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
2014年
3期
180-183,封2
,共5页
李建业%严景民%刘红明%孙斌%郭和清%王建昌%周高标%穆大为%姚志勇
李建業%嚴景民%劉紅明%孫斌%郭和清%王建昌%週高標%穆大為%姚誌勇
리건업%엄경민%류홍명%손빈%곽화청%왕건창%주고표%목대위%요지용
输尿管镜检查%肾结石%合格鉴定%飞行员
輸尿管鏡檢查%腎結石%閤格鑒定%飛行員
수뇨관경검사%신결석%합격감정%비행원
Ureteroscopy%Kidney calculi%Eligibility determination%Pilots
目的 观察输尿管软镜治疗单座歼击机飞行员肾脏小结石的疗效. 方法 回顾分析2009年12月至2012年4月我院采用输尿管软镜诊疗的3例单座歼击机飞行员肾脏小结石患者病历资料及随访情况. 结果 患者均为男性,年龄分别为23岁、25岁及27岁.左肾结石1例,右肾结石2例,术前CT提示结石长径0.2～0.4 cm.3例患者均为年度体检行超声检查时发现,无腰腹疼痛、尿路刺激症状及肉眼血尿.3例患者行输尿管软镜检查,其中2例明确为肾乳头钙化,未行特殊干预;1例为肾脏小结石合并肾乳头钙化,采用钬激光光纤将结石击碎,术后结石碎屑经尿路排出.3例患者术后均恢复良好,准予飞行.术后随访6～22个月,随访期间患者均安全飞行,复查CT肾乳头钙化斑无明显变化. 结论 对于单座歼击机飞行员肾脏小结石,输尿管软镜是安全有效的诊疗手段,可帮助飞行员重返飞行岗位,避免停飞或改飞其他机种(型).
目的 觀察輸尿管軟鏡治療單座殲擊機飛行員腎髒小結石的療效. 方法 迴顧分析2009年12月至2012年4月我院採用輸尿管軟鏡診療的3例單座殲擊機飛行員腎髒小結石患者病歷資料及隨訪情況. 結果 患者均為男性,年齡分彆為23歲、25歲及27歲.左腎結石1例,右腎結石2例,術前CT提示結石長徑0.2～0.4 cm.3例患者均為年度體檢行超聲檢查時髮現,無腰腹疼痛、尿路刺激癥狀及肉眼血尿.3例患者行輸尿管軟鏡檢查,其中2例明確為腎乳頭鈣化,未行特殊榦預;1例為腎髒小結石閤併腎乳頭鈣化,採用鈥激光光纖將結石擊碎,術後結石碎屑經尿路排齣.3例患者術後均恢複良好,準予飛行.術後隨訪6～22箇月,隨訪期間患者均安全飛行,複查CT腎乳頭鈣化斑無明顯變化. 結論 對于單座殲擊機飛行員腎髒小結石,輸尿管軟鏡是安全有效的診療手段,可幫助飛行員重返飛行崗位,避免停飛或改飛其他機種(型).
목적 관찰수뇨관연경치료단좌섬격궤비행원신장소결석적료효. 방법 회고분석2009년12월지2012년4월아원채용수뇨관연경진료적3례단좌섬격궤비행원신장소결석환자병력자료급수방정황. 결과 환자균위남성,년령분별위23세、25세급27세.좌신결석1례,우신결석2례,술전CT제시결석장경0.2～0.4 cm.3례환자균위년도체검행초성검사시발현,무요복동통、뇨로자격증상급육안혈뇨.3례환자행수뇨관연경검사,기중2례명학위신유두개화,미행특수간예;1례위신장소결석합병신유두개화,채용화격광광섬장결석격쇄,술후결석쇄설경뇨로배출.3례환자술후균회복량호,준여비행.술후수방6～22개월,수방기간환자균안전비행,복사CT신유두개화반무명현변화. 결론 대우단좌섬격궤비행원신장소결석,수뇨관연경시안전유효적진료수단,가방조비행원중반비행강위,피면정비혹개비기타궤충(형).
Objective To evaluate the therapeutic effect of flexible ureteroscopy in the treatment of small kidney stones in single-seat fighter pilots.Methods We retrospectively analyzed the clinical records and follow-up data of 3 male single-seat fighter pilots (respectively aged 23,25 and 27 yr),who accepted flexible ureteroscopy diagnosis and treatment for small kidney stones in our hospital from December 2009 to April 2012.Results There were 1 case of small stone in left kidney and 2 in right.The CT scan showed that the lengths of the stones were ranged from 0.2-0.4 cm.All stone cases were diagnosed in annual health examination.Neither flank pain,urinary irritation symptoms nor visible hematuria was found in all patients.By means of flexible ureteroscopy,2 patients were diagnosed as renal papilla calcifications and 1 was diagnosed as kidney stone accompany with renal papilla calcification.The kidney stone was shattered by the holmium laser.3 patients recovered well and were permitted to fly.The 6-22 months follow-up indicated that all patients flied safely and the recheck of CT scan showed that the renal papilla calcification did not change anymore.Conclusions Flexible ureteroscopy is a safe and effective therapeutic method for treating small kidney stones in single-seat fighter pilots.It can help the pilots recovering to flight,then avoiding pilot grounding or aircraft transition.
