输尿管软镜在单座歼击机飞行员肾脏小结石治疗中的应用  

Flexible ureteroscopy application in the treatment of small kidney stones in single-seat fighter pilots

作　　者：李建业[1] 严景民[1] 刘红明[1] 孙斌[1] 郭和清[1] 王建昌[1] 周高标[1] 穆大为[1] 姚志勇[1] 

机构地区：[1]空军总医院,北京100142

出　　处：《中华航空航天医学杂志》2014年第3期180-183,F0002,共5页Chinese Journal of Aerospace Medicine

基　　金：全军后勤科研“十二五”重大项目（AKJ11J004）;空军后勤科研计划（BKJ09J022）

摘　　要：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）.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.

关 键 词：输尿管镜检查 肾结石 合格鉴定 飞行员 

分 类 号：R85[医药卫生—航空、航天与航海医学]