基于CT的喉部骨折类型及相关软组织异常的评估研究  

CT Based A ssessment of Lar yngeal Fracture Types and Associated Soft Tissue Abnormalities

作　　者：周仁德 何鹏[2] ZHOU Ren-de;HE Peng(Department of Dermatology and Cosmetology,Kaizhou District Hospital of Traditional ChineseMedicine,Chongqing 405400,China;School of Basic Medicine,Chongqing University,Chongqing 415000,China)

机构地区：[1]重庆市开州区中医院皮肤美容科,重庆开州405400 [2]重庆大学基础医学院,重庆渝中415000

出　　处：《中国CT和MRI杂志》2024年第9期41-43,共3页Chinese Journal of CT and MRI

基　　金：2022年度重庆市自然科学基金面上项目(CSTB2022NSCQ-MSX0360)。

摘　　要：目的本研究基于CT的喉部骨折类型及相关软组织异常评估,以期为临床诊治提供参考。方法回顾性分析本院于2018年9月-2023年9月期间收治的接受CT诊断的55例喉部骨折患者临床资料,记录患者影像表现,包括喉和舌骨软骨结构骨折,以及软组织异常,包括局灶性血肿、非局灶性出血的水肿和额外穿透伤,骨折类型出现频率等。结果甲状软骨骨折发生率最高(45/55),环状软骨骨折发生率次之(13/55),舌骨骨折发生率为8/55。55例患者中有12例出现多部位骨折,其中8例发生甲状腺环骨骨折,2例发生甲状腺-舌骨骨折。大多数多部位骨折发生时伴有局灶性声门上血肿(10/12)、声门上水肿和非局灶性出血(11/12)和局灶性声门下血肿(5/12)。所有13例环软骨骨折均伴有局灶性声门上血肿(7)、局灶性声门下血肿(4)或水肿合并非局灶性出血(13)。结论甲状软骨骨折是最常见的骨折,其次是环状软骨骨折。环状软骨骨折多伴有软组织异常。识别喉部创伤的骨折模式和软组织损伤的相关模式对于早期诊断这些情况和减少相关的发病率非常重要。Objective This study evaluated the types of laryngeal fractures and related soft tissue abnormalities based on CT in order to provide reference for clinical diagnosis and treatment.Methods The clinical data of 55 patients with laryngeal fracture diagnosed by CT admitted to our hospital from September 2018 to September 2023 were retrospectively analyzed.The imaging findings of the patients were recorded,including laryngeal and hyoid cartilage structure fractures,as well as soft tissue abnormalities,including focal hematoma,edema with non-focal bleeding and additional penetrating injury,and the frequency of fracture types.Results The incidence of thyroid fracture was the highest(45/55),followed by cricoid fracture(13/55),and hyoid fracture was 8/55.Of the 55 patients,12 had multiple site fractures,of which 8 had thyroid-ring fractures and 2 had thyroid-hyoid fractures.Most multisite fractures occur with focal supraglottic hematoma(10/12),supraglottic edema and nonfocal bleeding(11/12),and focal subglottic hematoma(5/12).All 13 cases of cyclocartilage fracture were accompanied by focal supraglottic hematoma(7),focal subglottic hematoma(4),or edema with non-focal bleeding(13).Conclusion Thyroid fracture is the most common fracture,followed by cricoid fracture.Fractures of cricoid cartilage are often accompanied by soft tissue abnormalities.Identifying fracture patterns of laryngeal trauma and associated patterns of soft tissue injury is important for early diagnosis of these conditions and reduction of associated morbidity.

关 键 词：喉部骨折 环状软骨骨折 喉部CT 喉部软组织异常 

分 类 号：R683[医药卫生—骨科学]