肺癌与哮喘、肺结核关系探讨(附4176例分析)  

THE RELATIONSHIP BETWEEN LUNG CANCER ASTHMA AND TUBERCULOSIS:ANALYSIS OF 4176 LUNG CANCER CASES HOSPITALIZED

作　　者：李意[1] 李超乾[1] 严乐涛[1] 郭素娟[1] 张景鸿[1] 梁达杰[1] 

机构地区：[1]广西医科大学第一附属医院呼吸内科,南宁530021

出　　处：《广西医科大学学报》2011年第3期368-370,共3页Journal of Guangxi Medical University

基　　金：广西科学基金资助项目(No.桂科基0575074)

摘　　要：目的:探讨原发性支气管肺癌(肺癌)与支气管哮喘(哮喘)、肺结核之间的关系。方法:对4 176例住院肺癌病例的一般情况、诊断情况进行统计,并比较其中肺结核、哮喘的并发情况。结果:出院诊断"肺癌"的患者有4 176例,其中同时诊断结核或曾有结核病史的有460例,占11.02%,同时诊断哮喘或曾有哮喘病史的有32例,占0.77%,两者比较差异有统计学意义(P<0.001)。以确诊(有病理或细胞学依据)的2 868例住院肺癌患者作为研究对象,其同时诊断结核或曾有结核病史的有200例,占6.97%;同时诊断哮喘或曾有哮喘病史的有20例,占0.70%,两者比较差异有统计学意义(P<0.001)。结论:肺癌人群并发哮喘的机会与普通人群相仿,甚至更低,而肺癌与肺结核关系密切,肺癌人群并发肺结核的概率明显高于普通人群。Objective：To discuss the relationship between lung cancer asthma and tuberculosis. Methods：The general situation and diagnosis of 4 176 lung cancer cases were analyzed. Then the incidence of tuberculosis and asthma was compared. Results：Among 4 176 lung cancer patients, 456 cases （11.02%） were diagnosed with tuberculosis or had a tuberculosis history, and 28 cases（0.77%, P %0. 001） diagnosed with asthma or had an asthma history. Among the 2 868 lung cancer patients based on the pathology or cytology, 200 cases （6.97%） were diagnosed with tuberculosis or had a tuberculosis history,and 20 cases （0. 70%, P 〈0. 001） diagnosed with asthma or had an asthma history. Conclusion： Compared to the general population, the chance of lung cancer cases complicated with asthma is similar or even lower. Lung cancer and pulmonary tuberculosis in patients with lung cancer are closely related, and the probability of lung cancer complicated with pulmonary tuberculosis is significantly higher than the general population.

关 键 词：肺癌 哮喘 肺结核 

分 类 号：R734.2[医药卫生—肿瘤]