多发性骨髓瘤脊柱病变的临床及MRI分析

Clinical and MRI Analysis of Spinal Lesions of Multiple Myeloma

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,主要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,主要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,因此,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 investigate and analyze multiple myeloma spinal lesions of clinical and MR/imaging features. Methods In our hospital clinical data of 62 cases of multiple myeloma patients with spinal lesions were retrospectively analyzed and summarized. Results 2 cases for normal type; 18 cases of focal type, main performance for single or multiple vertebral spine ranging in size and number of the lesions; 28 cases of diffuse type, main show is within the scope of the scanning all of spinal multiple diffuse anomaly signal; 16 cases for the ＂salt and pepper＂, in TtWI and T2WI are characterized by high diffuse punctate, such as, low mixed signals. 56 cases of vertebral body and accessories; Next to the 30 cases with vertebral mass lesion; 16 patients with enhanced, the lesions were characterized by different degree of reinforcement. Conclusion Multiple myeloma spinal lesions in clinical mainly for strength and chest and waist back pain and other symptoms, therefore, should be in patients with clinical symptoms and MRI analysis effectively combined, and then carries on the diagnosis to patients.