肺结核合并肺癌的CT表现  

CT images of pulmonary tuberculosis complicating lung cancer

作　　者：刘连荣[1,2] 张雪君[1] 

机构地区：[1]天津医科大学医学影像学院,天津300203 [2]天津市海河医院放射科,天津300350

出　　处：《天津医科大学学报》2011年第2期270-274,共5页Journal of Tianjin Medical University

摘　　要：目的:分析肺结核合并肺癌的CT表现,以提高对肺结核合并肺癌的诊断正确率。方法:回顾性分析78例肺结核合并肺癌患者的CT平扫表现,并与同期单纯肺结核患者114例进行对照分析。结果:肺结核合并肺癌组团块影伴分叶征、毛刺、棘状突起,空泡征并肺不张多于单纯肺结核组,小结节影、空洞少于单纯肺结核组,有显著性差异(P<0.01)。结论:在观察结核病灶是否合并肺癌时,应发挥影像学的优势,注意判别病灶的影像特点,并结合临床和实验室检查,降低因同影异病造成的误诊。Objective： To analyze the CT images of pulmonary tuberculosis complicating lung cancer,in order to improve its diagnostic rate.Methods： CT plan scan imaging features of 78 patients suffering from pulmonary tuberculosis complicating lung cancer were analyzed retrospectively and all of these were compared with those of 114 patients suffering from simple tuberculosis.Results： In tuberculosis complicating lung cancer group,the masses with lobed,burr,spiculate protuberance,bubble,atelectasis were more than those in the tuberculosis group,but bud and cavity were less（P0.01）.Conclusion： It is important to utilize the imaging,distinguish the imaging features and combine the clinical and library examination to elevate the diagnostic rate of pulmonary tuberculosis complicating lung cancer.

关 键 词：肺结核 肺癌 体层摄影术 X线计算机 

分 类 号：R521[医药卫生—内科学]