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在椎切除术中进行手术期间的光学照射

Panagiotis Tsipouriaris¹, Ioannis Panagiotis Athinodorou¹, Fotios Efthymiou²

¹Department of Neurosurgery, Medical School, University of Patras, Rio University Hospital, Cyprus.

Surgical neurology international

|August 21, 2025

概括

在内镜腰椎切除术期间的辐射暴露在内膜间 (IELD) 和外膜间 (TELD) 技术中都很低. 这两种方法都显示了可比的辐射剂量,而TELD需要更长的光学时间.

科学领域:

最少侵入性脊柱手术
医学成像
辐射安全

背景情况:

脊柱内镜手术使用光学指导仪器.
光学会使医务人员和患者接触到电离辐射.
在椎切除术中评估辐射剂量对于安全至关重要.

研究的目的:

评估和比较跨层内镜腰椎切除术 (IELD) 和跨层内镜腰椎切除术 (TELD) 的辐射剂量.
分析两种手术的患者特异性和辐射相关变量.

主要方法:

对54名患者进行椎间盘的IELD (n=18) 或TELD (n=36) 的回顾性分析.
收集的数据包括患者的人口统计和辐射指标:光镜时间 (FT),管电压 (kVp),克尔马面积积 (KAP) 和累积空气克尔马 (CAK).

主要成果:

在IELD和TELD集团之间观察到的年龄,程序持续时间,电影收购,FT,KAP和CAK的显著差异.
IELD的平均KAP为8. 18dGycm2,而TELD的平均KAP为29. 09dGycm2.
IELD的平均FT为18. 72秒,TELD为54. 94秒;皮肤剂量仍低于安全值.

结论:

在内科切除术中进行的光镜检查会产生较低的辐射剂量.
在IELD和TELD技术中,辐射剂量数据是可比的.
TELD程序需要更长的光学时间,并且要求更高.

关键词:

内镜切除术间层内镜腰椎切除术辐射剂量辐射暴露跨膜内镜腰椎切除术

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