声带小结、声带息肉是喉部的常见病,既往一般采用在直达喉镜或间接喉镜下手术摘除。这些方法技术要求高,病人痛苦大,对个别咽反射敏感、张口困难、脖颈粗短、声门暴露差,肿瘤直径小者(在3mm以下)手术很难完成。我院自1993年起开始在纤维支气管镜下摘除声带小结和息肉,均获得成功。报告如下1.资料与方法1·1 一般资料 68例患者男30例,女38例,年龄16～62岁。声带小结39例,声带息肉29例。1·2 手术方法 术前6小时禁饮食,术前半小时肌注阿托品0.5mg,鲁米那钠0.2g。麻醉采用1％的卡因粘膜表面麻醉。选择较宽大一侧鼻腔,放置1％的卡 Vocal nodules, vocal cord polyp is a common disease of the throat, the past generally used in direct laryngoscopy or indirect laryngoscope surgery removed. These methods require high technology, patients with pain, sensitive to individual pharyngeal reflex, mouth opening, stubby neck, poorly exposed glottis, tumor diameter smaller (below 3mm) surgery is difficult to complete. In our hospital since 1993, the removal of vocal nodules and polyps under fiberoptic bronchoscopy have been successful. The report is as follows 1. Materials and methods 1.1 General Information 68 patients with 30 males and 38 females, aged 16 to 62 years. Vocal nodules in 39 cases, vocal cord polyps in 29 cases. 1.2 surgical methods 6 hours before surgery forbidden diet, half an hour before surgery intramuscular injection of atropine 0.5mg, 0.2ml sodium luminal. Anesthesia with 1% caffeine mucosal surface anesthesia. Choose a wider side of the nasal cavity, place 1% of the card