CAJ | 학술논문

目的：分析肺结核合并肺癌的临床特点、诊断方法、肺结核与肺癌之间的关系及提高诊断率的方法。方法选取52例肺结核合并肺癌患者，对其临床表现、病理类型、影像学特点、病灶部位、治疗方法及预后进行分析。结果肺结核合并肺癌患者中男性多于女性；有吸烟病史者42例（80.8%），肺癌与肺结核位于同侧肺44例，同侧同叶40例（76.9%），同侧肺但不同肺叶4例（7.7%），不同侧肺8例（15.4%）。病理类型鳞癌23例（44.2%）、腺癌16例（30.8%）、腺鳞癌4例（7.4%）、小细胞肺癌6例（11.5%）、未定型癌3例（5.8%）。结论肺结核与肺癌常合并发生或伴发，使其症状表现复杂，症状体征明显加重，及时发现早期症状，积极完善相关的检查，及早确诊，积极治疗，提高治疗效果。
목적：분석폐결핵합병폐암적림상특점、진단방법、폐결핵여폐암지간적관계급제고진단솔적방법。방법선취52례폐결핵합병폐암환자，대기림상표현、병리류형、영상학특점、병조부위、치료방법급예후진행분석。결과폐결핵합병폐암환자중남성다우녀성；유흡연병사자42례（80.8%），폐암여폐결핵위우동측폐44례，동측동협40례（76.9%），동측폐단불동폐협4례（7.7%），불동측폐8례（15.4%）。병리류형린암23례（44.2%）、선암16례（30.8%）、선린암4례（7.4%）、소세포폐암6례（11.5%）、미정형암3례（5.8%）。결론폐결핵여폐암상합병발생혹반발，사기증상표현복잡，증상체정명현가중，급시발현조기증상，적겁완선상관적검사，급조학진，적겁치료，제고치료효과。
Objective To analyze the clinical characteristics and diagnostic methods of pulmonary tuberculosis combine lung cancer,the relationship between pulmonary tuberculosis and lung cancer,and improve the diagnostic rate.Methods Retrospective analysis the clinical manifestation, pathological types, imaging features,lesion,therapeutic method and prognosis of the 52 cases of pulmonary tuberculosis combine cancer in Tai’an City tumor prevention and treatment of hospital from January 2008 to December 2012.Results Male > female in patient of pulmonary tuberculosis combine lung cancer,has a history of smoking 42 cases (80.8%),lung cancer and tuberculosis in the ipsilateral lung 44 cases, on the same pulmonary lobe 40 cases (76.9%), ipsilateral lung but different pulmonary lobe 4 cases (7.7%),in the different lateral lung 8 cases (15.4%).The pathological type,23 cases (44.2%) of squamous cell carcinomas,16 cases (30.8%) of adenocarcinoma,4 cases (7.4%)of adenosquamous carcinoma, 6 cases (11.5%) of small cell lung cancer,3 cases (5.8%) of undifferentiated carcinoma.Conclusion Pulmonary tuberculosis often combine or with lung cancer, makes it’s symptom complex, signs and symptoms signiifcantly increased.Discover the early symptoms, actively improve the relevant examination,early diagnosis, active treatment,can improve the treatment effect.