Zhou Qiao's arrival can be described as a spring breeze for the doctors of the County People's Hospital.

A lot of people have enjoyed the technical improvements.

Some of the improvements are simply obvious, can you not be happy?

Not only in terms of technology, but also for some of the doctors' relatives and friends, it is a benefit.

The buildings near the water get the moon first, and the spring river plumbing duck prophet. After seeing Zhou Qiao's strength, especially after the last time the attending physician of the respiratory medicine department brought his niece to see Zhou Qiao, and the news of the successful operation spread, some doctors and nurses who had relatives and friends in the family were seriously ill, and even the doctors and nurses in the tertiary hospitals in big cities felt tricky.

Of course, minor illnesses will not come to disturb Zhou Qiao, all of them are serious illnesses and serious illnesses.

"Little sister, hurry up, don't continue to waste time in the field." A gynecologist said to his twenty-six-year-old cousin on the phone who had just graduated from college for more than two years.

Her little cousin is unfortunate, she is at the age of youth and beauty, but she was diagnosed seven months ago, and she has a huge pituitary tumor, which grows in her head, and the county people's hospital will definitely not be able to solve it.

So, the attending physician recommended his little sister to go to a big city tertiary hospital to see the disease, where do you know, the experts said that the tumor is too big, and the location is special, either multiple surgeries, staged or craniotomy!

All in all, it's quite troublesome, and it doesn't matter if it's troublesome, the key is that there are many surgeries and huge risks.

This little sister and her family are very entangled, and they have always wanted to find a powerful expert who can help her easily do it at one time.

This little sister has one appeal, one-time, micro-traumatic, to reduce the psychological burden.

Because, she is still young and not married, and then, she sees a doctor "secretly", and she doesn't want to make a fuss known to everyone, otherwise it will affect her future partner.

But where can you find it?

No, for the Chinese New Year, I am still looking for famous doctors in other places.

Some experts can handle it, saying that they have a certain degree of certainty, and give a surgical plan, but unfortunately, it does not meet the requirements of this little sister.

Or to put it another way, the surgical plan is not "ideal" enough, which is tangled and discouraged.

The attending physician of the Department of Gynecology consulted Zhou Qiao in advance, and learned that Zhou Qiao had undergone many pituitary tumor surgeries before, and had published many academic papers with high impact factors in this area, and was also quite accomplished in this area, so he called his little sister.

Because, with the insight of this gynecologist, Zhou Qiao's level is definitely the top in China. There are few experts in major hospitals who can compare with him.

Zhou Qiao is indeed very young, but the level of the people is here. The ironclad facts are convincing.

In fact, Zhou Qiao's level is top-notch even in the United States, and there are few experts in major hospitals in the United States who can PK with him.

"I have also seen Dr. Zhou from that hometown in the circle of friends, but isn't he proficient in heart surgery? I ...... in my brain," the little sister was suspicious.

"You stupid girl, can my sister still harm you? Let me tell you, the news is lagging behind, Dr. Zhou is in our hospital every day, I still don't know? The latest news, Dr. Zhou is an all-rounder, far beyond everyone's imagination, even our dean praises him as a treasure every day, and it is an honor for the hospital to invite him back to cooperate and communicate. This is by no means a polite word, believe me, the opportunity is rare, come back quickly, I will take you to Dr. Zhou! ”

The gynecologist was dying, and called the little sister's parents again to persuade them.

The cousin naturally believed in her sister, so after discussing it with her parents, she rushed back overnight.

Then, the gynecologist took her to see Zhou Qiao.

Zhou Qiao learned about the condition, and also watched the film taken before, indeed, it was quite serious.

The other party's pituitary tumor is quite large, very rare, accounting for about 1/20 of the adult brain, like an iron tie, erected in the saddle area of the girl's brain, that is, the center of the brain.

Its maximum diameter reaches 6 cm, and its shape resembles that of a fairy gourd, which invades the slope and sphenoid sinus downward, and upends the hypothalamus behind the optic chiasm, protrudes into the third ventricle, and reaches the Montessori foramen.

Although pituitary adenomas themselves are generally benign and mild tumors, as mentioned above, even if they are benign, they are not a good thing.

In particular, it also grows in the core area of the brain.

Isn't that a human life?

