摘要：系统性红斑狼疮是(SLE)是以自身免疫性炎症为突出表现的经典弥漫性结缔组织病，可累及皮肤、关节、肾脏、呼吸、胃肠道等全身多个系统。狼疮肠系膜血管炎(LMV)是SLE胃肠道受累的罕见并发症，因其发病率低、诊断困难等诸多因素，导致其临床漏诊、误诊率高，但LMV起病快，病情进展迅速，死亡率高，近年来对该病的病因病理、发病机制、危险因素及诊治等研究有一定进展。故本综述对LMV的发病机制及临床诊治进行重点阐述，为临床医生诊治该病提供参考，提高患者生存率。

    关键词：系统性红斑狼疮；狼疮肠系膜血管炎；腹痛；危险因素

    中图分类号：R593.24+1" " " " " " " " " " " " " " "文献标识码：A" " " " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2025.03.035

    文章编号：1006-1959(2025)03-0170-06

    The Pathogenesis， Diagnosis and Treatment Progress of Lupus Mesenteric Vasculitis

    LIU Chenyang， CHEN Xiaofang， LIU Run， JIA Ping

    (Department of Integrated Traditional Chinese and Western Medicine， the First Affiliated Hospital

    of Chongqing Medical University， Chongqing 400016， China)

    Abstract：Systemic lupus erythematosus (SLE) is a classic diffuse connective tissue disease characterized by autoimmune inflammation， which can affect the skin， joints， kidneys， respiratory， gastrointestinal and other systems. Lupus mesenteric vasculitis (LMV) is a rare complication of gastrointestinal involvement in SLE. Because of its low incidence， difficult diagnosis and many other factors ......