最近の喉頭結核症

1）緒言

　最近結核患者数は尚我が国では約500万人と云はれ，国民保健上の主題目ではあるが，種々の特効抗生物質等の出現，其の他の所置により激減した事は周知の事実である。従つて喉頭結核症の出現も最近とみに減少した事は我々が経験する所である。

　事実昨昭和31年は日本，外国文献共に喉頭結核を主題として雑誌上に発表された文献は1編も見当らず，唯後藤光治教授の単行本，「耳鼻咽喉科最近の進歩」内の「ストマイ出現後の喉頭結核」とThomasが4例の喉頭パピロームの報告を行い，其の内2例が結核であつたと報告しいるのみである。

　Hyo and associates summarise their observations on laryngeal tuberculosis for the past years since the advent of streptomycin which has been employed specifically for the treatment of this disease, as follow:

　(1) Laryngeal tuberculosis which appeared to have decreased in incidence for a time seems to be, again, on the increase.

　(2) Aged persons are more prone to the infection.

　(3) Morphologically the lsions appear to be changing from the ugual ulcerative type to that of papillomatous and cancerous in appearance.

　(4) The latter state may be explained by the fact that, due to the efficacy of present method of treatment the resolution of the lesion may be established to simmulate a cure, both subjectively and objectively, without its true realization. Cousequently, the treatments may fall short of the target to be attained with the lesion changing its form into papilloma or tuberculoma only to gain ulcerative area on top of such changes.