在紧急尿路支架中暴露于辐射:操作人员对子组进行分析
Kevin Tree1,2, Nicholas Chang1, Roy Huynh1,3
1Department of Surgery Dubbo Base Hospital Dubbo Australia.
BJUI compass
|October 11, 2023
概括
在紧急尿路支架插入期间的辐射暴露在经验丰富的顾问和注册员之间没有显著差异. 建议所有使用手术内光镜的医疗保健专业人员进行正式的辐射安全教育和个人剂量计.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 医学物理 医学物理
背景情况:
- 紧急尿路支架插入对于管理尿路结石病至关重要.
- 术内光学是常用的,导致患者和工作人员暴露在辐射中.
- 操作人员的经验和患者/石头特征可能会影响辐射剂量.
研究的目的:
- 为了评估在紧急尿路支架插入期间的辐射暴露.
- 为了确定操作员的经验 (顾问与注册员) 是否会影响辐射剂量.
- 评估石材特性对辐射暴露的影响.
主要方法:
- 在10年内对410名接受紧急泌尿器支架插入的患者进行了回顾性审计.
- 收集的数据包括操作员的经验,辐射暴露 (mGy),剂量区域产物 (Gy/cm2),光镜时间,石材特征和患者的BMI.
- 使用IBM SPSS版本28进行的统计分析,p < 0.05被认为是显著的.
主要成果:
- 辐射暴露的中位数为12.6mGy和2.94 Gy/cm2,光镜的中位时间为44.5秒.
- 在咨询师和注册员之间,没有发现辐射暴露的显著差异.
- 辐射暴露与石头位置,性别,大小,横向性或专业注册人员 (泌尿病学与普通外科) 之间没有显著的关联.
结论:
- 操作人员的经验不会显著影响在紧急尿路支架插入期间的辐射暴露.
- 建议医疗保健专业人员使用手术内光镜进行辐射安全教育和个人剂量计.
- 进一步的研究可能会探索标准化的协议,以尽量减少辐射暴露.
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