| 王芸,姚晖,顾培华,等.电子线照射瘢痕疙瘩植皮术后棉垫加压包扎对照射剂量的影响[J].中华放射医学与防护杂志,2018,38(1):56-58.Wang Yun,Yao Hui,Gu Peihua,et al.The effect of cotton pad thickness plus compression bandage on radiation doses to irradiated keloid dermoplasty[J].Chin J Radiol Med Prot,2018,38(1):56-58 |
| 电子线照射瘢痕疙瘩植皮术后棉垫加压包扎对照射剂量的影响 |
| The effect of cotton pad thickness plus compression bandage on radiation doses to irradiated keloid dermoplasty |
| 投稿时间：2017-07-31 |
| DOI：10.3760/cma.j.issn.0254-5098.2018.01.012 |
| 中文关键词: 瘢痕疙瘩 棉垫 电子线 剂量学 |
| 英文关键词:Keloid Medical cotton pad Electron beams Dosimetry |
| 基金项目:上海市卫计委重点项目课题（201540032） |
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| 全文下载次数: 1947 |
| 中文摘要: |
| 目的 探讨瘢痕疙瘩植皮术后棉垫加压包扎对电子线照射剂量的影响。方法 采用西门子Primus-H型加速、PTW-Quickcheck晨检仪、医用棉垫（干、湿、血棉垫）1至10层分别测量不同能量电子线剂量数据，为临床提供参考依据。结果 瘢痕疙瘩切除局部植皮术后棉垫加压包扎超过5层棉垫（约2 cm）并有渗血情况时，应考虑选择9 MeV电子线放疗，以达到预期剂量及效果。结论 瘢痕疙瘩切除局部植皮术后棉垫加压包扎的厚度和渗出对电子线照射剂量存在不同程度的影响，在实际工作中应根据临床具体情况，选择电子线能量，对于有条件的依然建议依据实测数据来确定处方剂量更为准确。 |
| 英文摘要: |
| Objective To investigate the effect of cotton pad plus compression bandage on radiation doses from radiation therapy of keloid dermoplasty. Methods Radiation doses from electron beams with different energies were measured using Siemens Primus-H accelerator, PTW-Quickcheck and 1-10 layers of dry, wet, blood cotton pad, respectively. Results The cotton pad could be used to prevent errhysis after radiation therapy of keloids. When 5 or more layers of cotton pad, about 2 cm, were used and errhysis still occur red, 9 MeV electron beam should be used for the purpose of achieving the desirable dose and treatment result without occurrence of errhysis. Conclusions In clinical practice, to achieve the desirable dose for keloid treatment, electron beam energy should be adapted according to the errhysis situation. It is recommended to provide the measured data to determine the prescribed dose. |
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