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目的探讨结缔组织疾病继发间质性肺病(CTD-LD)的胸部HRCT早期表现,从而对临床早期用药及治疗提供依据。方法搜集2009年-2010年在山西医科大学第二附属医院风湿科住院的33例结缔组织疾病患者,回顾性分析HRCT影像学表现。结果结缔组织病患者共33例,其中类风湿关节炎18例,原发干燥综合症4例,系统性红斑狼疮8例,强直性脊柱炎3例,HRCT胸部影像表现:有胸膜下线者共5例,磨玻璃影共15例。结论 HRCT可以发现结缔组织疾病继发间质性肺病的早期影像表现,为临床早期预防及治疗结缔组织疾病提供依据,从而改善患者生活质量及预后。
Objective To investigate the early manifestation of chest CTCT in patients with connective tissue disease secondary to interstitial lung disease (CTD-LD), and to provide evidence for early clinical use and treatment. Methods A total of 33 patients with connective tissue disease who were hospitalized in Department of Rheumatology, the Second Affiliated Hospital of Shanxi Medical University from 2009 to 2010 were retrospectively analyzed. Results A total of 33 patients with connective tissue disease, including rheumatoid arthritis in 18 cases, 4 cases of primary Sjogren’s syndrome, 8 cases of systemic lupus erythematosus, ankylosing spondylitis in 3 cases, HRCT chest imaging: 5 cases, ground glass in 15 cases. Conclusion HRCT can detect the early stage imaging manifestations of interstitial lung disease secondary to connective tissue diseases and provide the basis for early prevention and treatment of connective tissue diseases in order to improve the quality of life and prognosis of patients.