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目的探讨口服超声造影对系统性红斑狼疮(SLE)胃受累的诊断价值。方法回顾性分析30例经胃充盈超声造影检查的SLE胃受累的声像图表现,分析胃壁厚度与上消化道症状和狼疮活动度的关系。结果 SLE胃受累的声像图表现为胃壁增厚,主要累及第二或(和)第四层。胃壁的厚度与活动度有明显相关性(r=0.917,P<0.01)。胃壁越厚上消化道症状越明显(r=0.809,P<0.01)。SLE活动度与上消化道症状呈正相关(r=0.841,P<0.01)。结论胃充盈超声造影检查对SLE胃壁受累有较高的价值。
Objective To investigate the diagnostic value of oral contrast-enhanced ultrasound in the diagnosis of gastric involvement in systemic lupus erythematosus (SLE). Methods A retrospective analysis of 30 cases of gastroscopic pleural contrast-enhanced ultrasound imaging of gastric involvement in the sonogram was performed to analyze the relationship between gastric wall thickness and upper gastrointestinal symptoms and lupus activity. Results SLE gastric involvement of the sonogram showed gastric thickening, mainly involving the second or (and) the fourth layer. There was a significant correlation between gastric wall thickness and activity (r = 0.917, P <0.01). The thicker the stomach wall, the more obvious gastrointestinal symptoms (r = 0.809, P <0.01). SLE activity was positively correlated with upper gastrointestinal symptoms (r = 0.841, P <0.01). Conclusion Gastric filling ultrasound contrast has a high value on the involvement of SLE in gastric wall.