飞行人员头颈肿瘤的临床诊治与医学鉴定

Diagnosis,treatment and medical evaluation of head and neck tumors in aircrew

目的:总结飞行人员头颈肿瘤的临床诊治和医学鉴定经验。方法:回顾性分析1979-09-2009-07的67例飞行人员头颈肿瘤的病历资料。结果:飞行人员头颈良性肿瘤44例,飞行合格37例,不合格7例;恶性肿瘤23例,飞行合格6例,不合格17例。结论:飞行人员头颈肿瘤的医学鉴定应结合肿瘤的性质、部位、疗效、对功能的影响等综合考虑,对飞行人员头颈肿瘤的早期诊治可减少停飞率。

Objective：To sum up the experiences of diagnosis,treatment and medical evaluation of head and neck tumors in aircrew.Method：Sixty-seven cases of pilot patients with head and neck tumors in our hospital since September in 1979 to July in 2009 were retrospective analyzed in the study.Result：Among 44 aircrew with benign head and neck tumors there were 37 cases continued their flying jobs and 7 cases were permanently grounged;whereas in 23 aircrew with malignant tumors there were 6 cases qualified for flight and 17 patients unqualified.Conclusion：Benign or malignant of the head and neck neoplasm in the pilots are not the exclusive basis for their medical assessment.Tumor nature,location,efficacy of treatment and the impact on the function of their body should be considered as making the flight medical evaluation for the aircrew with head and neck tumors.Early diagnosis and treatment of head and neck tumors in aircrew are very important for reducing the rate of grounded.