在神经神经调节过程中暴露于辐射:多机构描述性研究
Ramzy T Burns1, Joanna Orzel2, Paul Wadensweiler3
1Department of Urology, Indiana University, Indianapolis, Indiana, USA.
Neurourology and urodynamics
|February 6, 2024
概括
圣神经调节 (SNM) 程序显示光镜时间和辐射剂量存在很大差异. 机构和外科医生等因素对暴露量产生影响,强调需要标准化的协议来最大限度地降低风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经外科 神经外科
- 最少侵入性的手术
背景情况:
- 光镜增强了圣经神经调节 (SNM) 位,并减少了手术的持续时间.
- 关于光镜在SNM手术期间的辐射暴露和安全性的数据有限.
研究的目的:
- 在多个机构的SNM手术中分析光学时间和辐射剂量.
- 为了确定在SNM手术过程中增加光镜时间和辐射剂量的预测因素.
主要方法:
- 在四个学术中心从2016-2021年回顾664个SNM手术 (第一阶段和全植入) 的回顾.
- 收集的人口,临床和手术内数据,包括光镜时间和辐射剂量 (mGy).
- 进行单变量和多变量分析以确定辐射暴露的预测因素.
主要成果:
- 在各机构和外科专业中观察到光镜时间和剂量的显著变化.
- 双边探针测试,手术指示,外科医生体积和机构是增加光镜时间和辐射剂量的显著预测因素 (p < 0.05).
- 大多数手术 (79.6%) 是由女性骨盆医学和重建外科专家进行的,其中76.4%的外科医生是低体积植入器.
结论:
- 在SNM手术中使用光镜存在很大差异.
- 增加的辐射暴露对手术团队和患者构成风险.
- 在SNM程序中使用光镜的标准化是必要的,以减轻潜在的危害.
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