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前列腺动脉栓塞介入手术过程中麻醉医生所接受的辐射剂量

RADIATION DOSES TO ANAESTHETISTS DURING PROSTATIC ARTERY EMBOLIZATION INTERVENTIONAL PROCEDURES.

作者信息

Garzón W J, Khoury H J

机构信息

Laboratorio de Radiaciones Nucleares, Universidad Pedagógica y Tecnológica de Colombia, Avenida Central del Norte 39-115, Tunja, Colombia.

Departamento de Energía Nuclear, Universidade Federal de Pernambuco, Av. Prof. Luiz Freire, 1000 - Cidade Universitaria, Recife, Brazil.

出版信息

Radiat Prot Dosimetry. 2019 Dec 23;185(2):196-200. doi: 10.1093/rpd/ncy295.

Abstract

The objective of this study was to assess the radiation doses received by anaesthetists from prostatic artery embolization (PAE) procedures. Ten PAE procedures conducted in a reference hospital in the city of Recife, Brazil were investigated. Occupational dosimetry was performed using thermoluminescent dosemeters which were located next to the eyes, close to the thyroid (over the shielding), on the thorax (under the apron), on the wrist and on the feet of the physician's body. The results showed that the anaesthetist's feet received the highest doses followed by the eyes and the hands. In some complex PAE procedures the doses received by anaesthetists on the lens of the eyes and the effective dose were higher than those received by the main operator due to the anaesthetist's close position to the patient's table and the use of oblique projections. The personal dose equivalent Hp(3) per procedure for the anaesthetist's right eyebrow ranged from 20.2 μSv to 568.3 μSv. This result shows that anaesthetists assisting PAE procedures can exceeds the annual eye lens dose limit of 20 mSv recommended by the ICRP with only one procedure per week if radiation protection measures are not implemented during procedures.

摘要

本研究的目的是评估麻醉医生在前列腺动脉栓塞术(PAE)过程中所接受的辐射剂量。对巴西累西腓市一家参考医院进行的10例PAE手术进行了调查。使用热释光剂量计进行职业剂量测定,剂量计分别置于医生身体的眼睛旁边、靠近甲状腺处(在防护装置上方)、胸部(在防护围裙下方)、手腕和脚部。结果显示,麻醉医生的脚部接受的剂量最高,其次是眼睛和手部。在一些复杂的PAE手术中,由于麻醉医生靠近患者手术台并使用了斜位投照,其眼睛晶状体所接受的剂量和有效剂量高于主操作人员。麻醉医生右眉处每次手术的个人剂量当量Hp(3)范围为20.2 μSv至568.3 μSv。这一结果表明,如果在手术过程中不采取辐射防护措施,协助PAE手术的麻醉医生仅每周进行一次手术,就可能超过国际辐射防护委员会(ICRP)建议的每年20 mSv的眼晶状体剂量限值。

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