肺结核合并肺癌67例临床特征分析

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Abstract Objective To analyze the clinical characteristics of pulmonary tuberculosis patients complicated with lung cancer,in order to provide reference for early diagnosis of pulmonary tuberculosis complicated with lung cancer.Methods 67 cases of pulmonary tuberculosis patients complicated with lung cancer in Inner Mongolia Autonomy No.4 Hospital from January 2011 to May 2016 were selected as observation group,60 patients with tuberculosis admitted in the same period was selected as control group.The clinical characteristics,pulmonary CT imaging findings,tumor markers of two groups were retrospectively analyzed.Results The occurrence of irritating dry cough,progressive dyspnea,voice hoarse,fatigue and night sweats,chest pain clinical manifestations had no significant difference between two groups(P> 0.05);the occurrence of haemoptysis in the control group was significantly higher than that in the observation group(P＜0.05).The incidence of bilateral upper lobe lesions showed by lung CT in the control group was significantly higher than that in the observation group (P＜0.05).The expression of CEA,NSE,CYFRA21-1 of the observation group was significantly higher than that of the control group(P<0.05);the expression of CA125 of the control group was obviously higher than that of the observation group (P<0.05).Conclusion There is no significant difference in clinical manifestation between pulmonary tuberculosis patients complicated with lung cancer and pure tuberculosis patients.Fully grasping the pulmonary CT imaging findings and tumor markers of pulmonary tuberculosis patients complicated with lung cancer is conducive to improve early diagnosis and treatment.

Key words： Pulmonary tuberculosis Lung cancer Pulmonary CT Tumor markers

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I9/46

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