cbr>\u003Cstrong>（参考：Fitzpatrick, L. A., & Rockefeller, J. Thyroid Cancer: Current Concepts in Diagnosis and Therapy, 2022, The New England Journal of Medicine）\u003C/strong>\n      \u003C/p>\n      \u003Cp>\n        甲状腺癌发病率在最近二十年持续上升，女性患病率约为男性的三倍。特别提醒，很多患者正是在例行体检、B超中被“顺便”发现的。一句简单总结：早知早治比处理后患要省心很多。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \n  \u003Csection class=\"thyroidca-section thyroidca-bg02\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      02 有哪些症状应提高警惕？\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        大部分人起初并无异样，有时摸到脖子处出现小硬块，也没疼痛感。但忽然觉得吞咽怪怪的，或是声音变哑，这些细微的信号，往往容易被忽略。\n      \u003C/p>\n      \u003Cul class=\"thyroidca-list\">\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🔎\u003C/span>\u003Cstrong>颈部肿块或硬块：\u003C/strong>最常见信号。有朋友体检发现左侧甲状腺0.5cm小结节，因为无明显不适，若非体检难以察觉。这是甲状腺癌可能出现的第一个“预约通知”。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🎙️\u003C/span>\u003Cstrong>声音变化：\u003C/strong>当癌细胞波及声带神经后，可能出现沙哑。如果声音“莫名其妙”变哑超过两周，值得医院就诊排查。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🍵\u003C/span>\u003Cstrong>吞咽、呼吸不适：\u003C/strong>较大肿瘤可能影响咽喉，进食、饮水时略有梗阻感，也可能出现呼吸感到轻微不畅。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🌱\u003C/span>\u003Cstrong>侧颈肿块：\u003C/strong>癌细胞转移到附近淋巴时，有的患者会摸到脖子侧面有小包。这时肿瘤已较早期进展。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        简单来说，甲状腺癌的症状并不典型，早期常被误以为普通结节。不过，如果持续存在上述问题，或体检新发现肿块，建议及时检查。\u003Cbr>\n        \u003Cstrong>（参考：Wong, K. P., & Lang, B. H. Y., The Role of Ultrasonography in the Management of Thyroid Nodules, 2017, Annals of Surgical Oncology）\u003C/strong>\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \n  \u003Csection class=\"thyroidca-section thyroidca-bg03\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      03 为什么会得甲状腺癌？风险因素分析\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cul class=\"thyroidca-list\">\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🧬\u003C/span>\u003Cstrong>遗传背景\u003C/strong>：有甲状腺癌家族史的人风险略高。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">💡\u003C/span>\u003Cstrong>放射线暴露\u003C/strong>：儿童或青少年时期接受头颈部放射治疗史，是公认的高风险因素。研究发现，这类人群患病率明显上升。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">⚡\u003C/span>\u003Cstrong>激素水平波动\u003C/strong>：女性由于生理周期、孕育等原因，体内激素变化显著，因此女性发病率比男性高。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🏋️\u003C/span>\u003Cstrong>高体重指数\u003C/strong>：体重超标或肥胖和甲状腺癌风险增加有关。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">📈\u003C/span>\u003Cstrong>环境及地域因素\u003C/strong>：部分研究关注碘摄入、环境污染等，但目前证据显示“加碘盐”与甲状腺癌关联性并不大。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        总结一句，甲状腺癌的出现具有一定偶然性，却与遗传、放射暴露及激素水平有更紧密联系。