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诊断性X射线照射对人类胎儿的影响:证据审查

The effects of diagnostic X-ray exposure on the human fetus: an examination of the evidence.

作者信息

Oppenheim B E, Griem M L, Meier P

出版信息

Radiology. 1975 Mar;114(3):529-34. doi: 10.1148/114.3.529.

DOI:10.1148/114.3.529
PMID:123349
Abstract

Epidemiological studies have demonstrated an increased incidence of morbidity and mortality among children exposed prenatally or preconceptually to diagnostic x-rays, as compared to nonirradiated controls. In those studies radiation exposure occurred on a selective basis, as the examination was always medically indicated. Comparisons of those studies and comparable ones in which radiation exposure occurred on a nonselective basis (from routine pelvimetry examinations or atomic bomb radiation) indicate that the latter studies do not confirm the former and a significant discrepancy is present in each instance. Thus, some doubt is cast on the validity of the former studies.

摘要

流行病学研究表明,与未受辐射的对照组相比,在出生前或受孕前接受诊断性X射线照射的儿童中,发病率和死亡率有所增加。在这些研究中,辐射暴露是基于选择的,因为检查总是出于医学需要。将这些研究与那些非选择性辐射暴露(来自常规骨盆测量检查或原子弹辐射)的可比研究进行比较表明,后者的研究并未证实前者,且在每种情况下都存在显著差异。因此,人们对前者研究的有效性产生了一些怀疑。

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The effects of diagnostic X-ray exposure on the human fetus: an examination of the evidence.诊断性X射线照射对人类胎儿的影响:证据审查
Radiology. 1975 Mar;114(3):529-34. doi: 10.1148/114.3.529.
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Absence of chromosome damage in the newborn infant following x-ray pelvimetry.X线骨盆测量后新生儿无染色体损伤。
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Diagnostic Imaging of Pregnant Women and Fetuses: Literature Review.孕妇和胎儿的诊断性影像学:文献综述
Bioengineering (Basel). 2022 May 28;9(6):236. doi: 10.3390/bioengineering9060236.
2
Diagnostic X-rays and risk of childhood leukaemia.诊断 X 射线与儿童白血病风险。
Int J Epidemiol. 2010 Dec;39(6):1628-37. doi: 10.1093/ije/dyq162. Epub 2010 Oct 1.
3
Effect of low dose of 70 kVp X-rays on the intrauterine development of mice.低剂量70千伏峰值X射线对小鼠子宫内发育的影响。
Experientia. 1990 May 15;46(5):511-3. doi: 10.1007/BF01954250.
4
Aetiological factors in childhood neoplasia.儿童肿瘤的病因学因素。
J Clin Pathol. 1976 Nov;29(11):1032-7. doi: 10.1136/jcp.29.11.1032.