Cope M R, Shaw D L
Department of Orthopaedics, Bradford Royal Infirmary, West Yorkshire, UK.
Ann R Coll Surg Engl. 2002 May;84(3):193-5.
There are no published guidelines issued for the use of thyroid shields by either the Royal College of Radiologists or the British Orthopaedic Association. It has previously been demonstrated that a thyroid shield should be worn during fluoroscopic screening using a portable image intensifier. Scrub staff not wearing a thyroid shield are currently being exposed to ionising radiation on a regular basis, with potentially harmful effects. Of the 210 hospitals in England with orthopaedic departments, 179 were telephoned and the use and availability of thyroid shields was asked. The results demonstrated that 98 orthopaedic theatres had sufficient numbers of thyroid shields available. Of these 98 orthopaedic theatres, thyroid shields were routinely used in only 28 theatres during fluoroscopic screening on a regular basis. It is the authors' recommendation that thyroid shields should be worn during orthopaedic procedures involving the use of an image intensifier.
英国皇家放射科医师学院和英国骨科协会均未发布关于使用甲状腺防护装置的指南。此前已有研究表明，在使用便携式影像增强器进行荧光透视筛查时应佩戴甲状腺防护装置。目前，未佩戴甲状腺防护装置的刷手人员经常暴露于电离辐射中，可能会产生有害影响。研究人员致电了英格兰210家设有骨科科室的医院，询问了甲状腺防护装置的使用情况和供应情况。结果显示，98个骨科手术室有足够数量的甲状腺防护装置。在这98个骨科手术室中，只有28个手术室在荧光透视筛查时经常常规使用甲状腺防护装置。作者建议，在涉及使用影像增强器的骨科手术过程中应佩戴甲状腺防护装置。
