中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2011年
4期
274-277
,共4页
罗久伟%徐先荣%马晓莉%张扬
囉久偉%徐先榮%馬曉莉%張颺
라구위%서선영%마효리%장양
鼻窦炎%鼻窦肿瘤%体格检查%合格鉴定
鼻竇炎%鼻竇腫瘤%體格檢查%閤格鑒定
비두염%비두종류%체격검사%합격감정
Sinusitis%Paranasal sinus neoplasms%Physical examination%Eligibility determination
目的 比较飞行人员年度体检(又称大体检)和特殊体检(如航天员临床医学选拔)鼻窦炎和鼻窦囊肿的特点,为规范飞行人员鼻科体检方法提供依据. 方法 回顾分析9312名飞行人员疗养大体检(大体检组)、151名飞行员特殊体检(特殊体检组)的鼻科体检资料.大体检时依据病史行鼻镜检查,必要时行鼻窦数字化摄影(digital radiography,DR)检查；特殊体检鼻科体检时,全部行鼻窦CT扫描.对两组人员患鼻窦炎和鼻窦囊肿的资料进行对比分析. 结果 ①大体检组飞行人员中,鼻窦炎170例,占1.8％(170/9312)；需要治疗者90例,占1.0％(90/9312).特殊体检组飞行员中,鼻窦炎22例,占14.6％(22/151)；需要治疗者2例,占1.3％(2/151).②大体检组飞行人员中,鼻窦囊肿112例,占1.2％( 112/9312)；特殊体检组飞行员中,鼻窭囊肿18例,占11.9％(18/151),囊肿均无需治疗.③大体检组鼻窦炎、鼻窦囊肿的检出率均低于特殊体检组(x2=120.11、125.98,P＜0.01)；但鼻窦炎需要治疗者,两组所占比例没有显著差异. 结论 飞行人员疗养大体检鼻科检查时,依据病史行鼻镜和鼻内镜检查,必要时行鼻窦X线、CT等影像学检查可满足诊断需求；但特殊体检鼻科检查时,应全部行鼻窦CT扫描,才能满足诊断和医学鉴定需求.
目的 比較飛行人員年度體檢(又稱大體檢)和特殊體檢(如航天員臨床醫學選拔)鼻竇炎和鼻竇囊腫的特點,為規範飛行人員鼻科體檢方法提供依據. 方法 迴顧分析9312名飛行人員療養大體檢(大體檢組)、151名飛行員特殊體檢(特殊體檢組)的鼻科體檢資料.大體檢時依據病史行鼻鏡檢查,必要時行鼻竇數字化攝影(digital radiography,DR)檢查；特殊體檢鼻科體檢時,全部行鼻竇CT掃描.對兩組人員患鼻竇炎和鼻竇囊腫的資料進行對比分析. 結果 ①大體檢組飛行人員中,鼻竇炎170例,佔1.8％(170/9312)；需要治療者90例,佔1.0％(90/9312).特殊體檢組飛行員中,鼻竇炎22例,佔14.6％(22/151)；需要治療者2例,佔1.3％(2/151).②大體檢組飛行人員中,鼻竇囊腫112例,佔1.2％( 112/9312)；特殊體檢組飛行員中,鼻窶囊腫18例,佔11.9％(18/151),囊腫均無需治療.③大體檢組鼻竇炎、鼻竇囊腫的檢齣率均低于特殊體檢組(x2=120.11、125.98,P＜0.01)；但鼻竇炎需要治療者,兩組所佔比例沒有顯著差異. 結論 飛行人員療養大體檢鼻科檢查時,依據病史行鼻鏡和鼻內鏡檢查,必要時行鼻竇X線、CT等影像學檢查可滿足診斷需求；但特殊體檢鼻科檢查時,應全部行鼻竇CT掃描,纔能滿足診斷和醫學鑒定需求.
목적 비교비행인원년도체검(우칭대체검)화특수체검(여항천원림상의학선발)비두염화비두낭종적특점,위규범비행인원비과체검방법제공의거. 방법 회고분석9312명비행인원요양대체검(대체검조)、151명비행원특수체검(특수체검조)적비과체검자료.대체검시의거병사행비경검사,필요시행비두수자화섭영(digital radiography,DR)검사；특수체검비과체검시,전부행비두CT소묘.대량조인원환비두염화비두낭종적자료진행대비분석. 결과 ①대체검조비행인원중,비두염170례,점1.8％(170/9312)；수요치료자90례,점1.0％(90/9312).특수체검조비행원중,비두염22례,점14.6％(22/151)；수요치료자2례,점1.3％(2/151).②대체검조비행인원중,비두낭종112례,점1.2％( 112/9312)；특수체검조비행원중,비구낭종18례,점11.9％(18/151),낭종균무수치료.③대체검조비두염、비두낭종적검출솔균저우특수체검조(x2=120.11、125.98,P＜0.01)；단비두염수요치료자,량조소점비례몰유현저차이. 결론 비행인원요양대체검비과검사시,의거병사행비경화비내경검사,필요시행비두X선、CT등영상학검사가만족진단수구；단특수체검비과검사시,응전부행비두CT소묘,재능만족진단화의학감정수구.
Objective To compare the detection effects between annual physical examination and the special examination (eg.clinical screening for astronaut) for flying personnel on diagnosing sinusitis and sinus cyst and to provide reference for standardizing nasal examination. Methods The medical data of annual physical examination group and special examination group,where contained 9312 and 151 cases respectively,were reviewed and the detection of sinusitis and sinus cyst was compared.In annual physical examination,nasal endoscopy and digital radiography (DR) were applied if necessary while CT scan was used in special nasal examination. Results ① In annual physical examination group,there were 1.8％ sinusitis cases (170/9312) and 1.0％ (90/9312) cases needed treatment.In special physical examination group,sinusitis cases took 14.6％ (22/151) and 1.3％ (2/151) cases needed treatment.② Sinus cysts case was accounted for 1.2％ (112/9312) in annual physical examination group,comparing with 11.9 ％ ( 18/151) in special physical examination group.No treatment needed for all sinus cyst cases.③ The detection rate of sinusitis and sinus cyst was lower in annual physical examination group than that in special physical examination group (x2 =120.11,125.98,P＜0.01),but the cases of no treating need sinusitis were not significantly different between two groups. Conclusions In annual physical examination,the sinusitis and sinus cyst would be detected by means of rhino-scope or nasal endoscope,even sinus X-ray and CT scan if necessary based on medical history checking.However,in special physical examination CT scan is indispensable for diagnosis and medical evaluation.
