Abstract: Object To probe into the relation,diagnosis and treatment of the pulmonary aspergilloma and tuberculosis. Method The data of surgical treatment of 47 pulmonary tuberculosis patients with aspergrilloma were analysed retrospectly. Results 31cases(65.1%) were male patients; 28 cases with more than 5 years histories; 41 cases(87.2% )with serious hemoptysis. Among 47 pulmonary tuberculosis patients with aspergrilloma, 32 cases (68.1%) had confirmed diagnosis before operation. The rate of missed diagnosis is 31.8%. 45 cases( 95.7%)were cured. Two cases(4.2%) died.10 cases have complication of chest infection, pneumonia, bronchi and pleura fistula, pulmonary atelectama, bronchial asthma, respiratory failure, hemorrhagic shock. ConclusionThe pulmonary aspergilloma occurs in the patients with tuberculosis cavitation. The patients still had repeatedly hemoptysis after regular anti-tuberculosis treatment. The rate of missed diagnosis is high. Operation is the best and effective treatment.

Key words: Pulmonary tuberculosis/complication, aspergilloma, Pulmonary tuberculosis/surgical