颈部粗短或颈椎病患者的喉动态内镜直视法声带息肉摘除术

目的：探讨喉动态内镜直视下声带息肉摘除术对体胖颈部粗短或颈椎病患者的疗效。方法：对42例体胖颈部粗短或颈椎病患者在喉动态内镜直视下，以弯形声带息肉钳经口咽部行声带息肉摘除术，术中并以喉动态镜观察其声带的对称性、规律性、黏膜波动度及声带闭合度，若发现残留息肉，即时可再次修整摘除。结果：手术均一次成功，无一例发生并发症。术后随访未见复发，音声恢复良好。结论：该术式对体胖颈部粗短或颈椎病患者的声带息肉摘除具有临床应用价值。

Vocal cord polypectomy of patient with thick and short neck using laryngostroscope under direct vision

Objective:To seek a new operation and objective assessment of curative effect for the patients with polyp of vocal cord while with thick and short neck.Method: The polypectomy in 42 cases was conducted using bent forceps by pharyngeal area under direct vision with laryngostroscope. The symmetry, regularity, mucosal wave, and glotta closure was surveyed by endo stroboscope in the process of the operation. If vestigial polyp was present, repair and removement could be promptly finished again.Result:All operations were successful at one time.On the basis of comparative analysis with pre and post operation electroglottograms, its curative effect was objectively evaluated. Elapse was not found by post operation follow up survey, and euphonia was listened.Conclusion: The operation method has clinical application value for the vocal cord polypectomy in patients with thick and short neck.