术内光学暴露:对外科医生职业辐射暴露的系统,多专业审查
Ellie Helton1, Kerilyn Godbe2, Cole Bird1
1Plastic Surgery, University of Kansas School of Medicine, Kansas City, USA.
Cureus
|December 5, 2025
概括
术内光学会使手术团队暴露在电离辐射中. 本综述综合了有关辐射风险和保护策略的数据,为更安全的外科手术提供了指导.
科学领域:
- 医学物理 医学物理
- 外科手术的安全性
- 职业健康 职业健康 职业健康
背景情况:
- 术内光学在外科手术过程中提供关键的实时成像.
- 然而,它的使用显著增加了外科医生和工作人员对电离辐射的暴露.
- 在手术中缺乏对辐射风险和保护措施的全面审查.
研究的目的:
- 系统地审查外科医生因手术内光学而受到的职业辐射暴露的文献.
- 检查相关的健康风险,并评估跨手术子专业实施的保护策略.
- 综合当前的知识,并为在外科手术中安全使用光镜提供指导.
主要方法:
- 在PubMed和EMBASE中使用PRISMA指南进行系统的文献搜索.
- 包括报告职业辐射暴露,健康结果和保护策略的研究.
- 发现被分为六个主题:评论文章,辐射暴露,减少技术,屏蔽,癌症风险和遵守指南.
主要成果:
- 在最初选的1,235项研究中,有71项研究符合纳入标准.
- 关键主题包括辐射暴露水平 (18.3%),减少技术 (21.1%),屏蔽 (12.7%) 和癌症风险 (16.9%).
- 调查结果突出了对指导方针的认识和遵守 (12.7%) 的变化.
结论:
- 外科医生面临着来自手术内光学的大量职业辐射暴露.
- 了解暴露水平,风险和有效的预防策略至关重要.
- 本次审查提供了必要的指导,以尽量减少辐射危害,并确保患者和工作人员的安全.
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