颈部异常患者的双进路法声带息肉摘除术

Bi-approach vocal cord polypectomy of neck problem patient

目的对明确有较大的声带息肉而伴有颈部异常（如体胖颈短、颈椎病）的患者，行纤维喉镜或直接喉镜手术困难，探索一种新的手术方式以及初步疗效分析。方法选择38例直径在3mm以上带蒂息肉和广基型息肉的患者，行双进路法声带息肉摘除术，即：纤维喉镜经鼻腔插入作为光导和手术观察窗，弯式声带息肉钳经口腔入喉摘除息肉，必要时用纤维喉镜活检钳修整残留息肉。结果手术均一次成功，术后随访6个月未见复发。结论该术式对有颈部异常患者的声带息肉有临床应用价值。

Objective The patient was diagnosed as bigger vocal cord polyp accom panied with neck problem (Short neck, Cervical spondylosis), operated by fiberlaryn goscope or directed laryngoscope difficulty. The paper explores a new surgical method and analyzes preliminary curative effect. Method It selected 38 cases with diameter more than 3mm pedunculated polyp and sessile polyp, operated by bi-approach vocal cord polypectomy fiberlaryngoscope was inserted via nose as light guide and observation win dow curved vocal cord polyp forceps was inserted via oral cavity to operate. The remain der was operated by fiberlaryngoscope biopsy forceps. Result The operation is success ful and no recurrence after postoperative 6 months. Conclusion The operation is of clinical value to neck problem patient.