Hadelsberg Uri P, Harel Ran
The Chaim Sheba Medical Center, Tel Aviv, Israel.
Spine Surgery Unit, Department of Neurosurgery, Sheba Medical Center, Ramat-Gan, Israel; Talpiot Medical Leadership Program, Sheba Medical Center, Ramat-Gan, Israel.
World Neurosurg. 2016 Aug;92:353-359. doi: 10.1016/j.wneu.2016.05.025. Epub 2016 May 18.
Spine surgery relies heavily on imaging, with radiography-based devices being the major operating room imaging modality. Radiation exposure is an occupational risk historically recognized shortly after the discovery of radiation itself. Exposure of both patients and operating room staff is of increasing concern as the knowledge regarding the hazards of radiation is steadily accumulating.
We conducted a literature review of the history of radiation exposure limits and updates on current studies showing the risks of low-dose exposures.
Multiple studies reporting on radiation exposure risk and methods to reduce exposure risks are discussed.
We discuss the methods to reduce operating room staff exposure to the minimal amount, thus reducing occupational risks. We recognize that increasing awareness to radiation exposure hazards and promoting the knowledge of methods to reduce exposure of surgeons, nurses, and technicians could result in a reduction of exposure to radiation.
脊柱外科手术严重依赖影像学检查,基于X线摄影的设备是主要的手术室成像方式。辐射暴露是一种职业风险,自辐射被发现后不久就被人们认识到。随着关于辐射危害的知识不断积累,患者和手术室工作人员的辐射暴露问题日益受到关注。
我们对辐射暴露限值的历史以及显示低剂量暴露风险的当前研究进展进行了文献综述。
讨论了多项关于辐射暴露风险及降低暴露风险方法的研究。
我们探讨了将手术室工作人员的辐射暴露降至最低水平的方法,从而降低职业风险。我们认识到提高对辐射暴露危害的认识,并推广减少外科医生、护士和技术人员辐射暴露的方法,可能会减少辐射暴露。