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目的:探讨磁共振(MR)对多发性骨髓瘤的诊断价值。方法:选择近年来罗定市人民医院收治的55例多发性骨髓瘤患者,所有患者均经骨髓活检穿刺检查予以确诊,随机将患者分为对照组与观察组,前组予以计算机断层扫描(CT)检查,后组予以MR检查,比较两种检查方式的诊断准确率和诊断效果。结果:观察组与对照组诊断准确率无明显差异。观察组患者中,有1例弥漫型、10例灶型、3例混合型、6例弥漫加灶类型、5例胡椒类型。结论:对于多发性骨髓瘤(MM)的诊断,尽管CT检查和MR检查的准确率并无明显差异,但MR检查更有助于观察到患者脊柱的病变、浸润情况以及病变范围,临床价值高于CT检查,可为MM的诊断提供更为可靠的临床参考。
Objective: To investigate the diagnostic value of magnetic resonance (MR) in multiple myeloma. Methods: Fifty-five patients with multiple myeloma admitted to Luoding Municipal People’s Hospital in recent years were selected. All patients were confirmed by bone marrow biopsy. The patients were randomly divided into control group and observation group. The former group was treated with computed tomography (CT) ) Examination, after the group to be MR examination, comparison of the diagnostic accuracy of two test methods and diagnostic results. Results: There was no significant difference between the observation group and the control group in diagnostic accuracy. In the observation group, there were 1 diffuse type, 10 focal type, 3 mixed type, 6 diffuse plus type, and 5 pepper types. CONCLUSIONS: Although the accuracy of CT and MRI is not significantly different in the diagnosis of multiple myeloma (MM), the MR examination is more helpful for observing the lesion, infiltration and the extent of the disease in the spine of the patient, and has a high clinical value The CT examination can provide a more reliable clinical reference for the diagnosis of MM.