居民参与对光镜时间和化辐射暴露在光镜指导脊柱手术中的影响
Béatrice Soucy1, Dillon Lee2, Amélie Moreau-Bourbonnais3
1Department of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada.
PM & R : the journal of injury, function, and rehabilitation
|August 28, 2023
概括
住院人员参与脊柱干预显著增加光镜时间和辐射剂量,特别是在腰部侧面阻塞期间. 这强调了需要优化训练方案,以尽量减少患者和提供者辐射暴露的必要性.
科学领域:
- 医疗成像医学成像
- 干预性疼痛管理 干预性疼痛管理
- 辐射安全 辐射安全
背景情况:
- 光学指导在医疗程序中是标准的,但实践可以增加辐射暴露.
- 在光学引导疼痛手术中,关于影响辐射剂量的因素的文献有限.
研究的目的:
- 评估居民参与在光学指导脊柱干预期间对辐射暴露的影响.
主要方法:
- 一个单一的中心,观察性研究在门诊医疗诊所进行.
- 数据包括296项手术:腰部/部面部阻塞 (FBs),跨膜外周类固醇注射 (TFESIs) 和尾部外周 (CEs).
- 用光镜测量时间和辐射剂量来测量辐射暴露,比较与缺席,观察或参与居民的程序.
主要成果:
- 腰部FBs显着增加了光镜时间和辐射剂量,当住户进行它们与观察或缺席相比.
- TFESI 显示,当居民观察与不在场时,光镜时间增加,但辐射剂量没有增加.
- 居民参与并没有显著影响CE或宫FB的结果.
结论:
- 居民参与是影响辐射暴露的关键因素,最显著的是腰部侧面块.
- 培训策略应侧重于在居民监督的手术过程中尽量减少辐射剂量.
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