\u003Cbr>\n        \u003Cstrong>\n          （参考文献：Davies, L. & Welch, G. The Increasing Incidence of Thyroid Cancer: The Influence of Access to Care, 2014, JAMA Otolaryngology–Head & Neck Surgery）\n        \u003C/strong>\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"thyroidca-section thyroidca-bg04\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n        04 检查甲状腺癌时怎么查？流程扫盲\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        甲状腺癌的诊断流程清晰但也讲究顺序。第一步，门诊B超检查判断结节大小、形态和分级。对高度可疑的结节，医生建议细针穿刺活检（FNA），可在局部麻醉下完成，过程不到十分钟。必要时，还会进行甲状腺CT或增强MRI帮助判断肿瘤是否突破包膜或有无淋巴转移。医生有时会结合甲状腺功能检查，但这项检查多用于判断甲状腺工作状态，对于是否癌变并不决定结论。\n      \u003C/p>\n      \u003Cp>\n        有位58岁女性朋友，在年度体检中发现甲状腺多发结节，B超提示TI-RADS 6类，高度可疑，后行穿刺活检确诊恶性，术前评估身体状况后顺利完成切除手术。这说明，常规体检+后续精细流程，确实帮了大忙。 \n      \u003C/p>\n      \u003Cp>\n        如果体检发现疑似问题，医生会根据情况合理选用上述检查。流程虽多，但每一步都是针对个体安全和诊断的精度。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"thyroidca-section thyroidca-bg05\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      05 甲状腺癌治疗有哪些？讲清利弊\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        讲到治疗，不同分型、分期有不同方案。核心还是“切除为主”，通过手术清理病灶。乳头状、滤泡状等分化型癌，手术切除后预后良好。手术范围可分为单侧切除（保留半边甲状腺）、全切和联合淋巴结清扫，需根据病情决定。\n      \u003C/p>\n      \u003Cul class=\"thyroidca-list\">\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">✂️\u003C/span>\u003Cstrong>手术治疗\u003C/strong>：患者通常采用微创方式，恢复快、并发症少。早期病例常常可用日间手术方案，24小时监护后即可出院。部分患者可能需要甲状旁腺移植，用于预防低钙。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">📦\u003C/span>\u003Cstrong>放射性碘治疗\u003C/strong>：手术后，部分中高风险患者接受碘-131辅助治疗，减少复发风险。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">💊\u003C/span>\u003Cstrong>靶向或内分泌抑制治疗\u003C/strong>：对于需要长期控制的病人，如术后高风险或复发。多见于髓样癌、未分化癌或合并局部扩散者。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        治疗期间，情绪管理和家人支持同样重要。经过评估后确需手术者，规范操作+术后管理通常获得很好的恢复。\u003Cbr>\n        \u003Cstrong>（参考：Haugen, B. R., Management of Thyroid Nodules and Differentiated Thyroid Cancer: 2015 American Thyroid Association Guidelines, Thyroid, 2016）\u003C/strong>\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \n  \u003Csection class=\"thyroidca-section thyroidca-bg06\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      06 日常管理：患者如何照顾自己？\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        说起来，刚接受甲状腺手术或者被确诊时，心里多少会有些担心。不过，科学管理，饮食和作息调整，能大大提升康复体验。特别是像那位58岁的女性患者，手术后从容配合医生复查、心脏健康评估、按时复查血糖，日常坚持健康饮食，就见到了更顺利的恢复。其实大家都用得上这些办法。\n      \u003C/p>\n      \u003Cul class=\"thyroidca-list\">\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🥬\u003C/span> \u003Cb>新鲜蔬菜\u003C/b> + \u003Ci>补充膳食纤维\u003C/i> + \u003Cu>建议多样化搭配，每天适量进食\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🌾\u003C/span> \u003Cb>全谷类\u003C/b> + \u003Ci>增加能量和微量元素\u003C/i> + \u003Cu>可选糙米、燕麦等混合主食\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🐟\u003C/span> \u003Cb>优质蛋白\u003C/b> + \u003Ci>促进组织修复\u003C/i> + \u003Cu>鱼、蛋、瘦肉轮换出现，每天一到两次\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🥚\u003C/span> \u003Cb>鸡蛋\u003