Although there is no danger to life for the time being, if it is delayed for a long time, it will cause hydrocephalus, mental decline, walking and even difficulty standing.

Vision can be greatly reduced, with visual field defects up to blindness.

Prolonged or stopped menstrual cycles, loss of fertility.

impaired eye movement, decreased facial sensation......

There is no doubt that the quality of life will drop to an unacceptable level, and in the end, it will also be life-threatening and die prematurely.

This little sister went to consult many well-known hospitals, but the location and size of this tumor made the doctors frown.

For her condition, experts agree on one aspect, that is, the patient's serum prolactin and growth hormone are not high, and such tumors need to be surgically removed.

There is no doubt about that.

But how do you do the surgery?

Different experts have different views on the surgical plan. Because each doctor's level, experience, and thinking are different.

For ordinary diseases, the solutions may be similar, but for the "difficult problems", everyone has their own solutions.

This is also where the complications of medicine come in.

Some experts believe that a craniotomy with a frontal lobe longitudinal fissure approach from above is required, which can remove the vast majority of the threatening tumors, but may leave the part of the inferior polar sellar remaining.

In addition, this surgical approach is very traumatic and the patient needs to shave his hair.

In addition, the large coronal incision of the craniotomy is, in layman's terms, equivalent to the length of a large arc route from the magic capital to New York via Alaska on a small circular globe.

Although it can be covered when the hair grows in the later stages, you can still see it if you look closely.

This affects the aesthetics very much, not to mention finding a partner, falling in love, and even work may be affected.

Some HR will not want to go under the knife as soon as they see that you have used the knife in your brain.

Even if you join the company, I am afraid that some promotion opportunities will be missed because of this matter.

Therefore, this little sister did not want to choose this technique.

Other experts say that only a craniotomy can be done to remove the intracranial portion, and then a second nasal resection of the intrasellar growth can be electively made.

Some experts believe that surgery can be performed through the nasal sphenoid sinus approach below, but there is a high probability that there is a residual tumor on the tumor, and a second operation on the forehead will be performed after a period of time.

Some even have to undergo a third operation.

The more surgeries you have, the greater the time period and the risks you need, and the medical costs alone are too much for many families to bear.

How expensive is the operation in the brain, even if it is minimally invasive?

These surgical plans are not satisfactory, seeing that time is passing day by day, this little sister simply feels that "her head is going to explode"!

If she doesn't have surgery again, it will really get worse and worse, and just when she was struggling in every way, her dear cousin called!

"Dr. Zhou, how is my sister's condition? Can you help her solve it with a one-time minimally invasive treatment? The gynecologist asked.

The little cousin also looked at Zhou Qiao hopefully on the side, and said that this doctor is so handsome, looking at it up close, it is even more handsome than those photos posted in the circle of friends! I just don't know if his level is really as high as his cousin said?

Zhou Qiao smiled and nodded: "It's not a big problem, admit to the hospital and wait for surgery." ”

"Huh?" The little cousin was stunned, it's as simple as that?

So easy to say yes? Could it be that you didn't recognize the difficulty, or that you didn't understand what I was asking for?

She couldn't help but ask: "Handsome guy ......"

As soon as the words came out, the cousin on the side glared at her, when is it, can't you be serious? Dear Voice Dr. Zhou? Well, Dr. Chow is indeed quite handsome, and if I were ten years younger, I would be tempted too.

However, if you call a handsome guy, you call it a handsome guy, why is the tone so sassy?

The little sister hurriedly changed her words and said, "Doctor Zhou, will there be any residue after surgery?" Will I need a second or third surgery? ”

Zhou Qiao smiled slightly and said, "Don't worry, although the difficulty is very high, but I try my best, I should be able to clean it up for you at one time and leave no trouble." ”

The gynecologist said, "When Dr. Zhou said this, we are relieved." Thanks thanks. ”

Hurriedly took the little sister to go through the admission procedures. If you don't leave, looking at the little sister's eyes, I can't wait to pounce on Dr. Zhou and eat it.

The little sister was reluctant, glanced back, and couldn't help muttering in her heart: "Why did Dr. Zhou use this word?" Could it be that there is any hint? ”

The gynecologist patted his little cousin angrily and said, "Can you be a little more reserved?" ”

The little cousin was suddenly aggrieved, and said pitifully: "Where am I not reserved enough?" ”

"Your eyes!" The gynecologist glared and shook his head.

