空军招飞体检颈椎x线检查异常情况分析及建议

analysis of x-ray examination of cervical vertebrae abnormality in physical examination of pilot candidate and suggestions

目的 异常中,曲度反向占颈椎异常的30.6%,合并其他异常占43.3%.序列异常占20.5%,发育异常占34.7%,骨质增生占6.8%. 结论 颈椎异常常引发颈肩不适、头痛、眩晕和晕厥等诸多临床症状,对飞行人员健康造成危害,甚至危及飞行安全.在招飞体检时,颈椎异常除单纯颈椎曲度直外,其他颈椎曲度反向、序列异常、骨质增生、寰椎沟环、颈椎融合、颈肋及颅底凹陷均应确定为不合格.

objective to propose the diagnosis of various cervical vertebrae abnormality in pilot candidate physical examination by analyzing 219 cases of abnormal cervical vertebrae in x-ray examination. methods one thousand nine hundred and twenty-six pilot candidates were examined by cervical x-ray from 2006 to 2007 and 219 abnormal cases among them were classified and analyzed. results in the 219 cases cervical vertebrae abnormality included curvature abnormality, sequence abnormality, growth abnormality and hyperostosis. curvature abnormality was in the majority of cervical vertebrae abnormality (64.4%), among which kyphosis of cervical spine and its complicated abnormalities took 30.6% and 43.26%. percentages of sequence abnormality, growth abnormality and hyperostosis were 22.0%, 34.7%, 6.8% respectively. conclusions cervical vertebrae abnormality often brings clinical symptoms including neck and shoulder pain, headache, accompanied vertigo, syncope, etc. , which are harmful to pilot candidates' health or even to the flight safety. it's suggest that kyphosis of cervical spine, sequence abnormality, hyperostosis, artery sulcus ring of arias, unsegregated cervical spine, cervical rib and primary basilar impression should be assessed as disqualification in physical examination of pilot candidates except simplex decrease of cervical lordosis.