[1]杨耿侠,王磊,张英民,等.乳腺癌前哨淋巴结活检放射安全性研究[J].中华乳腺病杂志(电子版),2007,1(6):6.
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乳腺癌前哨淋巴结活检放射安全性研究()

中华乳腺病杂志（电子版）[ISSN:1674-0807/CN:11-9146/R]

卷:
第1卷
期数:
2007年6期
页码:
6
栏目:
临床研究
出版日期:
2007-12-01

文章信息/Info

作者:
杨耿侠;王磊;张英民;张远;王永胜
山东省肿瘤医院乳腺病中心(杨耿侠、王磊、王永胜)；济南，山东省医学科学院放射医学研究所(张英民、张远)
关键词:
乳腺癌; 前哨淋巴结活检; 热释光剂量计; 放射安全性
摘要:
目的：探讨乳腺癌前哨淋巴结活检术(sentinel lymph node biopsy,SLNB)的放射安全性。
方法：采用热释光剂量计(thermoluminescent dosimeters,TLD)检测在SLNB过程中患者乳房注射部位、胸腺、盆腔性腺及医务人员优势手食指、胸腺、盆腔性腺、眼晶体接受的放射线剂量。2006年10月至2007年7月连续检测行乳腺单纯切除/保留乳房+SLNB的乳腺癌患者40例。
结果：患者乳房注射部位的吸收剂量最大(5.946±5.023)mSv，显著高于胸腺及盆腔的吸收剂量(均P=0.000)。主刀医师、第一助手、器械护士各部位核素吸收剂量差异无统计学意义(均P>0.05)，远远低于我国卫生部确定的放射卫生防护基本标准。依据该标准，术者每年完成约1000台SLNB手术在放射安全性方面是安全的。
结论：核素法SLNB对患者和医务人员是安全的，不需要进行防护。

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更新日期/Last Update: 2007-01-20