[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f0_jpgGehBUtaRYHybIAcQKt11k74jldV2DiroX-N4Vs":8,"$f3aer3Ad_Zbgt6UtPNzr2BnWEQcYBBuN8fegGekB3nuI":55,"$fGEzF3X0CToMipNZ4TswqHEmrp-2pZL7vShFu8XC_1xs":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},75198,867299,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","杨春","诸城市人民医院","肿瘤科","主治医师",315,0,"前列腺癌：你了解多少？","","https://ystcdn.venuertc.com/venue/AI/4f5a4a44-4f6e-4f3c-ac52-90d49e3d96de.jpg","\u003Cdiv id=\"material_title\" class=\"prostateca-title\">\n  前列腺癌：你了解多少？\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section prostateca-intro\">\n  \u003Cdiv class=\"prostateca-bg-light prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🧑‍⚕️\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    清晨去公园锻炼，不少大叔会聊起晚上起夜次数多了，或者排尿没以前顺畅。这样的变化看似普通，其实和前列腺健康紧密相连。说起前列腺癌，许多男性听起来觉得遥远，但它已成了中老年群体常见病之一。了解这些知识，也许能帮你和家人少走弯路。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-1 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🔬\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">01 什么是前列腺癌？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    前列腺癌，是指前列腺里的正常细胞变成异常细胞，这些细胞像“开了挂”一样增殖，逐渐可能形成肿块。多数发生在50岁以上男性群体。不少人觉得这是遥远的老年病，其实数据显示：\u003Cspan class=\"prostateca-keypoint\">每年全球新增病例超过140万\u003C/span>（Sung et al., 2021）。有时它“安静”地隐藏多年，早期甚至没任何感觉。\n    \u003Cbr>\u003Cbr>\n    健康影响上，前列腺癌可能慢影响排尿、引发疼痛，甚至侵及周围脏器或远处器官。因此，别把它当成“只是年纪大的小毛病”。现代医学已能帮助大量患者获得更长寿命和不错的生活质量，但前提是——要了解、要重视、要及时行动。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-2 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🚦\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">02 怎么早发现它的信号？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    \u003Cspan class=\"prostateca-key\">早期：症状轻微，容易忽视\u003C/span>\u003Cbr>\n    \u003Cul class=\"prostateca-list\">\n      \u003Cli>偶尔夜里多起一次夜尿，无其他特别不适\u003C/li>\n      \u003Cli>排尿开始时有短暂等待感，间歇性发愣\u003C/li>\n      \u003Cli>尿流较弱，但情况可有可无\u003C/li>\n    \u003C/ul>\n    \u003Cspan class=\"prostateca-key\">症状明显时：\u003C/span>\u003Cbr>\n    \u003Cul class=\"prostateca-list\">\n      \u003Cli>排尿持续困难，经常尿不尽\u003C/li>\n      \u003Cli>尿急或尿痛已经影响白天活动\u003C/li>\n      \u003Cli>腰部、背部或者骨盆短时间内频繁感到酸胀或隐痛\u003C/li>\n      \u003Cli>突然出现血尿或排便异常\u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"prostateca-casebox\">\n      \u003Cspan class=\"prostateca-emoji\">📄\u003C/span>\n      \u003Cspan>病例启示：\u003C/span>\n      有一位60岁的男性，刚开始只是偶尔排尿疼痛、不畅，以为是“上岁数正常反应”，没想到后来查出前列腺癌且已合并转移。这让人明白——轻视早期小变化，症状拖久了，病情可能悄变重。\n    \u003C/div>\n    \u003Cdiv class=\"prostateca-remind\">\n      小结：只要排尿出现持续不适，就别拖。哪怕症状不重，也建议尽快就医查。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-3 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🧬\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">03 前列腺癌为什么找上门？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    \u003Cspan class=\"prostateca-key\">1. 年龄增长\u003C/span>\n    \u003Cdiv>\n      越来越多研究指出，\u003Cspan class=\"prostateca-keypoint\">年龄是最大危险因素之一\u003C/span>。大多数患者超过50岁，60岁以后风险快速提升。细胞老化、基因突变发生频率增加，为癌变埋下隐患。\n    \u003C/div>\n    \u003Cspan class=\"prostateca-key\">2. 家族遗传和基因易感\u003C/span>\n    \u003Cdiv>\n      假如亲属中有前列腺癌病史，患病几率可能是普通人的2-3倍。有些基因变异（如BRCA2）会提高风险。本案例中的患者，发现BRCA2相关突变，从侧面印证了遗传基础的重要性（Carter, 2015）。\n    \u003C/div>\n    \u003Cspan class=\"prostateca-key\">3. 