飞行人员蛛网膜囊肿的航空医学鉴定探讨——附35例临床分析

Aeromedical evaluation of arachnoid cysts in aircrew:a clinical analysis of 35 cases

目的探讨飞行人员蛛网膜囊肿(AC)的医学鉴定方法及标准。方法对2004年1月至2020年8月入住空军特色医学中心的35例飞行人员AC的病历资料进行回顾性分析。结果病变累及颞部16例(左侧10例,右侧6例)、枕大池12例、小脑2例、额顶部2例、颞顶部1例、额部1例、环池1例;其中单侧受累者左侧13例,右侧9例;单个独立囊肿的最大直径为9.1 cm,最小直径0.6 cm;21例飞行合格,10例飞行不合格,4例暂时飞行不合格。结论飞行人员AC应根据症状、体征、合并症、AC大小和位置,结合机种、职别、飞行经验、个人意向、部队评价,依据相关标准进行航空医学鉴定。

Objective To investigate the methods and standards for aeromedical evaluation of arachnoid cysts(AC)in aircrew.Methods The medical records of 35 aircrew with AC admitted to the Air Force Medical Center between January 2004 and August 2020 were retrospectively analyzed.Results Among the 35 cases,16 cases affected the temporal area(10 on the left side,6 on the right side),12 cases involved the cere-bellomedullary cistern,2 cases were on the cerebellum,2 cases were frontoparietal,1 case was temporoparietal,1 case was frontal,1 case affected the ambient cistern.Among the unilateral cases,13 cases were on the left side and 9 cases were on the right.The maximum diameter and the minimum diameter of a single isolated cyst were 9.1 cm and 0.6 cm,respectively.In total,21 cases were qualified for flight;10 were unqualified and 4 were temporarily unqualified.Conclusion It is suggested that aeromedical evaluation among aircrew with AC should be conducted according to relevant standards of their symptoms,vital signs,comorbidities,sizes,and locations of the lesions,along with due consideration of their aircraft types,duties,flight experience,personal plans,and opinions of their units.