Nesvetov A M, Krylova E A, Zelmanovich V P, Gokhberg V P
Vestn Rentgenol Radiol. 1994 Jul-Aug(4):11-6.
Clinical and x-ray examinations and study of operation material from 555 patients with local forms of tuberculosis permitted the authors to distinguish three form of the condition: tuberculoma (77% of cases), cavitary (cavernous) tuberculosis (16%), and tuberculosis of the bronchi (5%). Morphologic investigations showed the local tuberculosis develops at small sites of pulmonary tissue hypoplasia. Sites of hypoplasia are usually concentrated in the pulmonary segments which are formed in the postnatal period, thus explaining the typical localization of a postprimary tuberculous focus. Tissue decomposition with development of destruction cavities is not characteristic of local tuberculosis. Cavitary (cavernous) form is a morphologic reflection of a tuberculous inflammation in the zone of cestous hypoplasia. Morphonesis of local forms of tuberculosis reflects its social dependence.
对555例局限性肺结核患者进行的临床、X线检查及手术材料研究，使作者能够区分出三种病情形式：结核瘤（77%的病例）、空洞性（海绵状）肺结核（16%）和支气管结核（5%）。形态学研究表明，局限性肺结核在肺组织发育不全的小部位发展。发育不全部位通常集中在出生后形成的肺段，从而解释了原发性后结核病灶的典型定位。伴有破坏空洞形成的组织分解并非局限性肺结核的特征。空洞性（海绵状）形式是结核性炎症在发育不全区域的形态学反映。局限性肺结核的形态发生反映了其社会依赖性。
