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砜类药问世以前,喉麻风的发生率很高。光田氏等尸检150名麻风患者,有1.3％是喉头狭窄致死的。作者检查许多病人中,发现44名有耳鼻喉科变化,其中喉麻风只有10名,男9名,女1名;年龄30～80岁;病期6～20年。全部患者均有广泛的皮肤及神经病变。最常见的喉部症状是慢性咳嗽(9名)其中8例嘶哑。喉痛2名,呼吸急促1名。这些症状持续时间1～6年。患者均为瘤型麻风,抗麻风治疗2～10年。检查时抗酸杆菌(-)。肉眼所见:10名患者都有会厌肥厚;(弥漫性肥厚6名,部分肥厚4名)。只有1名会厌边缘可见小的、散在性结节。杓状会厌皱襞肿胀5名,杓状部受累4名,这些病损都是单侧的。声带增厚3名
Before the advent of sulfone drugs, the incidence of throat and leprosy was high. Guang Tian’s autopsy and other 150 leprosy patients, 1.3% are throat stenosis. The authors examined many patients and found 44 have otolaryngology changes, of which only throat of leprosy 10, 9 males and 1 female; aged 30 to 80 years; disease period of 6 to 20 years. All patients have extensive skin and neuropathy. The most common symptom of laryngeal was chronic cough (9), of which 8 were hoarse. 2 sore throat, 1 shortness of breath. These symptoms last 1 to 6 years. Patients are leprous leprosy, anti-leprosy treatment of 2 to 10 years. Check acid fast bacilli (-). The naked eye can see: 10 patients have epiglottis hypertrophy; (diffuse hypertrophy 6, some hypertrophy 4). Only one epiglottis marginal visible small, scattered nodules. Civet epiglottis swelling 5, dipper involvement 4, these lesions are unilateral. Vocal thickening 3