头颅CT检查在新兵体格复检中的价值

 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。

Applicability of CT scan in physical reexamination of recruits

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.