[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fTUrF1oqWUhIulT8jr5kWKhlHmnzrR1XPGwC_saRdntg":3,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":13,"$fRZ72rystudZDkDL0JXhpjQ9KDUF0VaMbkB6BS7Rg8Ns":17,"$fIL00p6HQUqbM7ATTeTEaFrOLaPmJht9MigXAHxwWSbc":21,"$fbBElhls66WDio_wlMSnc7B3vvdZiOYZeFsvvsm4SaUo":97},{"code":4,"msg":5,"message":6,"data":7,"success":12},200,"操作成功",null,{"pageNo":8,"pageSize":9,"result":10,"totalSize":11},1,10,[],0,true,{"code":14,"msg":15,"message":6,"data":6,"success":16},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":18,"success":12},{"authors":19,"appraiseDimensionScoresVos":20},[],[],{"code":4,"msg":5,"message":6,"data":22,"success":12},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":11,"adept":28,"hospital":29,"department":30,"postsTitle":31,"materialTotal":11,"videoTotal":32,"isConcern":16,"title":33,"coverVertical":34,"coverAcross":35,"directionMarker":36,"description":37,"vid":38,"time":39,"mediaType":8,"views":40,"likes":11,"isThumbsUp":16,"isCollection":16,"collections":11,"createTime":41,"seoTitle":33,"seoKeywords":42,"seoDescription":43,"shelvesTime":44,"menus":45,"menuId":85,"type":36,"quality":95,"commentCount":11,"isComment":8,"deviceType":49,"url":96},32207,1066205,[],"","余敬福","各种实体恶性肿瘤的综合诊治","广西医科大学附属肿瘤医院","内科","主治医师",8,"肺癌术后长期随访，复发监测先看这几项","https://cdn.yishi-tong.com/console/3/2I7UsSx7BW_bVU95VidbGi5W4_jZZSEH.png","https://cdn.yishi-tong.com/console/3/yUhqZS773oB6f2mFkjQ1DpafdG7LB5OO.png",2,"\u003Cdiv id=\"lung-followup-script\" class=\"lf-root\">\n  \u003Cdiv class=\"lf-shell\">\n    \u003Cdiv class=\"lf-hero\">\n      \u003Ch1 id=\"material_title\">肺癌术后长期随访，复发监测先看这几项\u003C/h1>\n      \u003Cp class=\"lf-lead\">肺癌术后长期随访复发监测，不是手术做完就结束了。真正要盯住的，是影像有没有变化、症状有没有新出现、化验结果有没有和以前不一样。\u003C/p>\n    \u003C/div>\n\n    \u003Cdiv class=\"lf-block\">\n      \u003Ch2 class=\"lf-subtitle\">🩺 刚做完手术，先盯这两件事\u003C/h2>\n      \u003Cp>很多人觉得肿瘤切掉以后就可以松口气，其实肺癌术后长期随访复发监测，往往从第一次复查就开始。手术只是把看得见的病灶处理掉，后面还要看胸腔里、肺里和其他部位有没有新的变化。\u003C/p>\n      \u003Cp>所以，别只问“我现在有没有感觉”，更要问“我该什么时候复查、复查什么、跟上一次比有没有变”。这三句话，才是肺癌术后长期随访复发监测的起点。\u003C/p>\n    \u003C/div>\n\n    \u003Cdiv class=\"lf-block\">\n      \u003Ch2 class=\"lf-subtitle\">📋 复查单里最该看什么\u003C/h2>\n      \u003Cdiv class=\"lf-point\">\u003Cstrong>1.\u003C/strong> 影像检查最关键。胸部CT通常比普通胸片更容易看清细小变化，尤其是和上一次片子对照，能发现新结节、局部增厚、淋巴结变化这些线索。肺癌术后长期随访复发监测，核心就是看“有没有变”。\u003C/div>\n      \u003Cdiv class=\"lf-point\">\u003Cstrong>2.\u003C/strong> 症状变化要记住，但不要自己下结论。持续咳嗽、痰里带血、胸痛、气短、体重下降，有时可能和复发有关，也可能只是感染、术后恢复慢、慢性气道炎症。单靠症状，不能直接判断肺癌术后长期随访复发监测是不是出了问题。\u003C/div>\n      \u003Cdiv class=\"lf-point\">\u003Cstrong>3.\u003C/strong> 化验结果要和影像一起看。肿瘤标志物如果比以前升高，医生会结合病理类型、复查影像和身体情况一起判断。它不是单独定论的依据，只是肺癌术后长期随访复发监测里的一个拼图。\u003C/div>\n    \u003C/div>\n\n    \u003Cdiv class=\"lf-block\">\n      \u003Ch2 class=\"lf-subtitle\">🧭 平时怎么配合复查\u003C/h2>\n      \u003Cp>建议怎么做：按照主管医生给的时间表复查，带上以前的片子和报告，尽量在同一家医院、同一套检查条件下对比。平时把新出现的咳嗽、咳血、胸闷、骨痛、头痛记下来，复诊时直接说清楚。\u003C/p>\n      \u003Cp>不建议怎么做：不要因为“没感觉”就把复查拖掉，不要只做一次血检就放心，也不要拿一次胸片代替医生安排的胸部CT。肺癌术后长期随访复发监测，靠的是连续观察，不是临时看看。