Vinokurov I I, Argunov V A, Nikolaev Iu Ia, Plotnikova N V
Probl Tuberk Bolezn Legk. 2006(7):44-7.
The clinical and morphological features of pulmonary tuberculomas were studied in 205 patients among the naives and newcomers of the Far North. It was established that the lymphohematogenous spread of tuberculosis involving mainly the lymphatic system into the inflammatory process predominates in the genesis of tuberculomas under the conditions of the Far North. At the same time the lymphatic genesis of tuberculosis was found to affect the development of pulmonary tuberculomas in 60% of cases among the native patients. In most patients, the afflicted intrathoracic lymph nodes became a source of retrograde dissemination of tuberculosis in the lung. Tuberculomas were chiefly unilateral and in 56.7% of cases they were located in the lower portions of the lung in the presence of significant fibrosis. The lymphohematogenous spread of tuberculous infection was a cause of pulmonary tuberculomas in most (72.9%) newcomers on adapting to the conditions of the Far North. In most cases, tuberculomas were formed from a newly appeared tuberculous focus in the presence of intact lung tissue and located in the upper portions of both lungs. The formed tuberculomas had no extensive focal dissemination and were present within the anatomic structure of one or two segments of the lung.
对远北地区初来者和新居民中的205例患者的肺结核球临床及形态学特征进行了研究。结果表明，在远北地区条件下，肺结核主要通过淋巴系统进行血行播散，在炎症过程中占主导地位，这在结核球的发生中起主要作用。同时发现，当地患者中60%的病例，结核的淋巴源性影响了肺结核球的发展。在大多数患者中，受累的胸内淋巴结成为肺部结核逆行播散的来源。结核球主要为单侧性，56.7%的病例位于肺下部，伴有明显纤维化。在大多数（72.9%）适应远北地区条件的新居民中，结核感染的血行播散是肺结核球的病因。在大多数情况下，结核球由新出现的结核病灶形成，此时肺组织完整，位于两肺上部。形成的结核球无广泛的局灶性播散，位于肺的一个或两个节段的解剖结构内。
