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纤维支气管镜诊断肺结核合并肺癌的价值 被引量:1

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摘要 目的 探讨纤维支气管镜检查在肺结核合并肺癌的诊断中的的作用,争取早期诊断、早期治疗.方法 回顾性地对我院近5年25例经纤维支气管镜检查确诊的肺结核合并肺癌患者的临床表现、X线特点、纤维支气管镜下表现、病理结果等进行分析.结果 肺结核合并肺癌患者临床及X线表现与单纯肺结核相比较,两者无明显区别,其中稳定期肺结核合并肺癌占68%;纤维支气管镜检查中,镜下异常占88%,以段支气管及亚段支气管病变为主占87.37%;镜下多见粘膜增厚和肿物腔内生长.结论 在抗痨、抗炎治疗的基础上,如果肺结核病灶及临床症状加重,或多年稳定性肺结核,复出现症状或病灶增加者,应注意合并肺癌,及时检查诊断,纤维支气管镜检查在其诊断中起重要作用. Objective To discuss the value of using fiberopic brondhoscopy to diagnose tuberculosis complicating lung cancer, so as to provoide early diagnosis ands treatment. Methods Retrospectively analysis was made to the clinic feature of 25 patients with tuberculosis complicating lung cancer diagnosed by fiberoptic bronchoscopy, X - ray feature, fiberoptic bronchoscopy findings and pathologic result in the last five years. Results Compared the clinic and X - ray finding feature of patients suffered tuberculosis complicating lung cancer with the feature of those suffered mere pulmonary tuberculosis, no distinct difference was found. 68% of the patients with tuberculosis complicating lung cancer showed stabilization; 88% of patients showed abnormal situation under fiberoptic bronchoscopy; and 87.37% of patients were found pathological changes in major and inferior segment bronchus. Under fiberoptic bronchoscopy, mucosa incrassation and tumor growth were found. Conclusions Based on the treatment of anti - phthisis and anti - inflammation, if tuberculosis focus and clinic symptom become aggravating, or the tuberculosis of stability for years appear symptom or focuses increase, examiner shall pay attention to the complicating lung cancer, provide prompt diagnosis. Fiberoptic bronchoscopy will pay an important role in the diagnosis.
作者 邱文燕
出处 《现代保健(医学创新研究)》 2007年第04Z期12-13,共2页
关键词 肺结核 肺癌 纤维支气管镜检查 Tuberculosis Lung cancer Fiberoptic bronchoscopy
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