脊柱多发骨髓瘤与转移瘤的MRI诊断及表现研究

摘要

Objective To evaluate the MRI features of multiple myeloma (MM)and metastases in the vertebral column. Methods Selection in our hospital for treatment of the spine from April 2011 to April 2015, a total of 32 patients with multiple myeloma and a total of 31 patients with spinal metastases, analysis of the MRI characteristics of both. Results In MM, 150 vertebra were involved, in which 13.3% appendixes wereimplicated; 6.0% vertebra bodies were destroyed and metamorphosed; In metastases, 90 vertebra were involved and the distribution was capering, in which 51.1% appendixes were involved; 57.8% vertebra bodies were metamorphosed. Conclusion MRI for diagnosis of multiple myeloma and metastatic tumors of the spine has a certain value.%目的：探讨脊柱多发骨髓瘤与转移瘤的诊断与表现。方法整群选取2011年4月—2015年4月在该院接受治疗的脊柱多发骨髓瘤患者共32例和转移瘤患者共31例，对比分析两者的MRI特点。结果脊柱多发骨髓瘤患者中，累及的椎体为150个，累及附件占13.3%；椎体破坏变形现象占6.0%；脊柱转移瘤患者中，累及的椎体为90个，累及附件占51.1%；椎体破坏变形现象占57.8%。结论 MRI对脊柱多发骨髓瘤与转移瘤的诊断具有一定价值。