\u003C/p>\n      \u003Cp>如果出现持续咳血、气短明显加重、胸痛反复不缓解，或者新出现的骨痛、头痛越来越明显，建议尽快联系主管医生，提前安排评估。\u003C/p>\n    \u003C/div>\n\n    \u003Cdiv class=\"lf-block\">\n      \u003Ch2 class=\"lf-subtitle\">🧾 记住这句话\u003C/h2>\n      \u003Cp>肺癌术后长期随访复发监测，最重要的不是盯着某一个指标，而是把影像、症状和化验放在一起看。按时复查、及时对照、发现变化就早点问医生，很多问题都能在更早的时候处理。\u003C/p>\n      \u003Cp>如果你或家人做过肺癌手术，这套随访思路就值得一直记着。\u003C/p>\n    \u003C/div>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n  #lung-followup-script {\n    box-sizing: border-box;\n    width: 100%;\n    padding: 24px;\n    background: #eef3f8;\n    color: #1f2a37;\n    font-family: \"PingFang SC\", \"Microsoft YaHei\", Arial, sans-serif;\n  }\n\n  #lung-followup-script *,\n  #lung-followup-script *::before,\n  #lung-followup-script *::after {\n    box-sizing: border-box;\n  }\n\n  #lung-followup-script .lf-shell {\n    max-width: 820px;\n    margin: 0 auto;\n  }\n\n  #lung-followup-script .lf-hero {\n    padding: 4px 4px 18px 4px;\n  }\n\n  #material_title {\n    margin: 0 0 12px 0;\n    font-size: 24px;\n    line-height: 1.35;\n    font-weight: 700;\n    color: #16202c;\n    letter-spacing: 0;\n  }\n\n  #lung-followup-script .lf-lead {\n    margin: 0;\n    font-size: 16px;\n    line-height: 1.8;\n    color: #334155;\n  }\n\n  #lung-followup-script .lf-block {\n    margin-top: 14px;\n    padding: 18px 18px 16px 18px;\n    border: 1px solid #d8e3ef;\n    border-radius: 8px;\n    background: #ffffff;\n    box-shadow: 0 1px 0 rgba(17, 24, 39, 0.02);\n  }\n\n  #lung-followup-script .lf-subtitle {\n    margin: 0 0 12px 0;\n    padding: 12px 14px;\n    font-size: 18px;\n    line-height: 1.4;\n    font-weight: 700;\n    color: #17324a;\n    border-radius: 8px;\n    background-color: #f5f9fc;\n    background-image: url(\"data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='240' height='64' viewBox='0 0 240 64'%3E%3Cg fill='none' stroke='%23dbe8f3' stroke-width='1'%3E%3Cpath d='M0 40h240'/%3E%3Cpath d='M0 24h240' opacity='.7'/%3E%3Cpath d='M24 0v64' opacity='.35'/%3E%3Cpath d='M72 0v64' opacity='.25'/%3E%3Cpath d='M120 0v64' opacity='.2'/%3E%3Cpath d='M168 0v64' opacity='.25'/%3E%3Cpath d='M216 0v64' opacity='.35'/%3E%3C/g%3E%3C/svg%3E\");\n    background-repeat: repeat;\n    background-size: 240px 64px;\n  }\n\n  #lung-followup-script .lf-block p,\n  #lung-followup-script .lf-point {\n    margin: 0 0 10px 0;\n    font-size: 15px;\n    line-height: 1.85;\n    color: #2b3a49;\n  }\n\n  #lung-followup-script .lf-point {\n    padding: 10px 12px;\n    border-left: 3px solid #8fb6d8;\n    background: #f8fbfd;\n    border-radius: 6px;\n  }\n\n  #lung-followup-script .lf-point strong {\n    color: #17324a;\n  }\n\n  #lung-followup-script .lf-block p:last-child,\n  #lung-followup-script .lf-point:last-child {\n    margin-bottom: 0;\n  }\n\n  @media (max-width: 640px) {\n    #lung-followup-script {\n      padding: 16px;\n    }\n\n    #material_title {\n      font-size: 21px;\n    }\n\n    #lung-followup-script .lf-lead {\n      font-size: 15px;\n    }\n\n    #lung-followup-script .lf-block {\n      padding: 16px;\n    }\n\n    #lung-followup-script .lf-subtitle {\n      font-size: 17px;\n      padding: 11px 12px;\n    }\n\n    #lung-followup-script .lf-block p,\n    #lung-followup-script .lf-point {\n      font-size: 14px;\n    }\n  }\n\u003C/style>","v0247cg10004daaj3227dldcdrqt4ndg",156,903,"2026-08-31 11:53:48","肺癌术后, 长期随访, 复发监测, 肺癌复查, 胸部CT, 肿瘤标志物, 术后症状, 肺癌康复, 肺癌管理, 肿瘤随访, 术后检查, 肺癌患者","肺癌术后不止是切掉病灶，长期随访、复发监测才是关键。