胎儿造影的现状:预防未来的辐射致癌

M. Zabihzadeh, V. Karami
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引用次数: 10

摘要

背景:胎儿造影(Fetography)被称为子宫内胎儿的影像学检查。由于潜在的风险辐射引起的癌症和其他恶性影响,这一程序已避免,并已完全取代超声检查。然而,据观察,这种侵入性手术在一些临床部门仍然沿用。目的:本研究的目的是评估胎儿造影的现状及其作为伊朗阿瓦士教学医院不推荐的诊断程序的流行程度。方法:对2013年3月21日至2015年3月21日阿瓦士两所教学医院的影像学和超声接收系统进行调查,确定2013年3月21日至2015年3月21日期间接受胎儿表现成像(头侧或臀侧)的孕妇。结果:在过去的两年中,有3741名孕妇接受了胎儿表现成像。x线与超声检查有显著的统计学差异(2528 vs 1213;P值< 0.05),分别占检查次数的67.5%和32.5%。年龄小于30岁的女性对放射更敏感,占x线检查的51.2%。从2013年到2015年,胎状图的数量增加了2.2倍。讨论:被调查医院的妇女由于胎儿造影而接受了可避免的胎儿照射,这是一个值得关注的原因。超声检查应该是孕妇的一线成像方式,特别是在胎儿出现的情况下。
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Current Status of the Fetography: Preventing of the Future Radiation Induced Cancer
Background: Fetography has named the radiography of the fetus in utero. Due to the potential risk of radiation-induced cancers and other malignant effects, this procedure has avoided and has completely replaced by ultrasonography. However it has observed that this invasive procedure has still followed in some clinical departments. Objectives: The aim of this study was to assess the current status of the fetography and its prevalence as an un-recommended diagnostic procedure in teaching hospitals of Ahvaz, Iran. Methods: The radiology and ultrasonography reception systems of two teaching hospitals of Ahvaz have investigated to identify pregnant patients who has undergone fetal presentation imaging (cephalic or breech) between 21 March 2013 and 21 March 2015. Results: In general 3741 pregnant women who have undergone fetal-presentation imaging during two past years have identified. There was significant statistically differences between X-ray and ultrasonography examinations (2528 vs. 1213; P value < 0.05), as those have accounted for 67.5% and 32.5% of the performed examinations, respectively. Women younger than 30 years, who were more sensitive to radiation, accounted for 51.2% of the X-ray examinations. The number of fetographies has increased as much as 2.2 fold during 2013 to 2015. Discussion: Women of the investigated hospital have received avoidable fetal irradiation due to fetography then it was a reason for concern. Ultrasonography should be the first-line imaging modality for pregnant women, especially in the case of fetal-presentation.
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