肺结核合并肺癌患者的临床分析  

Clinical analysis of pulmonary tuberculosis with lung cancer

作　　者：陈红梅[1] 傅满姣[1] 黄信刚[2] 

机构地区：[1]湖南长沙市中心医院胸6科,410007 [2]中南大学湘雅二医院呼吸内科,410011

出　　处：《中国医疗前沿》2012年第9期29-30,共2页China Healthcare Innovation

摘　　要：目的探讨肺结核合并肺癌患者的临床特点,减少漏诊或误诊。方法回顾性分析2010年7月-2012年1月我院诊断的肺结核合并肺癌及单纯性肺结核患者各32例的临床资料。结果两组病例间的临床表现相似,早期诊断主要依靠影像学检查、痰液或胸腔积液脱落细胞学检查及支气管镜检查。结论肺结核合并肺癌临床上易漏诊或误诊,及时进行影像学及支气管镜检查、痰液或胸腔积液脱落细胞学检查及肺活检病理学检查将有助于减少漏诊或误诊。Objective To analyze the clinical features of pulmonary tuberculosis with lung cancer in order to reduce misdiagnosis or missed diagnosis.Methods A retrospective review of data on 32 cases of pulmonary tuberculosis with lung cancer and 32 simple pulmonary tuberculosis patients between July 2010 and January 2012.Results Pulmonary tuberculosis with lung cancer has the same clinical manifestations as simple pulmonary tuberculosis.Moreover early diagnosis depends on imaging examinations,exfoliocytology study of sputum or pleural effusion and bronchoscopy in two groups.Conclusions The pulmonary tuberculosis with lung cancer had a high occurrence of misdiagnosis or missed diagnosis.It may be important to reduce misdiagnosis or missed diagnosis of pulmonary tuberculosis with lung cancer by imaging studies,exfoliocytology study of sputum or pleural effusion,bronchoscopy and lung biopsy.

关 键 词：肺结核 肺癌 诊断 漏诊 误诊 

分 类 号：R521[医药卫生—内科学] R734.2[医药卫生—临床医学]