悬浮辐射防护系统对职业辐射剂量在下EVAR过程中的影响:一项随机对照研究
Juan Serna Santos1, Touko Kaasalainen2, Sani Laukontaus1
1Department of Vascular Surgery, University of Helsinki and Helsinki University Hospital, Finland.
概括
在内血管动脉瘤修复 (EVAR) 中,零重力 (ZG) 辐射保护显示出混合的结果,传统方法提供了更好的整体保护和用户体验. ZG为操作员提供了上层关和眼睛屏蔽,但阻碍了助手保护和人体工程学.
科学领域:
- 医学物理 医学物理
- 干预性放射学 干预性放射学
- 辐射安全 辐射安全
背景情况:
- 辐射暴露是医疗保健专业人员在内血管动脉瘤修复 (EVAR) 期间的重要关注点.
- 评估新的辐射保护方法对于提高操作员和助理安全至关重要.
研究的目的:
- 为了在EVAR期间比较零重力 (ZG) 系统与常规辐射保护的辐射保护效率.
- 评估ZG系统的用户体验和人体工程学.
主要方法:
- 一个单中心,前性,随机化试验,涉及71种选择性内 EVAR 程序.
- 程序被随机分为两组:使用ZG的操作员和使用常规保护的助手,与使用常规保护的助手对比.
- 辐射剂量 (Hp(10) 和Hp(3) 用对操作员和助手的剂量计进行测量;调查了用户的经验.
主要成果:
- 对于胸部,腹部和下腿的辐射剂量 (p < .001) 来说,传统的保护更优越.
- 采用ZG系统,可以更好地屏蔽操作员的下和眼睛.
- ZG使用对辅助盾部署,辅助保护,机动性,通信和视野产生负面影响.
结论:
- 无论是ZG还是传统方法,都能在EVAR期间减少辐射暴露.
- 传统的保护提供了更好的机动性,但更广泛地暴露了上臂和下.
- ZG间接地损害了助理外科医生的辐射保护,并提出了人体工程学方面的挑战.
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