The application of minimally invasive endoscopic surgery to cure the flying personnel with intractable upper urinary tract stones

中华航空航天医学杂志 Pub Date : 2016-06-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2016.02.008

Jian-ye Li, Heqing Guo, Bin Sun, Jianchang Wang, Haibo Sheng, Gaobiao Zhou, D. Mu

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Abstract

Objective To evaluate the therapeutic effect of minimally invasive endoscopic surgery in the treatment of intractable upper urinary tract stones for flying personnel. Methods We retrospectively analyzed the clinical records of pilots who accepted minimally invasive endoscopic surgery for intractable upper urinary tract stones at our hospital from June 2006 to October 2014. Results All patients are male, aging from 24 to 50 yr. There were 13 cases of ureteral calculus and 13 cases of renal calculus. The CT scan showed that the long diameter of the stones ranged from 0.2 to 0.8 cm. All ureteral calculus patients were hospitalized because of renal colic. Renal calculus patients' stones were found in routine health examination and there were no flank pain, urinary irritation symptoms and hematuria. Ureteral calculus patients were cured by ureteroscopic lithotripsy and recovered. Ten renal calculus patients were cured simply by flexible ureteroscopy. One renal calculus patient was cured simply by percutaneous nephrostolithotomy and 2 were cured by flexible ureteroscopy combine percutaneous nephrostolithotomy. All patients were qualified for flying after the surgeries. Conclusions The minimally invasive endoscopic surgery can cure the intractable upper urinary tract stones of flying personnel effectively and safely. The proper treatment would avoid flying personnel's grounding and enable them to continue their flight career. Key words: Endoscopy; Urinary calculi; Surgical procedures, minimally; Lithotripsy; Aircrews

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应用微创内镜手术治疗飞行人员顽固性上尿路结石

目的探讨内镜下微创手术治疗飞行人员顽固性上尿路结石的疗效。方法回顾性分析我院2006年6月至2014年10月收治顽固性上尿路结石的飞行员微创内镜手术的临床资料。结果所有患者均为男性，年龄24 ~ 50岁，输尿管结石13例，肾结石13例。CT扫描显示，结石的长直径为0.2 ~ 0.8 cm。输尿管结石患者均因肾绞痛住院。肾结石患者在常规健康检查中发现结石，无腹痛、尿路刺激症状及血尿。输尿管结石患者经输尿管镜碎石术治愈，恢复健康。采用输尿管软镜治疗10例肾结石患者。单纯经皮肾结石取石术1例，输尿管软镜联合经皮肾结石取石术2例。手术后，所有患者都具备飞行资格。结论内镜下微创手术治疗飞行人员顽固性上尿路结石安全有效。适当的待遇将避免飞行人员的停飞，使他们能够继续他们的飞行生涯。关键词:内窥镜检查;尿结石;外科手术，最低限度;碎石术;机组人员

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来源期刊

中华航空航天医学杂志航空航天医学

自引率

0.00%

发文量

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.