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目的总结初诊多发性骨髓瘤(MM)的有关实验室检查和临床表现的特点。方法对98例初诊MM患者实验室资料和临床表现作回顾性分析。结果 (1)MM起病以骨痛和贫血最多见,IgG和IgA是最常见的免疫分型,占全部MM的82.5%。(2)本病起病隐匿,临床表现多样化,容易误诊。(3)大多异常的实验室检查结果无明显特异性。结论临床表现结合实验室相关指标检查,能够提高多发性骨髓瘤诊断的准确性,为临床诊断提供可靠依据。
Objective To summarize the characteristics of laboratory tests and clinical manifestations of newly diagnosed multiple myeloma (MM). Methods Retrospective analysis of laboratory data and clinical manifestations of 98 newly diagnosed MM patients. Results (1) MM was the most common cause of bone pain and anemia. IgG and IgA were the most common immunophenotypes, accounting for 82.5% of all MM. (2) The disease occult onset, clinical manifestations of diversity, easy to misdiagnosis. (3) most of the abnormal laboratory test results no obvious specificity. Conclusion Clinical manifestations combined with laboratory-related indicators to check, can improve the accuracy of diagnosis of multiple myeloma, provide a reliable basis for clinical diagnosis.