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本文观察８例类风湿关节炎性、１２例全身免疫疾病性和１８例特发性巩膜炎患者，比较三组病例的巩膜炎特征及眼并发症。结果：三组的发病年龄无显著不同（Ｐ＞０．０５）；第一组与第三组比较，前者双眼发病多（６２．５％，Ｐ＜０．０５），且坏死性巩膜炎最常见（５０％，Ｐ＜０．０１），多伴有视力下降（５９％，Ｐ＜０．０５），容易并发边缘性角膜溃疡（２５％，Ｐ＜０．０５）。认为类风湿关节炎是最常见的易引发巩膜炎的全身免疫性疾病（占４０％），这种类型的巩膜炎较特发性巩膜炎严重，更具破坏性，需要进行及时有效的治疗。
In this paper, 8 cases of rheumatoid arthritis, 12 cases of systemic immune disease and 18 cases of idiopathic scleritis were observed. The scleritis characteristics and complications of the three groups were compared. Results: There was no significant difference in age of onset between the three groups (P> 0.05). The incidence of both eyes in the first group was much higher than that in the third group (62.5%, P <0.05) Common (50%, P <0.01), accompanied by decreased visual acuity (59%, P <0.05), easily associated with marginal corneal ulcer (25%, P lt; 0.05). Rheumatoid arthritis is considered to be the most common systemic immune disease (40%) that causes scleritis. This type of scleritis is more serious and destructive than idiopathic scleritis and requires timely and effective treatment.