Zerbino D D, Vyrenkov Iu E, Fis'kova L B
Arkh Patol. 1981;43(7):45-50.
The nature of transformations in the renal lymphatic system in the clinical pathology of the kidneys, mainly in the final stage of chronic glomerulonephritis, hypertension, atherosclerosis, hydronephrotic transformation (45 autopsy kidneys) is demonstrated. The controls consisted of kidneys from patients dying with non-renal pathology (12 organs). In the final stages of the above diseases progressive reduction of the intraorgan lymphatic capillaries and vessels with simultaneous marked vascularization of the fibrous renal capsule due to an increase in the amount of lymphatic capillaries (their growth) and formation of new abducting lymph stems, numerous anastomoses between them, as well as distention in the vessel lumens and the development of varicosis of the wall. These morphological changes indicate high plastic properties of the lymphatic system and its role in the retention of the renal function in developing "local" lymph congestions in the organ because of outgrowth of the connective tissue. On the other hand, they are universal and reflect the time course of the progress.
阐述了肾脏临床病理学中肾脏淋巴系统的转变性质，主要是在慢性肾小球肾炎、高血压、动脉粥样硬化、肾积水转变（45例尸检肾脏）的终末期。对照组为死于非肾脏病变患者的肾脏（12个器官）。在上述疾病的终末期，器官内淋巴管和血管逐渐减少，同时由于淋巴管数量增加（淋巴管生长）以及新的引流淋巴干形成、它们之间大量吻合，纤维性肾包膜出现明显血管化，血管腔扩张以及管壁静脉曲张。这些形态学变化表明淋巴系统具有高度可塑性，并且在器官因结缔组织增生而出现“局部”淋巴充血时，淋巴系统在维持肾功能方面发挥作用。另一方面，这些变化具有普遍性，反映了病程的进展。
