Chapter 2177 Lumbar Compression Fracture

Zheng Ren breathed a sigh of relief when Gerd Woods' team left yesterday. Zheng Ren was not used to routine work such as lecturing.

Today, they were all relaxed. Director Kong and Linge said they were going to have dinner together, which was a celebration feast.

It is said that Dean Yan has agreed to Linger's transfer, and the report has been reported to the Ministry, and it will be done in the next half month.

Although no one could tell what unexpected situation would happen until the last moment, it would be a strange thing if a cadre in the hospital adjusted Dean Yan to say nothing.

After Da Huangya was driven away, Zheng Ren, Director Kong, and the medical team went downstairs.

"Boss Zheng, what's wrong with the doctor just now?" Director Kong asked as he walked. "Upper canal dehiscence syndrome, this disease is easily missed, it is a rare disease that was first discovered in 1998."

"Rare disease, you can tell it at a glance?" Su Yun breathed out, his black hair fluttering on his forehead.

"It's just a suspicion. The patient's symptoms are more similar. I suggest doing a thin-slice CT scan of the temporal bone, and we'll talk about it when we're done." Zheng Ren said with a smile.

"What is superior canal dehiscence syndrome?" Director Kong listened to the temporal bone thin-slice CT and became interested.

This kind of examination rarely appears clinically.

"Normally, there are two holes in the bony structure around the inner ear. But in patients with superior canal dehiscence syndrome, the bone at the top of the inner ear is thinned or missing, and a third hole appears. Generally speaking, when flying an airplane, there is a change in air pressure. ..."

"Boss, your ass is too crooked, you are all your own, can you tell the truth." Su Yun said contemptuously.

"Hey." Zheng Ren didn't refute, but smiled.

Director Kong also smiled when recalling the position of the temporal bone.

Boss Zheng said that the bones at the top of the inner ear will become thinner or missing. This very written and official vocabulary is to cover up a fact-trauma.

According to what the doctor said just now, he met a "nosy" person after a fraud. As for what happened later, everyone knows in their hearts.

"The survey by the United States Organization for Rare Diseases shows that about 1% of people have a third hole in their inner ear. It is this extra hole that makes hearing unbalanced." Zheng Ren ignored Su Yun's words and continued, "Actually They are not considered rare diseases, but it is difficult to find them, and they have only been confirmed in the last 2 to 30 years.”

"It was discovered in 1998, which is really late." Director Kong laughed.

"Well, Dr. Minor reported a group of cases in 1998 that were characterized by dizziness induced by strong sound stimulation, changes in middle ear pressure or intracranial pressure, vibration in the ear, and balance disturbance."

"Temporal bone thin-section CT showed a partial defect in the top of the superior semicircular canal, and the direction of the induced nystagmus was consistent with the plane of the superior semicircular canal..."

"Boss, why don't you ask for an electronystagmogram?"

"Too lazy to write." Zheng Ren said very irresponsibly for the first time.

Su Yun shrugged his shoulders, "If the big yellow tooth goes on like this, he will die sooner or later without a place to bury him."

"Almost." Zheng Ren said, "But it's really hard to suffer from this disease. The sound of glandular secretion can be heard, and ordinary people can't bear it at all."

"Don't talk to him." Su Yun said, "If I were you, I'd put him in the hospital and check him for four or five days first."

"I dare not be admitted to the hospital." Zheng Ren said frankly, "What if I really can't stand it and break down emotionally and retaliate against the society. The ward is full of patients, and it is not appropriate to hurt anyone."

"Hey, you thought he'd do it if you gave him a note suggesting a check?"

"Whether I do it or not has something to do with me?" Zheng Ren smiled honestly.

There is a metaphor that everyone is queuing to walk a road of no return.

When the doctor himself was queuing up, he kept pulling some people out of the line and moved them to the back row, a little farther away from the end point.

A doctor with a high level can make this distance a little longer, and a doctor with an average level will also be more or less effective. And some quack doctors, even genius doctors, will even do the opposite.

That being said, as for Da Huangya's belief or not, Zheng Ren didn't care and didn't want to care about when the inspection would be done.

Talking and laughing, everyone in the medical team went to eat happily.

...

...

At this time, in the operating room of Guta Hospital, the largest orthopedic hospital in the imperial capital, Professor Tian, ​​who once went to Haicheng to throw knives, was doing the last operation of the day.

There are too many surgeries here every day, and patients from all over the country flock here. Professor Tian is mainly engaged in spinal surgery, and his level can be ranked among the top ten in China.

Professor Tian performed a one-day operation, and this is the last case. The patient's condition is not very serious, so it is scheduled to be done in the afternoon.

The patient is a 55-year-old female patient. One week ago, she felt waist pain after lifting heavy objects, but she didn't pay attention at that time. I thought it was a sprain or something, and it would recover after two days.

After a few days of rest, the pain got worse and worse, and oral painkillers didn't have a particularly good effect. It hurts when I move, and it hurts even when I lie down.

In the local inspection, the L2 spinous process tenderness and percussion pain were positive, the activities of flexion and extension were limited, and the standing and walking were limited.

The lumbar spine X-ray showed no abnormality; the lumbar MRI showed that the upper edge of the L2 vertebra was slightly depressed, the continuity of the bone was interrupted, and the fat-suppressed sequence showed high signal; the diagnosis was L2 vertebral osteoporotic compression fracture and severe osteoporosis.

The local doctor suggested percutaneous kyphoplasty, which is commonly referred to as local bone cementing to prop up the fracture and osteoporosis.

As soon as they heard that the operation was going to be performed, the family members did not dare to neglect, and immediately brought the patient to the imperial capital.

After all, it is a spinal surgery. If it is not done well, the lower limbs will be paralyzed. This is the simplest understanding of spinal surgery for ordinary people.

The lumbar compression fracture itself is only a small problem, but when it is linked with the paralysis of the lower limbs, it becomes a serious problem.

Now it is very convenient whether it is by air, high-speed rail or expressway, but it is a bit troublesome to register after coming to the imperial capital.

Professor Tian took the patient in, the diagnosis was clear, and there were no surgical contraindications before the operation, so he arranged the operation directly.

This kind of operation is not big, Professor Tian has done hundreds of cases. Compared with orthopedic hip replacement and vertebroplasty, percutaneous kyphoplasty is indeed a minor operation.

Although it was a minor operation, Professor Tian had read the patient's lumbar spine MRI again before the operation, and he had a clear understanding of the whole operation process.

This is a habit, and only when the surgeon is careful can complications be avoided as much as possible.

"Teacher Tian, ​​please brush your hands." Professor Tian's assistant reminded after positioning the patient.

The operation is performed under local anesthesia, and the patient is placed in a prone position with the hips and knees flexed.

It's a little uncomfortable to put in this position, but the operation time is not long, so it doesn't matter.

"The operation won't hurt, take it easy." Professor Tian comforted the patient, then went to put on lead clothes, brush his hands, and go on stage.

After the operation is over in half an hour, you can get off work, Professor Tian thought to himself.