摘要
目的提高对骨髓瘤的认识与诊断率。材料与方法：报告经病理证实的骨髓瘤39例，从临床、实验室检查和影像表现进行分析．结果：39例中尿本周蛋白阳性26例；血浆中IgG增高22例，IgA增高14例，IgD增高3例；骨髓穿刺的39例中见有15～90％浆细胞25例；肿块活俭的20例均见有浆细胞；影像表现为溶骨性破坏29例，囊状和膨胀性破坏10例；有软组织肿块16例。结论；检出率低，仅为恶性骨肿瘤的5．1％；误漏诊率高，占79．5％；并发症多，占100％；IgG型多见，占56．4％。
purpose : To increase the recognition and diagnosis of myeloma. Meterials and methods :39 cases of myeloma proved by pathological examination were reported their clinical and laboratory and imaging manifestations were analysed. Resulta : 26 of 39 cases should receive urine Bence-Jones protein ; 22 cases of IgG types and 14 cases of IgA types and 3 cases of IgD types were increased in blood 25 of 39 casea 15~90% plasmacyte in the bone marrow all have plasmacyte in the tumor were examinationed ; The imaging finging in cluded, coteolytic destructive 29 cases. cystic and expansive change 10 cases ;16 cases of mass in soft tissue. Conclusion: The less diagnosis rate, 5. 1% in the malignant bone tumor, misdiagnosis rate 79.5% ; Complications 100% ; IgG types 56. 4%.
出处
《现代医用影像学》
1997年第2期55-58,共4页
Modern Medical Imageology
