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目的:探讨肺结核合并肺癌的临床特点,提高临床医师诊断肺结核合并肺癌的警惕性。方法:对2000年1月至2009年12月在我院诊断为肺结核、肺结核合并肺癌、肺癌患者各40例进行回顾性分析。结果:三组之间的临床表现与实验室检查进行相互比较,发现其临床表现并无统计学差异,影像学与支气管镜检查有明显统计学差异外,其他实验室检查无差异。结论:结核合并肺癌与肺结核、肺癌等临床表现、实验室检查近似,易造成漏诊、误诊,临床医师应提高警惕,及时行影像学及支气管镜等检查。
Objective: To investigate the clinical features of pulmonary tuberculosis complicated with lung cancer and to improve the vigilance of clinicians in diagnosing pulmonary tuberculosis complicated with lung cancer. Methods: From January 2000 to December 2009 in our hospital diagnosed as tuberculosis, tuberculosis with lung cancer, lung cancer in 40 cases were retrospectively analyzed. Results: The clinical manifestations and laboratory tests among the three groups were compared with each other, and found no significant difference in clinical manifestations, imaging and bronchoscopy were significantly different, no other laboratory tests. Conclusion: The clinical manifestations of tuberculosis combined with pulmonary tuberculosis and lung cancer, lung cancer and other laboratory findings similar to easily lead to missed diagnosis, misdiagnosis, clinicians should be vigilant, timely imaging and bronchoscopy and other tests.