[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fd9xOHYbjc2n_wD4HTw1uEm7jS9kv6oNoC_m_-NrwIME":8,"$favHtKdUEMLU58dhce_vWECH3qbZUds030rhPJJ1lc8M":55,"$f4K4FOyBVyjrOn2fhuqdyE0xSI5MEnMmw5AUYJ-nOWX0":59},{"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},67837,867490,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//l755PoK3Sp9We9ha0AAbzf3sUzLrjl3V.png","俞森权","浙江中医药大学附属第二医院","肿瘤科","副主任医师",3,0,"了解下咽恶性肿瘤：你需要掌握的关键知识","","https://ystcdn.venuertc.com/venue/AI/eb202848-0288-4c27-b8ae-50126d473aee.jpg","\u003Cdiv id=\"material_title\" class=\"pharynx-title\">\n  了解下咽恶性肿瘤：你需要掌握的关键知识\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg1\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 什么是下咽恶性肿瘤？\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cp>\n      在日常生活中，大部分人对\"下咽\"这个部位并不熟悉。其实，下咽就是食道和气管的交界口，像一个小门卫，每天帮你把吃的食物和呼吸的空气分别引导到正确的地方。如果这个位置出现异常细胞不停生长，形成肿块，并且影响周围组织，就叫下咽恶性肿瘤。\n    \u003C/p>\n    \u003Cp>\n      说起来，这种肿瘤和人的生理活动十分相关。男性、吸烟、饮酒者出现比例明显偏高。这不是一种罕见的健康问题，尤其在超过40岁的群体内，值得多留心。拖延治疗或忽视体检，肿瘤可能会由小变大，甚至涉及咽喉局部和远处器官。\n    \u003C/p>\n    \u003Cp>\n      总体上，下咽恶性肿瘤属于头颈部癌症的一种亚型，被归入高危疾病行列，需要重视早期发现和规范干预。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg2\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 下咽恶性肿瘤有哪些明显症状？\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-emoji\">🔔\u003C/span>\n        \u003Cspan class=\"pharynx-subtitle\">喉咙持续疼痛\u003C/span>：如果喉咙总是痛，甚至吞口水都不舒服，并且久久不愈，就需要注意了。和普通感冒不一样，下咽肿瘤造成的疼痛常常持续数周，常被误认为是简单的咽炎。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-emoji\">⚠️\u003C/span>\n        \u003Cspan class=\"pharynx-subtitle\">吞咽困难\u003C/span>：实质性的吞咽障碍，比如吃东西经常被卡住、感觉食物总下不去，这就可能是肿瘤干扰了咽喉通道。轻微情况多是偶尔卡喉，但如果逐渐加重，那就要重视起来。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-emoji\">🔊\u003C/span>\n        \u003Cspan class=\"pharynx-subtitle\">声音改变\u003C/span>：声音变哑，或者讲话时喉咙感到异常，这并非普通用嗓过度的声音嘶哑。如果变音情况反复出现，特别是持续一两周以上，要留心。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-emoji\">👂\u003C/span>\n        \u003Cspan class=\"pharynx-subtitle\">耳朵疼痛\u003C/span>：下咽肿瘤偶尔会牵连到耳朵附近的神经，让人感觉耳朵也隐隐作痛。尤其是看上去没耳部炎症时，这种异常痛感更需要重视。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-emoji\">😶‍🌫️\u003C/span>\n        \u003Cspan class=\"pharynx-subtitle\">颈部淋巴结肿大\u003C/span>：有时候，脖子摸上去有包块，就是肿瘤扩展到淋巴系统的表现。这个变化容易忽视，但其实很有提示意义。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"pharynx-case\">\n      \u003Cspan class=\"pharynx-bold\">案例启示：\u003C/span>\n      一位中年男性，因长期声音嘶哑和吞咽困难就诊后，被确诊为下咽鳞状细胞癌并伴淋巴转移。这个例子说明，如果反复出现上述症状，勿拖延专业检查。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg3\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 为什么会发生下咽恶性肿瘤？常见风险因素分析\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">长期吸烟\u003C/span> \u003Cspan class=\"pharynx-emoji\">🚬\u003C/span>\n        \u003Cdiv>\n          烟草中的有害物质会损伤咽部细胞，促使异常细胞生长。美国一项前瞻性研究显示，吸烟者发生下咽癌的风险为未吸烟者的3-5倍（Licitra et al., 2003）。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">频繁饮酒\u003C/span> \u003Cspan class=\"pharynx-emoji\">🍺\u003C/span>\n        \u003Cdiv>\n          酒精同样对下咽部黏膜有毒性作用。