摘要
目的探讨56例肺结核合并肺癌患者的临床特点及预后。方法纳入我院诊治的肺结核合并肺癌患者(A组)56例、单纯肺结核患者(B组)58例。比较两组患者性别、发病年龄及临床症状等临床特点,并对相关因素与肺结核合并肺癌患者预后的关系进行研究。结果两组患者性别无显著差别(P>0.05);A组患者年龄显著高于B组患者(P<0.05);A组痰血、消瘦比例显著多于B组患者(P<0.05);A组患者生存期与肺叶切除范围、是否为原结核处恶变及TNM分期相关。结论肺结核合并肺癌患者与单纯肺结核临床症状鉴别诊断困难,肺叶切除范围、是否为原结核处恶变及TNM分期是影响肺结核合并肺癌预后的影响因素。
Objective To explore the clinical characteristics and prognosis of 56 patients with tuberculosis complicated with lung cancer. Methods This study selected 56 patients with tuberculosis complicated with lung cancer as the group A and 58 patients with tu- berculosis only as the group B. Their sexuality, onset age and other clinical symptoms were compared between the two groups. The rela- tionship between relative factors and prognosis were studied. Results There was no significant difference on sexuality between the two groups （ P 〉 0.05 ）. Their ages were clearly older in the group A than in the group B （ P 〈 0.05 ）. The occurrence of sputum blood and e- maciation was obviously higher in the group A than in the group B （ P 〈0. 05）. The survival time of the group A was closely related with the range of lobar resection, canceration occurred on primary tuberculosis and TNM stage （ P 〈 0. 05 ）. Conclusion The differentiation between tuberculosis and lung cancer is difficult through clinical symptoms. The range of lobar resection, canceration occurred on primary tuberculosis and TNM stage are the influencing factors for the prognosis of tuberculosis complicated with lung cancer.
出处
《临床肺科杂志》
2013年第12期2160-2161,共2页
Journal of Clinical Pulmonary Medicine
关键词
肺癌
肺结核
临床特点
预后
lung cancer
tuberculosis
clinical characteristics
prognosis
