精索靜脈曲張之航空醫學考量

Aeromedical consideration of varicocele

林柏安(Po-An Lin) ； 吳建緯(Chien-Wei Wu) ； 侯智鈞(Chih-Chun Ho) ； 楊東隆(Tung-Lung Yang) ； 陳鈺仁(Yu-Jen Chen) ； 陳姿安(Tzu-An Chen)

《中華民國航空醫學暨科學期刊》 30卷2期 (2016/12) Pp. 109-114

https://doi.org/10.7011/JAMSROC.201612_30(2).0004

摘要

精索靜脈曲張好發於年輕男性，其發生率約10~25%，其中90%的病例發生於左側，10%為兩側同時發生，而鮮少發生於右側；其症狀包含疼痛、墜脹感及不孕等，而右側之精索靜脈曲張又多與後腹腔之腫塊壓迫所造成之靜脈回流受阻有關。飛行員執行飛行任務時，須具備良好之身心健康與操縱飛機之專注力，故精索靜脈曲張所產生之不適感將可能產生飛行任務之危安，此外因飛行時所產生之G力及飛行員執行抗G動作時皆可能加重精索靜脈曲張。本文將回顧我國與他國目前的規範及相關文獻，探討精索靜脈曲張的飛航安全考量與缺點免計條件，供航醫界參考。

關鍵字

精索靜脈曲張 ； 航空醫學考量 ； 缺點免計

並列摘要

Varicocele is an ongoing disease which is a dilatation of the internal spermatic vein and the pampiniform venous plexus. It occurs in approximately 10-25% of all males. Among these cases, 90% occur in the left hemiscrotum,10% involved bilaterally and rare in right hemiscrotum. Usually, dull, aching, testicular atrophy and decreased fertility are presented with varicocele. Varicoceles with severe symptoms may interfere with flight security. Besides, the association with malignancy in right side varicoceles should not be neglected. We reviewed domestic and foreign military physical standards and waiver guidelines about varicocele to provide insights for the aeromedical and waiver consideration of pilots with varicocele.

並列關鍵字

Varicocele ； aeromedical consideration ； waiver guide