摘要
目的探讨肺结核合并肺癌的临床症状及影像学特征,为临床防止肺结核患者漏诊肺癌提供参考建议。方法选取经病理学检查证实为肺癌合并肺结核的80例患者作为肺癌组,另选取经纤维支气管镜检查证实为单纯肺结核的80例患者作为肺结核组。查阅两组的病历学资料、影像学资料等,比较两组患者的临床症状、计算机断层扫描(CT)检查影像学特征和CT扫描情况。结果肺癌组患者吸烟指数≥400、咳嗽、体重减轻、血性胸腔积液发生率均高于肺结核组患者,分叶征、毛刺征、边界不清检出率均高于肺结核组患者,差异均有统计学意义(P﹤0.05)。肺癌组患者的CT平扫增强幅度值大于肺结核组患者,差异有统计学意义(P﹤0.05);但两组患者病灶平扫CT均值比较,差异无统计学意义(P﹥0.05)。结论与单纯肺结核相比,肺结核合并肺癌具有更高的咳嗽、体重减轻、血性胸腔积液发生率,患者吸烟占比更高,CT平扫增强幅度更大,病灶的分叶征、毛刺征、边界不清检出率更高。
Objective To explore the clinical symptoms and imaging features of pulmonary tuberculosis combined with lung cancer,and to provide reference suggestions for clinical prevention of missed diagnosis of lung cancer in patients with pulmonary tuberculosis.Method 80 patients with lung cancer and pulmonary tuberculosis confirmed by pathological examination were selected as the lung cancer group,and 80 patients with pulmonary tuberculosis confirmed by fiberoptic bronchoscopy were selected as the pulmonary tuberculosis group.Consult the medical records and imaging data of the two groups,and compare the clinical symptoms,imaging features,and computed tomography(CT)scans of the two groups of patients.Result The incidence of smoking index≥400,cough,weight loss and bloody pleural effusion in the lung cancer group were higher than those in the pulmonary tuberculosis group,and the detection rates of lobulation sign,prickle sign and unclear boundary were higher than those in the pulmonary tuberculosis group(P<0.05).The CT scan enhancement amplitude value of the lung cancer group was greater than that of the pulmonary tuberculosis group,the difference was statistically significant(P<0.05).However,there was no statistically significant difference in the mean CT scan of the two groups of patients(P>0.05).Conclusion Compared with tuberculosis alone,tuberculosis combined with lung cancer has a higher incidence of cough,weight loss,and bloody pleural effusion.Patients have a higher proportion of smoking,CT scan enhancement is greater,and detection rate of lobular signs,burr signs and borders is higher.
作者
赵长生
张全海
张康
ZHAO Changsheng;ZHANG Quanhai;ZHANG Kang(Department of Respiratory Medicine,the Sixth People’s Hospital of Nanyang City,Nanyang 473000,He’nan,China)
出处
《癌症进展》
2020年第14期1462-1465,共4页
Oncology Progress
关键词
肺结核
肺癌
影像学特征
漏诊
tuberculosis
lung cancer
imaging feature
missed diagnosis
