目的探讨骨转移癌患者的骨痛发生情况及特征。方法对主要通过放射性核素骨显像确诊的278例骨转移癌患者骨痛发生情况及特征进行回顾性分析。结果278例肿瘤骨转移患者中198例有不同程度的骨痛,占71.2%;有80例患者无明显骨痛,占28.2%。骨痛的特征呈多部位性,但以躯干部位疼痛为多见。骨痛的性质为酸痛、钝痛、胀痛、刺痛、撕裂样疼痛等,以近期出现的持续固定性疼痛为多见。结论多数骨转移癌患者存在不同程度的骨痛,骨痛具有一定的特征,部分骨转移癌患者无明显骨痛。 Objective To investigate the occurrence and characteristics of bone pain in patients with bone metastases. Methods The incidence and features of bone pain in 278 patients with metastatic bone cancer diagnosed mainly by radionuclide bone imaging were retrospectively analyzed. Results Of the 278 patients with bone metastases, 198 had varying degrees of bone pain, accounting for 71.2%; 80 patients had no obvious pain, accounting for 28.2%. Bone pain is characterized by multiple sites, but pain is more common in trunk areas. The nature of bone pain, soreness, dull pain, pain, tingling, tearing like pain, persistent pain in the near future is more common. Conclusion Most patients with bone metastases have varying degrees of bone pain. Some patients with bone metastases have no obvious pain.