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本文对60例麻风(包括LL、BL及BL～LL)分初发、复发及联合化疗后3组各20例的血管病变及其带菌情况作了观察,发现初发及复发患者的血管病变及带菌情况基本相同。新发及复发各3例电镜下观察也基本一致。联合化疗组血管内皮细胞带菌情况明显减少,同时出现ENL或临床下 ENL的情况也较少,但经半年至一年半的联合化疗后部分病例的立毛肌、神经分枝、毛囊及小血管肌层仍残存少量麻风菌,因此残存菌问题仍有待进一步观察。
In this paper, 60 cases of leprosy (including LL, BL, and BL-LL) were diagnosed as primary lesions, relapses, and 20 cases of vascular lesions and their carrier status in 3 groups after combined chemotherapy. The vascular lesions in the primary and recurrent patients were found. The situation with bacteria is basically the same. Three cases of new hair and recurrence were observed under electron microscope. In the combined chemotherapy group, the vascular endothelial cells were significantly reduced, and ENL or clinical ENL was also less frequent. However, after 6 months to a year and a half of combined chemotherapy, piloerection, nerve branches, hair follicles, and small vessel muscles were found in some cases. A small amount of Leprosy remains in the layer, so the problem of residual bacteria remains to be further observed.