Orthopedics department four is Hebei Province clinical focus on Cultivating College, Hebei Medical University affiliated teaching unit, Medical University Of Tianjin international students practice base, to basic research in spinal surgery, minimally invasive spine surgery, joint disease, limb trauma and hand surgery disease and clinical diagnosis and treatment for the main features. At present, 10 students have graduated and in graduate, Postgraduate Tutor a; 2 doctors of director, deputy chief physician 4, comprehensive strength. Many physicians successively in Beijing Ji Shui Tan Hospital, Chongqing Xinqiao Hospital, No.3 Hospital of Peking University, Chinese PLA General Hospital for further study, maintain close business relationship with superior hospital. Now the base of Cangzhou city and the surrounding areas of minimally invasive spine and hand surgery center and clinical teaching, minimally invasive spine surgery technology in the international advanced, the leading domestic level. The future, bone four families will be minimally invasive surgical technique of spinal as key research direction, small incision transforaminal endoscopic discectomy, intervertebral disc endoscope minimally invasive operation, the Quadrant system in the treatment of lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis and a series of lumbar disease. Minimally invasive spine surgery reflected small trauma, less bleeding, get out of bed in the morning, the recovery time shorter treatment characteristic. The old Department of orthopedics listed as the focus on the future expansion of the field.
Department of professional characteristics:
Atlantoaxial fixation technique for atlantoaxial: refers to the first and second cervical vertebrae, area, is located in the junction of skull and cervical spine position special, occurred in a region of the disease known as upper cervical disease. Compared with other segments on the lower cervical spine, cervical anatomy variation, and adjacent to the vertebral artery, the corresponding level of the spinal cord for breathing, circulation life center, so the upper cervical operation is difficult, high risk characteristics, the current local hospitals rarely carries out, many patients can only go to the big hospital of Beijing .
Orthopedics department four targeting this frontier technology, lead the room of our department team, visited Beijing Third Hospital of learning, cooperation with the domestic top experts Wang Chao and director of the field, the successful conduct of multiple cases of upper cervical spine operation. After years of exploration, we have accumulated a wealth of experience, has been able to independently carry out operation. Many cases of dislocation of atlas, odontoid fracture patients in our department for treatment, postoperative effect is good.
Minimally invasive technique in minimally invasive surgery for patients: can reduce the organization and psychological injury, rapid postoperative recovery, by patients and doctors welcome. The minimally invasive medicine in spinal surgery can also be leap style development. Already in clinical applications, the effect is satisfied. Research Director of Cangzhou Central Hospital Orthopedics department four, Wang Liguo has been committed to the minimally invasive spine surgery. He takes the bone surgical operation technology as the cornerstone of refine on, various limitations beyond the traditional open operation, the pursuit of the target organ of records changes in the most precise, invaded the most convenient, the most reasonable treatment and restoration of fixed. Under his leadership, the team at present we have been able to master the technique of minimally invasive spine surgery.
Simple introduction of several minimally invasive technology
Posterior intervertebral disc endoscope minimally invasive technique (MED): MED through a minimally invasive endoscope channel, help will be caused by oppression and narrow discontinous extraction. MED has the advantages of small trauma, the maximum maintain the lumbar stability, reduce the postoperative lumbar spondylolisthesis, the incidence of low back pain and other complications.
Expansion of the pipeline system (QUADRANT): expandable pipe system can be matched with a cold light source and television system, while for small incision operation can be magnified, but vision, make the operation more safety. The paravertebral approach, can avoid stripping, on paraspinal muscle pull, significantly reduce intraoperative hemorrhage. Through the expansion pipe, also can give the pedicle screw fixation.
Percutaneous transforaminal endoscopic technique (TELD): TELD is developed in the recent years the most promising minimally invasive operation technology, using equipment and instruments of a particular group, through the transforaminal, removable disc, and then for the intervertebral foramen forming, can achieve to the dural sac and nerve root decompression and loose solution. TELD was performed to complete the operation, not removed lamina and ligamentum flavum, does not destroy the rear stability of the spine, compared with MED, less injury, is a minimally invasive method for new, more in line with the concept of minimally invasive spine treatment.
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