Ruan Bin smiled, knowing that this family thought he was too young and didn't trust him much, anyway, he was used to it.

People, it's all like this, human nature.

Understandable.

"Don't look at him years ago, but he has a very high level of surgical treatment for stroke paralysis, which is often referred to as stroke paralysis, and paralysis caused by pediatric dystocia! Whether your son can recover or not, his chances are better than mine!" Qiao Yejian said with a straight face.

"This ......" Liu Dagen pondered for a while, but still nodded and said, "Okay, I believe this handsome doctor." ”

Soon, Ruan Bin learned about the specific situation of this Liu Jian.

This year, 21-year-old Liu Jian was born with forceps delivery, which caused brain damage caused by local hemorrhage in the left side of the brain, resulting in stunted development and dysfunction of the right upper and lower limbs. Only at the age of 3 can he walk independently, and he gradually develops abnormal walking posture, which is mainly manifested as unstable gait, walking on tiptoe, and inversion of the foot, commonly known as "clubfoot". At the same time, the right hand is inflexible, the right hand is restricted, and the right hand is manifested as difficulty in grasping, finger extension, thumb adduction, ulnar deviation, forearm pronation deformity, severe hand dysfunction and gradual loss of fine motor ability.

From the point of view of body shape and demeanor, Liu Jian's shoulders are one high and one low, and he can only walk diagonally on tiptoe with difficulty, and his hand function is low, so he can't hold chopsticks. As patients grow older, although they look like adults, they do not have many basic independent living skills, such as eating by themselves, buttoning up, zipping clothes, and going to the toilet.

In addition, although the patient's family took him to seek medical treatment everywhere and depleted the family's savings, he did not receive proper and systematic treatment for a long time, resulting in the continuous deterioration of the above-mentioned motor function.

As the condition gradually worsens, the patient has developed increased muscle tone and muscle atrophy in the upper and lower limbs. According to the prediction of the local hospital, Lin Chuncheng may eventually lose all motor and life functions.

In the past two years, thanks to his family's lottery ticket and winning 10 million, they finally let their family run from time to time, RV everything, and even the money for treatment is more than enough.

However, in the past year or so, they have sought medical treatment from many large domestic hospitals, but the results are not ideal!

For example, in their provincial hospital, they were treated for limb spasm symptoms. But it didn't take long for it to relapse!

"Relapse? Well, the treatment failed. Ruan Bin said in a deep voice.

"Normally, doctors can treat limb spasms by injecting him with botulinum toxin, but the effect of this treatment is short-term and unstable. Even if he goes to surgery for surgery, nerve transfer and deformity correction are common treatments, and the effect is obvious in the reconstruction of hand nerve function, but because the spasticity problem is not solved, the postoperative recurrence rate and surgical failure rate are still high! This is the reason why his treatment effect is not satisfactory. ”

Listening to Ruan Bin's explanation, the family seemed to understand whether they understood or not, but Qiao Yejian gave Ruan Bin a thumbs up when he heard it, because the analysis hit the nail on the head!

Qiao Yejian is a veteran of neurosurgery, and knows that because the spasticity 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 effect of surgery on spasm relief is obvious and stable, and there will be almost no recurrence, but the fine motor function of the limbs cannot be optimally corrected; and if the patient turns to a rehabilitation specialist, rehabilitation training can solve the temporary functional problem, but it is still a symptom but not a cure, and the recurrence of the disease is the norm.

That's 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 he has been paralyzed for 20 years, and I need to understand and analyze it in depth. Ruan Bin said truthfully.

Paralysed for 20 years, to be honest, there is little hope!

He knows that in the traditional treatment of hemiplegia, it is mainly through orthopedics, nerve grafting, sports rehabilitation and other means. However, at present, the overall prognostic effect of hemiplegia treatment in China is not satisfactory, especially for patients with limb muscle tone exceeding grade 3, almost all of whom face recurrence problems. The main reason for this situation is that due to the "divide and conquer" of different disciplines, the overall treatment presents a disordered state of single, fractured and fragmented technology, so that the medical resources do not achieve the "greatest common divisor", and the fragmented treatment pays more attention to the current effect and does not achieve integrated treatment for patients.

This is the experience, mental analysis and understanding that he has with innovative neck 7 nerve surgery!

In other words, in the past treatment mode, the problem of how to balance the improvement of hand function and the stability of the effect could not be solved, so the patient could not get the best treatment effect.

For such hemiplegic patients, the treatment techniques are diverse and most mature, but the treatment concept has always presented a separate situation, and all kinds of techniques have certain limitations.

Ruan Bin already had an idea in his heart that if he could solve all his problems at the same time, maybe there would be a chance to heal him!

That is, it can not only relieve the spasm of the limbs, but also perform nerve transplantation and hand deformity correction!

If the three are solved at the same time, there will be no recurrence, or there will be no symptomatic treatment!

But if you want to do all three at the same time, it's easier said than done!

So far, he remembered that it hadn't appeared in the medical literature!

And the technical difficulty is still the rehabilitation of both hands!

The condition of the feet is easy to correct!

Whether it is ischemic stroke (cerebral infarction), hemorrhagic stroke "cerebral hemorrhage", or cerebral hypoxia caused by dystocia, most of the lesions are distributed in the "middle cerebral artery" distribution area of the cerebral hemisphere.

The blood supply of the middle cerebral artery almost includes the frontal lobe, the parietal lobe and the basal ganglia area of the deep hemisphere, that is, the area where the motor cortex, sensory cortex and their conduction fibers are located, so stroke lesions in the middle cerebral artery system are prone to hemiplegia and hemiplegia of the contralateral limb. However, the motor and sensory cortex innervating the lower limbs and some of their conduction fibers are closer to the midline of the brain, which also receives blood 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 occluded, causing both the middle cerebral artery and the anterior cerebral artery to be ischemic at the same time, the anterior cerebral artery will also receive blood supply from the contralateral blood vessel through the anterior communicating artery, so the paralysis of the lower limbs will be relatively mild. This is also one of the most serious causes of hemiplegia in many strokes and children due to dystocia.

In layman's terms: the brain tissue, which governs the movement and sensation of the lower limbs, can get more blood supply, and this part of the brain tissue has a better chance of survival.

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