激素和生活方式\u003C/span>\n    \u003Cdiv>\n      男性激素水平特别是睾酮，与前列腺细胞生长密切相关。部分慢性炎症、肥胖、久坐，以及高脂饮食等，研究发现有一定相关联性（World Cancer Research Fund & American Institute for Cancer Research, 2018）。\n    \u003C/div>\n    \u003Cdiv style=\"margin-top:10px;\">\n      说明：单一因素往不会直接致癌，多数是多种因素长期共同作用的结果。不过，年龄、遗传无法逆转，其他生活方式是可以主动做出调整的。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-4 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🩺\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">04 检查诊断，都查些什么？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    \u003Col class=\"prostateca-list-num\">\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">PSA（前列腺特异性抗原）血液检测\u003C/span>\u003Cbr>\n        很多医院体检套餐都包含这项。如果数值升高，代表前列腺有炎症、增生或者肿瘤，不代表一定就是癌。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">直肠指检\u003C/span>\u003Cbr>\n        医生通过肛门摸前列腺，感受有无硬块。这一步虽然有些尴尬，但非常重要，能发现部分未被PSA筛出的隐患。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">影像学检查\u003C/span>\u003Cbr>\n        包括B超、磁共振（MRI）、CT等，用来观察前列腺情况及判断有没有扩散。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">活检\u003C/span>\u003Cbr>\n        在局部麻醉下取点组织，交送病理确认。只有病理诊断，才能100%确定是否患癌。\n      \u003C/li>\n    \u003C/ol>\n    \u003Cdiv class=\"prostateca-remind\">\n      检查流程一般分步进行，根据个人风险和医生建议调整。如果检查后还有疑惑，建议带齐报告找专业泌尿外科医生咨询，不必自己瞎猜。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-5 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">⚔️\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">05 治疗手段有哪些？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    简单来讲，治疗方式主要由癌症分期、患者体质和意愿共同决定。方法分为以下几大类：\n    \u003Cul class=\"prostateca-list\">\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">手术切除\u003C/span>：适用于局限早期。通过切除前列腺，有可能实现“治愈”。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">放射治疗\u003C/span>：包括体外照射、近距离放射。适合多种分期，尤其是不能手术或者术后辅助治疗。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">激素（内分泌）治疗\u003C/span>：核心机制是“饿死”依赖激素的癌细胞。大多数进展期患者可长期获益。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">靶向或免疫药物\u003C/span>：针对特定基因异常或高度进展，近期发展较快，已成为后线选择。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-key\">姑息与支持疗法\u003C/span>：改善生活质量，减轻症状，对晚期尤其重要。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"prostateca-casebox\">\n      从前述病例来说，综合用了药物、放疗、靶向等多种办法。虽然经历了转移和病情反复，但积极治疗后体力和生活质量得到相当改善。\n    \u003C/div>\n    \u003Cdiv class=\"prostateca-remind\">\n      治疗要根据个人病情调整，切不可自己选择“民间偏方”耽误时间。如有治疗副作用或疑问，应及时与医生沟通，能帮助调整最合适的方案。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-6 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">🍽️\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">06 日常生活，怎么科学管理？\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-content\">\n    平时的每一顿饭和锻炼，都可能为身体健康增加一点“储备”。生活管理，不只是治疗时才关心，平时就应开始注意。\n    \u003Cbr>\u003Cbr>\n    \u003Cspan class=\"prostateca-key\">饮食建议\u003C/span>\u003Cbr>\n    \u003Cul class=\"prostateca-list\">\n      \u003Cli>\n        \u003Cspan class=\"prostateca-food\">西红柿（番茄）\u003C/span>：富含番茄红素，研究显示长期适量摄入，有助降低前列腺癌风险（Giovannucci, 2002）。建议每周可生吃、做汤、炖菜合理搭配。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-food\">深色绿叶蔬菜\u003C/span>：如菠菜、甘蓝等，富含维生素C和膳食纤维，对提升免疫力也有帮助。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-food\">豆制品\u003C/span>：如豆腐、豆浆，含有植物雌激素，尤其在亚洲人群中有一定积极作用。每周适量纳入餐单。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-food\">坚果\u003C/span>：腰果、核桃、巴旦木等，帮助补充微量元素和健康脂肪。