[Diagnosis and treatment of nephroptosis in flying personnel]

Fifty human subjects of flying personnel and 25 human subjects of ground personnel suffered from nephroptosis mean age of which was 28.7 +/- 0.9 years have been under study. Dynamics observation of flying personnel for a period of 1-8 years revealed that the persons suffered from nephroptosis of the 1st stage are capable of performing the flying activity without limitations and need such observation and performance of the appropriate treatment- and--prophylactic measures. With the nephroptosis of stage II (27 pilots), the early operative treatment for eliminating the nephroptosis is indicated. The post-operative supervision of such patients is mastered. The nephropexy has been performed in 24 pilots; more recently, 23 persons were allowed to perform flying activities without restrictions, there were no nephroptosis recurrences. In the patients group of ground servicing personnel (26 persons) there have effectively been performed 20 nephropexies. Thus, it has been possible to overcome the nephroptosis and to improve the functional state of the kidneys. The operative treatment results allow one to recommend the early operative treatment of the stage II nephroptosis in the flying personnel even in the absence of the complicated nephroptosis and pronounced disorder of the kidney function.