目的 分析探讨头颅CT检查在新兵体格复检中的价值和必要性。方法 回顾性分析武警某部2482名体格复查新兵的头颅CT结果。结果 检出颅内病变共224例(阳性率9.03%)。其中颅内蛛网膜囊肿110例(阳性率4.43%),透明隔间腔或囊肿63例(阳性率2.54%),副鼻窦炎21例(阳性率0.85%),脑内非生理性钙化19例(阳性率0.77%),脑室系统发育异常5例(阳性率0.20%),脑软化灶3例(阳性率0.12%),颅内肿瘤2例(阳性率0.08%),颅骨骨瘤1例(阳性率0.04%)。结论 头颅CT检查能有效排查出新兵头颅内病灶,为降低伤病残率奠定基础,建议列为新兵体格复查项目。
Abstract
Objective To analyze the value of head CT scan in physical reexamination of recruits. Methods The data on head CT results of 2482 recruits who had undergone reexamination was reviewed and studied. Results There were a total of 224 cases with abnormal CT findings and the positive rate was 9.03%, including 110 cases of arachnoid cysts with a positive rate of 4.43%, 63 cases of cavity or cysts of the septum pellucidum with a positive rate of 2.54%, 21 cases of paranasal sinusitis with a positive rate of 0.85%, 19 cases of non-physiological calcification in the brain tissue with a positive rate of 0.77%, 3 cases of encephalomalacia focus with a positive rate of 0.12%,5 cases of ventricular system abnormalities with a positive rate of 0.20%, 2 cases of tumors in the skull with a positive rate of 0.08%, and 1 case of skull osteoma with a positive rate of 0.04%. Conclusions The CT scan of the head can effectively detect pathological changes in the brain of recruits, thus contributing to reduced rates of injury and disability. It is recommended that such examination be included during physical reexamination of recruits.
关键词
新兵 /
体格复检 /
头颅 /
CT
Key words
recruits /
physical reexamination /
head /
computed tomography(CT)
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参考文献
[1] 魏雅娟,任永强,刘会昭.2019年武警某部新兵体检结果分析[J].武警医学,2020, 31(6):551-552.
[2] 陈广城,柳 杰,俞 钻,等.新兵边缘性、隐匿性疾病的排查探讨[J].武警医学,2014,25(11):1174-1175.
[3] 应征公民体格检查标准[S].北京:中华人民共和国国防部,2009.
[4] 应征公民体格检查标准条文释义[S].北京:中华人民共和国国防部,2019.
[5] 万永泉,郭根明.颅内蛛网膜囊肿57例治疗分析[J].中国实用神经疾病杂志,2015, 18(16): 98-99.
[6] Galarza M, Lopez G A,Martinez L J.Posteriorfossa arachnoid cysts and cerebellar tonsillar descent: short review[J].Neurosurg Rev,2010,33(3):305-314.
[7] 王焕明,胡 飞,邵 强,等.颞叶蛛网膜囊肿继发癫痫的外科治疗[J].临床神经外科杂志,2015,12 (3):199-201.
[8] 陈伍迁,刘翔浩,王 翔.透明隔及其相关疾病的研究进展[J].中国微侵袭神经外科杂志,2020,25(11):519-521.
[9] Shaw C M. Alvord E C. Cava septi pellucidi et vergae: their normal and pathological states [J]. Brain, 1969, 92:213-214.
[10] Sener R N. Cysts of the sepum pellucidum[J]. Comput Med Imaging Graph, 1995, 19(3): 357-360.
[11] Bot G M, Constantini S, Roth J. Conservative treatment of cysts of the cavum septum pellucidum presenting in childhood: report of 3 cases [J]. J Neurosurg Pediatr, 2015, 16(3): 283-286.
[12] 徐永革,宋 昭,夏小雨.内镜开窗治疗有症状的透明隔囊肿[J].中国微侵袭神经外科杂志,2012, 17(9): 394-396.
[13] 中华医学会耳鼻咽喉头颈外科学分会鼻科组,中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组.中国慢性鼻窦炎诊断和治疗指南(2018年版)[J].中华耳鼻咽喉头颈外科杂志,2019,54(2):81-100.
[14] 赵 明,梁树立,李安民,等. 局限性非外伤性脑软化灶相关癫痫的手术治疗[J].中华神经外科杂志,2010, 26(6):500-502.
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