Caird Michelle S
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI.
J Pediatr Orthop. 2015 Jul-Aug;35(5 Suppl 1):S34-6. doi: 10.1097/BPO.0000000000000542.
Patients, surgeons, and staff are exposed to ionizing radiation in pediatric orthopaedic surgery from diagnostic studies and imaging associated with procedures. Estimating radiation dose to pediatric patients is based on complex algorithms and dose to surgeons and staff is based on dosimeter monitoring. Surgeons can decrease radiation exposure to patients with careful and thoughtful ordering of diagnostic studies and by minimizing exposure intraoperatively. Surgeon and staff radiation exposure can be minimized with educational programs, proper shielding and positioning intraoperatively, and prudent use of intraoperative imaging. Overall, better awareness among pediatric orthopaedic surgeons of our role in radiation exposure can lead to improvements in radiation safety.
在小儿骨科手术中，患者、外科医生及工作人员会因诊断检查和与手术相关的成像而暴露于电离辐射中。估算小儿患者所受辐射剂量基于复杂算法，而外科医生和工作人员所受剂量则基于剂量计监测。外科医生可通过谨慎、周全地安排诊断检查以及在术中尽量减少暴露，来降低患者所受辐射。通过开展教育项目、术中正确使用防护设备和合理定位以及审慎使用术中成像，可将外科医生和工作人员的辐射暴露降至最低。总体而言，小儿骨科外科医生若能更好地意识到我们在辐射暴露方面所起的作用，就能提高辐射安全性。