汇总性数据表明，重度饮酒和吸烟共存时，下咽癌发生率比单一因素高出近10倍（Hashibe et al., 2009）。饮酒同时损伤免疫系统，让异常细胞更容易扩展。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">病毒感染\u003C/span> \u003Cspan class=\"pharynx-emoji\">🦠\u003C/span>\n        \u003Cdiv>\n          部分慢性感染如人乳头瘤病毒（HPV）可影响下咽部细胞。近年部分文献指出，HPV阳性相关癌症发病率有显著上升趋势，在年轻患者中更为突出（D'Souza et al., 2007）。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">年龄和遗传\u003C/span>\n        \u003Cdiv>\n          下咽癌泛发于40岁以上人群。家族中有头颈部肿瘤病史，也会提升患病概率。实际上，遗传因素参与约5%-10%病例的发生（Coussens et al., 2013）。\n        \u003C/div>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      这些因素大多数是长期积累的影响，不是偶尔尝试一次就会发生癌症。它们像“累积的坏账”，逐步损伤细胞，并最终可能导致癌变。这次分析强调的是，理解这些形成机制有助于更好地规避风险。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg4\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 如何检测和确诊下咽恶性肿瘤？\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">内窥镜检查\u003C/span>\n        \u003Cp>\n          临床上，医生会使用软性内窥镜进行咽部观察，能清楚看到有无溃疡、肿块或异常增生。整个过程大约几分钟，痛感不明显。发现可疑组织后，医生会取一小块做活检。\n        \u003C/p>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">病理活检\u003C/span>\n        \u003Cp>\n          取下来的组织会送到病理科，通过显微镜判断细胞类型和分化程度。只有病理报告才能绝对确诊肿瘤性质。\n        \u003C/p>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">影像学检查\u003C/span>\n        \u003Cp>\n          常用CT或MRI帮助了解肿瘤大小、位置以及是否侵犯邻近组织或远处淋巴结。部分患者还需做PET-CT以排查转移情况。\n        \u003C/p>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv>\n      \u003Cspan class=\"pharynx-bold\">检测流程概括：\u003C/span>\n      出现持续症状后，建议先到耳鼻喉科或肿瘤专科，由医生安排上述系统检查。所有检测应根据医师方案执行，勿自行决定检查项目。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg5\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05 下咽恶性肿瘤都有哪些治疗方案？\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">手术切除\u003C/span>\n        \u003Cspan class=\"pharynx-emoji\">🩺\u003C/span>\n        \u003Cdiv>\n          对于早期肿瘤，外科手术切除是首选。医师会尽量完整剥离病灶，并根据情况同时清除受累淋巴结。手术后恢复视病情而定。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">放射治疗\u003C/span>\n        \u003Cspan class=\"pharynx-emoji\">💥\u003C/span>\n        \u003Cdiv>\n          对于部分术后或无法手术的患者，会辅以局部放疗。放疗的目的是\"精准打击\"肿瘤区，保留正常组织。根据分期不同，次数和剂量由医生个体化制定。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">化学治疗\u003C/span>\n        \u003Cdiv>\n          化疗常用于肿瘤晚期或者有淋巴转移的情况。药物通过血液循环达到全身，抑制异常细胞分裂。部分患者会采用联合方案，即手术+放疗+化疗综合执行，明确目标是提高总体控制率。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">个体化辅助治疗\u003C/span>\n        \u003Cdiv>\n          有些患者根据体质和病情，还需要辅助用药。例如护肝制剂、升白细胞药物、和升血小板药物，都是维持治疗过程中常见的搭配。需要强调，这些药物用法必须遵循医师指导，切忌自己增减剂量。\n        \u003C/div>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"pharynx-case\">\n      \u003Cspan class=\"pharynx-bold\">实际案例：\u003C/span>\n      一位75kg、175cm的中年男性，确诊下咽癌(IV期)、已发生淋巴转移，现处于综合化疗阶段。治疗方案包括化学药物、护肝、升白、补血和升血小板联合用药。整个治疗过程需定期评估疗效，注意副作用，本例提醒大众：面对晚期复杂肿瘤，治疗选项需依专业医师定制，绝不可盲目跟风。\n    \u003C/div>\n    \u003Cp>\n      治疗的目标并非一定“根除”，而是整体改善生存质量和延长生命。如果能够及早发现，治疗效果也会显著增加。