肺结核合并肺癌49例分析

目的：为了提高对肺结核合并肺癌的认识，争取早期诊断、早期治疗。方法：回顾性总结我院近5年经病理证实的涂阳肺结核合并肺癌49例的临床表现、X线特点、特殊检查结果及诊疗经验，分析误诊原因。结果：肺结核病史越长，合并肺癌机率越高。肺结核合并肺癌以腺癌最多29例，其次为鳞癌13例，未分化小细胞癌4例，支气管肺泡癌3例。结论：肺结核病在抗结核治疗过程中，症状加重或性质改变，新出现片状结节状、团块状阴影及肺门阴影增浓，应提高警惕，及早应用CT、纤维支气管镜检查，或经皮肺穿刺，反复进行痰及胸水脱落细胞检查，可提高早期诊断率。

Analysis of Tuberculosis With the Lung Cancer in 49 Cases

Objective:To exalt cognition of tuberculosis with lung cancer.so that they con bed earlier diagnosed and ear lier treated.Method:Reviewed and summarized expression of pathology?X-ray characteristics?special check result?misdiagnosis'reasons and treatment experience of 49 cases tuberculosis with lung cancer in our hospital within last five years.Result:ln the tuberculosis cases with lung cancer,the incorporative lung cancer is probably more high.when the tuberculosis history is more longer.The first is gland cancer,29 cases,the next is imbricate cancer 13 cases,the third is the cellule cancer,4 cases,the fourth is the bronchus cancer,3 cases.Conclusion:During treating we should guard the increased symptom of the changed characters,such as newly emergenced slice,knot,conglomeration shadow and the Tncrellsed thickness in the lung door shadow.Earlied applied CT bronchus fiber lens of stabed lung by skin and the phlfegmwater chest water to be cytology checked again and again can increase the rate of earlier diagnosis..