论文部分内容阅读
目的:对多发性骨髓瘤临床及影像诊断和检查方法进行研究。方法:选取2013年2月至2015年8月到该院就诊的多发性骨髓瘤患者30例为实验对象,30例患者经病理的证实以及临床诊断确诊为多发性骨髓瘤。30例骨髓瘤大多累及脊柱、肋骨以及盆骨等部位。在影像学表现为骨质疏松、骨质破坏、病理性骨折,少数患者出现骨质硬化。结果:对比数据发现,X线诊断敏感性及X线诊断准确性和CT、MRI之间存在显著性差异(P<0.05),CT与MRI不具备显著性差异(P>0.05)。通过X线、CT以及MRI进行联合诊断敏感性与准确性均为100%。结论:多发性骨髓瘤在影像学的表现特性较强,X线平片空间的分辨率较高,可以对患者的全身骨骼进行评估,CT、MRI适合早期病变和骨质破坏等病症,可以结合X线共同进行分析。能够显著提高骨髓瘤影像学的检出率与诊断的准确性。
Objective: To study the clinical and imaging diagnosis and examination of multiple myeloma. Methods: Thirty patients with multiple myeloma who visited the hospital from February 2013 to August 2015 were selected as experimental subjects. Thirty patients were diagnosed as multiple myeloma by pathology and clinical diagnosis. 30 cases of myeloma mostly involving the spine, ribs and pelvis and other parts. In imaging manifestations of osteoporosis, bone destruction, pathological fractures, a small number of patients with osteal sclerosis. Results: The comparison data showed that there was a significant difference between X-ray diagnostic accuracy and X-ray diagnostic accuracy and CT, MRI (P <0.05). There was no significant difference between CT and MRI (P> 0.05). By X-ray, CT and MRI joint diagnostic sensitivity and accuracy of 100%. CONCLUSIONS: Multiple myeloma has strong imaging features and high resolution in X-ray space. It can evaluate whole body bone of patients. CT and MRI are suitable for early lesions and bone destruction and can be combined X-ray analysis. Can significantly improve the detection rate of myeloma imaging and diagnostic accuracy.