肺结核合并肺癌89例临床分析  

Pulmonary tuberculosis complicated with carcinoma:a clinical analysis of 89 cases

作　　者：阮军忠[1] 王子彤[1] 李世业[1] 

机构地区：[1]北京胸科医院,北京101149

出　　处：《中国防痨杂志》2008年第5期448-451,共4页Chinese Journal of Antituberculosis

摘　　要：目的分析肺结核合并肺癌的临床特点和诊治对策。方法回顾性总结分析1997—2003年收治的89例肺结核合并肺癌患者临床资料。结果本组89例患者平均年龄61.4岁,肺结核:原发性4例,继发性85例;肺癌:非小细胞肺癌81例,Ⅰ期11例,Ⅱ期4例,Ⅲa期15例,Ⅲb期和Ⅳ期51例;小细胞肺癌8例。全组89例患者中,接受正规抗结核治疗者49例,9例患者放弃治疗;在81例非小细胞肺癌中,有26例患者接受手术治疗;53例为中晚期非小细胞肺癌患者(Ⅲ+Ⅳ期),其中30例接受以化疗为主的综合治疗,23例患者放弃治疗;2例早期肺癌患者因低肺功能,仅行化疗。结论肺结核与肺癌在临床表现及影像学特点相似,两者并存更易误诊、漏诊,积极完善相关的检查,可提高诊断的准确性。在患者身体状态允许的情况下,选用合理的治疗方式,可以提高患者的生存期,改善预后。Objective To explore the association between pulmonary tuberculosis (PTB) and carcinoma, and study the clinical diagnosis and treatment of PTB complicated with carcinoma.Methods Eighty-nine PTB patients complicated with carcinoma were analyzed retrospectively. Results All patients were non-small cell lung cancer (81), and SCLC (8), the stage of NSCLC was Ⅰ(11), Ⅱ(4), Ⅲa (15), Ⅲb and Ⅳ (51). In all patients, 49 cases were treated by anti-tuberculosis ,9 cases quitted the treatment, and in 81 patients of NSCL...

关 键 词：结核 肺/并发症 肺癌 

分 类 号：R521[医药卫生—内科学]