Strepetova T N, Solov'eva T N
Vestn Rentgenol Radiol. 1993 May-Jun(3):23-7.
Case histories of 510 patients operated on for chronic destructive pulmonary tuberculosis and mycetoma are analyzed, as are the findings of examinations of 56 patients with cavitary forms of lung involvement (mostly cavernous and fibrocavernous tuberculosis), whose resected lung and bronchial specimens were inoculated to detect the fungi. X-Ray and tomographic examinations were carried out according to the routine methods. Blood serum IgG antibodies to aspergillosis antigen were determined in the enzyme immunoassay. The pathologic material (sputum, bronchial lavage water) was studied in tissue cultures and the pathomorphologic findings analyzed. An x-ray symptom of the foamy nuclear (septal) structure of pulmonary shifts was revealed, that represents a sort of a pathologic tissue response in one of bronchopulmonary aspergillosis forms. This condition was confirmed by high (over 1:1600) values of enzyme immunoassay with aspergillosis antigen.
分析了510例因慢性破坏性肺结核和肺真菌瘤接受手术治疗患者的病历，以及56例有空洞型肺部受累（主要是空洞性和纤维空洞性肺结核）患者的检查结果，对其切除的肺和支气管标本进行接种以检测真菌。按照常规方法进行X线和断层扫描检查。采用酶免疫测定法测定血清中抗曲霉菌病抗原的IgG抗体。对病理材料（痰液、支气管灌洗水）进行组织培养研究并分析病理形态学结果。发现了肺部移位的泡沫状核（间隔）结构的X线症状，这代表了支气管肺曲霉菌病一种形式中的某种病理组织反应。通过曲霉菌病抗原酶免疫测定的高值（超过1:1600）证实了这种情况。
