系统性红斑狼疮胸部X线表现分析

Chest X-ray manifestations of systemic lupus erythematosus

目的研究系统性红斑狼疮的胸部X线表现。方法回顾性分析96例系统性红斑狼疮患者胸部的X线表现,获得X线表现出现异常的比率,并通过卡方检验比较不同X线表现的发生率。结果在胸部范围内,系统性红斑狼疮可侵犯肺部、心脏、胸膜和膈肌,其胸部X线表现出现异常的比率为80.21%。异常的X线表现中,肺部改变的发生率最高(63.64%),胸膜改变的发生率位居第二(29.87%),心脏改变的发生率位居第三(15.58%),膈肌改变的发生率最低(2.60%),发生率之间的差异均有统计学意义(P﹤0.05)。结论系统性红斑狼疮的胸部X线表现以肺部改变最为常见,其次是胸膜改变和心脏改变,膈肌改变最为少见。

Objective To study chest X-ray manifestations of systemic lupus erythematosus. Methods Chest X-ray manifestations of 96 systemic lupus erythematosus patients were analyzed retrospectively. The total occurrence rate of abnormal chest X-ray manifestations was observed and the occurrence rates of different chest X-ray manifestations were compared with chi-square test. Results Systemic lupus erythematosus could involve lung, heart, pleura and diaphragm. The total occurrence rate of abnormal chest X-ray manifestations was 80.21%. Among them, the occurrence rate of lung changes was the highest （63.64%）, pleura changes were secondary （29.87%）, heart changes were the third （15.58%）, and diaphragm changes were the lowest （2.60%）. The differences between occurrence rate were all significant （all P﹤0.05）. Conclusion The most frequent chest X-ray manifestation was lung changes, the following chest X-ray manifestations were the pleura and heart changes, and the most uncommon chest X-ray manifestation was diaphragm changes.