目的　探讨声带切断术治疗双侧声带外展的临床效果。方法　对 4例双侧声带外展麻痹 ,声门裂约 2 - 2 5mm患者作单侧声带切除术 ,并随访一年。结果　全部 4例均在术后一周阻管 ,安静及轻微活动后均无呼吸困难 ,发声较术前嘶哑。带管出院 3个月后拔管。随访一年 ,呼吸正常 ,发声略嘶哑 ,但语言清晰。结论　声带切除术可作为治疗双侧声带外展麻痹的一种方法 Objective To investigate the clinical effect of vocal cord incision in treatment of bilateral vocal cord abduction. Methods Unilateral vocal cordctomy was performed in 4 patients with bilateral vocal cord abduction and stenosis of 2 - 2 5 mm, followed up for one year. Results All four cases were obstructed in one week after operation, and no dyspnea was found after quiet and slight activity. With tube discharge 3 months after extubation. One year follow-up, normal breathing, slightly hoarse voice, but the language is clear. Conclusions Vocal cordctomy can be used as a treatment for bilateral vocal cord abduction