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骨科医生对透视检查中辐射暴露风险的认知。

Perception of Orthopedics Surgeons about the Risks of Radiation Exposure in Fluoroscopy.

作者信息

Barbosa Helia Bittar, Silva Ana Maria Marques da

机构信息

Escola Politécnica, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2022 Jul 14;57(4):546-551. doi: 10.1055/s-0042-1748968. eCollection 2022 Aug.

Abstract

The present study aims to understand the perceptions of orthopedists and traumatologists regarding the risk of exposure to ionizing radiation in fluoroscopy procedures.  An objective, structured, self-administered questionnaire with sociodemographic, professional, and occupational variables was developed, available through an invitation sent to orthopedist physicians whose contacts were made publicly available.  A total of 141 questionnaires were answered and analyzed. Most respondents (99%) use fluoroscopy in their surgeries, and only 34.8% of the participants feel safe with the use of the equipment. It was observed that the knowledge about ionizing radiation is inadequate, because 22.6% of the participants are unaware of the type of radiation emitted in fluoroscopy and its biological effects. In addition, 52% of the participants did not know or do not understand the principles of radiological protection and their relationship with surgical practices. We concluded that the radiological protection of most orthopedists in surgical procedures is inadequate, and initial and continued training programs of professionals are necessary, bringing health benefits to orthopedists and their patients.

摘要

本研究旨在了解骨科医生和创伤科医生对透视检查过程中电离辐射暴露风险的认知。 设计了一份包含社会人口学、专业和职业变量的客观、结构化、自填式问卷,通过向其联系方式已公开的骨科医生发送邀请来获取。 共回收并分析了141份问卷。大多数受访者(99%)在手术中使用透视检查,只有34.8%的参与者对使用该设备感到安全。据观察,关于电离辐射的知识不足,因为22.6%的参与者不知道透视检查中发射的辐射类型及其生物学效应。此外,52%的参与者不知道或不理解放射防护原则及其与手术操作的关系。我们得出结论,大多数骨科医生在手术过程中的放射防护不足,专业人员的初始培训和持续培训计划是必要的,这将给骨科医生及其患者带来健康益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1964/9365486/24da5db20def/10-1055-s-0042-1748968-i210129en-1.jpg

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