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JAAOS:女性怀孕期间接受影像学检查安全吗?

2015-08-08 MedSci MedSci原创

AAOS:女性怀孕期间接受影像学检查安全吗?据发表于《美国骨科医师学会》(AAOS)的一项新的研究表明,对外伤孕妇行必要的影像学检查时若使用恰当则是安全的。怀孕期间约有5-8%的女性遭遇外伤,包括骨折和肌肉撕裂。为了帮助评估和处理这些损伤,骨科医生通常会建议患者先行影像学检查。“虽然在行影像学检查的同时要注意保护胎儿免于辐射的暴露,但是大多数的诊断性研究都是安全的,其辐射剂量远低于危险阈值,”本研

据发表于《美国骨科外科医师学会》(J Am Acad Orthop Surg)的一项新的研究表明,对外伤孕妇行必要的影像学检查时若使用恰当则是安全的。

怀孕期间约有5-8%的女性遭遇外伤,包括骨折和肌肉撕裂。为了帮助评估和处理这些损伤,骨科医生通常会建议患者先行影像学检查。“虽然在行影像学检查的同时要注意保护胎儿免于辐射的暴露,但是大多数的诊断性研究都是安全的,其辐射剂量远低于危险阈值,”本研究第一作者 Jonas L. Matzon说道。

合理的诊断和治疗非常重要,因为创伤是导致非妊娠相关孕妇死亡的主要原因。准妈妈可能会担心暴露于射线中可能会对胎儿的健康有影响并且认为诊断性影像检查的风险很高。本研究显示“真正的风险很低,所以这些担心不应作为阻止孕妇接受影像学诊断研究的理由,”Dr. Matzon.说道。

X线及其他成像设备可发射两种类型的辐射:非电离辐射,能量较低并不能使物质原子或分子产生电离的辐射;电离辐射,可可以从原子、分子中放出一个或几个电子的辐射。辐射剂量足够高的时候,电离辐射可导致胎儿出生缺陷或流产,还可增加癌症发生的风险。然而,胎儿暴露于电离辐射的剂量取决于多个因素,包括成像的身体部分,成像的类型,发射辐射的量,母亲身体的结构,胎儿与成像区域的距离以及安全防护措施等。

例如,超声和 MRI与已知的胎儿出生缺陷并无关系,因此被认为是安全的。而相反,骨盆CT扫描时可使胎儿暴露于较高剂量的辐射中,因而在需要接受CT检查时应慎重考虑。

研究还发现:

1.单一诊断程序的X线暴露并不会对胎儿的健康产生有害的影响。

2.辐射剂量和暴露时胚胎/胎儿的胎龄可能成正比。

“如果患者需要多次扫描或重复剂量的辐射时,则应与合格的医学放射物理师进行会诊以确定胎儿可能受到的辐射剂量,” Dr. Matzon说道。

原始出处:

Matzon JL, Lutsky KF, Ricci EK, Beredjiklian PK.Considerations in the Radiologic Evaluation of the Pregnant Orthopaedic Patient. J Am Acad Orthop Surg. 2015 Aug;23(8):485-91

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    2016-05-09 jaysppr

    B超肯定还是首选

    0

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    2015-10-11 Bobby7868

    好文章,赞 !