\n      \u003C/li>\n      \u003Cli>\n        \u003Cspan class=\"prostateca-food\">海鱼\u003C/span>：富含优质蛋白和欧米伽-3脂肪酸，支持全身代谢，建议每周吃2-3次。\n      \u003C/li>\n    \u003C/ul>\n    \u003Cspan class=\"prostateca-key\">日常管理建议\u003C/span>\u003Cbr>\n    \u003Cul class=\"prostateca-list\">\n      \u003Cli>坚持每周4-5次30分钟中等强度运动。散步、慢跑、骑车都可以。\u003C/li>\n      \u003Cli>保持理想体重，避免久坐。\u003C/li>\n      \u003Cli>学会适当释放压力，有助于内分泌和免疫系统平衡。\u003C/li>\n      \u003Cli>40岁以上男性建议每2-3年定期体检，包含前列腺指标评估。\u003C/li>\n      \u003Cli>一旦发现家族有类似病例，最好提前和专业医生交流制订健康管理计划。\u003C/li>\n    \u003C/ul>\n    \u003Cdiv class=\"prostateca-remind\">\n      规律生活和合理饮食，可以让身体更有“底气”对抗疾病。即使已经患病，也完全可以通过多管齐下的管理获得更好的状态。\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-section\">\n  \u003Cdiv class=\"prostateca-bg-7 prostateca-banner\">\n    \u003Cspan class=\"prostateca-emoji\">📚\u003C/span>\n    \u003Cspan class=\"prostateca-section-title\">参考文献\u003C/span>\n  \u003C/div>\n  \u003Cdiv class=\"prostateca-refbox\">\n    \u003Cul class=\"prostateca-ref-list\">\n      \u003Cli>\n        Sung, H., Ferlay, J., Siegel, R. L., et al. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. \u003Ci>CA: A Cancer Journal for Clinicians, 71\u003C/i>(3), 209-249. https://doi.org/10.3322/caac.21660\n      \u003C/li>\n      \u003Cli>\n        Carter, B. S. (2015). Genetic factors in prostate cancer risk. \u003Ci>Prostate Cancer Prostatic Dis, 18\u003C/i>, 219–224. https://doi.org/10.1038/pcan.2015.20\n      \u003C/li>\n      \u003Cli>\n        World Cancer Research Fund & American Institute for Cancer Research. (2018). Diet, Nutrition, Physical Activity and Prostate Cancer. Continuous Update Project Expert Report 2018. Available at: https://www.wcrf.org/dietandcancer/prostate-cancer/\n      \u003C/li>\n      \u003Cli>\n        Giovannucci, E. (2002). A review of epidemiologic studies of tomatoes, lycopene, and prostate cancer. \u003Ci>Experimental Biology and Medicine, 227\u003C/i>(10), 852-859.\n      \u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n/* 样式独立命名：prostateca- */\n.prostateca-title {\n  font-size: 2.3em;\n  color: #2c4251;\n  text-align: center;\n  font-weight: bold;\n  margin-top: 45px;\n  margin-bottom: 35px;\n  letter-spacing: 2px;\n  text-shadow: 0 2px 8px #f0f0f0;\n}\n\n.prostateca-section {\n  width: 86%;\n  max-width: 980px;\n  margin: 0 auto 32px auto;\n  border-radius: 14px;\n  box-shadow: 0 2px 12px 0 rgba(5,35,54,0.07);\n  background: #fafbfc;\n  overflow: hidden;\n  margin-top: 34px;\n}\n\n.prostateca-intro {\n  margin-top: 0px;\n  margin-bottom: 0px;\n}\n\n.prostateca-bg-light,\n.prostateca-bg-1, .prostateca-bg-2, .prostateca-bg-3, .prostateca-bg-4,\n.prostateca-bg-5, .prostateca-bg-6, .prostateca-bg-7 {\n  height: 66px;\n  display: flex;\n  align-items: center;\n  color: #fff;\n  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11px;\n    min-height: 45px;\n    height: 45px;\n  }\n}\n\u003C/style>","\u003Cdiv id=\"material_title\" class=\"prostateca-title\">\n  前列腺癌：你了解多少？\n\u003C/div>\n\n\u003Cdiv class=\"prostateca-sect",531,"2025-12-04 00:47:32","前列腺癌, 前列腺健康, 症状, 检查, 治疗, 中老年男性, PSA检测, 疫苗, 饮食管理","了解前列腺癌的症状与成因，掌握早期筛查与有效治疗方案，助你维护前列腺健康，尤其是50岁以上男性必知的健康知识。","2025-12-15 16:05:12",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},[],[]]