神经外科业务新突破：脊髓电刺激术、脑深部电

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2021年辛丑牛年伊始，和睦家医院神经外科在院领导的关心支持和兄弟科室的大力帮助下突破两项新业务的开展。

脊髓电刺激术

Spinal Cord Stimulation, SCS

患者是一位15岁的孩子，诊断为痉挛性截瘫，发病至今5年有余。尽管父亲带着孩子多处奔波，辗转求医。但大多疗效欠佳，随着病情的不断进展，孩子双下肢现在已经出现显著的肌张力障碍导致行走困难。

神经外科接诊孩子以后，积极完善术前检查，并请知名儿童功能神经外科专家为孩子做了脊髓电刺激术。术后开机测试，孩子的下肢肌张力开始有了缓解，为下一步的康复治疗创造了良好的条件。

脑深部电刺激术

Deep Brain Stimulation, DBS

脑深部电刺激术，俗称脑起搏器。

患者是一位17岁的孩子，即将成年，诊断是抽动障碍。多年来肢体及头颈部不自主的抽动给孩子造成了严重的困扰。原本开朗自信的孩子渐渐变得封闭起来，学习成绩也是一落千丈。家长带着孩子多方奔走，中药、西药反复尝试，都没有获得良好的疗效。

另外一位患儿年仅6岁，只有11公斤，从3岁开始疾病进展很快，辗转几家医院后，考虑到患者的复杂病情及和睦家医院的综合能力，决定选择北京和睦家医院接受治疗。

神经外科接诊这两位孩子以后，积极完善术前检查，并请知名儿童功能神经外科专家为孩子们做了脑深部电刺激术。目前术后孩子们状态稳定，17岁患者已经顺利出院，相信开机后能有一个令人满意的结果。

神经外科完成的这两项手术属于神经调控手术，是治疗神经功能性疾病的主流手段，临床上常用于癫痫，帕金森，肌张力障碍以及顽固性疼痛等疾病的治疗。

现神经外科可顺利开展此类手术，如有需求患者欢迎转诊到神经外科。

New breakthrough in neurosurgery

At the beginning of the year of the 2021, the neurosurgery department of united family hospital achieved two breakthroughs of new service with the care and support of hospital leaders and the help of other departments.

One is spinal cord stimulation (SCS).The patient is a 15-year-old child who was diagnosed with spastic paraplegia for more than 5 years. Although the father took the child to many places to seek medical advice. But most of the curative effect is not good, with the continuous progress of the disease, children's lower limbs now have significant dystonia, leading to walking difficulties. After receiving the child, neurosurgery actively improved the preoperative examination, and invited well-known functional neurosurgery experts to do spinal cord electrical stimulation for the child. After the operation, the muscle tension of the child's lower limbs began to ease, creating a good condition for the next step of rehabilitation treatment.

The second breakthrough is deep brain stimulation (DBS), commonly known as brain pacemaker.The patient was a 17-year-old child who was about to reach adulthood and was diagnosed with tic disorder. Over the years, the involuntary twitch of limbs and head and neck has caused serious trouble to children. Especially in school, in the face of the students' eyes and sarcasm, the children who were originally cheerful and confident gradually became closed, and their academic performance also plummeted. Parents with their children are also running in many ways, traditional Chinese medicine, western medicine repeated attempts have not achieved good results.

The other child was only 6 years old, only 11 kg. From the age of 3, the disease progressed rapidly. After going to several hospitals, considering the complex condition of the patient and the comprehensive ability of the United Family Hospital, he decided to choose Beijing United Family Hospital for treatment. After receiving the two children, he actively improved the preoperative examination, and invited well-known children's functional neurosurgery experts to make a diagnosis for the children Deep brain stimulation. At present, the children are in a stable state after the operation, and the 17-year-old patient has been discharged from the hospital smoothly. I believe there will be a satisfactory result after the power on.