56例肺癌合并肺结核患者的临床特点观察

Clinical Features Observed on 56 Cases of Pulmonary Tuberculosis with Lung Cancer

目的观察肺癌合并肺结核的临床特点,以便为患者早日确诊,找到最佳的治疗时机。方法对近10年来我院的56例肺癌合并肺结核患者的临床特点及临床表现进行探究与分析。结果肺癌合并肺结核主要临床表现为胸闷、发热、咳嗽、咳痰、气短、气促;中心型和周围型肺癌分别占42.1%(32例)和43.4%(33例),28例(36.8%)伴有胸腔积液;肺结核以浸润型为主而肺癌主要以鳞癌和腺癌为主;并且男性患者明显多于女性患者且比例为5∶2,平均年龄为57岁。结论肺癌合并肺结核以中年男性为好发人群,肺癌的临床表现、影像学表现、病理类型、临床分期和肺结核的类型无特异性。

Objective To investigate the clinical characteristics of lung cancer complicated with pulmonary tuberculosis, in order to patients with early diagnosis, to find the best treatment time. Methods Clinical features and clinical manifestations of 56 cases of lung cancer patients with method of recent 10 years in our hospital with pulmonary tuberculosis research and analysis. Results The manifestations of lung cancer complicated with pulmonary tuberculosis clinical chest tightness, fever, cough, expectoration, shortness of breath, shortness of breath; central type and peripheral type of lung cancer accounted for 42.1% （32 cases） and 43.4% （33 cases）, 28 cases （36.8%） with pleural effusion; pulmonary tuberculosis infiltrative and lung cancer mainly in squamous cell carcinoma and adenocarcinoma mainly; and male patients were more than female patients and the proportion is 5 ： 2, the average age is 57 years old. Conclusion Lung cancer complicated with pulmonary tuberculosis in middle-aged men as good people, clinical manifestations, imaging manifestations of lung cancer, pathological type, clinical stage and type of pulmonary tuberculosis is not specific.