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骨髓瘤从不同的角度可以有不同的分类与命名。本文就少见类型骨髓瘤分述如下。非分泌型骨髓瘤患者血中无 M 蛋白、尿中无本周蛋白,但其他临床表现与分泌型相同。在确定无本周蛋白尿前,应采用300倍浓缩尿作醋酸纤维薄膜电泳和免疫电泳分析,且要反复检查。本法能查出1mg%本周蛋白尿,因本周蛋白尿可间歇出现。如临床表现不典型,可用免疫组化方法显示胞浆内 Ig。根据胞浆中有无 Ig,又可分为不产生型与真正无分泌型,前者胞浆内无 Ig,后者胞浆内有Ig,但分泌不出来。分泌障碍可以由于
Myeloma can have different classification and nomenclature from different perspectives. This article on the rare type of myeloma are as follows. Non-secretory myeloma patients with no M protein in the blood, the urine of the week protein, but the other clinical manifestations and secretion of the same. In determining the week before the proteinuria should be used 300 times concentrated urine for acetate film electrophoresis and immunoelectrophoresis analysis, and to repeatedly check. This law can detect 1mg% of proteinuria this week, because proteinuria can be intermittent this week. If the clinical manifestations of atypical, immunohistochemical methods available cytoplasmic Ig. According to whether cytoplasmic Ig, can be divided into non-producing and truly non-secreting, the former without intracytoplasmic Ig, the latter intracytoplasmic Ig, but the secretion is not out. Secretory disorders can be due to