歼击机飞行员改装体检脊柱磁共振成像结果分析  

Results of spinal magnetic resonance imaging of fighter pilots during physical examination for modified aircraft

作　　者：蒋瑞静 张金龙 马晓璇 樊红霞 方红 刘婷 马芳芳 江岳娈 李相生 JIANG Ruijing;ZHANG Jinlong;MA Xiaoxuan;FAN Hongxia;FANG Hong;LIU Ting;MA Fangfang;JIANG Yueluan;LI Xiangsheng(Department of Medical Imanging,Air Force Medical Center,Beijing 100142,China;不详)

机构地区：[1]空军特色医学中心医学影像科,北京100142 [2]西门子医疗系统有限公司(中国)磁共振事业部,北京100102

出　　处：《空军医学杂志》2021年第6期478-480,共3页Medical Journal of Air Force

摘　　要：目的分析歼击机飞行员改装体检全脊柱磁共振扫描成像结果,为航卫保障提供参考依据。方法随机抽取2020年5月—2021年1月在空军特色医学中心进行改装体检中的134名歼击机飞行员的全脊柱核磁资料,按飞行时间和飞行员年龄进行分组统计并分析比较。结果不同飞行时间组飞行员颈椎曲度异常发生率不同,飞行时间≤999 h组飞行员的颈椎曲度异常发生率最高,差异有统计学意义(P<0.05);颈椎间盘突出或膨出发生率不同,且随飞行时间延长发生率递增,差异有统计学意义(P<0.05)。不同年龄组颈椎曲度异常及颈、胸椎间盘突出或膨出发生率差异均无统计学意义(P>0.05);颈、胸、腰椎间盘突出或膨出的发生率随着年龄的增长数值也增加,但腰椎曲度异常及腰椎间盘突出或膨出发生率差异无统计学意义(P>0.05)。结论飞行时间对歼击机飞行员颈椎间盘突出或膨出的发生率有一定的影响,随飞行时间增加其发生率递增。而年龄对飞行员脊柱曲度异常及椎间盘突出或膨出发生率未见明显影响。Objective To analyze the results of MRI scan of the whole spine of fighter pilots during physical examination for modified aircraft and to provide reference for aviation health support. Methods The MRI data on the spines of 134 fighter pilots who underwent physical examination for modified aircraft in Air Force Special Medical Center between May 2020 and January 2021 were randomly selected. These patients were grouped according to flight time and age for statistical analysis. Results The incidence of abnormal cervical curvature and cervical disc herniations or bulges was significantly different between groups with different flight time(P<0.05). The incidence of abnormal cervical curvature was the highest among pilots whose flight time was less than 999 h, while the incidence of cervical disc herniations or bulges increased with the extension of flight time(P<0.05). There was no statistically significant difference in the incidence of abnormal cervical curvature or herniations of cervical, thoracic and lumbar discs between different age groups, but the incidence tended to increase with age(P>0.05). The difference in the incidence of abnormal cervical curvature and cervical disc herniations or bulges was not statistically significant(P>0.05). Conclusion Flight time can increase the vulnerability of fighter pilots to cervical disc herniations or bulges, and the incidence increases with flight time. However,age has no significant effect on the incidence of abnormal spinal curvature or disc herniations or bulges.

关 键 词：飞行员 脊椎 磁共振成像 改装体检 

分 类 号：R851.6[医药卫生—航空、航天与航海医学] R681.5[医药卫生—临床医学]