Chapter 488 Treatment failure?
Ruan Bin smiled, knowing that the family thought he was too young and didn't trust him very much, anyway, he was used to it.
As for people, it is normal for human beings.
It's understandable.
"Don't look at him a few years ago, he has high surgical treatment techniques for stroke paralysis, which is commonly known as stroke paralysis, and paralysis caused by difficult childbirth! He has also created a new surgical treatment method. Whether your son can recover is greater than mine!" Qiao Yejian said seriously.
"This..." Liu Dagen pondered for a moment, and nodded, "Okay, I believe in this handsome doctor."
Soon, Ruan Bin learned about the specific situation of Liu Jian.
Liu Jian, 21 years old this year, gave birth to forceps at birth, causing local bleeding in the left brain, causing brain damage, causing delay in development of the upper and lower limbs on the right, and dysfunction. He can walk independently only at the age of 3 years old, and gradually develop abnormal walking postures, mainly manifested as unstable gait, tiptoe walking, and foot valgus deformity, commonly known as "horse hoof feet". At the same time, the right hand began to be inflexible and limited movement of the right hand, which was manifested as difficulty in grasping the right hand, difficulty in extending the finger, introversion of the thumb, deformed hand ruler, severe dysfunction of the hand function and gradual loss of fine motor ability.
Judging from the body shape and behavior, Liu Jian's shoulders were one high and one low, and he could only walk the diagonal line with his toes with difficulty, his hands were low, and he could not hold up chopsticks. As he grew older, although the patient's appearance was similar to an adult, he had many basic independent living abilities, such as eating by himself, buttoning, zipping clothes, and going to the toilet.
In addition, although the patient's family took him around for medical treatment and exhausted his family's savings, he had not received correct systematic treatment for a long time, resulting in the above-mentioned motor function being in a state of continuous degeneration.
As the condition gradually worsens, the patient has increased muscle tone and muscle atrophy in the upper and lower limbs. According to the predictions of the local hospital, Lin Chuncheng may eventually lose all his exercise and life functions.
In the past two years, thanks to his family winning 10 million in lottery, they finally let their family run at the right time, and they have everything in the RV, and even the money for treatment is enough.
However, over the past year, they have sought medical treatment for many large domestic hospitals, but the results are not ideal!
For example, I have been treated for limb spasm symptoms in their provincial hospitals, but it did not take long to relapse!
"Recurrence? Well, the treatment failed." Ruan Bin said in a deep voice.
"Generally, doctors of Shennei can solve the symptoms of limb spasm by injecting botulinum toxin into him. However, the effect of this treatment is short-term and unstable. Even if he goes to the surgery for surgery, nerve displacement and deformity correction are common treatment methods, which are effective in reconstructing the hand nerve function. However, since the spasm problem has not been solved, the postoperative recurrence rate and surgical failure rate are still high! This is why his treatment effect is not ideal at present."
Listening to Ruan Bin’s explanation, the family seemed to understand, but Qiao Yejian gave Ruan Bin a thumbs up because the analysis was so sharp!
Qiao Yejian is an experienced neurosurgery driver. He knows that since the spasm problem has not been solved, the postoperative recurrence rate and surgical failure rate are still high. If the patient only receives functional neurosurgery treatment, the operation has obvious and stable effect on resolving spasms and almost no recurrence, but the fine motor function of the limb cannot be best corrected; if the patient seeks help from a rehabilitation specialist, rehabilitation training can solve temporary functional problems, but it is still a treatment of symptoms but not the root cause. Repeated condition is normal.
This is why he said this patient was tricky!
"Ruan Bin, do you have a way?" Qiao Yejian asked.
"Liu Jian's problem is not single, but complex! And I have been paralyzed for 20 years, so I need to understand and analyze it in depth." Ruan Bin said truthfully.
Paralyzed for 20 years, to be honest, I don’t have much hope!
He knew that in the traditional treatment of hemiplegia, the current main method is through orthopedics, nerve transplantation, grafting, exercise rehabilitation and other means. However, the overall prognostic effect of hemiplegia treatment in China is not satisfactory, especially patients with limb tone exceeding level 3, almost all face recurrence problems. The main reason for this situation is that different disciplines "divided and treated" and each sweeps the snow in front of the door. The overall treatment shows a disorderly state of single technology, fracture, and fragmentation, so that medical resources have not achieved the "greatest common divisor". Fragmented treatment focuses more on the current effect and has not achieved integrated treatment for patients.
This is his experience, analysis and understanding in his mind, with his innovative cervical 7 nerve surgery!
In other words, in the past treatment mode, the problem of how to improve hand function and stable effect was not solved, so the patient was unable to obtain the best treatment effect.
Such hemiplegia patients have a variety of treatment technologies and are mostly mature, but their treatment concepts always show a situation of being independent, and all kinds of technologies have certain limitations.
Ruan Bin already had an idea in his mind. If all his problems could be solved at the same time, he might have a chance to heal them!
That is, it can not only relieve limb spasm, but also perform nerve transplantation and hand deformity correction!
If the three are solved at the same time, there will be no recurrence, or the symptoms but not the root cause!
But it is not easy to do three at the same time!
So far, he remembers that there has not appeared in the medical literature!
And the technical difficulty is still the rehabilitation treatment of both hands!
The situation of the feet is easy to correct!
Whether it is ischemic stroke (cerebral infarction), hemorrhagic stroke "cerebral hemorrhage", or dystocia caused by cerebral hypoxia, most of the lesions are distributed in the "middle cerebral artery" distribution area of the cerebral hemisphere.
The blood supply to the middle cerebral artery almost covers the basal ganglia area of the frontal lobe, parietal lobe and deep hemisphere, that is, the motor cortex, sensory cortex and their conduction fibers are located in the area. Therefore, stroke lesions in the middle cerebral artery system are likely to cause hemiplegia and hemiplegia sensory disorders in the contralateral limbs. However, the motor and sensory cortex that governs the lower limbs and part of their conduction fibers are closer to the midline of the brain. This area also receives blood supply from the "anterior cerebral artery", so stroke in the middle cerebral artery system has less impact on the lower limbs. Even if the "internal carotid artery" is blocked, it also causes ischemia of the middle cerebral artery and the anterior cerebral artery at the same time, the anterior cerebral artery will also receive blood supply from the contralateral blood vessels through the anterior communicating artery, so the paralysis of the lower limbs will be relatively mild. This is also the most serious cause of many stroke hemiplegia, and children with difficult labor.
In simple terms, the brain tissue that controls the movement and sensation of the lower limbs can obtain more blood supply, and this part of the brain tissue has a greater chance of survival.
Chapter completed!