Preobrazhenskiĭ V N, Kokhan S V, Vasilenko V V, Taianovskiĭ V Iu
Aviakosm Ekolog Med. 1999;33(6):52-4.
Findings of diagnostics and treatment of 198 pilots suffering from combined polyposis in the stomach and large intestine are presented. Different therapeutic tactics should be chosen for these patients. Annual dynamic evaluation should be made in case of a benign course and without an upward tendency, whereas diagnosed villus polyps, villus-tubular adenoma with the second or third phase of dysplasia, adenomatous polyps with regional 2nd or 3d phase dysplasia will require early polypectomy to be followed by yearly dynamic endoscopy. The proposed tactics is angled at early diagnostics of stomach and large intestine cancers. This tactics allows considerable prolongation of the flight career of pilots with the diagnosis of combined polypous lesions.
本文介绍了198例患有胃和大肠复合型息肉病飞行员的诊断与治疗结果。对于这些患者应选择不同的治疗策略。若病情呈良性且无进展趋势，应进行年度动态评估；而诊断为绒毛状息肉、伴有发育异常第二或第三阶段的绒毛管状腺瘤、伴有局部第二或第三阶段发育异常的腺瘤性息肉，则需要早期进行息肉切除术，随后每年进行动态内镜检查。所提出的策略旨在早期诊断胃癌和大肠癌。该策略能够显著延长被诊断为复合型息肉病变飞行员的飞行生涯。
