摘要
目的 探讨飞行员耳硬化症的临床诊治和镫骨切除术后航空医学鉴定标准. 方法回顾性分析华东地区 3 例民航飞行员耳硬化症的临床诊治及转归情况. 结果 3 例飞行员均有渐进性单耳听力下降,不伴有眩晕.纯音测听均显示传导性耳聋,3 例经高分辨率颞骨 CT 证实为镫骨性耳硬化症.其中 2 例采取保守治疗,航空医学鉴定合格,复飞;1 例行激光镫骨切除+人工镫骨植入术,术后 3 个月听力恢复较满意,无术后并发症,特许鉴定合格,复飞. 结论 对于早期出现语频渐进性听力下降的飞行员应格外重视,应每半年复查纯音测听 1 次,并辅以高分辨率颞骨 CT 检查;镫骨切除术后应医学观察 3 个月以上,并辅以高低压舱试验评估.
Objective To explore the clinical treatment and medical evaluation standard for the airline pilots with otosclerosis.Methods The clinical treatment and prognosis of 3 East China airline pilots,who were diagnosed as otosclerosis,were reviewed.The clinical diagnosis and medical evaluation methods of the disease were analyzed and discussed.Results All 3 cases showed progressive monaural hearing loss but without vertigo.Their pure tone audiometry showed conductive deafness.The stapes otosclerosis was definite diagnosed by high-resolution CT scan on the temporal bone of 3 pilots.Two cases were taken conservative treatment and were qualified.Another case was cured by laser stapes resection and artificial stapes implantation.His hearing well recovered and no more surgical complications were found by 3 months follow-up.Then he was qualified in accordance with a waiver of standards.Conclusions Early progressive hearing loss of speech frequency of airline pilots should be regarded more.The pure tone audiometry in every six months and the high-resolution CT scan on temporal bone are suggested.Three months or even longer follow-up is necessary and the assessments under hyperbaric/hypobaric environment would be introduced for the pilot treated by stapes resection surgery.
作者
邵燕
金清清
Shao Yan;Jin Qingqing(Aeromedical Center East China Regional Administration,Shanghai 200336,China)
出处
《中华航空航天医学杂志》
CSCD
2019年第1期30-34,共5页
Chinese Journal of Aerospace Medicine
关键词
耳硬化病
镫骨外科手术
诊断
合格鉴定
民航飞行员
Otosclerosis
Stapes surgery
Diagnosis
Eligibility determination
Civil pilots
