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飞行人员鼻窦囊肿的诊治和医学鉴定
引用本文:徐先荣,张扬,马晓莉,金占国,谭祖林.飞行人员鼻窦囊肿的诊治和医学鉴定[J].军医进修学院学报,2010,31(2):129-130.
作者姓名:徐先荣  张扬  马晓莉  金占国  谭祖林
作者单位:空军总医院全军临床航空医学中心,北京,100142
基金项目:空军后勤部资助项目(KH0819011)~~
摘    要:目的探讨飞行人员鼻窦囊肿(CNS)的发生机制、临床诊治和医学鉴定原则。方法总结飞行人员CNS资料46份,对其进行分类:结果黏膜囊肿44例,黏液囊肿和含牙囊肿各1例。上颌窦囊肿39例,蝶窦囊肿3例,筛窦囊肿、额窦囊肿、上颌窦+额窦囊肿、上颌窦+蝶窦囊肿各1例。Ⅰ类(地面有症状或体检时发现)37例,Ⅱ类(地面无症状,飞行中有继发性气压伤表现)9例。手术治疗16例,观察30例:飞行合格41例,永久停飞5例。结论飞行中气压变化的反复刺激可能是飞行人员CNS的发生机制之一,Ⅱ类CNS是医学停飞的重要原因。

关 键 词:飞行人员  鼻窦  囊肿  医学鉴定

Diagnosis, treatment and medical evaluation of cyst in nasal sinus of pilots
XU Xian-rong,ZHANG Yang,MA Xiao-li,JIN Zhan-guo,TAN Zu-lin.Diagnosis, treatment and medical evaluation of cyst in nasal sinus of pilots[J].Academic Journal of Pla Postgraduate Medical School,2010,31(2):129-130.
Authors:XU Xian-rong  ZHANG Yang  MA Xiao-li  JIN Zhan-guo  TAN Zu-lin
Institution:XU Xian-rong,ZHANG Yang,MA Xiao-li,JIN Zhan-guo,TAN Zu-lin Center of Clinical Aviation Medicine,General Hospital of Air Force,Beijing 100142,China
Abstract:Objective To sum up the principles of diagnosis,treatment and medical evaluation of cyst in nasal sinus(CNS)of pilots and its mechanism.Methods Data about CNS obtained from 46 pilots were summarized and classified.Results Mucosa cyst,mucous cyst,and dentigerous cyst were found in 44,1,and 1 pilots,respectively.Maxillary sinus cyst,sphenoid sinus cyst,ethmoid sinus cyst,frontal sinus cyst,and sphenoid sinus cyst were found in 39,3,1,1,1 and 1 pilots,respectively.Class I of CNS with symptoms on ground or dete...
Keywords:Pilots  Paranasal Sinuses  Cyst  Medical Evaluation  
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