摘要
目的研究探讨老年人晚期肺癌合并肺结核的诊疗方法及效果。方法方便选取该院2013年7月—2015年7月收治的老年晚期肺癌合并肺结核患者60例作为研究对象,回顾性分析患者的基本资料、临床表现、病理特点、影像学诊断结果、临床治疗效果及随访情况等,另取60例同期住院治疗的单纯肺结核患者作为对照,比较临床表现与诊断结果的差异。结果 60例肺癌合并肺结核患者治疗后,6例失访,占10.0%,其余54例患者中,1年内死亡的有34例,占63%,2年内死亡47例,占84.04%,死亡原因与全身转移伴多脏器功能衰竭以及肺部感染等有关,其中3例死亡原因与非肿瘤疾病有关。结论充分把握肺癌合并肺结核患者的临床症状、体征与影像学表现,并给予综合性治疗,有利于提高患者的治疗效果。
Objective To study the diagnosis and treatment of advanced lung cancer complicated with pulmonary tuberculo- sis in elderly patients. Methods 60 elderly patients with advanced lung cancer complicated with pulmonary tuberculosis ad- mitted in our hospital from July 2013 to July 2015 were selected as the subjects. The basic data, clinical manifestations, pathological characteristics, imaging findings, clinical treatment effect and result of follow-up were retrospectively analyzed. The clinical manifestations and diagnostic results were compared with other 60 cases with simple puhnonary tuberculosis hospitalized during the same period. Results After treatment, of the 60 cases with lung cancer and pulmonary tuberculosis, 6 cases were lost to follow-up, accounting for 10.0%; among the remaining 54 cases, 34 cases died within 1 year, account- ing for 63%, 47 cases died within 2 years, accounting for 84.04%. The causes of death are related to systemic metastasis with multiple organ failure and puhnonary infection, which includes 3 deaths relating to non-tumor diseases. Conclusion Fully grasping the clinical symptoms, signs and imaging findings of lung cancer patients with pulmonary tuberculosis com- bined with a comprehensive treatment, is conducive to improving the treatment effect.
出处
《中外医疗》
2016年第9期19-21,共3页
China & Foreign Medical Treatment
关键词
晚期肺癌合并肺结核
老年人
回顾性分析
Advanced lung cancer complicated with pulmonary tuberculosis
Elderly people
Retrospective analysis
