90例行关节镜手术的军事飞行员致伤因素分析

Causes of injury among 90 military pilots undergoing arthroscopic surgery

目的 了解空军飞行员运动损伤手术的原因及特点。方法 对空军特色医学中心(原空军总医院)自2012年1月 2018年12月行关节镜手术的飞行员一般情况、损伤原因、手术类型等因素进行统计分析,试图了解导致飞行员手术的高危因素。 结果 随着近年来军事训练强度与频度的增加飞行员损伤后需手术的例数也在增加;年龄35岁以下、飞行时数小于2 000 h、 篮球运动、歼击机和直升机飞行员在运动损伤后需行关节镜手术的人数中占比较高;膝关节是主要的伤后导致手术的原因;有 49.4%飞行员在伤后超过24个月以后才接受手术治疗,影响手术疗效。结论 飞行员运动损伤后存在诊治不及时、损伤防护不 到位等问题,应根据损伤的特点及易伤因素进行相应的加强,从而为提高部队战斗力服务。

Objective To investigate the causes and characteristics of surgery for athletic injury among Air Force pilots. Methods We investigated each of the Air Force pilots admitted to Air Force Medical Center in the recent seven years for arthroscopy surgeries. The general information, causes of injury, and types of surgery were collected and statistically analyzed to explore the risk factors for athletic injures. Results The morbidity of athletic injury was increased along with the intensity and frequency of military drills. It was found that age under 35, flight hours less than 2 000 hours, playing basketball, and piloting of fighter planes and helicopters were risk factors for surgeries of athletic injures among these pilots. Knee surgery was the most common. 49.4% of the injured pilots received surgery more than 24 months after injury, thus leaving surgery less effective. Conclusion We should make more effort to protect pilots from injuries according to injury features and risk factors, to reduce the morbidity of athletic injury and improve the therapeutic effect.