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5000台手术练就儿童 难治性癫痫绝技

2017-08-23 09:52:23   中国青年网

武汉儿童医院神经外科主任杜浩

5000台手术

打磨出爱创新的“大脑工程师”

武汉儿童医院神经外科主任杜浩,别人不敢接的儿童颅脑手术,他做起来游刃有余。

别的医生当住院总只有半年到一年,杜浩因技术过硬,先后当过4次住院总。“当住院总能天天做手术,手术机会比别人多一倍。”杜浩说,当时车祸脑外伤特别多,每天都能做两三台手术,大量手术打下扎实的功底。之后,他主动学习脑血管病的介入治疗,2010年开始钻研儿童癫痫,迄今已做了5000台神经外科手术、400余台癫痫手术。

“我绝对不会用5年前的手术方式给现在的患者开刀。”杜浩的同事证实,他是个喜欢不断创新的医生。杜浩说,只有不断优化手术,用最为简便的方式、尽量短的手术时间,才能尽可能保护大脑功能。

目前,杜浩使用“独门术式”所用的时间比传统方法要缩短一半。

复杂大脑

半球离断术减少癫痫发作

江西男童航航刚满1岁半,满百天后家人发现他总喜欢用左手左脚“打拍子”。抱到当地医院一检查,才知道这些异常是“脑面血管瘤畸形”引起的癫痫。不忍心年幼的孩子冒极大风险手术,选择了保守治疗。

每感冒一次,航航就会发作一次严重的癫痫,呼吸困难,面部青紫,妈妈带着航航辗转找到了武汉儿童医院神经外科。监测显示:航航癫痫发作频繁,每次大发作只间隔十多分钟,随时可能在梦中丢命。

7月2日,航航被推进手术室。一层厚厚的类似桑葚样的紫黑色畸形血管瘤密密麻麻地覆盖在右半侧大脑半球上,杜浩在神经内镜下将右半侧大脑的横向纵向传导的神经纤维一一切断,就像给右侧大脑戴上了枷锁一样,虽然还有血管供应,但是再也不能“兴风作浪”。

杜浩介绍,给航航进行的手术是神经内镜下进行的大脑半球离断手术,难度极大,在国内尚属首例。

植入电极精准定位癫痫病灶

9岁的童童癫痫频繁发作,父母带他四处求医,医生们纷纷表示病灶太散乱,没办法治疗。童童虽然在吃药,但每隔两天就会犯病晕倒在地,时间长了孩子反应越来越迟钝。

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