系统性红斑狼疮性小肠炎的X线表现(附四例报告)

目的 探讨系统性红斑狼疮性小肠炎的Ｘ线诊断及其应用价值。方法 系统性红斑狼疮性小肠炎４例，男１例，女３例，治疗前小肠造影检查４例，治疗后２例，结果 １例腹部平片表现为不全肠梗阻，４例小肠造影检查表现为空，回肠肠壁增厚，粘膜皱襞增粗或呈结节状，可见指压痕征，肠壁边缘呈锯齿状，部分肠管痉挛，肠壁僵硬，肠腔狭窄，用激素治疗后消化道症状消失，２例小肠造影复查，空，回肠粘膜皱襞恢复正常，结论 系统性红斑狼疮

Radiographic findings of systemic lupus erythematosus enteritis (a report of 4 cases)

Objective To discuss the radiographic findings and diagnosis in lupus enteritis. Methods 4 cases of lupus enteritis (male 1, female 3) were studied. Abdominal pain was the chief complaint in all these cases. Before and after steroid therapy, small bowel contrast study was performed. Results In one patient abdominal plain film revealed slight dilatation of jejunum with air fluid levels. Small bowel contrast study showed effacement and(or) nodularity of the mucosal folds, thumb printing, spasm and some degree of rigidity and narrowing of the lumen. Clinical symptoms and radiographic findings became normal after steroid therapy. Conclusions If a patient with systemic lupus erythematosus presents abdominal symptoms, small bowel contrast study should be done. It is important and helpful to assist the diagnosis, to decide therapeutic plan and to follow up the effect of treatment.