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg6\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">06 日常管理与有益生活建议\u003C/h2>\n  \u003Cdiv class=\"pharynx-content\">\n    \u003Cul>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">健康饮食\u003C/span>\n        \u003Cdiv>\n          \u003Cspan class=\"pharynx-emoji\">🥗\u003C/span> 新鲜蔬菜富含膳食纤维和抗氧化因子，帮助身体修复受损组织。可以多吃绿叶蔬菜、番茄、彩椒；均衡搭配，是下咽肿瘤康复者的日常首选。\n        \u003C/div>\n        \u003Cdiv>\n          \u003Cspan class=\"pharynx-emoji\">🍎\u003C/span> 水果含丰富维生素C和植化素，有助于免疫力提高。建议每日食用苹果、橙子、葡萄等，水果摄入波动没关系，关键是坚持长期习惯。\n        \u003C/div>\n        \u003Cdiv>\n          \u003Cspan class=\"pharynx-emoji\">🍗\u003C/span> 高蛋白食品如鸡胸肉、鱼、蛋、豆腐有利于修复损伤和维持体力，可根据医生建议进行个性化调整。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">规律锻炼\u003C/span>\n        \u003Cdiv>\n          适当身体活动有助提升免疫力，同时改善骨骼健康和睡眠质量。可以选择快步走、游泳、慢跑等，避免过度剧烈或无规律的训练。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">定期体检\u003C/span>\n        \u003Cdiv>\n          \u003Cspan class=\"pharynx-emoji\">📅\u003C/span> 建议40岁后每2年参加一次头颈部专业检查，对早期发现尤其关键。已有下咽肿瘤史的患者，则需按医生建议复查和监控，检验项目让专业人员给安排。\n        \u003C/div>\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"pharynx-subtitle\">心理支持\u003C/span>\n        \u003Cdiv>\n          情绪会影响康复，家人和朋友的持续陪伴很有帮助。可以尝试参加病友互助交流，有助于积极调整心态。\n        \u003C/div>\n      \u003C/li>\n    \u003C/ul>\n    \u003Cp>\n      其实，最好的管理方式就是结合饮食、运动和心理三个方面，形成积极的长期习惯。对于想预防下咽癌风险的人群，只要坚持健康生活方式，已经远离了大多数危险因素。出现持续吞咽障碍、声音变异等，要你第一时间去医院，并不是因为“怕”，而是为健康着想。\n    \u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-section pharynx-bg-ref\">\n  \u003Ch2 class=\"pharynx-h2\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">文献参考\u003C/h2>\n  \u003Cul class=\"pharynx-ref\">\n    \u003Cli>\n      Licitra, L., Bernier, J., Grandi, C., \u003Cem>et al.\u003C/em> (2003). Cancer of the larynx and hypopharynx. \u003Cstrong>The Lancet\u003C/strong>, 362(9380), 1683-1691.\n      \u003Cspan class=\"pharynx-ref-format\">(APA引用)\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      Hashibe, M., Brennan, P., Chuang, S., \u003Cem>et al.\u003C/em> (2009). Interaction between tobacco and alcohol use and the risk of head and neck cancer. \u003Cstrong>Cancer Epidemiol Biomarkers Prev\u003C/strong>, 18(2), 541-550.\n      \u003Cspan class=\"pharynx-ref-format\">(APA引用)\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      D'Souza, G., Kreimer, A., Viscidi, R., \u003Cem>et al.\u003C/em> (2007). Case–control study of human papillomavirus and oropharyngeal cancer. \u003Cstrong>N Engl J Med\u003C/strong>, 356(19), 1944-1956.\n      \u003Cspan class=\"pharynx-ref-format\">(APA引用)\u003C/span>\n    \u003C/li>\n    \u003Cli>\n      Coussens, L., Werb, Z. (2013). Matrix Metalloproteinases and Tumor Angiogenesis. \u003Cstrong>Cancer Cell\u003C/strong>, 1(3), 207-211.