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扁桃体与免疫防御功能密切相关。以往对扁桃体中 T 细胞,B 细胞及补体成分的分布研究较多,至于细菌性抗原的分布则报告较少。作者对36例(慢性扁桃炎32,病灶扁桃2,扁桃肥大2)摘除的扁桃体,用免疫过氧化物酶技术以确定术前培养阳性率最高的甲型化脓性链球菌(12/36)和流感嗜血杆菌(11/36)两种抗原在组织内的分布,并探讨培养与组织检查的细菌发现率等问题,结果如下:(1)细菌菌体的颗粒状物主要分布在隐窝内、自上皮表层至基底部的上皮内和上皮下的多核、单核白细胞的胞质内。(2)细菌抗原,在隐窝上皮内及上皮下各型单核细胞的胞质内可见阳性抗原,各例的刚性细胞数从几个到许多不等,而在部位上无差异;淋巴细胞间隙内也能见到呈阳性的网状或颗粒状物,有的病例
Tonsils and immune defenses are closely related. In the past, there were many studies on the distribution of T cells, B cells and complement components in tonsils, but few reports on the distribution of bacterial antigens. The author of 36 cases (chronic tonsillitis 32, the lesion Almond 2, almond 2 hypertrophy) removal of the tonsils, with immunoperoxidase technology to determine the preoperative culture of the highest positive rate of S. pyogenes (12/36) and Haemophilus influenzae (11/36) distribution of the two antigens in the tissue, and to explore culture and tissue examination of the rate of bacterial problems, the results are as follows: (1) bacterial cells are mainly distributed in the crypt within the nest , Within the cytoplasm of epithelial and sub-epithelial multinuclear, mononuclear leukocytes from the epithelial surface to the basal part. (2) Bacterial antigens showed positive antigens in the cytoplasm of mononuclear cells in the crypt epithelium and in the subepithelium. The number of rigid cells in each case ranged from several to many, but there was no difference in the sites. Lymphocytes Gaps can also see the positive reticular or granular material, and some cases