本文详解影像、症状、化验三大核心观察项，教你如何按时复查、科学对比、及时发现问题。适合肺癌术后患者及家属，掌握长期随访的正确思路，早发现、早处理。","2026-10-02 00:54:00",[46,66,84],{"menuId":47,"menuName":48,"parentId":11,"orderNum":49,"path":50,"component":51,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":26,"createTime":55,"children":56,"columnImage":57,"columnLogo":58,"uncheckedLogo":59,"checkedLogo":60,"isHot":8,"isHome":11,"forceLogin":11,"color":61,"seoTitle":62,"seoKeywords":63,"seoDescription":63,"contentNum":6,"promotionalPoster":64,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":65,"routerPath":50,"componentInfo":51},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":67,"menuName":68,"parentId":47,"orderNum":69,"path":70,"component":71,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":26,"createTime":72,"children":73,"columnImage":74,"columnLogo":75,"uncheckedLogo":76,"checkedLogo":77,"isHot":11,"isHome":11,"forceLogin":11,"color":78,"seoTitle":79,"seoKeywords":80,"seoDescription":81,"contentNum":6,"promotionalPoster":82,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":83,"routerPath":70,"componentInfo":71},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":85,"menuName":86,"parentId":67,"orderNum":69,"path":87,"component":88,"isFrame":52,"isCache":53,"menuType":54,"visible":8,"status":11,"createDept":6,"remark":26,"createTime":89,"children":90,"columnImage":91,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":11,"isHome":11,"forceLogin":11,"color":6,"seoTitle":86,"seoKeywords":92,"seoDescription":93,"contentNum":6,"promotionalPoster":6,"menuFrame":16,"innerLink":16,"parentView":16,"routeName":94,"routerPath":87,"componentInfo":88},"2047224557296840705","“健康中国-医路相伴健康同行”肿瘤领域科普传播计划","publicTFPAPP","/column/public_publicTFPAPP","2026-04-23 16:02:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-04-23-15:59:55/812f101e-9b62-472f-b155-2cb356602a89.png","肿瘤科普、癌症科普、肿瘤防治、科学抗癌、健康中国科普、医路相伴健康同行","响应 \"健康中国 2030\" 战略，\"健康中国 - 医路相伴健康同行\" 肿瘤领域科普传播计划，联合权威医学专家，提供肿瘤预防、筛查、治疗、康复全周期科学科普内容，普及抗癌知识，破除健康误区，助力全民肿瘤防治素养提升。","PublicTFPAPP","癌症肿瘤","https://vod.haohuanjiao.com/huanjiao/specialistVideo/1066205/10949042-debc-462a-9156-324343e9099f.tmp?a=0&auth_key=1793614593-a6a789546e8c4993a75aca9f58873a89-0-ed597a8dd84129779fbcda7e70a0d9c0&br=523&bt=523&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004daaj3227dldcdrqt4ndg&er=0&l=20261003081352C98727809D25956A52F0&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=anF3dWZvOjVtZDczNGY3M0ApZzd0Z2dnNTZkZzMzajo1eWdhMW5hYWEvMF5hLS1kNC9zc2RrcW9gaTQvZ14xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":4,"msg":96,"message":6,"data":6,"success":12}]