[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnbtBxMP6kk9pyZVWbEI2zgRLVZlJvBNUxsgxYYkPDXQ":8,"$fbDTPkuLdVL94n_9PyZcOpOVRzm6KssRVUr1OBNuW3uk":17,"$fuGhq2qN304PjGJJ4H1gPPHB0d6D5DSXb1HFCCWryu3w":21,"$fZv-2RLD7C3DFzDEPgQKAYpdlKqQ5hzg_EJtWC1P3Uzg":98},{"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":16},200,"操作成功",{"pageNo":12,"pageSize":13,"result":14,"totalSize":15},1,10,[],0,true,{"code":9,"msg":10,"message":6,"data":18,"success":16},{"authors":19,"appraiseDimensionScoresVos":20},[],[],{"code":9,"msg":10,"message":6,"data":22,"success":16},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":15,"adept":28,"hospital":29,"department":30,"postsTitle":31,"materialTotal":15,"videoTotal":32,"isConcern":7,"title":33,"coverVertical":34,"coverAcross":35,"directionMarker":36,"description":37,"vid":38,"time":39,"mediaType":12,"views":40,"likes":15,"isThumbsUp":7,"isCollection":7,"collections":15,"createTime":41,"seoTitle":33,"seoKeywords":42,"seoDescription":43,"shelvesTime":44,"menus":45,"menuId":86,"type":36,"quality":96,"commentCount":15,"isComment":12,"deviceType":49,"url":97},37048,881307,[],"https://ystcdn.venuertc.com/venue/app/45645/2026-09-16/8546954e-27f0-4069-bfd6-f27791dc91ff.png","聂磊","乳腺微创旋切手术，乳腺癌的综合治疗。","通化市中心医院","甲状腺乳腺外科","副主任医师",12,"早期乳腺癌手术方案选择指南细致讲解","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/3f7b1f03-6455-455b-bb59-c386543cb793.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/ec011873-0a74-4682-84f3-834021a26b2e.png",2,"\u003Cdiv class=\"custom-script-container\">\n  \u003Ch2 id=\"material_title\" class=\"custom-title\">早期乳腺癌手术方案选择指南细致讲解\u003C/h2>\n\n  \u003Cdiv class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-bg\">\u003C/div>\n    \u003Ch3 class=\"custom-subtitle\">发现乳腺结节，手术方式这样选\u003C/h3>\n    \u003Cp class=\"custom-text\">很多人检查发现乳腺结节后，第一反应是害怕，总担心是不是乳腺癌，需不需要马上全切？今天我们通化市中心医院甲状腺乳腺外科的聂磊医生，和大家好好聊聊\u003Cb>早期乳腺癌手术方案选择指南\u003C/b>。如果你或者身边人正面临乳腺癌早期手术的纠结，一定要听完。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-bg\">\u003C/div>\n    \u003Ch3 class=\"custom-subtitle\">不同手术方式适合哪些早期乳腺癌患者？\u003C/h3>\n    \u003Cp class=\"custom-text\">一些朋友查体后被医院诊断为早期乳腺癌，常常会问：“医生，我这个要不要全切，会不会太激进？”其实，乳腺癌手术方案的选择和肿瘤的大小、部位、是否有转移等密切相关。\u003Cbr>目前，早期乳腺癌的常见手术方式包括乳腺部分切除（保乳手术）、乳腺全切手术、以及腋窝淋巴结清扫等，不同方式各有适应症。我们会根据每个人的具体情况，个体化推荐最适合的手术。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-bg\">\u003C/div>\n    \u003Ch3 class=\"custom-subtitle\">乳腺部分切除和全切，你需要知道三件事\u003C/h3>\n    \u003Cul class=\"custom-list\">\n      \u003Cli>① \u003Cb>保乳手术条件\u003C/b>：只有肿瘤较小、边界清楚，没有多处病灶、没有累及皮肤和胸肌，还有患者本人愿意，且术后能规范放疗的情况下，才适合乳腺部分切除，也就是保乳手术。这是一种既考虑功能又兼顾美观的方案。\u003C/li>\n      \u003Cli>② \u003Cb>乳腺全切手术适用人群\u003C/b>：肿瘤较大、靠近乳头或皮肤、病灶多发，又或者本人有较高风险因素，比如BRCA基因突变，这时建议选择乳腺全切，目的是切得更干净，降低复发率。