目的 :探讨肺结核合并肺癌的外科治疗效果 ;方法 :1993～ 2 0 0 0 ,对 3 9例患者行肺切除术 3 4例 ,剖胸探查 5例 ,手术前、后辅以化、放疗及介入治疗 2 3例 ;结果 :肺切除 3 4例 ,3、5年生存率分别为 63 .6%、2 0 .6%、11.8%。结论 :外科手术治疗为肺结核合并肺癌的主要治疗方法 ,其近期效果满意。 Objective: To investigate the effect of surgical treatment of pulmonary tuberculosis combined with lung cancer. Methods: From 1993 to 2000, 39 cases of lung resection were performed in 34 cases, 5 cases were examined by exploratory thoracotomy, and chemotherapy, radiotherapy, and intervention were added before and after the operation. Twenty-three patients were treated; the results were: lung resection in 34 patients. The 3-year and 5-year survival rates were 63.6%, 20.6%, and 11.8%, respectively. Conclusion: Surgical treatment is the main treatment method for pulmonary tuberculosis combined with lung cancer, and its short-term effect is satisfactory.