彩色多普勒超声在诊断颈性眩晕飞行人员椎动脉异常中的临床应用价值

目的 探讨彩色多普勒超声在诊断颈性眩晕飞行人员椎动脉异常中的临床应用价值,分析飞行人员颈性眩晕与椎动脉异常的相关性.方法 对168例颈性眩晕飞行人员患者的椎动脉超声检查结果及相关影像学资料进行回顾性分析.结果 椎动脉发育异常78例,发育异常包括起源异常、行径异常和发育不良.其中起源异常9例,单侧或双侧行径异常11例,单侧或双侧发育不良32例,完全闭塞1例,行径异常伴发育不良25例;发育异常的椎动脉中血流动力学异常者48例.飞行不合格8例,暂时飞行不合格25例,临床诊治后飞行合格45例.结论 飞行人员颈性眩晕患者椎动脉先天异常所占比例较大,招飞工作是飞行工作的源头,提示我们应从源头把关,降低飞行人员的停飞率,建议将椎动脉超声检查纳人空军招收飞行学员体格检查标准. Abstract： Objective To study the correlation between cervical vertigo and vertebral artery abnormality by analyzing the clinical application of color Doppler ultrasonography on flying personnel.Methods The ultrasound imaging and related data of 168 flying personnel's with cervical vertigo were reviewed and analyzed.Results There were 78 cases of vertebral artery abnormalities,including 9 cases of anomalous origin, 11 cases of unilateral or bilateral behavior abnormalities, 33cases of dysplasia (32 cases of unilateral or bilateral dysplasia and 1 case of complete occlusion) and 25cases of behavior abnormality plus dysplasia.Vertebral artery hemodynamics abnormality was found in 48 cases.Among vertebral artery abnormalities, 8 and 25 cases were respectively assessed as permanently or temporally grounding while the rest 45 were qualified.Conclusions Congenital vertebral artery abnormalities take high proportion in the flying personnel with cervical vertigo.Vertebral artery ultrasound examination would be helpful for diagnosing vertebral artery abnormalities at recruiting stage and furthermore for reducing grounding rate.It is suggested that to include vertebral artery ultrasound examination in flying cadets physical examination.

Clinical application of color Doppler ultrasonography on diagnosing vertebral artery abnormality of the flying personnel with cervical vertigo

Objective To study the correlation between cervical vertigo and vertebral artery abnormality by analyzing the clinical application of color Doppler ultrasonography on flying personnel.Methods The ultrasound imaging and related data of 168 flying personnel's with cervical vertigo were reviewed and analyzed.Results There were 78 cases of vertebral artery abnormalities,including 9 cases of anomalous origin, 11 cases of unilateral or bilateral behavior abnormalities, 33cases of dysplasia (32 cases of unilateral or bilateral dysplasia and 1 case of complete occlusion) and 25cases of behavior abnormality plus dysplasia.Vertebral artery hemodynamics abnormality was found in 48 cases.Among vertebral artery abnormalities, 8 and 25 cases were respectively assessed as permanently or temporally grounding while the rest 45 were qualified.Conclusions Congenital vertebral artery abnormalities take high proportion in the flying personnel with cervical vertigo.Vertebral artery ultrasound examination would be helpful for diagnosing vertebral artery abnormalities at recruiting stage and furthermore for reducing grounding rate.It is suggested that to include vertebral artery ultrasound examination in flying cadets physical examination.