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目的 通过对肝、脾触诊与B超检查结果的对比分析 ,为修订招飞内科相关体检条件提供依据。 方法 回顾总结1999～ 2 0 0 3年南京军区空军招飞体检资料 ,对 2 0 0 3年招飞内科肝脾触诊超标者与B超检查结果进行对比分析和效度检验。 结果 ①肝脾触诊超标占内科总淘汰率的 4 7.7%～ 4 9.6 % ;②在 12 9例肝脏触诊超标者中 ,经B超测量径线超标者 33例 ,符合率为 2 5 .6 % ;在 14 1例脾脏触诊超标者中 ,经B超测量径线超标者 76例 ,符合率为 5 3.9%。 结论 招飞体检肝脾触诊淘汰率高而效度低 ,与B超检查结果的一致性差。建议在招飞体检肝、脾超标的医学鉴定中 ,以B超检测结果为准。
Objective To compare the result of palpation of liver and spleen with the result of B-ultrasound in order to provide the basis for the revision of medical conditions related to the course of strokes and flight. Methods A retrospective review was conducted on the physical examination data of the PLA Air Force from 1999 to 2003. The comparative analysis and validity test between B-mode ultrasonography and those with excessive liver-spleen palpation in 2003 were conducted. Results ① The exceeding standard of liver and spleen palpation accounted for 4 7.7% ~ 4 9.6% of the total internal medicine elimination rate. ② Among the 129 cases with palpation of liver palpation, 33 cases exceeded the standard deviation by B ultrasound, the coincidence rate was 25%. Sixty-six percent of 14 out of 41 spleen palpation patients who exceeded the standard by B-mode ultrasonography had a coincidence rate of 5 3.9%. Conclusions The detection rate of the liver and spleen palpation in the physical examination is high and the validity is low, which is inconsistent with the B-ultrasound. It is recommended in the medical examination of the liver and spleen, excessive B-test results prevail.