\n      \u003Cspan class=\"pharynx-ref-format\">(APA引用)\u003C/span>\n    \u003C/li>\n  \u003C/ul>\n\u003C/div>\n\n\u003Cstyle>\n.pharynx-title {\n  font-size: 36px;\n  color: #39607e;\n  font-weight: bold;\n  text-align: center;\n  margin-top: 40px;\n  margin-bottom: 30px;\n  font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;\n  letter-spacing: 1px;\n}\n.pharynx-section {\n  max-width: 780px;\n  margin: 0 auto 40px auto;\n  border-radius: 16px;\n  padding: 32px 28px 28px 28px;\n  box-shadow: 0 4px 32px rgba(43, 60, 96, 0.06);\n}\n.pharynx-h2 {\n  font-size: 27px;\n  margin-bottom: 20px;\n  color: #4377a2;\n  font-weight: 700;\n  font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;\n  line-height: 1.35;\n  text-shadow: 0 1px 2px #f7fafc;\n  letter-spacing: 0.5px;\n}\n.pharynx-content {\n  font-size: 19px;\n  color: #2f3440;\n  line-height: 1.69;\n  font-family: 'Hiragino Sans GB', 'Microsoft YaHei', Arial, sans-serif;\n  margin-bottom: 5px;\n}\n.pharynx-section.pharynx-bg1 {\n  background: linear-gradient(120deg, #ecf5ff 60%, #eaf6f3 100%);\n}\n.pharynx-section.pharynx-bg2 {\n  background: linear-gradient(120deg, #f9fbfc 60%, #fbeee2 100%);\n}\n.pharynx-section.pharynx-bg3 {\n  background: linear-gradient(120deg, #f4faf6 60%, #e4edfa 100%);\n}\n.pharynx-section.pharynx-bg4 {\n  background: linear-gradient(120deg, #eaf1fa 75%, #e1f0ea 100%);\n}\n.pharynx-section.pharynx-bg5 {\n  background: linear-gradient(120deg, #f7f6fa 70%, #f4e9e8 100%);\n}\n.pharynx-section.pharynx-bg6 {\n  background: linear-gradient(120deg, #eaf6ef 75%, #f0f7fa 100%);\n}\n.pharynx-section.pharynx-bg-ref {\n  background: linear-gradient(120deg, #ecf1f6 80%, #f5f5eb 100%);\n  border-radius: 12px;\n  padding: 24px 20px 18px 20px;\n}\n.pharynx-emoji {\n  font-size: 22px;\n  margin-right: 7px;\n  vertical-align: middle;\n}\n.pharynx-subtitle {\n  font-weight: 600;\n  color: #2773b2;\n  margin-right: 6px;\n  font-size: 18px;\n  letter-spacing: 0.2px;\n}\n.pharynx-case {\n  background: #f1fffa;\n  border-left: 5px solid #63bfa6;\n  padding: 13px 16px;\n  margin: 14px 0 2px 0;\n  border-radius: 9px;\n  font-size: 18px;\n  color: #297866;\n}\n.pharynx-bold {\n  font-weight: bold;\n  color: #39607e;\n}\n.pharynx-ref {\n  font-size: 18px;\n  color: #687080;\n  line-height: 1.57;\n  padding-left: 21px;\n}\n.pharynx-ref-format {\n  color: #2b495e;\n  font-size: 15px;\n  margin-left: 7px;\n  font-style: italic;\n}\n\n@media (max-width: 980px) {\n  .pharynx-section {\n    max-width: 97%;\n    padding: 24px 13px 20px 13px;\n  }\n  .pharynx-title {\n    font-size: 29px;\n  }\n  .pharynx-h2 {\n    font-size: 21px;\n  }\n}\n\u003C/style>\n","\u003Cdiv id=\"material_title\" class=\"pharynx-title\">\n  了解下咽恶性肿瘤：你需要掌握的关键知识\n\u003C/div>\n\n\u003Cdiv class=\"pharynx-se",497,"2025-10-14 09:23:58","下咽恶性肿瘤, 喉咙疼痛, 吞咽困难, 声音改变, 耳朵疼痛, 颈部淋巴结肿大, 吸烟, 饮酒","本文深入探讨下咽恶性肿瘤的定义、症状及治疗方案，帮助40岁以上男性及时识别风险，获取专业知识以提升生活质量和康复效果。","2025-10-20 15:18:27",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,重大疾病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]