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目的探讨多发性骨髓瘤骨损害的特点。方法回顾性分析79例多发性骨髓瘤患者的骨损害特点。结果多发性骨髓瘤患者的骨损害总发生率为89.9%;骨损害发生率在骨髓浆细胞百分数<15%组为68.9%,显著低于骨髓浆细胞百分数>15%组;IgG型多发性骨髓瘤组Ⅲ度骨损害发生率为64.5%,显著高于其他免疫学类型组。结论骨髓浆细胞百分数对多发性骨髓瘤患者骨损害发生有一定影响,IgG型多发性骨髓瘤组Ⅲ度骨损害发生率较高。
Objective To investigate the characteristics of multiple myeloma bone damage. Methods A retrospective analysis of 79 cases of multiple myeloma bone damage characteristics. Results The incidence of bone lesions in multiple myeloma patients was 89.9%. The incidence of bone lesions was 68.9% in the group of <15% bone marrow cells and significantly lower than that in the group of> 15% The incidence of grade Ⅲ bone lesions in tumor group was 64.5%, which was significantly higher than that in other immunological groups. Conclusion The percentage of bone marrow plasma cells has some effect on the bone damage in patients with multiple myeloma. The incidence of grade Ⅲ bone lesions in IgG multiple myeloma group is higher.