摘要
目的探讨自制辅助125I粒子植入器械包联合腹部125I粒子植入防护铅褂在恶性梗阻性黄疸125I粒子支架植入患者中的应用及效果。方法选择行胆道125I粒子支架植入术的恶性梗阻性黄疸患者80例,随机分成实验组和对照组各40例。实验组患者术中医师使用自主创新的辅助125I粒子植入器械包(专利号:ZL201620728909.3),术后患者穿自主创新的腹部125I粒子植入防护铅褂(专利号:ZL201620839740.9);对照组患者术中医师采用传统粒子植入手术器械,术后患者穿常规防护铅衣。比较两组患者术中医师精确植入1颗粒子所用的时间,术后两种铅衣的辐射屏蔽效果、患者主动防护的持续时间及患者舒适度。采用SPSS23.0软件包对数据进行统计学分析。结果两组患者术中医师精确植入1颗粒子所用的时间差异有显著统计学意义(t=-6.974,P<0.001),两组患者穿戴不同铅衣进行放射性防护后间隔0 m距离、0.5 m距离时的辐射携带量差异均无统计学意义(t0m=1.449,t0.5m=0.08633,P均>0.05)、两组患者主动穿防护铅衣的持续时间差异有统计学意义(t=7.866,P<0.05),两组患者舒适度差异有统计学意义(Z值=-2.193,P<0.05)。结论辅助125I粒子植入器械包联合腹部125I粒子植入防护铅褂应用于恶性梗阻性黄疸125I粒子支架植入患者中,可提高医师手术工作效率,减少受粒子辐射的照射时间,可提高患者主动防护辐射的依从性及舒适度,具有临床应用价值及推广意义。
Objective To discuss the application of self-made auxiliary125I seed implantation device package and abdominal125I seed implantation protective lead apron in biliary125I seed stent implantation for malignant obstructive jaundice(MOJ),and to evaluate its clinical effect.Methods A total of 80 patients with MOJ,who were scheduled for biliary125I seed stent implantation,were enrolled in this study.The patients were randomly and equally divided into study group and control group with 40 patients in each group.In performing biliary125I seed stent implantation for patients of the study group,the operators used independently-innovated auxiliary125I seed implantation device package(patent No.ZL201620728909.3),and after the procedure the patients were asked to wear the independently-innovated abdominal125I seed stent implantation protective lead apron(patent No.ZL201620839740.9);while in performing biliary125I seed stent implantation for patients of the control group,the operators used traditional surgical instruments for125I seed implantation,and after the procedure the patients were asked to wear conventional protective lead apron.The time spent for accurately implanting one125I seed,the radiation shielding effect of the two kinds of protective lead apron,the duration of patients’active protection,and the patient’s comfortableness degree were compared between the groups.Statistical analysis of the data was carried out by using SPSS 23.0 software package.Results Statistically significant difference in the time spent for accurately implanting one125I seed existed between the two groups(t=-6.974,P<0.001),while no statistically significant difference in the radiation dose(at 0 m and 0.5 m pacing distance)after wearing different protective lead aprons existed between the two groups(t0m=1.449,t0.5m=0.0833,P>0.05 in both).There were statistically significant differences in the duration of patients’active protection(t=7.866,P<0.05)and in the patient’s comfortableness degree(Z=-2.193,P<0.05)between the two groups.Conclusi
作者
邱岚茜
邱燕
蒋蕾
杨卓林
王琼波
张艳萍
张丽琴
李俊锋
蒋妮
QIU Lanxi;QIU Yan;JIANG Lei;YANG Zhuolin;WANG Qiongbo;ZHANG Yanping;ZHANG Liqin;LI Junfeng;JIANG Ni(Department of Minimally-Invasive Interventional Therapy,Third Affiliated Hospital of Kunming Medical University,Yunnan Provincial Tumor Hospital,Kunming,Yunnan Province 650118,China)
出处
《介入放射学杂志》
CSCD
北大核心
2020年第8期829-833,共5页
Journal of Interventional Radiology
基金
云南省教育厅科学研究基金(2019J1266)。
