肺结核合并肺癌患者的临床分析

目的：探讨肺结核合并肺癌的临床特点,提高临床医师诊断肺结核合并肺癌的警惕性。方法：对2000年1月至2009年12月在我院诊断为肺结核、肺结核合并肺癌、肺癌患者各40例进行回顾性分析。结果：三组之间的临床表现与实验室检查进行相互比较,发现其临床表现并无统计学差异,影像学与支气管镜检查有明显统计学差异外,其他实验室检查无差异。结论：结核合并肺癌与肺结核、肺癌等临床表现、实验室检查近似,易造成漏诊、误诊,临床医师应提高警惕,及时行影像学及支气管镜等检查。

Clinical Analysis of Pulmonary Tuberculosis with Lung Cancer

Objective： To study the clinical features of pulmonary tuberculosis with lung cancer and to improve the clinical physi-cians＇ recognition for it.Methods： Collect and retrospectively analysed the medical records of pulmonary tuberculosis（n=40）,pulmonary tuberculosis with lung cancer（n=40）,lung cancer（n=40） diagnosed in our hospital during January 2000 to December 2009.Results： Among the three groups,there were no statistically significant differences in the clinical manifestations and laboratory examinations,but statistically significant differences in the imaging and bronchoscopy.Conclusion： Misdiagnosis and missed diagnosis are easy to occur in the diagnosis of pulmonary tuberculosis,lung cancer,pulmonary tuberculosis with lung cancer,to which clinical physicians should pay particular attention and perform imaging and bronchoscopy detections for the patients.