Kireeva S G
Arkh Patol. 1978;40(12):33-8.
Bronchi of the lungs resected for tuberculosis were examined histotopographically, morphometrically and immunohistologically. The greatest number of cells in the mucous membrane of the bronchi and the greatest extent of hypertrophy of bronchial glands were found in the stage of progression of lung tuberculosis, while normalization of the quantitative values-in the stage of remission. In the stage of progression the cellular infiltrate was characterized by marked pyroninophilia, abundance of blast cells and antigen specificity; when the process stabilises, plasmocytes are predominant in the infiltrate. In chronic tuberculosis, lymphonodules are frequently found in the bronchial wall. The above morphological signs of hypertrophic bronchitis are regarded as manifestations of immunity reactions (cellular, humoral, secretory) induced by penetration into the bronchi of the antigen-containing detritis from destructive foci.
对因肺结核而切除的肺支气管进行了组织拓扑学、形态计量学和免疫组织学检查。在肺结核进展期,支气管黏膜中的细胞数量最多,支气管腺体肥大程度最大;而在缓解期,各项数值恢复正常。在进展期,细胞浸润的特征是明显的嗜派洛宁性、大量母细胞以及抗原特异性;当病情稳定时,浸润细胞以浆细胞为主。在慢性肺结核中,支气管壁常可见淋巴小结。上述肥厚性支气管炎的形态学征象被视为免疫反应(细胞免疫、体液免疫、分泌免疫)的表现,这些免疫反应是由来自破坏性病灶的含抗原碎屑侵入支气管所诱发的。