通过观察声带小结区粘膜波，以探讨小结区不同粘膜波形态在治疗上的指导意义。方法：对１５６ 例声带小结患者进行动态喉镜检查，将小结区粘膜分成３ 种形态，即正常、减弱与消失，并对全部患者进行为期３ 个月的非手术治疗，并随访观察。结果：粘膜波正常、减弱与消失者小结消失率分别为７２ ．１４ ％ 、４０ ％ 、４ ．３５ ％ （ Ｐ＜ ０．０２５）。结论：提示声带粘膜波正常或减弱者可先行非手术方法，粘膜波消失者非手术疗法常不能奏效 By observing the vocal nodules mucosal wave, to explore the tuberosity of different mucosal wave morphology in the treatment of the guiding significance. Methods: Fifty-six patients with vocal nodules underwent dynamic laryngoscopy. The mucosa of the nodules were divided into three groups, normal, weakened and disappeared. All the patients were followed up for 3 months. Results: The mucosal wave was normal, and disappearance rate of disappearance and disappearance were 72. 14%, 40%, 4. 35% (P <0.025). CONCLUSIONS: Tip non-surgical treatment of normal or weak vocal cord mucosal waves, non-surgical treatment of mucosal waves often can not work