在不同的皮肤穿孔技术中暴露于辐射:YAU内分泌学和尿病研究
Tarik Emre Sener1,2, Yiloren Tanidir1, Serap Ketenci3
1Department of Urology, Marmara University, School of Medicine, Istanbul, Türkiye.
Investigative and clinical urology
|September 5, 2023
概括
在C臂光镜治疗脏手术期间,外科医生的辐射暴露在当X射线发生器面向操作员时是最高的. 用屏蔽保护手,胸部和眼睛至关重要,特别是在某些C臂位置.
科学领域:
- 医学成像和放射瘤学医学成像和放射瘤学
- 外科手术程序和患者安全
背景情况:
- 甲臂光镜对于穿皮刺是必不可少的,但会带来辐射风险.
- 优化C臂设备定位对于尽量减少外科医生和患者的辐射暴露至关重要.
研究的目的:
- 为了比较外科医生的辐射暴露 (镜头,手,胸部) 在各种C臂光镜位置.
- 为了确定C臂配置,在皮肤脏手术期间尽量减少辐射剂量.
主要方法:
- 一个标准化的光学协议,用水等价的幻影模拟了外科医生和患者的暴露.
- 剂量计测量了七个C臂位置的镜头,胸部和手幻影的辐射.
- 对每个特定的C臂方向分析了辐射剂量.
主要成果:
- 在病人幻影 (2.97 mSv) 上观察到的辐射暴露最高.
- 外科医生的手指剂量计记录了最高的暴露,在中侧+90°位置达到2.88mSv的峰值.
- 最低的外科医生手部暴露在0°位置是0.51mSv,最低的胸部暴露在中侧-90°位置是0.24mSv.
结论:
- 当C臂的X射线发生器面向外科医生时,辐射暴露会增加.
- 在所有测试的位置上,手部曝光总是超过镜头和胸部曝光.
- 保护手,胸部和眼睛的措施至关重要,特别是避免直接的发电机与操作员对齐.
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