\u003C/li>\n      \u003Cli>③ \u003Cb>腋窝淋巴结评估很关键\u003C/b>：无论选哪种乳腺手术，手术前都要关注腋窝淋巴结有没有转移。对于早期、不大的肿瘤，如果影像学判断淋巴结没问题，往往只要做前哨淋巴结活检，无需全部清扫淋巴结，减少手术后的手臂肿胀等风险。\u003C/li>\n    \u003C/ul>\n    \u003Cp class=\"custom-text\">这些内容，都是\u003Cb>早期乳腺癌手术方案选择指南\u003C/b>反复强调的要点。\u003C/p>\n  \u003C/div>\n\n  \u003Cdiv class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-bg\">\u003C/div>\n    \u003Ch3 class=\"custom-subtitle\">手术前后，这几点特别提醒\u003C/h3>\n    \u003Cul class=\"custom-list\">\n      \u003Cli>🌼 \u003Cb>建议怎么做：\u003C/b> 定期体检乳腺，发现结节及时就医，必要时综合乳腺彩超、钼靶等检查明确性质。听从专科医生建议，结合自身情况、家族史、基因结果等，权衡保乳或全切利弊，避免盲目跟风。术后要积极配合后续治疗和复查。\u003C/li>\n      \u003Cli>🚫 \u003Cb>不建议怎么做：\u003C/b> 不要因为害怕疤痕就死磕“只保乳”；也不要随意拖延手术时间，或者听信“能拖就别动刀”的说法。网上流传的偏方、伪科学建议不要轻信。\u003C/li>\n    \u003C/ul>\n  \u003C/div>\n\n  \u003Cdiv class=\"custom-section\">\n    \u003Cdiv class=\"custom-section-bg\">\u003C/div>\n    \u003Ch3 class=\"custom-subtitle\">乳腺癌早期手术选择要找专业医生评估\u003C/h3>\n    \u003Cp class=\"custom-text\">最后再提醒一句：\u003Cb>早期乳腺癌手术方案选择指南\u003C/b>中强调，手术适应症和方式一定要个体化制定。每个患者情况不同，别拿别人的手术方案套在自己身上。遇到疑惑时，及时和乳腺外科医生沟通评估，是科学负责任的做法。\u003C/p>\n  \u003C/div>\n\u003C/div>\n\n\u003Cstyle>\n.custom-script-container {\n  max-width: 420px;\n  margin: 0 auto;\n  padding: 18px 10px 30px 10px;\n  background: #f9fbfc;\n  font-family: 'PingFang SC', 'Microsoft YaHei', Arial, sans-serif;\n  border-radius: 16px;\n  box-shadow: 0 2px 12px rgba(80,120,160,0.09);\n}\n\n.custom-title {\n  font-size: 22px;\n  color: #10334e;\n  text-align: center;\n  font-weight: 600;\n  letter-spacing: 1px;\n  margin-bottom: 18px;\n  margin-top: 2px;\n  line-height: 1.28;\n}\n\n.custom-section {\n  position: relative;\n  background: transparent;\n  margin-bottom: 24px;\n  padding: 20px 16px 10px 16px;\n  border-radius: 12px;\n  overflow: hidden;\n}\n\n.custom-section-bg {\n  position: absolute;\n  left: 0; top: 0;\n  width: 100%; height: 100%;\n  background: linear-gradient(135deg, #f3f8ff 60%, #f0f7fa 100%);\n  opacity: 0.56;\n  z-index: 0;\n  pointer-events: none;\n  border-radius: 12px;\n}\n\n.custom-subtitle {\n  position: relative;\n  z-index: 1;\n  font-size: 17px;\n  color: #24728b;\n  font-weight: bold;\n  margin-bottom: 10px;\n  display: flex;\n  align-items: center;\n  gap: 0.5em;\n}\n\n.custom-text {\n  position: relative;\n  z-index: 1;\n  font-size: 15px;\n  color: #223245;\n  line-height: 1.62;\n  margin: 0 0 8px 0;\n}\n\n.custom-list {\n  position: relative;\n  z-index: 1;\n  margin: 0;\n  padding-left: 20px;\n  font-size: 15px;\n  color: #1b3448;\n  line-height: 1.6;\n}\n\n.custom-list li {\n  margin-bottom: 8px;\n}\n\n@media (max-width: 480px) {\n  .custom-script-container {\n    max-width: 100%;\n    padding: 10px 2px 20px 2px;\n    border-radius: 10px;\n  }\n  .custom-section { \n    padding: 14px 6px 8px 8px; \n  }\n  .custom-title { \n    font-size: 19px; \n    margin-bottom: 10px;\n  }\n  .custom-subtitle { font-size: 15px;}\n}\n\u003C/style>","v0247cg10004dbavn7i7dlda7anj9mm0",192,522,"2026-10-19 18:17:32","早期乳腺癌, 乳腺切除, 保乳手术, 乳腺癌手术方案, 腋窝淋巴结, 手术选择, 乳腺肿瘤, 医生建议","本文详细解析早期乳腺癌的手术方案，帮助患者根据个体情况选择适合的手术方式。了解不同手术适应症及注意事项，做出科学决策。","2026-10-24 10:15:00",[46,67,85],{"menuId":47,"menuName":48,"parentId":15,"orderNum":49,"path":50,"component":51,"isFrame":52,"isCache":53,"menuType":54,"visible":12,"status":15,"createDept":6,"remark":55,"createTime":56,"children":57,"columnImage":58,"columnLogo":59,"uncheckedLogo":60,"checkedLogo":61,"isHot":12,"isHome":15,"forceLogin":15,"color":62,"seoTitle":63,"seoKeywords":64,"seoDescription":64,"contentNum":6,"promotionalPoster":65,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":66,"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":68,"menuName":69,"parentId":47,"orderNum":70,"path":71,"component":72,"isFrame":52,"isCache":53,"menuType":54,"visible":12,"status":15,"createDept":6,"remark":55,"createTime":73,"children":74,"columnImage":75,"columnLogo":76,"uncheckedLogo":77,"checkedLogo":78,"isHot":15,"isHome":15,"forceLogin":15,"color":79,"seoTitle":80,"seoKeywords":81,"seoDescription":82,"contentNum":6,"promotionalPoster":83,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":84,"routerPath":71,"componentInfo":72},"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":86,"menuName":87,"parentId":68,"orderNum":70,"path":88,"component":89,"isFrame":52,"isCache":53,"menuType":54,"visible":12,"status":15,"createDept":6,"remark":55,"createTime":90,"children":91,"columnImage":92,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":15,"isHome":15,"forceLogin":15,"color":6,"seoTitle":87,"seoKeywords":93,"seoDescription":94,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":95,"routerPath":88,"componentInfo":89},"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,重大疾病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/881307/fbf6c426-3766-456a-962f-c57a63cb50b3.tmp?a=0&auth_key=1795454344-a6b8469c211a4eb09f75ad20edd7cacc-0-cac6f7225451a8608c4c8702a794a5fa&br=746&bt=746&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004dbavn7i7dlda7anj9mm0&er=0&l=202610241515471F33D448CC66DA56B939&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3BtZGRvOjp5ZTczNGY3M0ApcDxxOmdnbHFkZzMzajo1eWdqNms0YWFma15hLS1kNC9zcy1qZ15eaTQ0c18xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":9,"msg":97,"message":6,"data":6,"success":16}]