摘要
目的研究核素骨显像对诊断多发性骨髓瘤(Multiple Myeloma,MM)的价值。方法50例经临床确诊为MM的患者,均行全身骨显像、X线平片检查、骨髓穿刺涂片及相关实验室检查,结合骨穿及其它检查结果,分析核素骨显像对MM的诊断意义,并对部分患者进行追踪观察,评价核素骨显像对MM治疗效果的动态监测作用。结果50例MM患者中,核素骨显像阳性38例,X线阳性34例。对8例患者进行追踪,治疗后复查核素骨显像示骨质代谢异常的范围缩小,骨髓穿刺证实病情好转。结论核素骨显像在MM的诊断中有重要价值,可作为MM患者的常规检查之一。核素骨显像对MM疗效的监测有一定的指导意义。
Objective To study the diagnostic value of radionuclide bone imaging for multiple myeloma (MM). Methods Radionuclide bone imaging, x-ray, marrow puncturing and other related examinations were performed in 50 patients with MM. It was analyzed that the diagnostic value of radionuclide bone imaging combined with marrow puncturing and other examinations for MM. Some patients were examined with radionuclide bone imaging in order to estimate the efficacy of MM. Results Among 50 cases, 38 cases had positive radionuclide bone imaging findings,34 cases had positive x-ray findings. After therapy, radionuclide bone imaging was performed again in 8 patients, and the image showed that the range of abnormal osseous metabolism reduced. Conclusion Radionuclide bone imaging has vital value in diagnosis of MM. Radionuclide bone imaging could be considered as one of routine examination for diagnosis of MM. It may be available for monitoring prognosis of MM.
出处
《浙江临床医学》
2005年第4期356-357,共2页
Zhejiang Clinical Medical Journal
