[1]王梓玉,杨冠华,王红芳,等.经动脉栓塞治疗术者辐射剂量影响因素分析[J].介入放射学杂志,2026,(06):679-685.[doi:10.3969/j.issn.1008-794X.2026.06.018 ]
　The First Clinical Medical College of Ningxia Medical University,Yinchuan,Ningxia Hui Autonomous Region 7000,et al.Analysis of influencing factors on radiation dose of operators in performing transarterial embolization procedures WANG Ziyu1,YANG Guanhua1,WANG Hongfang1,WANG Minglei1,CHEN Yong2.[J].J Intervent Med,2026,(06):679-685.[doi:10.3969/j.issn.1008-794X.2026.06.018 ]
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经动脉栓塞治疗术者辐射剂量影响因素分析()

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

卷:
期数:
2026年06
页码:
679-685
栏目:
管理
出版日期:
2026-06-17

文章信息/Info

Title:
Analysis of influencing factors on radiation dose of operators in performing transarterial embolization procedures WANG Ziyu1,YANG Guanhua1,WANG Hongfang1,WANG Minglei1,CHEN Yong2.
文章编号:
1008-794X(2026)-006-0679-07
作者:
王梓玉;  杨冠华;  王红芳;  王明磊;  陈 勇
750004 宁夏银川 宁夏医科大学第一临床医学院(王梓玉、杨冠华、王红芳、王明磊); 宁夏医科大学总医院放射介入科(陈 勇)
Author(s):
1The First Clinical Medical College of Ningxia Medical University; Yinchuan; Ningxia Hui Autonomous Region 750004; China; 2Departmeny of Interventional Radiology; General Hospital of Ningxia Medical University; Yinchuan; Ningxia Hui Autono
Corresponding author:CHEN Yong,E-mail:chenyong6981@sina.com
关键词:
经动脉栓塞术;  辐射防护;  辐射剂量
分类号:
R815.4
DOI:
10.3969/j.issn.1008-794X.2026.06.018
文献标志码:
A
摘要:
目的 采用实时辐射剂量计评估不同术式经动脉栓塞治疗术者的辐射剂量情况,并分析术者接受辐射剂量的影响因素。方法 前瞻性采集宁夏医科大学总医院2024 年4 月至12 月接受经动脉栓塞治疗的83 例患者和术者基本资料,以及术中辐射剂量相关指标。按手术类型分为5 组,肝动脉化疗栓塞术组(TACE组)39 例、支气管动脉栓塞术组(BAE组)14 例、肾动脉栓塞术组(RAE)13 例、子宫动脉栓塞术组(UAE组)11 例和膝动脉栓塞术组(GAE组)6 例。数据采用Kruskal-Wallis H和Mann-Whitney U检验,相关性分析采用Spearman相关性分析法,以P<0.05表示差异有统计学意义。结果 TACE组、BAE组、RAE组、UAE组和GAE组的透视时间(P<0.001)、透视DAP(P=0.002)、透视AK(P=0.022)、第一术者辐射剂量(P<0.001)和第一术者辐射剂量率(P<0.001)中位数差异均具有统计学意义,其中GAE组的透视时间、第一术者辐射剂量和第一术者辐射剂量率最高,UAE组的透视DAP和透视AK最大。TACE组、BAE组、RAE组、UAE组和GAE组第一术者和第二术者辐射剂量差异有统计学意义(均P<0.05),且第一术者接受的辐射剂量显著高于第二术者; TACE组、BAE组、RAE组和UAE组中不同第一术者身高(身高≤175 cm和身高>175 cm)组、不同FOV(正常和缩小)组和不同患者BMI(BMI<18.5 kg/m2、BMI 18.5～24.9 kg/m2和BMI≥25 kg/m2)组的第一术者辐射剂量率差异均有统计学意义(均P<0.05),且术者身材矮的比身材高的第一术者接受的辐射剂量高、第一术者接受的辐射剂量随着患者BMI的增大而增大、第一术者接受的辐射剂量随着FOV的缩小而减少。结论 不同术式经动脉栓塞治疗术者接受的辐射剂量及辐射剂量相关指标存在差异,可以通过减少透视时间、透视DAP、增加与辐射源的距离、增高术者的站位和减小FOV等降低术者接受的辐射剂量。

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(收稿日期:2025-05-13)
(本文编辑:茹 实)

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备注/Memo

备注/Memo:
基金项目: 国家自然科学基金项目(62261044)
通信作者: 陈 勇 E-mail:chenyong6981@sina.com
更新日期/Last Update: 2026-05-25