肺癌与肺结核引起肺不张的比较分析

为探讨肺癌与肺结核引起肺不张时的临床表现及纤维支气管镜(纤支镜)下改变的特点,对48例肺癌及32例肺结核引起肺不张的病人进行比较。结果两者在性别、年龄上有非常显著性差异,P<0.01。肺癌咳血痰及血丝痰为主,肺结核咯鲜血居多,P<0.05.肺癌发烧在病程后期,肺结核发烧在病程前期。纤支镜检,肺癌支气管口被莱花、草梅、烂肉样肿物阻塞,肺结核可见癜痕及息肉样改变.肿瘤与结核均存在组织坏死时易于混淆,此时通过纤支镜活检、刷片做细胞、细菌学检查可得到确诊。通过临床表现与纤支镜检分析可区别肺癌与肺结核所致肺不张。

The Distinction of Derived from Lung Cancer and Pulmonary Tuberculosis

Inorder to explore the distinction of the clinical presentation and bronchofiberscopy of atelectasis derived from Lung cancer and pulmonary tuberculosis,fourty-eight cases of Lung cancer and thirty-two cases of pulmonary tuberculosis are examined and analyzed in this paper. Results show that it is obviously differently between lung cancer patients and the pulmonary tuberculosis patients in age and sex( P <0. 01). In lung cancer: hemoptysis mainly presents blood sputum blood-streaked sputum. Bur it presents gross blood in most cases of pulmonary tuberculosis( P <0. 05). Fever appears in early stage in Lung cancer,but pulmonary tuberculosis patierts get fever in later stage. By bronchofiberscopy,it's observed that bronchial mouth is obstructed by various shapes of lump such as rape flower,strauberry and rotten meat in lung cancer. And intrabronchial scar or polypoid lump is observed in pulmonary tuberculosis. It will more diffcultlly distinct lung cancer from pulmonary tuberculosis when both of them complicate tissue necrosis. In this situation,diagnosis can be made by bronchoscopic biopsy and cytological,bacteriological measurement of smears. The study suggests that the distinctive diagnosis of ateletasis drived from lung cancer or pulmonary tuberculosis can be made by clinical presentation and fiberscopy.