期刊文献+

小儿先天性心脏病介入治疗中辐射剂量的评价 被引量:14

Radiation dosage accepted by children during interventional treatment for congenital heart disease
下载PDF
导出
摘要 目的测定小儿先天性心脏病介入治疗中患儿辐射剂量,探讨影响辐射剂量的因素及减低剂量的方法。方法 2011年1月~2011年7月接受先天性心脏病介入治疗的患儿共91例,分为三组包括房间隔缺损(ASD)36例、动脉导管未闭(PDA)25例、室间隔缺损(VSD)30例,通过收集所有病例的累积辐射剂量(CD,Gy),面积剂量乘积(DAP,Gy.cm2),透视时间[F(t),min],观察各组之间的区别。结果 ASD、PDA、VSD三组介入治疗中患儿CD值分别是(0.15±0.10),(0.31±0.29),(0.37±0.18)Gy,DAP值分别是(15.78±10.50),(33.11±31.35),(37.69±21.56)Gy.cm2,透视时间分别为(8.64±5.10),(8.15±5.23),(10.47±7.18)min。CD值与DAP值三种介入方式比较,差异有统计学意义(P<0.05),且VSD的CD值和DAP值明显高于ASD和PDA。透视时间比较,差异无统计学意义(P>0.05)。不同术者,患儿的CD值、DAP值、透视时间差异明显。结论经导管介入治疗先天性心脏病动脉导管未闭、房间隔缺损、室间隔缺损是安全和疗效可靠的方法,但儿童患者对辐射更加敏感。操作者应通过操作技术水平,缩短透视时间减少辐射剂量。 Objective To estimate the radiation dose to which children are exposed during cardiac catheterizations for the treatment of congenital heart disease to analyze the factors affecting the radiation dose and to find out the measures to decrease the radiation dose.Methods 91 cases undergoing cardiovascular interventional procedures were collected from January to July 2011 in our hospital,including 36 atrial septal defect(ASD),25 patent ductus arteriosus(PDA),30 ventricular septal defect(VSD) to observe cumulative dose(CD),dose area product(DAP),fluoroscopy time and those differences.Results The cumulative dose of the three groups of children were(0.15±0.10),(0.31±0.29),(0.37±0.18) Gy,and DAP were(15.78±10.50),(33.11±31.35),(37.69±21.56) Gy·cm2,and fluoroscopy time was(8.64±5.10),(8.15±5.23),(10.47±7.18)min,respectively.CD values,DAP values and fluoroscopy time were quite different between different operators.Conclusion Intervention therapy for congenital heart disease,including patent ductus arteriosus,atrial septal defect,and ventricular septal defects is safe,effective and reliable,but children are more sensitive to radiation.Operators should improve skills and shortern radiation time to reduce dose.
出处 《安徽医药》 CAS 2012年第2期184-186,共3页 Anhui Medical and Pharmaceutical Journal
关键词 先天性心脏病 介入诊治 X-射线 辐射剂量 congenital heart disease intervention treatment X-ray radiation dose
  • 相关文献

参考文献11

  • 1陈胜利,朱栋梁,邹容珠,黄子诚,陈国东,黄齐好1.介入放射诊治中患者X射线辐射受照水平[J].中国辐射卫生,2008,17(1):8-9. 被引量:10
  • 2Miller DL,BaLter S,Noonan PT,et al.Minimizing radiation2induced skin injury in interventional radiology procedures[J].Radiology,2002,225:329-36.
  • 3Miller DL,Balter S,Cole PE,et al.Radiation doses in interventional radiology procedures:The RAD-IR study:partⅠ:overall measures of dose[J].J Vasc Interv Radiol,2003,14(6):711-27.
  • 4Miller DL,Balter S,Cole PE,et al.Radiation doses in interventional radiology procedures:The RAD-IR study:partⅡ:skin dose[J].J Vasc Interv Radiol,2003,14(8):977-90.
  • 5赵军,陈关良,李秋香,王卫,李红环,吴宁.小儿先天性室间隔缺损介入治疗中受照剂量的评价[J].介入放射学杂志,2010,19(7):518-520. 被引量:10
  • 6Kawabe A,Tcdeda Y,Ncdagiri Y.Reduction in patient skin dose during interventional radiology with the use of an air gap substitute[J].British J Radiology,2008,81(966):474-8.
  • 7Grazia M,Lamia A.Cardiac catheterization and long-term chromosomal damage in children with congenital heart disease[J].European Heart Journal,2006,27(22):2703-8.
  • 8Valentin J.Avoidance of radimion injuries from medical interventional procedures[M].ICRP Publication 85.ANN ICRP,2000,30(2):7-67.
  • 9Swoboda NA,Armstrong DG,Smith J,et al.Pediatric patient surface doses in neuroangiography[J].Pediatr Radiol,2005,35(9):859-66.
  • 10Chodick G,Ronckers CM,Shalev V,et al.Excess lifetime cancer mortality risk attributable to radiation exposure from computed tomography examinations in children[J].Isr MedAssoc J,2007,9(8):584-7.

二级参考文献18

  • 1张玉顺.室间隔缺损介入治疗和评价[J].介入放射学杂志,2005,14(S1):7-9. 被引量:6
  • 2张智伟,曾国洪,林曙光,范瑞新,李渝芬,王树水,谢育梅,石继军,李俊杰.国产膜周部室间隔缺损封堵器的研制及临床应用[J].中华心血管病杂志,2005,33(3):228-231. 被引量:26
  • 3朱铭,程永德.重视儿科介入放射学[J].介入放射学杂志,2005,14(4):337-339. 被引量:2
  • 4Papadopoulou DI, Yakoumakis EN, Makri TK, et al. Assessment of patient radiation doses during transeatheter closure of ventricular and atrial septal defects with Amplatzer devices [J]. Catheter Cardiovasc Interv, 2005, 65 : 434 - 441.
  • 5Swoboda NA, Armstrong DG, Smith J, et al. Pediatric patient surface doses in neuroangiography [J]. Pediatr Radiol, 2005, 35 : 859 - 866.
  • 6Chodick G, Ronckers CM, Shalev V, et al. Excess lifetime cancer mortality risk attributable to radiation exposure from computed tomography examinations in children [J]. Isr Med Assoc J, 2007 : 584 - 587.
  • 7ICRP. The 2007 recommendation of the international commission on radiological protection[S]. ICRP publication 103. Ann ICRP, 2007, 37:1 - 332.
  • 8Onnasch DG, Schemm A, Kramer HH. Optimization of radiographic parameters for paediatric cardiac angiography [J]. Br J Radiol, 2004, 77:479 - 487.
  • 9Strauss KJ. Pediatric interventional radiography equipment : safety considerations[J]. Pediatr Radiol, 2006, 36: 126- 135.
  • 10Dragusin O, Gewillig M, Desmet W, et al. Radiation dose survey in a paediatric cardiac catheterisation laboratory equipped with flat-panel detectors [J ]. Radiat Prot Dosimetry, 2008, 129 : 91 - 95.

共引文献18

同被引文献100

引证文献14

二级引证文献70

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部