Study on radiation protection and risk perception of percutaneous vertebral augmentation in orthopedic surgeons

Objective: To explore the influencing factors of radiation protection and risk perception of percutaneous vertebral augmentation surgery by in orthopedic surgeons. Methods: By using the method of convenience sampling, 109 orthopaedic surgeons were investigated in typical hospitals of percutaneous vertebral augmentation including 6 third-grade hospitals and 2 second-grade hospitals by using mobile phone electronic questionnaire APP. Results: The most common methods used by orthopedic surgeons for radiation protection equipment were lead shield (89.0%); lead aprons/vests (78.0%); lead protective neck cover (61.5%). The most common way to take protective measures during intraoperative exposure was to move the lead shield (69.7%); minimize exposure time (45.0%); and evacuate outside the operating room (39.5%). During the examination and training of radiation professionals, 50.5% received personal dose monitoring and 49.5% did not receive monitoring; 43.1% received radiological health examination and 56 9% did not receive it; 42.2% received radiation training and 57.8% did not accept it. In terms of the perception of radiation risk, 81.7% of the patients answered correctly and 18.3% of the patients answered incorrectly in the dose sequencing caused by CT, fluoroscopy and radiography. Thyroid diseases (83.5%), cancer (76.2%) and blood system (73.4%) are the most harmful diseases in the recognition of the radiation effects on physical health. The best way to promote radiation health education is professional training (79.8%), on-site lectures (47.7%) and We Chat, Weibo (45.9%). Conclusion: Strengthen the occupational radiation protection and occupational health management of orthopaedic radiologists, improve the medical radiation knowledge and occupational protection of orthopaedic surgeons, strengthen the management of professional training and on-site lectures, and enhance their participation initiative, so as to better improve the level of self-protection and radiation risk perception of orthopaedic surgeons. (authors)