机器人辅助可选全膝关节和关节整形手术中计算机断层扫描患者的感知:一个横截面研究
Carlos Guevara-Serra1, Hector E Sanchez-Fernandez1, José I Acosta Julbe1
1Department of Orthopedic Surgery, University of Puerto Rico, Puerto Rico, San Juan, USA.
Journal of orthopaedics
|June 20, 2025
概括
接受机器人辅助全关节整形手术 (raTJA) 的患者对CT扫描辐射风险的认识有限. 然而,大多数人更喜欢手术前的CT扫描而不是机器人辅助,强调需要更好地对患者进行风险和益处的教育.
科学领域:
- 整形外科手术 整形外科手术
- 医疗成像医学成像
- 患者教育 患者教育
背景情况:
- 机器人辅助全关节整形术 (raTJA) 越来越多地被使用.
- 术前计算机断层扫描 (CT) 扫描通常用于raTJA.
- 在raTJA中,患者对来自CT扫描的辐射暴露的理解尚未得到充分证实.
研究的目的:
- 在raTJA中评估患者对手术前CT扫描辐射暴露的感知.
- 评估患者对CT扫描相关的辐射风险的认识.
- 为了探索患者在raTJA中对CT扫描的偏好,考虑辐射暴露.
主要方法:
- 一项涉及155名接受raTJA治疗的患者的横截面研究.
- 一个21项问卷评估了人口统计,以前的CT暴露,辐射知识和意见.
- 数据分析的重点是意识,影响因素和偏好.
主要成果:
- 53.6%的患者知道CT扫描涉及辐射,但81%的人不知道与X射线的比较剂量.
- 之前的raTJA经验与更高的辐射风险意识 (62%) 有关.
- 超过90%的患者更喜欢手术前的CT,而不是机器人辅助,即使在了解了辐射风险之后.
结论:
- 在raTJA中,患者对CT辐射风险的认识有限.
- 尽管意识有限,但患者偏好CT扫描,使机器人辅助高.
- 改善关于CT扫描风险和益处的患者教育和沟通对于raTJA至关重要.
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