[1]王智廷,郑翔,戴振宇,等.经皮冠状动脉介入术者不同体位所受辐射剂量特征分析[J].介入放射学杂志,2020,29(01):21-24.
 WANG Zhiting,ZHENG Xiang,DAI Zhenyu,et al.Radiation doses accepted by operators in different positions during percutaneous coronary intervention: analysis of radiation distribution characteristics[J].journal interventional radiology,2020,29(01):21-24.
点击复制

经皮冠状动脉介入术者不同体位所受辐射剂量特征分析()

PDF下载中关闭

分享到:

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

卷:
29
期数:
2020年01
页码:
21-24
栏目:
心脏介入
出版日期:
2020-02-10

文章信息/Info

Title:
Radiation doses accepted by operators in different positions during percutaneous coronary intervention: analysis of radiation distribution characteristics
作者:
王智廷郑翔戴振宇闻彩云曹国全
Author(s):
WANG Zhiting ZHENG Xiang DAI Zhenyu WEN Caiyun CAO Guoquan.
Department of Cardiology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province 325015, China
关键词:
【关键词】 经皮冠状动脉介入治疗辐射剂量剂量特征辐射防护
文献标志码:
A
摘要:
【摘要】 目的?探讨经皮冠状动脉介入诊疗过程中不同防护屏和操作者不同体位时所受辐射剂量的构成特点。 方法?采用冠状动脉介入诊疗常用7个体位,取桡动脉入路,对标准仿真人模体进行射线曝光,采集测量不同体位无床旁防护、只有悬吊防护屏、只有床旁固定铅裙时第1、第2操作者入射体表剂量。重复测量20次。采用t检验比较不同情况下体表入射剂量值差异,分别计算不同体位不同防护屏屏蔽率。 结果?第1、第2操作者体表入射剂量在只有床旁固定铅裙时均高于只有悬吊防护屏时(t值1 =926.0、376.5、75.8、1 329.0、668.0、1 148.0、419.5,t值2 =102.6、41.1、82.8、539.4、541.8、204.0、43.1),差异均有统计学意义(P<0.05)。不同体位悬吊防护屏对第1操作者体表入射剂量屏蔽率分别为98.31%、93.67%、67.74%、98.63%、99.52%、89.28%、96.10%,床旁固定铅裙对第1操作者屏蔽率分别为10.39%、4.53%、57.67%、0.68%、4.66%、54.38%、9.68%。 结论?冠状动脉介入诊疗过程中操作者所受辐射剂量主要来源于导管床上方散射辐射,以左足位、左前斜位、足位、右足位、右前斜位最显著;左头位、头位时操作者所受辐射剂量除了来源于导管床上方散射辐射,也有部分来源于导管床下方散射辐射。充分了解各体位时所受辐射剂量构成特征,有助于日常辐射防护有的放矢。

参考文献/References:

1 王?勇,范书英.冠心病介入治疗的现状和展望J.临床内科杂志,2015,32:5-9.
2 Kim KP, Miller DL, Balter S, et al. Occupational radiation doses to operators performing cardiac catheterization proceduresJ. Health Phys, 2008, 94:211-227.
3 王智廷,曹国全,郑?翔,等.经皮冠状动脉介入治疗术者站立区水平方向X 线辐射剂量分布特征分析J.介入放射学杂志,2018, 27:610-614.
4 王智廷,郑?翔,叶?虹,等.冠状动脉介入诊疗过程中不同悬吊防护屏位置对操作者所受剂量的影响J.中华放射医学与防护杂志, 2017, 37:946-949.
5 Wu YQ, Xu MZ, Li Y, et al. Correlation of optimal angiographic viewing angles to body and heart types: a quantitative analysisJ. J Clin Rebabilit Tissue Eng Res, 2008, 12: 779-782.
6 中华人民共和国国国家卫生和计划生育委员会. BZ 130-2013医用X射线诊断放射防护要求S. 北京:中国标准出版社, 2013.
7 Bijwaard H, Valk D, de Waard-Schalkx I. Radiationprotection for interventional fluoroscopy: results of a survey among dutch hospitalsJ. Health Phys, 2018, 114:627-631.
8 Bhat FA, Changal KH, Raina H, et al. Transradial versus transfemoral approach for coronary angiography and angioplasty: a prospective, randomized comparisonJ. BMC Cardiovasc Disord, 2017, 17: 23.
9 Sukupova L, Hlavacek O, Vedlich D. Impact of the ceiling-mounted radiation shielding position on the physicians dose from scatter radiation during interventional proceduresJ. Radiol Res Pract, 2018, 2018: 4287973.
10 王智廷,曹国全,缪?妙,等.床旁防护屏在冠状动脉介入诊疗过程中对不同操作者的防护作用J.中华放射医学与防护杂志,2015, 35:709-712.

相似文献/References:

[1]赵军,陈关良,李秋香,等.小儿先天性室间隔缺损介入治疗中受照剂量的评价[J].介入放射学杂志,2010,(07):518.
 ZHAO Jun,CHEN Guanliang,LI Qiuxiang,et al.Radiation dosage accepted by children during interventional treatment for congenital ventricular septal defect[J].journal interventional radiology,2010,(01):518.
[2]刘彬,白玫.不同版本国际放射防护委员会建议组织器官权重因子对心脏介入诊疗所致有效剂量的影响[J].介入放射学杂志,2009,(12):923.
 LIU Bin,BAI Mei.Effective radiation dose in cardiac interventional procedures:the difference between ICRP publication60and publication103[J].journal interventional radiology,2009,(01):923.
[3]欧阳墉,欧阳雪晖,张学军,等. 新一代药物洗脱支架及其抗血栓形成的作用[J].介入放射学杂志,2014,(05):369.
 OUYANG Yong,OUYANG Xue- hui,ZHANG Xue- jun,et al. The new generation drug- eluting stents and their effects of anti- thrombosis [J].journal interventional radiology,2014,(01):369.
[4]李宗庄,张陈匀,岳 峰,等.桡动脉途径冠状动脉介入治疗中支架变形或脱载的原因及处理 [J].介入放射学杂志,2019,28(06):521.
 LI Zongzhuang,ZHANG Chenyun,YUE Feng,et al.Stent deformation or dislodgement occurring during coronary intervention therapy via radial artery approach: its causes and treatment[J].journal interventional radiology,2019,28(01):521.

备注/Memo

备注/Memo:
(收稿日期:2019-05-20)
(本文编辑:边佶)
更新日期/Last Update: 2020-02-08