摘要
目的分析老年患者肺结核合并肺癌的临床特征与CT影像学特点，提高肺结核合并肺癌的诊断率。方法对经病理证实的45例肺结核合并肺癌老年患者的临床表现、实验室检查及CT影像进行分析，并与同期单纯肺癌48例、单纯肺结核23例进行对照分析。结果肺结核合并肺癌组胸痛、呼吸困难少于单纯肺癌组，乏力、盗汗多于单纯肺癌组；肺结核合并肺癌组发热、咯血少于单纯肺结核组，刺激性咳嗽、持续性胸痛和血性胸水多于单纯肺结核组（P〈0．05）。CT上肺结核合并肺癌组卫星灶、钙化影多于单纯肺癌组；团块影伴分叶、短毛刺、小泡征多于单纯肺结核组（P〈0．01）。结论在老年肺结核患者随访时，应警惕并发肺癌的可能，需结合病史及影像学表现综合分析。
Objective To analyze the clinical and CT manifestations of pulmonary tuberculosis complicating lung cancer in order to improve its diagnostic rate. Methods The clinical data and CT imaging features of 45 aged patients suffering from pulmonary tuberculosis complicating lung cancer, which were confirmed with pathology, were analyzed and compared. Results The dyspnea, chest pain were less than simple lung cancer group, and the fatigue, night sweat were more than those of the simple lung cancer group. The fever, emptysis was less than simple tuberculosis, while the irritative cough, durative chest pain and plural effusion were more than the simple lung cancer group （P〈0.05）. In the imaging features, there were more satellite lesions and calcification than those of the simple cancer group, and the masses with lobed, short burr and bubble were more than the tuberculosis group （P〈0.01）. Conclusions Clinicians should keep in mind of the oc- currence of lung cancer during the follow-up of patients with tuberculosis. It is important to analyze the medical history, clinical data and CT imaging comprehensively.
出处
《老年医学与保健》
CAS
2013年第3期183-185,共3页
Geriatrics & Health Care
关键词
肺结核
肺癌
诊断
Pulmonary tuberculosis
Lung cancer
Diagnosis
