本文报告一例喉类肉瘤病引起呼吸道阻塞,未行气管切开术,而用二氧化碳激光治疗成功,且已随访四年无复发。患者系女性,36岁,主诉喉痛二周伴呼吸困难。无外伤史。间接喉镜下见会厌及杓会厌襞明显红肿,声带及假声带均正常。诊断为亚急性会厌炎。服氨苄青霉素及甲强地松龙4周后水肿虽减轻,但会厌肿胀未完全消退。乃行活检,病理诊断为类肉瘤病。后因水肿致声门变小,呼吸急促,检查会厌和杓会厌襞仍有炎症。乃用激光行会厌切除术,同时气化部分杓会厌襞。术后病人清醒,未见呼吸道受阻症 This article reports a case of laryngosarcoma caused by airway obstruction, tracheotomy did not, and the use of carbon dioxide laser treatment was successful, and have been followed up for four years without recurrence. The patient was female, 36 years old, complaining of sore throat with breathing difficulties for two weeks. No history of trauma. Indirect laryngoscopy see epiglottis and scrotum epiglottis obvious swelling, vocal cords and false vocal cords were normal. Diagnosis of subacute epiglottitis. Taking ampicillin and methylprednisolone 4 weeks after the edema relief, but the epiglottis swelling did not completely subsided. Is biopsy, pathological diagnosis of sarcoidosis. After due to edema induced glottal smaller, shortness of breath, check epiglottis and scoop epiglottis still inflammation. Is the laser guild absent surgical removal, while gasification part of the spleen will be tired. After the patient awake, no respiratory obstruction