[1]陈子满,邹剑明,温 红,等.辐射防护舱在心脏射频消融术中对术者辐射防护效果的体模研究 [J].介入放射学杂志,2018,27(11):1098-1101.
CHEN Ziman,ZOU Jianming,WEN Hong,et al.Radiation protection effect of radioprotection cabin on the operators in performing cardiac radiofrequency ablation: a phantom study[J].journal interventional radiology,2018,27(11):1098-1101.
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辐射防护舱在心脏射频消融术中对术者辐射防护效果的体模研究 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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27
- 期数:
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2018年11期
- 页码:
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1098-1101
- 栏目:
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管理
- 出版日期:
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2018-11-25
文章信息/Info
- Title:
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Radiation protection effect of radioprotection cabin on the operators in performing cardiac radiofrequency ablation: a phantom study
- 作者:
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陈子满; 邹剑明; 温 红; 黄美萍; 王英丽; 胡天宇; 梁稳生
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- Author(s):
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CHEN Ziman; ZOU Jianming; WEN Hong; HUANG Meiping; WANG Yingli; HU Tianyu; LIANG Wensheng.
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Huizhou Municipal Central People’s Hospital, Huizhou, Guangdong Province 516001, China
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- 关键词:
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【关键词】 心脏射频消融; 辐射防护舱; 辐射剂量; 辐射防护
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨在心脏射频消融术中防护舱对第1及第2术者的防护效果。方法 将实时剂量仪贴附在术者主要体表部位,包括100、120、140和160 cm 4个高度,采取心脏射频消融术常用投影体位(正位,左侧位,右前斜位30°及左前斜位45°),在无防护装置下及防护舱防护下分别测量第1及第2术者各部位剂量率,并计算剂量衰减率。剂量衰减率=(无防护剂量率-有防护剂量率)/无防护剂量率×100%。结果 防护舱防护下,第1术者辐射剂量率为(0.5±0.1) μSv/min,剂量衰减率高达99%以上。第2术者的辐射剂量率为(0.5±0.1)~(1.2±0.2) μSv/min,除了100~120 cm在右前斜30°的辐射防护略差[剂量率为(1.1±0.1) μSv/min;衰减率,80.7%],其余投照体位的辐射衰减率均在90%以上。结论 使用辐射防护舱可以有效地提供辐射防护,不仅可以大大降低第1术者的辐射暴露,对第2术者也有辐射防护效果。
参考文献/References:
[1] Valgimigli M, Gagnor A, Calabro P, et al. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial[J]. Lancet, 2015, 385: 2465- 2476.
[2] Abdelaal E, Plourde G, MacHaalany J, et al. Effectiveness of low rate fluoroscopy at reducing operator and patient radiation dose during transradial coronary angiography and interventions[J]. JACC Cardiovasc Interv, 2014, 7: 567- 574.
[3] 赵风玲, 傅宝华, 陈玉浩, 等. 25例过量受照人员的远期辐射医学效应[J]. 中华放射医学与防护杂志, 2012, 32: 403- 406.
[4] Efstathopoulos EP, Katritsis DG, Kottou S, et al. Patient and staff radiation dosimetry during cardiac electrophysiology studies and catheter ablation procedures: a comprehensive analysis[J]. Europace, 2006, 8: 443- 448.
[5] Dragusin O, Weerasooriya R, Jais P, et al. Evaluation of a radiation protection cabin for invasive electrophysiological procedures[J]. Eur Heart J, 2007, 28: 183- 189.
[6] Muller MC, Welle K, Strauss A, et al. Real- time dosimetry reduces radiation exposure of orthopaedic surgeons[J]. Orthop Traumatol Surg Res, 2014, 100: 947- 951.
[7] 陈秀梅, 张 容, 赖敏华, 等. 三级医院介入放射防护能力及个人防护现状调查[J]. 介入放射学杂志, 2017, 26: 176- 179.
[8] 陈子满, 黄美萍, 罗 纯, 等. 悬吊防护屏对介入医师最佳防护方案的体模研究[J]. 介入放射学杂志, 2015, 24: 637- 641.
[9] Ertel A, Nadelson J, Shroff AR, et al. Radiation dose reduction during radial cardiac catheterization: evaluation of a dedicated radial angiography absorption shielding drape[J]. ISRN Cardiol, 2012, 2012: 769167.
[10] Marichal DA, Anwar T, Kirsch D, et al. Comparison of a suspended radiation protection system versus standard lead apron for radiation exposure of a simulated interventionalist[J]. J Vasc Interv Radiol, 2011, 22: 437- 442.
[11] Klein LW, Miller DL, Balter S, et al. Occupational health hazards in the interventional laboratory: time for a safer environment[J]. J Vasc Interv Radiol, 2009, 20(7 Suppl): S278- S283.
[12] Ploux S, Ritter P, Haissaguerre M, et al. Performance of a radiation protection cabin during implantation of pacemakers or cardioverter defibrillators[J]. J Cardiovasc Electrophysiol, 2010, 21: 428- 430.
备注/Memo
- 备注/Memo:
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(收稿日期:2018-02-28)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2018-11-17