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=84926, encodeId=8eb3849260e, content=B超肯定还是首选, beContent=null, objectType=article, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEIsrUxHnicsiaqwzJibCks60HOicbEAgbNzUiciboMJDzsWg16OHTeNHhyYvTg6TDXTlOx7icnhttCYYe2ujYt0yND7dYusOsibl9XnQCE/0, createdBy=7ad21722200, createdName=jaysppr, createdTime=Mon May 09 09:52:00 CST 2016, time=2016-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1642899, encodeId=904716428996d, content=<a href='/topic/show?id=1e19168181' target=_blank style='color:#2F92EE;'>#AAOS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1681, encryptionId=1e19168181, topicName=AAOS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c11e23034343, createdName=ms1260584454294838, createdTime=Thu Apr 28 01:14:00 CST 2016, time=2016-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=38324, encodeId=56513832460, content=好文章,赞 !, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75bb1617091, createdName=Bobby7868, createdTime=Sun Oct 11 11:37:00 CST 2015, time=2015-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36551, encodeId=8990365516e, content=这个必须转发, beContent=null, objectType=article, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75bb1617091, createdName=Bobby7868, createdTime=Wed Sep 09 13:18:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071220, encodeId=0a3b20e1220e9, content=<a href='/topic/show?id=ab241680a3' target=_blank style='color:#2F92EE;'>#AAO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1680, encryptionId=ab241680a3, topicName=AAO)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Apr 05 22:14:00 CST 2016, time=2016-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35837, encodeId=01be3583e91, content=防护很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05151605011, createdName=linglong1990, createdTime=Wed Aug 19 12:43:00 CST 2015, time=2015-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35838, encodeId=d997358385a, content=。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05151605011, createdName=linglong1990, createdTime=Wed Aug 19 12:43:00 CST 2015, time=2015-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35323, encodeId=c4a13532340, content=说不清最好不做, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90f41636628, createdName=no0yhg, createdTime=Sun Aug 09 12:41:00 CST 2015, time=2015-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35317, encodeId=cc7f3531e22, content=有待研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e511627114, createdName=1dd7eb8am26(暂无匿称), createdTime=Sun Aug 09 10:23:00 CST 2015, time=2015-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35315, encodeId=61a03531519, content=先知,以前没想过, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8a0f1522553, createdName=willyml, createdTime=Sun Aug 09 10:19:00 CST 2015, time=2015-08-09, status=1, ipAttribution=)]
    2015-09-09 Bobby7868

    这个必须转发

    0

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    2016-04-05 yinhl1978
  6. [GetPortalCommentsPageByObjectIdResponse(id=84926, encodeId=8eb3849260e, content=B超肯定还是首选, beContent=null, objectType=article, channel=null, level=null, likeNumber=172, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEIsrUxHnicsiaqwzJibCks60HOicbEAgbNzUiciboMJDzsWg16OHTeNHhyYvTg6TDXTlOx7icnhttCYYe2ujYt0yND7dYusOsibl9XnQCE/0, createdBy=7ad21722200, createdName=jaysppr, createdTime=Mon May 09 09:52:00 CST 2016, time=2016-05-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1642899, encodeId=904716428996d, content=<a href='/topic/show?id=1e19168181' target=_blank style='color:#2F92EE;'>#AAOS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1681, encryptionId=1e19168181, topicName=AAOS)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c11e23034343, createdName=ms1260584454294838, createdTime=Thu Apr 28 01:14:00 CST 2016, time=2016-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=38324, encodeId=56513832460, content=好文章,赞 !, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75bb1617091, createdName=Bobby7868, createdTime=Sun Oct 11 11:37:00 CST 2015, time=2015-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=36551, encodeId=8990365516e, content=这个必须转发, beContent=null, objectType=article, channel=null, level=null, likeNumber=143, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75bb1617091, createdName=Bobby7868, createdTime=Wed Sep 09 13:18:00 CST 2015, time=2015-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2071220, encodeId=0a3b20e1220e9, content=<a href='/topic/show?id=ab241680a3' target=_blank style='color:#2F92EE;'>#AAO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1680, encryptionId=ab241680a3, topicName=AAO)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Apr 05 22:14:00 CST 2016, time=2016-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35837, encodeId=01be3583e91, content=防护很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05151605011, createdName=linglong1990, createdTime=Wed Aug 19 12:43:00 CST 2015, time=2015-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35838, encodeId=d997358385a, content=。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=05151605011, createdName=linglong1990, createdTime=Wed Aug 19 12:43:00 CST 2015, time=2015-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35323, encodeId=c4a13532340, content=说不清最好不做, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=90f41636628, createdName=no0yhg, createdTime=Sun Aug 09 12:41:00 CST 2015, time=2015-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35317, encodeId=cc7f3531e22, content=有待研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6e511627114, createdName=1dd7eb8am26(暂无匿称), createdTime=Sun Aug 09 10:23:00 CST 2015, time=2015-08-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=35315, encodeId=61a03531519, content=先知,以前没想过, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8a0f1522553, createdName=willyml, createdTime=Sun Aug 09 10:19:00 CST 2015, time=2015-08-09, status=1, ipAttribution=)]
    2015-08-19 linglong1990

    防护很重要

    0

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    2015-08-19 linglong1990

    。。。

    0

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    2015-08-09 no0yhg

    说不清最好不做

    0

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    2015-08-09 1dd7eb8am26(暂无匿称)

    有待研究

    0

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    2015-08-09 willyml

    先知,以前没想过

    0

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