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新型冠状病毒肺炎（COVID-19）插管后环状软骨坏死的影像学表现

Radiologic Findings of Cricoid Chondronecrosis after Intubation in the Setting of COVID-19.

作者信息

Hassman Bailey, Cayci Zuzan, Misono Stephanie, Gray Raluca

机构信息

Department of Otolaryngology, University of Nebraska Medical Center, Omaha, Nebraska, U.S.A.

Department of Radiology-Nuclear Medicine and Neuroradiology Divisions, University of Minnesota, Minneapolis, Minnesota, U.S.A.

出版信息

Laryngoscope. 2025 Jan;135(1):251-256. doi: 10.1002/lary.31669. Epub 2024 Aug 1.

DOI:10.1002/lary.31669
PMID:39087577
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11635146/
Abstract

This case series examines seven patients diagnosed with cricoid chondronecrosis after intubation in the setting of COVID-19 and presents a novel "cricoid chondronecrosis computed tomography (CT) grading rubric" to standardize reporting of radiological findings. Application of this radiological grading rubric can improve communication among clinicians and radiologists and aid in prognosis determination of patients with cricoid chondronecrosis. Laryngoscope, 135:251-256, 2025.

摘要

本病例系列研究了7例在COVID-19背景下插管后被诊断为环状软骨坏死的患者，并提出了一种新颖的“环状软骨坏死计算机断层扫描（CT）分级标准”，以规范影像学检查结果的报告。这种影像学分级标准的应用可以改善临床医生和放射科医生之间的沟通，并有助于环状软骨坏死患者的预后判定。《喉镜》，第135卷：251 - 256页，2025年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/4db1e357ebba/LARY-135-251-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/29f4749286ab/LARY-135-251-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/6b58be9859c6/LARY-135-251-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/4db1e357ebba/LARY-135-251-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/29f4749286ab/LARY-135-251-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/6b58be9859c6/LARY-135-251-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bcf2/11635146/4db1e357ebba/LARY-135-251-g005.jpg

相似文献

1
Radiologic Findings of Cricoid Chondronecrosis after Intubation in the Setting of COVID-19.新型冠状病毒肺炎（COVID-19）插管后环状软骨坏死的影像学表现
Laryngoscope. 2025 Jan;135(1):251-256. doi: 10.1002/lary.31669. Epub 2024 Aug 1.
2
Cricoid chondronecrosis: a complication of endotracheal intubation.环状软骨坏死：气管插管的一种并发症。
J Ark Med Soc. 2012 Feb;108(9):192-4.
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Cricoid Chondronecrosis: Case Report and Review of Literature.环状软骨坏死：病例报告及文献综述
Ann Otol Rhinol Laryngol. 2020 Jul;129(7):662-668. doi: 10.1177/0003489420904974. Epub 2020 Feb 18.
4
[Chondronecrosis of the cricoid after prolonged intubation (author's transl)].长时间插管后环状软骨坏死（作者译）
Ann Otolaryngol Chir Cervicofac. 1980 Sep;97(9):711-24.
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Chondronecrosis of the cricoid cartilage after intubation. Two case reports.
Eur J Anaesthesiol. 1997 Jul;14(4):461-3. doi: 10.1046/j.1365-2346.1997.00116.x.
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[J. Evan's operation for stenosis caused by cricoid chondronecrosis].
Ann Otolaryngol Chir Cervicofac. 1984;101(3):213-6.
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[Cricoid chondronecrosis after prolonged endotracheal intubation].
J Radiol. 2002 Feb;83(2 Pt 1):161-4.
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Aseptic necrosis of the cricoid: a complication of tracheal intubation.环状软骨无菌性坏死：气管插管的一种并发症。
J Otolaryngol. 1987 Dec;16(6):377-81.
9
Predictive factors of cricoid ring size in adults in relation to acquired subglottic stenosis.
Otolaryngol Head Neck Surg. 1983 Apr;91(2):177-82. doi: 10.1177/019459988309100212.
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Alignment of cricoid cartilage and esophagus and its potential influence on the effectiveness of Sellick maneuver in children.环状软骨与食管的对齐及其对儿童塞利克手法有效性的潜在影响。
Pediatr Emerg Care. 2010 Oct;26(10):722-5. doi: 10.1097/PEC.0b013e3181f39b74.

本文引用的文献

1
Laryngeal dyspnoea and COVID-19.喉源性呼吸困难与新型冠状病毒肺炎
Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Oct;138(5):415-416. doi: 10.1016/j.anorl.2021.03.007. Epub 2021 Mar 18.
2
Factors Associated With Intubation and Prolonged Intubation in Hospitalized Patients With COVID-19.与 COVID-19 住院患者插管和长时间插管相关的因素。
Otolaryngol Head Neck Surg. 2020 Jul;163(1):170-178. doi: 10.1177/0194599820929640. Epub 2020 May 19.
3
Cricoid Chondronecrosis: Case Report and Review of Literature.环状软骨坏死：病例报告及文献综述
Ann Otol Rhinol Laryngol. 2020 Jul;129(7):662-668. doi: 10.1177/0003489420904974. Epub 2020 Feb 18.
4
Imaging appearance of a post-intubation cricoid chondronecrosis.插管后环状软骨坏死的影像学表现。
BJR Case Rep. 2016 Jul 28;2(3):20150442. doi: 10.1259/bjrcr.20150442. eCollection 2016.
5
Selection and placement of oral ventilation tubes based on tracheal morphometry.基于气管形态测量的口腔通气管选择和放置。
Laryngoscope. 2011 Jun;121(6):1225-30. doi: 10.1002/lary.21752. Epub 2011 May 6.