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

中华航空航天医学杂志 Pub Date : 2014-09-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2014.03.005

Jian-ye Li, Jing-min Yan, Hong-Ming Liu, Bin Sun, Heqing Guo, Jianchang Wang, Gaobiao Zhou

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Abstract

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. Key words: Ureteroscopy; Kidney calculi; Eligibility determination; Pilots

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柔性输尿管镜在单座战斗机飞行员小肾结石治疗中的应用

目的探讨软性输尿管镜治疗单座战斗机飞行员小肾结石的疗效。方法回顾性分析2009年12月至2012年4月在我院接受输尿管软镜诊治小肾结石的3例男性单座战斗机飞行员(年龄分别为23岁、25岁和27岁)的临床记录和随访资料。结果左肾小结石1例，右肾小结石2例。CT扫描显示结石长度在0.2-0.4 cm之间。所有结石病例均在年度健康检查中确诊。所有患者均无腹痛、尿路刺激症状和明显血尿。输尿管软镜检查2例诊断为肾乳头钙化，1例诊断为肾结石伴肾乳头钙化。肾结石被钬激光击碎了。3例患者恢复良好，并获准飞行。随访6-22个月，所有患者均安全逃离，复查CT显示肾乳头钙化无改变。结论柔性输尿管镜是治疗单座战斗机飞行员小肾结石安全有效的方法。它可以帮助飞行员恢复飞行，然后避免飞行员停飞或飞机过渡。关键词:输尿管镜;肾脏结石;资格审定;飞行员

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来源期刊

中华航空航天医学杂志航空航天医学

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2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.