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[成人腋窝、颈部、髂部及肠系膜淋巴结结构与退化性变化的区域特征]

[Regional characteristics of the structure and involutional changes in the axillary, cervical, iliac and mesenteric lymph nodes in adults].

作者信息

Triasuchev P M

出版信息

Arkh Anat Gistol Embriol. 1983 Apr;84(4):38-44.

PMID:6870558
Abstract

A morphometrical and cytological investigation of the lymph nodes has been performed including somatic (axillary), cavitary (mesenteric) and intermediate nodes that get their lymph both from the somatic and from the visceral organs--nodes of the neck and pelvis. Regional and individual peculiarities of the lymph nodes construction (degree of development compartmentalization of the cortical lymphatic substance, follicular density unit, architectonics and the trabecular apparatus maturation, sinus capacity) can be characterized within the limits of three morphofunctional types: compact, fragmented and focal. The human axillary lymph nodes (taking into account certain individual peculiarities) have their structural organization within the interval the compact--fragmented types. The structural organization of the mesenteric nodes corresponds to the interval the fragmented--focal types. The construction of the common iliac nodes individually varies within the interval the fragmented--focal types. The inferior deep cervical lymph nodes are mainly of the fragmented type. An essential part of the lymph nodes in a mature person has immuno-reactive or involutive changes. In the iliac and cervical nodes, hyperplasia of the lymphoid tissue, especially in the medullary cords, is observed more often than in the somatic and the cavitary nodes. Cellular composition of the human mesenteric and cervical lymph nodes is more variable than in the axillary and iliac nodes. Evidently, this reflects the fact that the former group gets a more antigen-saturated lymph than the axillary and iliac nodes.

摘要

已对淋巴结进行了形态计量学和细胞学研究,包括躯体性(腋窝)、腔性(肠系膜)以及从躯体和内脏器官获取淋巴的中间淋巴结——颈部和盆腔的淋巴结。淋巴结结构的区域和个体特点(皮质淋巴物质的发育分隔程度、滤泡密度单位、结构和小梁装置成熟度、窦容量)可在三种形态功能类型范围内进行描述:致密型、碎粒型和灶型。人类腋窝淋巴结(考虑到某些个体特点)其结构组织处于致密型至碎粒型区间内。肠系膜淋巴结的结构组织对应于碎粒型至灶型区间。髂总淋巴结的结构个体差异处于碎粒型至灶型区间内。颈深下淋巴结主要为碎粒型。成熟个体中相当一部分淋巴结有免疫反应性或退化性变化。在髂部和颈部淋巴结中,淋巴组织增生,尤其是在髓索中,比在躯体性和腔性淋巴结中更常见。人类肠系膜和颈部淋巴结的细胞组成比腋窝和髂部淋巴结更具变异性。显然,这反映了一个事实,即前一组淋巴结比腋窝和髂部淋巴结接收的淋巴中抗原饱和度更高。

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