飞行员听神经瘤伽马刀治疗后复飞1例并文献复习  

Acoustic neuroma in pilots who re-flied after gamma knife treatment: A case report and literature review

作　　者：徐骋[1] 汪斌如[2] 张力伟[1] 徐先荣[2] 张扬[2] 金占国[2] 

机构地区：[1]首都医科大学附属天坛医院神经外科,北京100050 [2]空军总医院全军临床航空医学中心,航空航天眩晕诊疗研究中心,北京100142

出　　处：《解放军医学院学报》2014年第4期388-391,F0003,共5页Academic Journal of Chinese PLA Medical School

基　　金：国家"十二五"科技支撑计划课题(2012BAI12B02)~~

摘　　要：目的报道我国首例飞行员听神经瘤伽马刀治疗后复飞案例,提出我军飞行人员听神经瘤航空医学鉴定原则。方法分析1例飞行员左侧听神经瘤伽马刀治疗的临床诊治、随访和复飞经过,并复习国内外相关文献。结果本例飞行员听神经瘤放疗后6个月,肿瘤大小无明显变化,坏死区略增多,未出现严重并发症,低压舱检查前后耳蜗、前庭系统、颅脑功能等均能适应空中生活,给予飞行合格结论,每6个月返院复查1次。结论飞行人员早期单侧听神经瘤伽马刀治疗效果好,无严重并发症,经航空医学评估后可考虑特许飞行合格。Objective To report a pilot with acoustic neuroma who re-flied after gamma knife treatment and to establish the principles for its aviation medical identification. Methods Clinical diagnosis and treatment of a left acoustic neuroma, its follow-up data and the re-flight data about 1 pilot after gamma knife treatment were analyzed with the relevant literature reviewed. Results The size of acoustic neuroma was not significantly changed whereas the necrotic area was a little bit larger in the pilot 6 months after radiotherapy with no severe complications. Hypobaric chamber test showed that the functions of cochlea, vestibular system and brain were normal in the pilot. He was thus judged to be able to re-fly and received physical examination every 6 months. Conclusion The effect of gamma knife treatment is good on early unilateral acoustic neuroma in pilots. The pilots can re-fly if no severe complication occurs.

关 键 词：听神经瘤 飞行员 伽马刀 医学鉴定 

分 类 号：R856[医药卫生—航空、航天与航海医学]