论文部分内容阅读
目的分别观察肺结核与肺结核合并肺癌的临床特点及CT影像学特点并分析二者差异,为提高肺结核合并肺癌诊断率提供依据。方法对鞍山市千山医院经病理证实的50例肺结核合并肺癌患者和50例单纯肺结核患者进行临床特点、CT影像学特征对比分析。结果持续胸痛、乏力盗汗、发热、咯血等临床特征上观察组与对照组对比差异无统计学意义(P>0.05);而在呼吸困难、刺激性咳嗽、血性胸水等2组对比差异有统计学意义(P<0.05)。观察组在卫星灶、钙化影、短毛刺、团块影伴分叶和小泡征等特征上均显著多于对照组(P<0.05)。结论为提高肺结核合并肺癌诊断率,除早期应详细观察临床特征、胸部影像学特征外,必要时行淋巴结活检、PPD检查,以提高检出率。
Objective To observe the clinical characteristics of tuberculosis combined with pulmonary tuberculosis complicated with lung cancer and the features of CT imaging, and to analyze the differences between the two methods in order to provide basis for improving the diagnostic rate of pulmonary tuberculosis combined with lung cancer. Methods The clinical features and CT features of 50 patients with pulmonary tuberculosis and 50 patients with pulmonary tuberculosis confirmed by pathology in Qianshan Hospital of Anshan City were analyzed comparatively. Results There was no significant difference between the observation group and the control group in clinical features such as persistent chest pain, fatigue, night sweats, fever and hemoptysis (P> 0.05), but there were statistically significant differences between the two groups in breathlessness, irritating cough and bloody pleural effusion Significance (P <0.05). The observation group was significantly more than the control group (P <0.05) in the characteristics of satellite lesions, calcification, short burr, lobules and lobes. Conclusion In order to improve the diagnostic rate of pulmonary tuberculosis complicated with lung cancer, in addition to early clinical features should be observed in detail, chest imaging features, if necessary, lymph node biopsy, PPD examination to improve the detection rate.