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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患者出现消化道症状时，应适时行小肠造影检查，对于协助诊断和追随观察疗效极有帮助。
Objective To investigate the X-ray diagnosis and its application value of systemic lupus erythematosus enteritis. Methods 4 cases of systemic lupus erythematosus enteritis, 1 males and 3 females. 4 cases of preoperative intestinal small bowel examination, after treatment in 2 cases. Results 1 case of abdominal plain film showed incomplete intestinal obstruction. 4 cases of small bowel contrast examination showed empty, ileum wall thickening, mucosal folds thickening or nodular, we can see the signs of indentation, serrated edge of the intestine, part of the intestine spasm, intestinal wall stiffness, intestinal stricture. Hormone symptoms disappeared after treatment with hormone, 2 cases of small bowel radiography review, empty, ileal mucosal folds back to normal. Conclusion Gastrointestinal symptoms in patients with systemic lupus erythematosus should be timely examination of small bowel, which is helpful to help diagnose and follow the observation effect.