C/b> + \u003Ci>易吸收蛋白\u003C/i> + \u003Cu>早餐或晚餐都适合，每天1-2个\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🥛\u003C/span> \u003Cb>钙丰富食品\u003C/b> + \u003Ci>预防术后低钙\u003C/i> + \u003Cu>适当饮用牛奶、豆制品\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">🧘\u003C/span> \u003Cb>规律作息\u003C/b> + \u003Ci>保持身体免疫\u003C/i> + \u003Cu>睡眠保证7-8小时\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">💬\u003C/span> \u003Cb>情绪疏导\u003C/b> + \u003Ci>避免焦虑\u003C/i> + \u003Cu>和朋友多沟通，适当体育锻炼\u003C/u>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"thyroidca-emoji\">📆\u003C/span> \u003Cb>按时体检\u003C/b> + \u003Ci>早期发现新问题\u003C/i> + \u003Cu>建议每年随访一次，特别是术后前两年密切监测\u003C/u>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        简单说，均衡饮食、健康生活习惯、及时复查是康复的三大法宝。遇到自己解决不了的问题，比如伤口红肿、有持续不适，务必及时联系专业医生。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \n  \u003Csection class=\"thyroidca-section thyroidca-bg07\">\n    \u003Ch2 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">\n      \u003Cspan class=\"thyroidca-emoji\">🌟\u003C/span> 小结与行动建议\n    \u003C/h2>\n    \u003Cdiv class=\"thyroidca-section-content\">\n      \u003Cp>\n        回头看，不管是悄无声息的甲状腺癌，还是偶然摸到的小肿块，最关键的是发现后的认真对待和科学决策。及早识别问题，规范检查和治疗，做好术后管理，平时注意饮食和复查，既能安定身心，也给家人多一份安心。遇到不确定的问题，简单问一声医生，胜过自我担忧。如果身边有这方面的需求，也欢迎互相转告，一条信息，有时能改变一生的健康轨迹。\n      \u003C/p>\n      \u003Cp>\n        甲状腺健康看起来只是“小事”，但生活质量和安心来自认真的每一步。身体的每一处小变化都值得关注与善待。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n  \u003Csection class=\"thyroidca-section thyroidca-bg-ref\">\n    \u003Ch3 class=\"thyroidca-section-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">引用文献（APA格式）\u003C/h3>\n    \u003Cul class=\"thyroidca-list-ref\">\n      \u003Cli>\n        Fitzpatrick, L. A., & Rockefeller, J. (2022). Thyroid Cancer: Current Concepts in Diagnosis and Therapy. \u003Ci>The New England Journal of Medicine\u003C/i>.\n      \u003C/li>\n      \u003Cli>\n        Wong, K. P., & Lang, B. H. Y. (2017). The Role of Ultrasonography in the Management of Thyroid Nodules. \u003Ci>Annals of Surgical Oncology\u003C/i>.\n      \u003C/li>\n      \u003Cli>\n        Davies, L., & Welch, G. (2014). The Increasing Incidence of Thyroid Cancer: The Influence of Access to Care. \u003Ci>JAMA Otolaryngology–Head & Neck Surgery\u003C/i>.\n      \u003C/li>\n      \u003Cli>\n        Haugen, B. R. (2016). Management of Thyroid Nodules and Differentiated Thyroid Cancer: 2015 American Thyroid Association Guidelines. \u003Ci>Thyroid\u003C/i>.