肺癌合并肺结核52例外科治疗临床分析

doi:10.3969/j.issn.1005-6483.2020.07.014

摘要/Abstract

摘要： 目的探讨肺结核合并肺癌的临床特点及外科治疗策略。
方法 2015年1月～2017年12月我科收治的肺癌合并肺结核手术病人52例，收集病人的临床资料、手术方式、病理类型、肿瘤分期、术后治疗策略及相关并发症。
结果 52例病人中，肺结核稳定期40例，活动期12例。肺叶切除40例，复合肺叶切除4例，全肺切除8例。术前接受抗结核治疗12例，术后同时行抗结核及放化疗者25例。围术期并发症7例，无围术期死亡病例。
结论肺癌合并肺结核首选手术切除肿瘤，术后辅助放化疗及抗结核治疗。肺癌合并活动期肺结核病人，术前应至少抗结核2周。肺癌合并稳定期肺结核病人术后行放化疗同时应接受抗结核治疗，两者可同时进行。

关键词: 肺结核, 肺癌, 肺外科手术, 并发症

Abstract: Objective To investigate the clinical characteristics and surgical treatment of pulmonary tuberculosis complicated with lung cancer.
Methods The clinical data，surgical methods，pathological types，tumor stages，postoperative treatment strategies and related complications of 52 patients with lung cancer complicated with pulmonary tuberculosis admitted to our department from January 2015 to December 2017 were retrospectively analyzed.
Results There were 40 cases of stable tuberculosis and 12 cases of active tuberculosis.There were 40 cases of lobectomy，4 cases of compound lobectomy and 8 cases of total pulmonary resection.Twelve patients received anti-tuberculosis treatment before operation，and 25 patients received anti-tuberculosis and chemoradiotherapy simultaneously after operation.Perioperative complications occurred in 7 cases，and there were no perioperative deaths.
Conclusion Surgical resection is the first choice for lung cancer patients with pulmonary tuberculosis.Patients with lung cancer combined with active pulmonary tuberculosis should be anti-tuberculous for at least 2 weeks before surgery.Patients with lung cancer complicated with stable pulmonary tuberculosis should receive anti-tuberculosis treatment at the same time after radiotherapy and chemotherapy，both of which can be carried out at the same time.

Key words: tuberculosis, lung cancer, pulmonary surgery, complications

汪训豪申磊戴希勇. 肺癌合并肺结核52例外科治疗临床分析[J]. 临床外科杂志, 2020, 28(7): 647-649.

WANG Xunhao, SHEN Lei, DAI Xiyong.. Clinical analysis of 52 patients with lung cancer complicated with pulmonary tuberculosis[J]. JOURNAL OF CLINICAL SURGERY, 2020, 28(7): 647-649.

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