肺结核合并肺癌的临床及X线、CT影像分析

Analysis the Pulmonary Tuberculosis with Lung Cancer on Clinical and X-ray and CT films

目的分析肺结核合并肺癌的临床特征及X线、CT影像,提高肺结核合并肺癌的诊断率。方法对经病理证实的57例肺结核合并肺癌患者的临床表现、X线及CT影像进行分析。结果57例病人除有结核病中毒症状外,尚有刺激性咳嗽,胸痛,咯血等表现。X线及CT表现以肿块影多见,占77.2%。病灶位于同侧同叶者30例(52.6%),且上肺多于下肺,右肺多于左肺;同侧不同叶者16例(28.1%),不同侧者11例(19.3%)。活动性肺结核合并的肺癌以周围型肺癌多见,陈旧性肺结核合并的肺癌以中央型肺癌多见。结论肺结核合并肺癌比较常见,应结合病史、年龄及影像学表现综合分析,早期诊断。

Objective To analysis the cl;nical and image characteristics of the pulmonary tubercu- losis complicated with lung cancer, improving the diagnosis rate. Methods To analysis of clinical and image characteristics of tuberculosis combined lung cancer in 57 cases which were confirmed with pathology. Results Besides tubercular toxic symptoms, all cases have the symptom of stimu- lative cough ,chest pain , emptysis etc . The most characteristics of image was lump, accounting 77. 2%. 30 cases＂ s focus located in homonymy , upper lung was more than under one. Active pul- monary tuberculosis combined peripheral lung cancer were common, but old pulmonary tuberculosis combined central tung cancer most. Conclusion The pulmonary tuberculosis complicated with lung cancer are frequently concurrence, we should be comprehensive analysis of medical history, age and imaging, diagnosing earlier.