{"title":"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","authors":"Jian-ye Li, Jing-min Yan, Hong-Ming Liu, Bin Sun, Heqing Guo, Jianchang Wang, Gaobiao Zhou","doi":"10.3760/CMA.J.ISSN.1007-6239.2014.03.005","DOIUrl":null,"url":null,"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. \n \nKey words: \nUreteroscopy; Kidney calculi; Eligibility determination; Pilots","PeriodicalId":9904,"journal":{"name":"中华航空航天医学杂志","volume":"31 1","pages":"180-183"},"PeriodicalIF":0.0000,"publicationDate":"2014-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Flexible ureteroscopy application in the treatment of small kidney stones in single-seat fighter pilots\",\"authors\":\"Jian-ye Li, Jing-min Yan, Hong-Ming Liu, Bin Sun, Heqing Guo, Jianchang Wang, Gaobiao Zhou\",\"doi\":\"10.3760/CMA.J.ISSN.1007-6239.2014.03.005\",\"DOIUrl\":null,\"url\":null,\"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. \\n \\nKey words: \\nUreteroscopy; Kidney calculi; Eligibility determination; Pilots\",\"PeriodicalId\":9904,\"journal\":{\"name\":\"中华航空航天医学杂志\",\"volume\":\"31 1\",\"pages\":\"180-183\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华航空航天医学杂志\",\"FirstCategoryId\":\"1087\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2014.03.005\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华航空航天医学杂志","FirstCategoryId":"1087","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2014.03.005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Flexible ureteroscopy application in the treatment of small kidney stones in single-seat fighter pilots
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
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.