放射照射治疗儿童肱骨髁上骨折:两种固定方法的比较

T. Tzatzairis, G. Firth, P. Bijlsma, D. Manoukian, C. Maizen, M. Ramachandran
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引用次数: 1

摘要

*与作者的通信地址:英国伦敦Whitechapel Road E1 1BB, Barts Health NHS Trust,皇家伦敦医院儿科骨科;电话:+ 447923301467;E-mail: ttzatzai@gmail.com或themistoklis.tzatzairis@nhs.net(患者体型、体表厚度/体表在光束平面的组成及光束能量)[3]。计算外科医生的暴露量也很有挑战性,因为暴露于辐射的时间、与光束的距离、屏蔽的质量/厚度以及直接与散射类型的辐射都会影响接受的剂量。儿童的放射敏感性高于成人,据估计,成人辐射后癌症死亡风险为每西弗5%,10岁儿童高达9%,年龄较小的患者风险增加。在像髁上固定这样的儿科矫形手术中尽量减少辐射是至关重要的。
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Radiation Exposure in The Treatment of Pediatric Supracondylar Humerus Fractures: Comparison of Two Fixation Methods
* Address correspondence to this author at Department of Paediatric Orthopaedics, The Royal London Hospital, Barts Health NHS Trust, Whitechapel Road, London E1 1BB, UK; Tel: +447923301467; E-mail: ttzatzai@gmail.com or themistoklis.tzatzairis@nhs.net (patient size, thickness of body/body composition in the plane of beam and energy of beam) [3]. Calculating the surgeon’s exposure is also challenging as exposure time to radiation, distance from the beam, quality/thickness of the shield and direct versus scatter type of radiation all influence the dose received [4]. Children have greater radiosensitivity than adults, and the mortality risk from cancer after radiation has been estimated at 5% per Sievert for adults and up to 9% for a 10year old child, with the risk increasing for younger patients [5]. Minimizing radiation during paediatric orthopaedic procedures like supracondylar fixation is crucial.
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