摘要
目的探讨和分析多发性骨髓瘤脊柱病变的临床和MRI影像学特征。方法对我院收治的62例多发性骨髓瘤脊柱病变患者的临床资料进行回顾性分析和总结。结果有2例为正常型;18例为局灶型,表现为单个脊椎或者多个脊椎内大小和数目不等的病灶;28例为弥散型,表现为在扫描范围内所有的脊椎多发性弥散异常信号;16例为"椒盐型",在T1WI和T2WI都表现为弥漫性斑点状高、等、低混杂信号。56例累及椎体和附件;30例出现椎旁软组织肿块;16例增强后患者,其的病灶都表现为不同程度的强化。结论多发性骨髓瘤脊柱病变在临床上主要表现为劲和胸以及腰背痛等症状,应该将患者的临床症状和MRI分析进行有效地结合,进而对患者进行确诊。
Objective To explore the characteristics and analysis of multiple myeloma in clinical and MRI features of spinal lesions. Methods The clinical data of 62 cases of multiple myeloma patients with spinal lesions were retrospectively analyzed and summarized. Results 2 cases of normal type; 18 cases of focal type, as a singleor multiple vertebral spine size and unequal numbers of lesions; 28 cases of diffuse type, performance for all spinal multiple anomalous dispersion signal in the scanning range; 16 cases of ＂salt and pepper＂, and in the T1WI T2WI showed diffuse mottling high, low signal, etc. 56 cases involved vertebral body and accessories; 30 cases had paravertebral soft tissue masses; 16 patients after enhancement, the lesions showed different degree enhancement. Conclusion Multiple myeloma spinal lesions showed strength and chest and back pain and other symptoms in clinical, should theclinical symptoms and MRI analysis were combined effectively, anddiagnosis of a patient.
出处
《中国医药指南》
2013年第19期457-458,共2页
Guide of China Medicine
