中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
8期
7-8
,共2页
多发性骨髓瘤%影像学诊断%X线片%CT%MRI
多髮性骨髓瘤%影像學診斷%X線片%CT%MRI
다발성골수류%영상학진단%X선편%CT%MRI
Multiple spinal cord tumor%Imaging diagnosis%X-ray film%CT%MRI
目的：探讨研究多发性骨髓瘤的影像诊断价值，以提高对多发性骨髓瘤的影像诊断水平。方法分析在2008年7月-2013年7月入该院治疗的经过骨穿或是通过病检被证实确诊为多发性骨髓瘤的20例患者的不同影像技术资料， X线片、CT以及MRI，得出相应的影响诊断学特点。结果20例患者经过X线检查，其中15例(75%)患者出现了各类型的溶骨性损害，其损害部位主要在头颅(18例)、胸椎(16例)、腰椎(16例)、肋骨(10例)以及骨盆(10例)，其中12例的患者还伴有骨质疏松的并发症；而CT检查12例，不仅对于X线片的影像学诊断有检视，得出骨破坏，还有5例，检测出X线片未能明确显示、检出的肋骨、骨盆、椎体附件破坏和一些软组织破坏等问题；最后的脊柱MRI检查8例，其中正常型1例，其中灶型3例，弥漫型3例，灶型+弥漫型1例，椒盐型1例(阳性率90%)。结论多发性骨髓瘤有利于影像诊断的特征，影像学的判断为临床提供了有效的数据支持，在进行X线检测确诊需要治疗或是未显示但临床可疑的患者可疑采取具有较高的密度分辨率的CT检查，作为X线片的补充，而有条件的或情况较复杂需要观察病变的采取MRI检查。通过临床、影像、实验室和病理资料的多方联合提高诊断符合率。
目的：探討研究多髮性骨髓瘤的影像診斷價值，以提高對多髮性骨髓瘤的影像診斷水平。方法分析在2008年7月-2013年7月入該院治療的經過骨穿或是通過病檢被證實確診為多髮性骨髓瘤的20例患者的不同影像技術資料， X線片、CT以及MRI，得齣相應的影響診斷學特點。結果20例患者經過X線檢查，其中15例(75%)患者齣現瞭各類型的溶骨性損害，其損害部位主要在頭顱(18例)、胸椎(16例)、腰椎(16例)、肋骨(10例)以及骨盆(10例)，其中12例的患者還伴有骨質疏鬆的併髮癥；而CT檢查12例，不僅對于X線片的影像學診斷有檢視，得齣骨破壞，還有5例，檢測齣X線片未能明確顯示、檢齣的肋骨、骨盆、椎體附件破壞和一些軟組織破壞等問題；最後的脊柱MRI檢查8例，其中正常型1例，其中竈型3例，瀰漫型3例，竈型+瀰漫型1例，椒鹽型1例(暘性率90%)。結論多髮性骨髓瘤有利于影像診斷的特徵，影像學的判斷為臨床提供瞭有效的數據支持，在進行X線檢測確診需要治療或是未顯示但臨床可疑的患者可疑採取具有較高的密度分辨率的CT檢查，作為X線片的補充，而有條件的或情況較複雜需要觀察病變的採取MRI檢查。通過臨床、影像、實驗室和病理資料的多方聯閤提高診斷符閤率。
목적：탐토연구다발성골수류적영상진단개치，이제고대다발성골수류적영상진단수평。방법분석재2008년7월-2013년7월입해원치료적경과골천혹시통과병검피증실학진위다발성골수류적20례환자적불동영상기술자료， X선편、CT이급MRI，득출상응적영향진단학특점。결과20례환자경과X선검사，기중15례(75%)환자출현료각류형적용골성손해，기손해부위주요재두로(18례)、흉추(16례)、요추(16례)、륵골(10례)이급골분(10례)，기중12례적환자환반유골질소송적병발증；이CT검사12례，불부대우X선편적영상학진단유검시，득출골파배，환유5례，검측출X선편미능명학현시、검출적륵골、골분、추체부건파배화일사연조직파배등문제；최후적척주MRI검사8례，기중정상형1례，기중조형3례，미만형3례，조형+미만형1례，초염형1례(양성솔90%)。결론다발성골수류유리우영상진단적특정，영상학적판단위림상제공료유효적수거지지，재진행X선검측학진수요치료혹시미현시단림상가의적환자가의채취구유교고적밀도분변솔적CT검사，작위X선편적보충，이유조건적혹정황교복잡수요관찰병변적채취MRI검사。통과림상、영상、실험실화병리자료적다방연합제고진단부합솔。
Objective To explore the imaging diagnostic value of multiple myeloma,in order to improve the imaging diagnostic level of multiple myeloma.Methods Different kinds of imaging data, such as X-ray films,CT and MRI of 20 cases of patients diagnosed as multiple myeloma in our hospital from July,2008 to July,2013 by bone marrow puncture or pathological examination were analyzed, and the influence of the corresponding characteristics of diagnostics was concluded.Results By X-ray examination,it was found that of the 20 patients,15 cases(75%)had various types of osteolytic damage;the damage parts were mainly in the head (18 cases), thoracic vertebra(16 cases),lumbar vertebra(16 cases),ribs(10 cases), and the pelvis(10 cases);12 cases of patients complicated by osteoporosis. And 12 cases by CT examination,not only for X-ray film imaging diagnosis were reviewed, it was concluded that bone damage; rib, pelvic,vertebral appendages damage,soft tissue damage and other problems of 5 cases were detected by CT but the X-ray failed to clearly show.The final 8 cases underwent spinal MRI, including 1 case of normal type,3 cases of focal type,3 cases of diffuse type, 1 case of focal type and diffuse type,1 case of salt and pepper type(positive rate 90%).Conclusion For imaging diagnosis of multiple myeloma tumor characteristics, imaging judgment provides effective data support for clinical practice.CT examination with high density resolution, as the supplement of X-ray examination,can be given to the patients diagnosed by X-ray examination and needed treatment,or whose symptoms were not detected by X-ray examination but the patients were suspected to have the disease in clinical practice.MRI examination can be given to patients who have good economic conditions or need observing lesions because of complex symptoms.The diagnostic coincidence rate can be improved through the combined use of clinical, imaging examination, laboratory examination, and pathological data.
