Wednesday, September 26, 2012

The mirror in the nerve: One pair of the surgeon's " The farsighted person "

The mirror in the nerve: One pair of the surgeon's " The farsighted person "
The mirror in the nerve: One pair of the surgeon's " The farsighted person "
Achieve a little, the agony is little, curative effect is good, this is several " keywords " of mirror technology in nerve . In the past 10 years, this technology has treated the range to expand to dozens of kinds of diseases rapidly. Among them, hydrocephalus and hypophyseal tumour are two pieces of good indication of mirror operation in nerve, compared with traditional operation, the inner mirror operation is more meticulous in operation, damage lighter, patient's postoperative agony is little, curative effect is better. The mirror can be said to be one pair of the neurosurgeon's in the nerve " Insight " . Mirror professional committee's committee member, three rich brain chief physician of department's hospital Dr. Song Mings in Beijing introduce that the Chinese neurosurgical doctor learns in the nerve, this technology a mirror inclusive carries on the operation under monitoring, very meticulous, the wound is light, curative effect is good. It is introduced, the mirror operation is the main achieving one of the technology a little of department of neurosurgery in the nerve. It refers to it on the basis of striving for the best curative effect to create a little, strive to minimize the wound of performing the operation, namely strive to regard minimum operation wound as the cost, receive curative effect of major operation the most. For example, make grand the intersection of nose and people of skill find, have hypophyseal tumour, adopt passing the intersection of nose and surgery while being micro- traditional, will destroy the appearance of the nose, and the mirror while adopting is through the nose operation, namely excise tumour, have kept the appearance of the nose. The mirror operation generally includes two kinds of operation ways in the nerve: The apparatus passway by inner mirror is operated and operated outside the inner mirror, often treat pathological change in the cranium through the bone hole or bone window of the diameter 2-3 c m, can also excise cranium bottom pathological changes such as hypophyseal tumour, notochord tumour,etc. through the nasal cavity. Taking hydrocephalus as examples, Song Ming has introduced the advantage of the mirror in the nerve: The therapeutic principle of hydrocephalus, it is to try to remove the cause of disease, such as excising tumour. If can't remove the cause of disease, can only be therapeutic to the ill. Adopting the most distributary operation at present, most patients can obtain certain curative effect, however, once complication appears, it is very difficult to deal with. In 1 year after the operation, probably 1 / 3 patients need to shunt the operation for the 2nd time. Even shunt the operation and succeed, patients must plant into shunting to manage all one's life, must keep unobstructed to and shunt the tube. Once shunt the tube and go wrong, may jeopardize the life. Because some patients shunt the tube to stop up repeatedly, shunt the operation many times, even reaches dozens of times! Adopt the intersection of mirror and operation in the nerve, need, put, change, shunt, in charge of, avoid, shunt tube, go wrong danger that lead to the fact. Moreover, the wound is little, curative effect is good, facilitate the patient resuming. Certainly, create technology a little as one, the intersection of mirror and operation leave Hi-Tech apparatus and specialized apparatus either in the nerve, the operation doctor must too be trained strictly, could carry on the work. Song Ming is proposed, if want to make the mirror operation in nerve, must choose the appropriate regular hospital. Relevant to chain the treatable disease of the mirror in the nerve: 1, hydrocephalus: Obstructing hydrocephalus, some traffic hydrocephalus, hydrocephalus of complexity,etc.. Infant and pre-school children and children's hydrocephalus, if carry on by-pass surgery, there are many postoperative complications, as the infant grows up, need to perform the operation and change and shunt and manage again. Adopt the mirror operation in the nerve, the wound is little, curative effect is good, do not need to put and change and shunt and manage. 2, cyst in the ventricles of the brain, cysticercosis of brain, abscess of brain, ventricles of the brain inflammation can adopt the mirror surgery treatment in the nerve. 3, spider's omentum cyst in the cranium: Outside split the intersection of spider and the intersection of omentum and cyst, the intersection of pillow and large the intersection of pool and cyst, cyst,etc. at the saddle, among them cyst is often misdiagnosed as hydrocephalus on the saddle, carry on the by-pass surgery treatment, postoperative cyst continues increasing, the condition becomes more serious; And the mirror operation, utilize the bone window of a diameter 3 c m, open the bag wall under the inner mirror while adopting, relieve hydrocephalus completely. 4, hypophysealth tumour: Overwhelming majority hypophyseal tumour can enter way, excise by nose under the mirror adopt, operation go on under the mirror inclusive is monitored in the skill, safer than the micro- operation, all the cutting rate is high in tumour, the wound is less, do not need to clog the nasal cavity, patient's postoperative agony is little. 5, the intersection of slope and the intersection of notochord and tumour, the intersection of Rucker and cyst, cerebrospinal fluid (CSF) nose leak, optic nerve damage can adopt, enter inner the intersection of mirror and the intersection of surgery and treatment of way by nasal cavity, the outside was not cut-outed. 6, brain tumour: The mirror operation is excised in colloid tumour can be adopted in some craniums, gallbladder adipoma does benefit to excising under the inner mirror completely even more. Some bag tumours, such as blood vessel master cell tumour, glue a kind of cyst and cranium is swallowed and in charge of tumour and can also be excised under the inner mirror. 7, chronic hard membrane makes hematoma, and cerebral hemorrhage that the ventricles of the brain bleed: Compared with traditional operation, the operation wound is little, there are few postoperative complications. 8, trigeminal neuralgia, half side myospasm, and tongue swallow neuralgia can carry on neural the intersection of blood vessel and skill of reducing pressure under inner mirror. 9, C h i a r i deformity: Namely the cerebellum tonsil makes the hernia deformity. Some patients amalgamate hydrocephalus, can carry on the bottom of third ventricle and make and leak the skill; Other patients, the skill of reducing pressure of big hole of down pillow of mirror very inclusive, the wound is very little, postoperative recovery is fast.


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