SI螺丝固定的3D导航 - 它如何影响患者和医疗人员的辐射暴露?
Yannik Kalbas1, Yannis Hoch2, Felix Karl-Ludwig Klingebiel1
1Department of Trauma Surgery, University Hospital Zurich, University of Zurich, Ramistr. 100 8091 Zurich, Switzerland; Harald-Tscherne Laboratory for Orthopaedic and Trauma Research, University Hospital Zurich, University of Zurich, Ramistr. 100 8091 Zurich, Switzerland.
Injury
|November 29, 2023
概括
圣节螺丝固定的3D导航可以减少医务人员的辐射,但可以增加患者的辐射. 这种先进的技术也提高了手术精度,即使在复杂的情况下.
科学领域:
- 整形外科手术 整形外科手术
- 医学成像技术 医学成像技术
- 辐射安全 辐射安全
背景情况:
- 越来越多地使用穿皮神经 (SI) 螺丝固定.
- 3D导航提供了潜在的优势,但对辐射暴露的临床数据有限.
研究的目的:
- 评估3D导航在SI螺丝固定过程中对患者和医务人员辐射暴露的影响.
- 评估3D导航对手术精度,重新手术和并发症的影响.
主要方法:
- 追溯性,单中心队列研究,对174名接受皮肤穿SI螺丝固定 (2014-2021) 的患者进行了研究.
- 患者分为三维导航 (3D-N组) 和传统光镜 (F组) 两组.
- 主要结局:患者和工作人员的辐射剂量;次要结局:精度,重新手术,并发症.
主要成果:
- 3D导航显著减少了医疗人员的辐射暴露 (-15.3 mGy).
- 3D导航显著增加了患者的辐射暴露 (+77.0mGy).
- 放射性错位率从11.3% (F组) 降低到0% (3D-N组),跨神经螺丝位置增加 (76%对19.4%).
结论:
- 用于SI螺杆固定的3D导航可以降低工作人员的辐射,但可以提高患者的辐射.
- 该技术提高了手术内精度,特别是在复杂的手术中.
- 在特定场景中,改进的精度可能会超过增加的患者辐射.
关键词:
在3D导航中使用3D导航.光镜检测是一种光学检测.脆弱性骨折是一种脆弱性骨折.导航 导航 导航 导航 导航骨盆环骨折 骨盆环骨折 骨盆环骨折 骨盆环骨折 骨盆环骨折神经结节螺丝螺丝TI-TS 螺丝螺丝更多相关视频
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