"Huh?" The little cousin suddenly covered her face, hot, and then said with some uncertainty, "Sister, is it really that obvious?" ”

"What do you think?"

"Okay." The little cousin was ashamed, and then said happily, "If the operation is successful, I will stay here for a few more days." ”

"Stay a few more days, do you think it's a hotel? Live as long as you want? Let me tell you, according to Dr. Zhou's usual style, or the quality of the surgery, you will be discharged from the hospital in a week or two. ”

"What? So fast? "The little cousin is surprised!

"Isn't that right? Anyway, Dr. Zhou came to our hospital for so many difficult surgeries, and there were a few patients whose condition was not milder than yours, and they were discharged in about a week. ”

"It's a shame." The girl remembered Zhou Qiao's handsome face, and couldn't help licking the corners of her mouth.

Her cousin: "......" was speechless.

I can't help but think of a joke in the hospital before, saying that a guy took a fancy to a nurse, pretended to be sick every day, or injured himself, and came to the nurse for injections or bandaging.

That's right, the back and forth has indeed become familiar.

Then, the guy looked for a chance to confess.

It turned out to be rejected! The reason is that his body is too weak, and he comes to the hospital every day, who will be able to bear it in the future?

However, it is normal for young people to want to find a partner and fall in love.

It's all hormones.

This gynecology attending physician is a person from the past, and when he was young, he was also tireless in this regard, so to speak, all he wanted to be in love all day long, except for work and study.

"Could it be that Xiaomei has caused a surge in hormones in that area because of this disease? So it seems like a bit of a nymphomaniac? Probably not, right? The attending physician shook his head.

The operation arranged by Zhou Qiao for this girl was: transnasal sphenoid surgery, opening the sellar tubercle, transoptic nerve crossover and joint operation above and below, promoting the collapse of the high tumor, total resection of the tumor, and then mucosal flap saddle floor to repair cerebrospinal fluid rhinorrhea.

The operation is performed through the nasal sphenoid sinus approach, with less surface trauma, and with the level of Zhou Qiao's perfection, it can be successfully resected at one time, avoiding the pain of multiple surgeries.

The same surgery, because the tumor is too large and the location is special, other experts cannot do it.

This is the gap between the master level and the perfection level.

Moreover, transnasal sphenodectomy of suprasellar tumors is itself a difficult procedure.

The larger the tumor, the longer the operation on the sellar will take and the more surrounding structures will be involved, and the greater the risk will be.

During the operation, it is necessary to dissect and separate the structures of the anterior communication complex, optic nerve, endplate, hypothalamus, third ventricle and so on, especially the optic nerve chiasm lies in front of and below the necessary way to cut the tumor, and the operation is repeatedly alternating in front and behind the optic chiasm, which requires high operation accuracy and manipulation.

Zhou Qiao made a move, and it was done in almost two hours, which still slowed down slightly, so that the observers could see more clearly.

Through this case, many departments, especially neurosurgery, listened to Zhou Qiao's lectures, assisted in the operation, and observed, and benefited a lot.

Postoperative management is also a great challenge for hospitals.

Because the tumor resists the hypothalamus and the third ventricle, there will inevitably be a mild or severe hypothalamic reaction after surgery, which requires the medical team to have considerable intensive care capabilities to assist the patient through the period of acute reaction after surgery.

Obviously, the county people's hospital does not have such strength.

Fortunately, Zhou Qiao is here.

Zhou Qiao guided everything in detail, and can be called a "handsome model worker", helping everyone get through this difficulty together.

The care team has also benefited.

After the operation, the patient's hypothalamus response was stable and controllable, and the saddle floor was tightly repaired, and Zhou Qiao predicted that he should be discharged from the hospital in about eight days.

Critical Care Team: "......"

If they are allowed to do it themselves, they will not think about being discharged from the hospital for more than 20 days, or even a month.

However, without a handsome doctor like Zhou Qiao coming to check on the ward from time to time, the girl would be bored and thought it would take too long. It's not like now, it feels like the hospital stay is too short, it's a pity.

The pathology report showed that the girl was removed with a silent ACTH adenoma, a sparse granular type, which is more common in young women.

Some tumors may favor middle-aged and elderly people, but others, like LSPs, focus on young girls.

(End of chapter)