What is specialty medicine?

  Relying on the advanced equipment and conditions of the hospital, we have highlighted our specialties in the surgical treatment of spinal cord diseases on the basis of comprehensive development. We have done a lot of fruitful research work in the fields of microsurgery for spinal cord tumors, CHIARI malformation combined with spinal cord cavity, spinal cord embolism, intracranial tumors and transsphenoidal approach for pituitary adenoma, etc. At present, we are in the forefront in China in terms of the number of cases and the treatment effect of surgery.  Spinal cord tumors can occur in all segments of the cervical, thoracic, lumbar and sacral spinal canal, and due to the compression and damage to the nerves, patients experience motor disorders and sensory abnormalities in the limbs. Surgical treatment requires delicate and minimally invasive treatment, especially for spinal cord intramedullary tumors and cervical spinal canal tumors. The neurosurgery department treats a large number of such patients from all over the country every year, and all of them are successfully removed by microsurgery, which not only cause little damage but also have good results, and none of them have serious complications such as limb paralysis.  Chiari malformation (subungual herniation malformation of the cerebellum) combined with spinal cord cavity often causes numbness and weakness of the limbs, stiffness and deformation of the fingers, and atrophy of the hand muscles. Surgery is the only effective treatment, and neurosurgery is unique in this regard. Good results can be obtained by decompression-plasty of the occipital foramen area and reconstruction of the greater occipital pool, with significant recovery of the condition within a short period of time after surgery.  Spinal cord tethering syndrome is a syndrome caused by congenital malformation of the spine and spinal cord, tumors inside and outside the spinal canal, and spinal cord cone ischemia due to spinal cord and cone strain caused by spinal cord membrane bulge. The main manifestations are urinary and fecal dysfunction; pain in the saddle area, buttocks or lower limbs, sometimes with hyperalgesia and loss of pain perception; and progressive lower limb dyskinesia. The diagnosis mainly relies on X-ray and MR examination. For spinal cone tethering syndrome, the earlier the surgery, the better the outcome, and the prognosis for surgery 2 years after the appearance of symptoms is good. Surgery to cut the end filaments to loosen the adhesions, release the spinal cord from compression and comb the cauda equina is the most important to improve the blood circulation of the spinal cord cone and restore its function. At present, our department has treated more than one hundred adult patients, and the efficacy shows that surgical treatment is an important treatment method.  Minimally invasive treatment of cerebral hemorrhage is the general trend of surgical treatment of cerebral hemorrhage in recent years. Our department applies stereotactic method and small bone window craniotomy, which is less traumatic, less complications, faster recovery and remarkable efficacy.  Intracranial tumors include meningioma, glioma, auditory neuroma, skull base tumor, etc. According to the location and size of the tumor, we adopt reasonable surgical access and microsurgical techniques to carry out surgical treatment, which is one of the specialties of our department and has accumulated rich clinical experience.  Compared with the traditional pituitary adenoma surgery, it does not require craniotomy, does not damage the brain tissue, is minimally invasive, has little bleeding, has no obvious surgical incisions, and does not affect the beauty. Visual acuity and endocrine disorders can be significantly restored after surgery.  As for the treatment of craniocerebral injury, based on the successful treatment of more than 3,000 patients, we have summed up a complete set of experience in resuscitation and were the first in China to carry out emergency cone cranial resuscitation of intracranial hematoma combined with brain herniation, which won BaoF time to save the patient’s life.