[1]孙智山,曾建平,周胜华,等. 防放射线手术操作房对介入术中防护效率与操作灵活性的影响[J].介入放射学杂志,2013,(08):690-693.
 SUN Zhi? shan,ZENG Jian? ping,ZHOU Sheng? hua,et al. Influence of radio?蛳 protective operating room on the radiation protection efficiency and handle flexibility of operators performing interventional procedures[J].journal interventional radiology,2013,(08):690-693.
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 防放射线手术操作房对介入术中防护效率与操作灵活性的影响 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年08期
页码:
690-693
栏目:
临床研究
出版日期:
2013-08-30

文章信息/Info

Title:
 Influence of radio?蛳 protective operating room on the radiation protection efficiency and handle flexibility of operators performing interventional procedures
作者:
 孙智山 曾建平 周胜华 刘 元 刘 平 黄 河 黄浩波 康友根
Author(s):
 SUN Zhi?蛳 shan ZENG Jian?蛳 ping ZHOU Sheng?蛳 hua LIU Yuan LIU Ping HUANG He HUANG Hao?蛳 bo KANG You?蛳 gen.
 Department of Cardiology, Xiangtan Municipal Central Hospital, Xiangtan, Hunan Province 411100, China
关键词:
 【关键词】 介入放射学 辐射防护 X射线防护装置 操作灵活性
文献标志码:
A
摘要:
 【摘要】 目的 观察在目前铅衣、铅围脖和铅屏组合的基础上加用新型专利装置防放射线手术操作房对射线防护效率与手术操作灵活性的影响。方法 在50台冠脉介入手术过程中分别使用铅衣、铅围脖和铅屏组成的传统防护系统和在此基础上附加防放射线手术操作房的新型防护系统,以盖革计数器测量放射当量以评价防护效率的优劣性。铅衣和防护房测量位置均设定为离地面130 cm,相当于身高170 cm术者的胸部位置,铅衣和防护房内外表面各设一测量点。屏蔽效率计算公式为:屏蔽效率 = (外部X射线当量 - 内部X射线当量)/外部X射线当量 × 100%。术者对使用过程中防护装置对手术的影响和球管调整时的可操作性进行评分。结果 新型防护系统在屏蔽效率方面明显超过传统防护系统(99.06% ± 0.74%比90.33% ± 1.41%,P < 0.01),在目前防护基础上进一步降低术者射线曝光量约90%,而在对手术的影响(0比0)和球管调整时的可操作性(2.96 ± 0.20比3.00 ± 0)方面两者差异无统计学意义(P > 0.05)。结论 在目前铅衣、铅围脖和铅屏组成的传统防护系统基础上附加防放射线手术操作房的防护效果是传统防护装置的10倍,且对手术无不良影响,球管调整时操作灵活,是放射防护装置的发展方向。

参考文献/References:

 [1] 侯金鹏, 邓大平, 朱建国, 等. 介入放射学工作者剂量水平与评价[J]. 中国辐射卫生, 1997, 6: 28 ?蛳 29.
[2] 刘传亚, 曲桂莲, 刘卫东, 等. 对一套进口介入防护装置防护效果的评价[J]. 中华放射医学与防护杂志, 2009, 29: 302 ?蛳 303.
[3] Jacob S, Michel M, Spaulding C, et al. Occupational cataracts and lens opacities in interventional cardiology(O’CLOC study): are X?蛳 Rays involved?[J]. BMC Public Health, 2010, 10: 537.
[4] Picano E, Vano E. The radiation issue in cardiology: the time for action is now[J]. Cardiovasc Ultrasound, 2011, 9: 35.
[5] Gerber TC, Carr JJ, Arai AE, et al. Ionizing radiation in cardiac imaging: a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention[J]. Circulation, 2009, 119: 1056 ?蛳 1065.
[6] Picano E, Vano E, Domenici L, et al. Cancer and non?蛳 cancer brain and eye effects of chronic low?蛳 dose ionizing radiation exposure[J]. BMC Cancer, 2012, 12: 157.
[7] Kim KP, Miller DL, Balter S, et al. Occupational radiation doses to operators performing cardiac catheterization procedures[J]. Health Phys, 2008, 94: 211 ?蛳 227.
[8] Sauren LD, van Garsse L, van Ommen V, et al. Occupational radiation dose during transcatheter aortic valve implantation[J]. Catheter Cardiovasc Interv, 2011, 78: 770 ?蛳 776.
[9] Panuccio G, Greenberg RK, Wunderle K, et al. Comparison of indirect radiation dose estimates with directly measured radiation dose for patients and operators during complex endovascular procedures[J]. J Vasc Surg, 2011, 53: 885 ?蛳 894.
[10] Venneri L, Rossi F, Botto N, et al. Cancer risk from profe?蛳 ssional exposure in staff working in cardiac catheterization laboratory: insights from the National Research Council’s Biological Effects of Ionizing Radiation VII Report[J]. Am Heart J, 2009, 157: 118 ?蛳 124.
[11] 王树华, 何 青, 孙福成. 心血管介入诊治中的放射防护状况调查[J]. 中国介入心脏病学杂志, 2006, 14: 22 ?蛳 24.
[12] 刘鹏程, 杜端明, 陈在中, 等. 介入放射治疗中的立体防护研究[J]. 中国辐射卫生, 2006, 15: 18 ?蛳 20.
[13] 赵中庆, 冯国强, 孔秀真. 一种介入放射防护装置介绍[J]. 中华放射医学与防护杂志, 2000, 20: 438.
[14] 曹厚德. “床载式介入放射防护装置”研制成功[J]. 介入放射学杂志, 2000, 9: 66. 

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备注/Memo

备注/Memo:
 (收稿日期:2013-03-16)
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