Huang Z, Han D, Bian Y
Beijing Tongren Hospital.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(6):371-2.
Sixteen patients with the decannulation difficulty after vertical laryngectomy were treated by endoscopic CO2 laser. The rate of decannulation was 87.5% (14/16). The curative effect was stable after 1-3 years. The causes of the decannulation difficulty included the over growth of granulation tissue, scar formation and bulky of the muscle flap. The result showed that endoscopic CO2 laser is an effective modality in the treatment of the decannulation difficulty after vertical laryngectomy.
对16例垂直喉切除术后拔管困难的患者采用内镜下二氧化碳激光治疗。拔管率为87.5%（14/16）。1 - 3年后疗效稳定。拔管困难的原因包括肉芽组织过度生长、瘢痕形成和肌瓣臃肿。结果表明，内镜下二氧化碳激光是治疗垂直喉切除术后拔管困难的一种有效方法。
