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目的探讨肺结核合并肺癌患者的临床特点,减少漏诊或误诊。方法回顾性分析2010年7月-2012年1月我院诊断的肺结核合并肺癌及单纯性肺结核患者各32例的临床资料。结果两组病例间的临床表现相似,早期诊断主要依靠影像学检查、痰液或胸腔积液脱落细胞学检查及支气管镜检查。结论肺结核合并肺癌临床上易漏诊或误诊,及时进行影像学及支气管镜检查、痰液或胸腔积液脱落细胞学检查及肺活检病理学检查将有助于减少漏诊或误诊。
Objective To investigate the clinical features of patients with pulmonary tuberculosis complicated with lung cancer and to reduce the missed diagnosis or misdiagnosis. Methods The clinical data of 32 patients with pulmonary tuberculosis and simple tuberculosis diagnosed in our hospital from July 2010 to January 2012 were retrospectively analyzed. Results The clinical manifestations of the two groups were similar. Early diagnosis mainly depends on imaging examination, sputum or pleural effusion cytology and bronchoscopy. Conclusions Pulmonary tuberculosis complicated with lung cancer is easily misdiagnosed or misdiagnosed in clinic. The timely imaging and bronchoscopy, sputum or pleural effusion cytology and lung biopsy will help reduce the missed diagnosis or misdiagnosis.