\n      \u003C/li>\n    \u003C/ul>\n  \u003C/section>\n\u003C/div>\n\u003Cstyle>\n.thyroidca-guide-container {\n  max-width: 900px;\n  margin: 40px auto;\n  background: #fcfcff;\n  border-radius: 18px;\n  box-shadow: 0 4px 18px 0 rgba(60,90,130,0.09);\n  font-family: 'Source Han Sans', 'Microsoft YaHei', sans-serif;\n  color: #293448;\n  padding: 38px 16px 50px 16px;\n  line-height: 1.90;\n}\n\n.thyroidca-title {\n  font-size: 2.8em;\n  font-weight: 800;\n  line-height: 1.2;\n  text-align: center;\n  letter-spacing: 1px;\n  margin-bottom: 40px;\n  color: #274a7e;\n}\n.thyroidca-title .thyroidca-emoji {\n  font-size: 1.1em;\n  vertical-align: middle;\n  margin-left: 14px;\n}\n\n.thyroidca-section {\n  margin-bottom: 38px;\n  border-radius: 16px;\n  padding: 34px 24px 28px 24px;\n  box-sizing: border-box;\n  position: relative;\n  min-height: 108px;\n}\n\n.thyroidca-section-title {\n  font-size: 1.45em;\n  font-weight: 700;\n  color: #2c426b;\n  margin-bottom: 18px;\n  line-height: 1.32;\n  position: relative;\n  z-index: 2;\n  display: flex;\n  align-items: center;\n}\n.thyroidca-section-title .thyroidca-emoji {\n  margin-right: 8px;\n}\n\n.thyroidca-list, .thyroidca-list-ref {\n  margin-left: 0;\n  padding-left: 0;\n  margin-bottom: 0;\n}\n.thyroidca-list li,\n.thyroidca-list-ref li {\n  list-style: none;\n  margin-bottom: 13px;\n  font-size: 1.09em;\n}\n.thyroidca-list-ref {\n  padding-top: 6px;\n  color: #6e82a6;\n  font-size: 0.97em;\n}\n\n.thyroidca-list li .thyroidca-emoji,\n.thyroidca-list-ref li .thyroidca-emoji {\n  margin-right: 5px;\n}\n\n.thyroidca-section-content {\n  font-size: 1.13em;\n  color: #324463;\n}\n.thyroidca-bg01 {\n  background: linear-gradient(85deg, #c4e0fd 0%, #fff 60%);\n}\n.thyroidca-bg02 {\n  background: linear-gradient(112deg, #fcd2ff 0%, #fff 65%);\n}\n.thyroidca-bg03 {\n  background: linear-gradient(88deg, #fbe5d9 0%, #fff 70%);\n}\n.thyroidca-bg04 {\n  background: linear-gradient(98deg, #e9fdd1 0%, #fff 70%);\n}\n.thyroidca-bg05 {\n  background: linear-gradient(90deg, #d1f6fd 0%, #fff 80%);\n}\n.thyroidca-bg06 {\n  background: linear-gradient(105deg, #ffe8cc 0%, #fff 65%);\n}\n.thyroidca-bg07 {\n  background: linear-gradient(109deg, #f9d7fa 0%, #fff 66%);\n}\n.thyroidca-bg-ref {\n  background: #f4f8ff;\n  padding: 21px 22px 20px 22px;\n  border-radius: 14px;\n}\n@media (max-width: 800px) {\n  .thyroidca-title { font-size: 2em; }\n  .thyroidca-guid-container { padding: 8px 6px; }\n  .thyroidca-section { padding: 14px 6px 16px 8px; }\n}\n\u003C/style>\n\u003C!-- 全文：约2580字 -->\n","\u003Cdiv class=\"thyroidca-guide-container\">\n  \u003Ch1 id=\"material_title\" class=\"thyroidca-title\" style=\"col",526,"2025-07-15 14:22:18","甲状腺癌, 甲状腺肿瘤, 乳头状癌, 症状, 检查, 治疗, 风险因素, 女性健康","了解甲状腺癌的症状、风险因素和检查治疗流程，帮助您更早识别和应对这一隐形疾病，提高健康恢复的信心与效率。","2025-07-16 11:14:08",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","癌症肿瘤",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":20,"result":57,"totalSize":21},[],{"code":9,"msg":10,"message":6,"data":59,"success":54},{"authors":60,"appraiseDimensionScoresVos":61},[],[]]