在内泌尿外科手术过程中,患者的辐射暴露
Vincent De Coninck1,2, Xavier Mortiers3, Laura Hendrickx3
1Department of Urology, AZ Klina, Augustijnslei 100, 2930, Brasschaat, Belgium. vincent.de.coninck@klina.be.
World journal of urology
|April 27, 2024
概括
患者的辐射剂量 (RD) 在皮肤穿神经切除术 (PCNL) 期间是最高的,其次是体外冲击波石 (SWL) 和尿道镜检查 (URS). 优化光镜和使用超声波 (美国) 可以尽量减少这些程序期间的辐射暴露.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 辐射安全 辐射安全
背景情况:
- 患者的辐射剂量 (RD) 和相关风险是内分泌学手术中的关键考虑因素.
- 现有的文献中关于RD水平和影响常见石头治疗因素的差距.
研究的目的:
- 系统地审查和分析患者的辐射剂量 (RD) 在皮肤穿神经切除术 (PCNL),体外冲击波石 (SWL) 和尿路透镜 (URS) 期间.
主要方法:
- 在PubMed,科学网和谷歌学者上进行了全面的文献搜索.
- 在选了2,266篇文章后,根据PRISMA标准包括了65篇出版物.
主要成果:
- 辐射剂量 (RD) 是PCNL的最高,其次是SWL,URS的最低.
- 外科医生的经验和病例负载与RD相反相关.
- 优化光学,利用超声波 (美国),并坚持ALARA原则,有效地减少了RD.
结论:
- 本系统性审查建立了对PCNL,SWL和URS的RD进行比较分析.
- 优化光学和使用US等策略在减少RD方面是有效的.
- 需要进行进一步的研究,以确定特定程序的参考水平,并评估 RD 对患者结果的影响.
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