Objective To improve the understanding of lupus cystitis. Methods Clinical manifestations, laboratory results, and image information of 2 cases of lupus cystitis were analysed retrospectively, and another 6 cases in the literature were reviewed. Results Two patients were female. The urinary symptoms followed the gastrointestinal symptoms. Ureterectasia and hydronephro-sis were detected in both patients, and intestinal pseudo-obstruction was detected in one patient. In the 6 cases from the literature, ureterectasia and hydronephrosis were detected in all patients, and intestinal pseudo-obstruction was detected in 4. Conclusion The possibility of lupus cystitis should be considered when lupus patients complain of urinary or bowel symptoms. Glucocorticoid and im-munodepressant are effective for lupus cystitis.%目的:提高对狼疮性膀胱炎的认识.方法:回顾性分析2例狼疮性膀胱炎患者的临床表现、实验室检查与影像学检查结果,并复习国内报道的6例病例.结果:2例患者均为女性,尿路症状在肠道症状之后出现,均有输尿管扩张和肾积水,1例合并假性肠梗阻,糖皮质激素与环磷酰胺治疗效果好.复习文献中的6例患者均有输尿管扩张和肾积水,4例合并假性肠梗阻.结论:当系统性红斑狼疮患者出现尿路症状或肠道症状时,应考虑狼疮性膀胱炎的可能性,积极完善相关检查,予以糖皮质激素和免疫抑制剂治疗.
展开▼
