[1]刘伟宾,黄连军,郭久芳,等.冠心病介入诊疗中透视与电影辐射剂量率对比分析[J].介入放射学杂志,2015,(06):524-527.
 LIU Wei-bin,HUANG Lian-jun,GUO Jiu-fang,et al.Radiation dose rate received by patients with coronary heart disease during interventional management: comparison between fluoroscopy and movies[J].journal interventional radiology,2015,(06):524-527.
点击复制

冠心病介入诊疗中透视与电影辐射剂量率对比分析()

PDF下载中关闭

分享到:

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

卷:
期数:
2015年06期
页码:
524-527
栏目:
临床研究
出版日期:
2015-06-25

文章信息/Info

Title:
Radiation dose rate received by patients with coronary heart disease during interventional management: comparison between fluoroscopy and movies
作者:
刘伟宾 黄连军 郭久芳 王弋辉 靳国梁 李羽加 申 涛 张伯麟 张 珅 陈 健
Author(s):
LIU Wei-bin HUANG Lian-jun GUO Jiu-fang WANG Yi-hui JIN Guo-liang LI Yu-jia SHEN Tao ZHANG Bo-lin ZHANG Shen CHEN Jian
Department of Interventional Radiology, Affiliated Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
关键词:
【关键词】 冠心病 介入诊疗 辐射剂量率 辐射防护
文献标志码:
A
摘要:
【摘要】 目的 研究冠心病患者介入诊疗中DSA设备显示的实时辐射剂量率,为医务人员合理控制辐射剂量提供依据。方法 随机抽取2014年9月采用美国通用公司DSA机介入诊疗的冠心病患者30例,对术中DSA机由透视模式转换为电影模式时各自序列显示的辐射剂量率进行对比分析。结果 透视辐射剂量率为18.5~212.0 mGy/min,均值为(114.7±42.1) mGy/min;电影辐射剂量率为216~1 691 mGy/min,均值为(970.1±298.4) mGy/min。透视与电影辐射剂量率总体均值之比为1︰8.5。数字平板探测器面积越大,辐射剂量率均值越大,电影辐射剂量率均值较透视辐射剂量率均值增高趋势越明显;透视辐射剂量率均值较电影辐射剂量率均值低,差异显著。结论 医务人员在冠心病介入诊疗中应合理选择DSA设备类型,密切观察动态实时显示的辐射剂量率,及时调整检查模式及可控参数,即刻评估可能致患者放射损伤的剂量水平,合理控制辐射剂量,以降低电离辐射对人体健康产生的辐射效应。

参考文献/References:

[1] 黄 永, 王艳芹, 杨 洁, 等. 降低介入诊疗过程中患者接受辐射剂量的研究[J]. 介入放射学杂志, 2011, 20: 563-565.
[2] Nishizawa K, Masuda Y, Morinaga K, et al. Surface dose measurement in patients and physicians and effective dose estimation in patients during uterine artery embolisation[J]. Radiat Prot Dosimetry, 2008, 128: 343-350.
[3] UNSCEAR. Report of the United Nations Scientific Committee on the Effects of Atomic Radiation, general assembly, official records. Sixty-third Session. Supplement No.46[R]. New York, 2008.
[4] 杨朝文. 电离辐射防护与安全基础[M]. 北京: 原子能出版社,2009.
[5] 赵进沛, 杨会锁. 放射诊疗卫生防护及其监督监测[M]. 北京:军事医学科学出版社, 2013.
[6] 刘伟宾, 黄连军, 郭久芳, 等. 心血管疾病患者在介入诊疗过程中辐射剂量分析[J]. 介入放射学杂志, 2014, 23: 941-944.
[7] 医用X射线诊断卫生防护标准(GBZ130-2002)[S]. 北京: 法律出版社, 2002.
[8] Fletcher DW, Miller DL, Balter S, et al. Comparison of four techniques to estimate radiation dose to skin during angiographic and interventional radiology procedures[J]. J Vasc Interv Radiol, 2002, 13: 391-397.
[9] 电离辐射防护与辐射源安全基本标准(GB18871-2002)[S]. 北京: 中国标准出版社, 2003.

相似文献/References:

[1]梁君.右肾母细胞瘤术前介入诊疗一例[J].介入放射学杂志,2000,(04):205.
[2]曹喜才,贺能树,孙建中,等.介入诊断与治疗十年工作体会[J].介入放射学杂志,1998,(03):160.
[3].首届全国骨与关节系统及四肢血管介入技术学术交流大会征文通知[J].介入放射学杂志,2000,(01):31.
[4]刘玉清.迎接挑战,为推进新世纪介入放射学的发展而奋进[J].介入放射学杂志,2000,(01):1.
[5]戴 煌,秦永文,萧 毅.320排动态容积CT冠状动脉成像诊断冠心病的初步应用[J].介入放射学杂志,2012,(07):541.
 DAI Huang,QIN Yong- wen,XIAO Yi.. Preliminary application of 320-detector row dynamic volume CT angiography in diagnosing coronary heart diseases[J].journal interventional radiology,2012,(06):541.
[6]罗育坤,范 林,林朝贵,等. 破裂斑块行介入治疗对冠状动脉血流的影响[J].介入放射学杂志,2012,(11):898.
 LUO Yu-kun,FAN Lin,LIN Chao- gui,et al. Changes of coronary flow occurred after percutaneous coronary intervention for ruptured plaque detected by intravascular ultrasound[J].journal interventional radiology,2012,(06):898.
[7]潘静薇,陆志刚,张佳胤,等. 冠状动脉介入治疗后迟发型对比剂肾病[J].介入放射学杂志,2013,(01):15.
 PAN Jing? wei,LU Zhi? gang,ZHANG Jia? yin,et al. Delayed contrast?蛳 induced nephropathy occurring after percutaneous coronary intervention[J].journal interventional radiology,2013,(06):15.
[8]刘伟宾,黄连军,郭久芳,等.心血管疾病患者在介入诊疗过程中辐射剂量分析[J].介入放射学杂志,2014,(11):941.
 LIU Wei bin,HUANG Lian jun,GUO Jiu fang,et al.The distribution of radiation dose in patients with cardiac diseases during interventional procedure[J].journal interventional radiology,2014,(06):941.
[9]王智廷,曹国全,闻彩云,等. 冠状动脉介入治疗中操作者所受剂量的综合研究[J].介入放射学杂志,2013,(10):834.
 WANG Zhi? ting,CAO Guo? quan,WEN Cai? yun. HUANG Zhou? qing.. The radiation dose to operators in performing percutaneous coronary intervention: a comprehensive study[J].journal interventional radiology,2013,(06):834.
[10]潘春仰,邱建平,陆 林,等.冠状动脉介入治疗后支架内再狭窄相关因素[J].介入放射学杂志,2015,(06):467.
 PAN Chun-yang,QIU Jian-ping,LU Lin,et al.Investigation of factors related to the occurrence of in-stent restenosis after percutaneous coronary intervention[J].journal interventional radiology,2015,(06):467.

备注/Memo

备注/Memo:
(收稿日期:2014 -12 -02)
(本文编辑:边 佶)
更新日期/Last Update: 2015-06-24