上海市介入放射学应用现状的调查研究

辐射防护 ›› 2014, Vol. 34 ›› Issue (5): 281-287.

上海市介入放射学应用现状的调查研究

姚杰¹, 郑钧正^1,2, 高林峰¹, 卓维海², 王彬¹, 钱爱君¹, 季贵毅¹, 肖虹¹

1.上海市疾病预防控制中心,上海 200336;
2.复旦大学放射医学研究所,上海 200032

收稿日期:2013-04-24 出版日期:2014-09-20 发布日期:2025-01-06
通讯作者: 高林峰。E-mail:lfgao@scdc.sh.cn
作者简介:姚杰(1983—),男,2008年毕业于苏州大学放射医学专业,主管医师。E-mail:jyao@scdc.sh.cn
基金资助:
国家自然科学基金资助项目(批准号10675036);上海市放射卫生重点学科建设项目(08GWZX0602);卫生行业科研专项(201002009);上海市公共卫生人才培养计划(GWDTR201208);上海市卫生局科研项目(2007177)。

Investigation on the Application Status of Interventional Radiology in Shanghai

Yao Jie¹, Zheng Junzheng^1,2, Gao Linfeng¹, Zhuo Weihai², Wang Bin¹, Qian Aijun¹, Ji Guiyi¹, Xiao Hong¹

1. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336;
2. Institute of Radiation Medicine, Fudan University, Shanghai 200032

Received:2013-04-24 Online:2014-09-20 Published:2025-01-06

摘要/Abstract

摘要： 介入放射学应用现状乃上海市“十一五”期间医疗照射水平调查研究中的一个重点。全面普查了上海市开展介入放射学的基本情况,包括开展该业务的各级医院构成、从业人员、所用设备以及应用状况等。在广泛征求临床介入放射学界意见基础上,将介入放射学的类型划分7大类25个子项,分别统计和计算相应的应用频率及其有关分布,并进行相关辐射剂量学方面的调查与监测。2009年,上海市开展介入放射学业务的医院有61家(其中三级医院占32家);拥有介入放射学设备89台。全市各有关医院开展介入放射学诊疗163 308例;其中心血管介入居首位,占56.96%;而神经介入、肿瘤介入、外周血管介入、非血管介入分别各占26.64%、10.70%、2.57%、2.51%;诊断性介入仅占0.76%。上海市各类介入放射学应用的总频率,已经从1996年的0.74人次/千人口上升至2009年的8.50人次/千人口。凸显优势的介入放射学技术日益广泛普及应用,已经成为当下医疗照射防护的突出重点之一。

关键词: 介入放射学, 医疗照射, 应用频率, 分布, 上海市

Abstract: As the interventional radiology (IVR) operations usually require the aid of X-ray fluoroscopy guidance, the radiation exposures to patients and medical staffs are significantly higher than those in other X-ray diagnostic procedures. Therefore, the current application status on IVR was emphasized in the survey on medical exposure in Shanghai during the Eleventh Five-year Plan period. The basic information surveyed on the IVR includes the levels of hospitals, numbers of medical staff and equipment, and the number of procedures, etc. Based on the opinions collected from a large number of clinicians, the IVR procedures in this study were divided into 7 categories with 25 items for statistifying its application frequency and distribution, and the radiation doses were also monitored. In 2009, a total of 61 hospitals in Shanghai carried out the IVR, and there were 89 sets of X-ray machines for performing the IVR. The total procedure of IVR in Shanghai in 2009 was 163 308. Among them, the cardiovascular interventions accounted for 56.96%, and followed by the neural, tumor, peripheral and non-vascular interventions, accounting for 26.64%, 10.70%, 2.57% and 2.51%, respectively. While the diagnostic interventions only accounted for 0.76 %. The annual application frequency of IVR had reached 8.50 person·time for per 1 000 population in Shanghai. It indicates that the IVR has been widely performed in clinical, and the protection for patients and medical staffs is becoming one of prominent focus of the current medical exposure. This survey accumulates a valuable basis for further strengthening the effective protection of IVR.

Key words: interventional radiology, medical exposure, application frequency, distribution, Shanghai

中图分类号:

R144

姚杰, 郑钧正, 高林峰, 卓维海, 王彬, 钱爱君, 季贵毅, 肖虹. 上海市介入放射学应用现状的调查研究[J]. 辐射防护, 2014, 34(5): 281-287.

Yao Jie, Zheng Junzheng, Gao Linfeng, Zhuo Weihai, Wang Bin, Qian Aijun, Ji Guiyi, Xiao Hong. Investigation on the Application Status of Interventional Radiology in Shanghai[J]. RADIATION PROTECTION, 2014, 34(5): 281-287.

参考文献

[1] Cardiovascular and Interventional Radiological Society of Europe.Special communication:Global statement defining interventional radiology[J]. Cardiovascular Interventional Radiology,2010,33:672-674.
[2] Sabharwal T,Fotiadis N,Adam A,et al. Modern trends in interventional radiology[J]. British Medical Bulletin,2007,81-82:167-182.
[3] 郑钧正. 第一篇 X 射线诊断和介入放射学的放射防护与安全[M]//郑钧正主编. 电离辐射医学应用的防护与安全. 北京:原子能出版社, 2009:1-145.
[4] 白玫,刘彬,郑钧正,等. 两种介入放射学(CA和PTCA)所致患者辐射剂量研究[J]. 中国医学影像技术, 2007,23(12):1 876-1 881.
[5] UNSCEAR.Sources and effects of ionizing radiation.Vol.Ⅰ[M]. UNSCEAR 2008 Report.New York:UN,2010.
[6] IAEA.Applying radiation safety standards in diagnostic radiology and interventional procedures using X-rays[M].IAEA Safety Reports Series No.39. Vienna:IAEA,2006.
[7] ICRP. Avoidance of radiation injuries from medical interventional procedures[M]. ICRP Publication 85.Oxford:Pergamon Press,2000.
[8] 高林峰,郭常义,郑钧正,等. 上海市“十一五”期间医疗照射水平调查[J]. 环境与职业医学杂志, 2009,26(6):528-531.
[9] UNSCEAR. Sources and effects of ionizing radiation.Vol.Ⅰ:Sources[M]. UNSEAE 2000 Report.New York:UN, 2000.
[10] 上海市统计局.上海统计年鉴——2010[M]. 北京:中国统计出版社,2010.
[11] 吴水龙,邵奇,路鹤晴.上海市X射线诊断医疗照射的频率水平[J].中华放射医学与防护杂志,2000,20(增刊):s32-s34.
[12] IAEA.Patient dose optimization in fluoroscopically guided interventional procedures[M].IAEA-TECDOC-1641.Vienna:IAEA,2010.
[13] Rehani MM,Ciraj-Bjelac O,Al-Naemi HM,et al.Radiation protection of patients in diagnostic and interventional radiology in Asian countries:Impact of an IAEA project[J].European Journal of Radiology, 2012, 81:e982-e989.
[14] Miller DL,Vañó E,Bartal G,et al.Occupational radiation protection in interventional radiology:a joint guideline of the cardiovascular and interventional radiology society of europe and the society of interventional radiology[J]. J Vasc Interv Radiol,2010,21:607-615.
[15] IAEA.Establishing guidance levels in X-ray guided medical interventional procedures:a pilot study[M].IAEA Safety Reports Series No.59.Vienna:IAEA,2009.