重庆市渝东南片区放射诊疗现状调查分析

目的 了解重庆市渝东南片区放射诊疗现状，为卫生健康主管部门开展放射诊疗管理提供依据。方法 制定调查表格，对放射诊疗机构开展问卷调查。结果 2020年放射诊疗机构224家，其中三级医院3家、二级医院16家。开展放射治疗的医院3家，开展核医学2家、介入放射学7家。放射诊疗设备376台，DR机和CT机数量多（分别占58.8%、14.9%）。放射工作人员786人（男性占66.9%），以X射线影像诊断工作人员为主（占85.8%）。常规X射线诊断977043人次（应用频度357.7人次/千人口），主要在一级及以下医院（占45.3%）。CT诊断391067人次（应用频度143.8人次/千人口），主要在二级医院（占66.0%）。介入治疗4860人次（应用频度1.78人次/千人口），放射治疗781例（应用频度0.003例/千人口），主要在三级医院（分别占55.3%、69.8%）。结论 渝东南片区放射诊疗资源配置落后且发展不均衡，开展放射治疗、核医学及介入放射学的医院偏少，除黔江区外，其余5个区县（自治县）放射诊疗水平偏弱，需进一步提升放射诊疗水平。

Investigation and analysis of radiation diagnosis and radiotherapy in Southeaster Chongqing area

Objective To understand the status of radiological diagnosis and radiotherapy in southeaster Chongqing area, and to provide evidence for health authorities to carry out radiological diagnosis and radiotherapy management.Methods The questionnaire survey was carried out in radiological diagnosis and radiotherapy institutions.Results In 2020 there are 224 radiological diagnosis and radiotherapy institutions, including 3 tertiary hospitals and 16 secondary hospitals. Three hospitals carried out radiotherapy, two hospitals carried out nuclear medicine, and seven hospitals carried out interventional radiology. There were 376 sets of radiological diagnosis and radiotherapy equipment, and the number of DR and CT machine was large (58.8% and 14.9% respectively). There were 786 radiological workers (66.9% male), and most of them were X-ray diagnostic workers (85.8%). There were 977, 043 cases of routine X-ray diagnosis(application frequency of 357.7 per 1000 population), mainly in the first level and below hospitals (accounting for 45.3%). There were 391, 067 cases of CT diagnosis (application frequency 143.8 per 1000 population), mainly in secondary hospitals (66.0%). 4860 patients received interventional therapy (application frequency 1.78 per 1000 population) and 781 patients received radiotherapy (application frequency 0.003 per 1000 population), mainly in tertiary hospitals (55.3% and 69.8% respectively).Conclusion Radiological diagnosis and radiotherapy resources in southeast Chongqing area backward and unevenly developed, and there are few hospitals carrying out radiotherapy, nuclear medicine and interventional radiology. Except for Qianjiang district, the level of radiological diagnosis and radiotherapy in the other five districts and counties (autonomous counties) is weak, it is necessary to further improve the level of radiological diagnosis and radiotherapy.