腔内泌尿外科实时剂量测定：追踪工作人员的辐射风险。

Real-Time Dosimetry in Endourology: Tracking Staff Radiation Risks.

作者信息

Deininger Susanne, Nairz Olaf, Dieplinger Anna Maria, Deininger Christian, Lusuardi Lukas, Ramesmayer Christian, Peters Julia, Oswald David, Pallauf Maximilian, Bauer Sophina, Brandt Mathias Christoph, Törzsök Peter

机构信息

Department of Urology and Andrology, Salzburg University Hospital, Paracelsus Medical University, 5020 Salzburg, Austria.

Radiation Protection Office, Salzburg University Hospital, Paracelsus Medical University, 5020 Salzburg, Austria.

出版信息

Diagnostics (Basel). 2024 Aug 13;14(16):1763. doi: 10.3390/diagnostics14161763.

DOI:10.3390/diagnostics14161763

PMID:39202253

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11353960/

Abstract

BACKGROUND

To retrospectively investigate scatter radiation (SCR) exposure among staff in the endourology operating theatre.

METHODS

During surgeries under fluoroscopic guidance, five professional groups (urological surgeon [US], surgical nurse [SN], assistant surgical nurse [ASN], anaesthetist [A], and anaesthesia care [AC]) wore real-time dosimeters (Philips DoseAware System) on their head and chest over lead aprons between July 2023 and February 2024. The SCR data were analysed and correlated with procedural and patient factors.

RESULTS

In total, 249 procedures were performed, including 86 retrograde intrarenal surgeries and 10 percutaneous nephrolithotomies. Median SCR exposure was 38.81, 17.20, 7.71, 11.58, 0.63, 0.23, 0.12, and 0.15 Microsievert (µSv) for US chest (USC), US head (USH), SN chest (SNC), SN head (SNH), A chest (AC), AC chest (ACC), ASN chest (ASNC), and ASN head (ASNH), respectively. There was a significant correlation between DAP and SCR doses detected by USC, USH, SNC, SNH, AC, and ACC dosimeters ( < 0.05). The median chest-to-eye conversion factor (CECF) was 2.11 for the US and 0.71 for the SN.

CONCLUSIONS

This study, using real-time dosimetry, is among the first to assess staff occupational SCR exposure in endourology. It highlights a substantial SCR exposure, indicating an occupational health hazard that warrants further investigation.

摘要

背景

回顾性调查泌尿外科手术室工作人员的散射辐射（SCR）暴露情况。

方法

在2023年7月至2024年2月期间，五组专业人员（泌尿外科医生[US]、手术护士[SN]、助理手术护士[ASN]、麻醉医生[A]和麻醉护理[AC]）在荧光透视引导下进行手术时，在铅衣外的头部和胸部佩戴实时剂量仪（飞利浦剂量感知系统）。对SCR数据进行分析，并与手术和患者因素相关联。

结果

共进行了249例手术，包括86例逆行肾内手术和10例经皮肾镜取石术。US胸部（USC）、US头部（USH）、SN胸部（SNC）、SN头部（SNH）、A胸部（AC）、AC胸部（ACC）、ASN胸部（ASNC）和ASN头部（ASNH）的SCR暴露中位数分别为38.81、17.20、7.71、11.58、0.63、0.23、0.12和0.15微西弗（µSv）。USC、USH、SNC、SNH、AC和ACC剂量仪检测到的DAP与SCR剂量之间存在显著相关性（<0.05）。US的胸部到眼睛转换因子（CECF）中位数为2.11，SN为0.71。