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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 the chest X-ray findings of systemic lupus erythematosus. Methods A retrospective analysis of 96 cases of systemic lupus erythematosus in patients with chest X-ray findings, the performance of X-ray showed abnormal rates, and by chi-square test to compare the incidence of different X-ray findings. Results In the chest range, systemic lupus erythematosus could invade the lungs, heart, pleura and diaphragm, the chest X-ray showed an abnormal rate of 80.21%. In the abnormal X-ray findings, the highest incidence of lung changes was found (63.64%), the second was pleural changes (29.87%), and the third was cardiac changes (15.58%). The lowest incidence (2.60%), the difference between the rates were statistically significant (P <0.05). Conclusions The chest X-ray findings of systemic lupus erythematosus are most common in lungs, followed by pleural changes and heart changes, with the most common changes in the diaphragm.