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作 者:赵国政 刘淑萍 李利 安平 孙安 竹亮 陈晓 龚凤玲 孙斌 ZHAO Guo-zheng;LIU Shu-ping;LI Li;AN Ping;SUN An;ZHU Liang;CHEN Xiao;GONG Feng-ling;SUN Bin(Department of Ultrasound,Air Force Medical Center,Beijing 100142,China;Department of Urology,Air Force Medical Center,Beijing 100142,China;Department of Ultrasound,Air Force Hospital of Eastern Theater Command,Nanjing 210002,China;Troops 93811,Lanzhou 730020,China;Troops 94326,Jinan 250002,China;Troops 94201,Jinan 250002,China;Hebei North University,Zhangjiakou,Hebei 075000,China)
机构地区:[1]空军特色医学中心超声诊断科,北京100142 [2]空军特色医学中心泌尿外科,北京100142 [3]东部战区空军医院超声诊断科,南京210002 [4]解放军93811部队,兰州730020 [5]解放军94326部队,济南250002 [6]解放军94201部队,济南250002 [7]河北北方学院,河北张家口075000
出 处:《军事医学》2023年第1期56-59,共4页Military Medical Sciences
基 金:全军后勤重点项目(BKJ20B043);效能提升航空医学专题项目(2020ZTB08);空军特色医学中心院级课题(SXKT01)。
摘 要:目的探讨空军招飞医学选拔肾下垂超声诊断标准。方法选取2021年度空军招飞医学选拔定选阶段338名应征者为研究对象,测量肋弓下肾比例及肾移动度。结果①直立位左肾肋弓下肾比例小于右肾;②左肾移动度大于右肾;直立位肋弓下肾比例越大,肾移动度越大;③双肾移动度单侧95%、99%参考值范围上侧界值分别为:右肾5.5、7.3 cm,左肾5.7、7.0 cm;④以移动度单侧95%参考值范围上侧界值绘制ROC曲线,得到应征者双肾肋弓下肾比例用于诊断肾下垂的临界值、敏感度、特异度、曲线下面积分别为:右肾0.66、100.0%、82.7%、0.937,左肾0.46、93.8%、69.3%、0.872。结论建议招飞医学选拔肾下垂超声诊断标准为,达到下列任一情况评定为不合格:①右肾或左肾全肾位于肋弓下;②右肾移动度≥7.3 cm或左肾移动度≥7.0 cm;③右肾超出肋弓下2/3肾长度且移动度≥5.5 cm,或左肾超出肋弓下1/2肾长度且移动度≥5.7 cm。Objective To explore the ultrasound diagnostic criteria for nephroptosis in medical selection of military pilot cadets.Methods The proportion and mobility of kidneys under the costal arch were measured in 338 candidates recruited for Air Force medical selection in 2021.Results①The proportion of the kidney under the costal arch of the left kidney in the standing position was smaller than that of the right kidney.②The left kidney had greater mobility than the right one.The greater the proportion of the kidney under the costal arch in the upright position,the greater the mobility of the kidney.③The upper limits of 95%and 99%reference ranges of bilateral kidney mobility were 5.5 cm and 7.3 cm for the right kidney and 5.7 cm and 7.0 cm for the left kidney,respectively.④The ROC curve was drawn based on the upper limit of 95%reference range.The critical value,sensitivity,specificity and area under the curve were 0.66,100.0%,82.7%and 0.937 for the right kidney and 0.46,93.8%,69.3%and 0.872 for the left kidney.Conclusion It is recommended that according to the ultrasonic diagnostic criteria for nephroptosis,candidates who have any of the following conditions be considered unqualified:①The whole kidney,right or left,is located under the costal arch.②The mobility of the right kidney is greater than or equal to 7.3 cm or the mobility of the left kidney is greater than or equal to 7.0 cm.③The right kidney exceeds 2/3 of the renal length under the costal arch and the mobility is greater than or equal to 5.5 cm,or the left kidney exceeds 1/2 of the renal length under the costal arch and the mobility is greater than or equal to 5.7 cm.
关 键 词:军事人员 飞行员 肾 超声 体格检查 人员选拔 诊断标准
分 类 号:R445.1[医药卫生—影像医学与核医学] R851.3[医药卫生—诊断学]
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