概括
在远距离半径骨折手术期间的辐射暴露与患者和外科医生因素有关. 男性患者,复杂骨折和外科医生的经验/学员增加了光镜的使用和辐射剂量.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 患者安全 患者安全
背景情况:
- 在远半径骨折 (DRF) 手术固定过程中量化手术期间的辐射暴露对于患者和工作人员的安全至关重要.
- 识别导致光镜使用的因素对于优化辐射剂量减少策略至关重要.
研究的目的:
- 在手术固定DRF时量化辐射暴露.
- 为了确定患者和外科医生相关的因素,与增加的手术内光镜使用相关.
主要方法:
- 对342名接受急性DRF手术固定的患者 (2017-2019) 的回顾性分析.
- 收集的数据包括患者人口统计,外科医生特征和光学参数 (剂量区域产品,图像数量,光学时间).
- 进行了单变量和双变量统计分析以确定显著的关联 (P<0.05).
主要成果:
- 患者的中位年龄为59岁,77.8%为女性.
- 辐射剂量面积产物 (DAP) 的中位数为9.24cGy*cm2,每例中位数为36张图像和60秒的光镜时间.
- 较高的辐射暴露与男性患者相关,复杂的骨折模式,植入物选择,经验较少的外科医生,外科医生子专业和实习生参与.
结论:
- 术内光学在DRF固定中的使用受损伤特征和外科医生相关因素的影响.
- 男性的性别,复杂的骨折形态,外科医生的经验水平,以及学员的存在,都与光镜利用率和辐射暴露率的增加有关.
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