But there are always exceptions!
Just like disease.
At that time, the patient who committed suicide had trigeminal pain for more than an hour, fainted with pain, and then woke up with pain.
This can understand how painful it is!
Everyone has had toothache. Multiplying toothache by ten is equivalent to trigeminal neuralgia.
This is a kind of naked neuralgia!
However, medicine has developed rapidly in recent years.
For example, carbamazepine, gabapentin and pregabalin can be transplanted well.
However, after long-term use, the effect will gradually decrease.
And it seems that the pain is rising!
This feeling is really helpless!
But now surgery is also common.
Otherwise Xue Zhengren would not laugh.
Chen Cang also felt a little aggressive.
Why does a trigeminal neuralgia invite so many experts?
Is microvascular decompression of trigeminal neuralgia very mature now?
Casually, experts from the Central Health Committee were called in to solve a problem that could be solved by a reasonable main treatment.
Simply, Chen Cang and Xue Zhengren stood by to see the operation!
But at this time, Xue Zhengren suddenly said, "look, I just said, this prince is really different from ordinary people!"
"Look at that blood vessel!"
Chen Cang was stunned and nodded.
This operation is a typical microsurgical technique. The bone window does not need to be too large, the injury is small, the bleeding is less, and the incidence of complications is low.
Therefore, we do not pay much attention to it.
Chen Cang should come to the Sino Japanese hospital to visit the door.
Xue Zhengren said: "the patient must have done microvascular decompression before. Look..."
Chen Cang nodded and looked up.
It was found that the picture on the computer screen showed that the abnormal blood vessel was obviously compressing the nerve root.
According to the requirements of microvascular decompression, blunt head micro stripping ion needs to be inserted into the space between artery and nerve root for dissociation.
However, at this time, the nerves and arteries are tightly adhered together!
Don''t mention separation. Even with micro scissors, there is no way to cut it.
Xue Zhengren couldn''t help but say, "look, have you ever seen such an independent proud nerve and artery?"
Chen Cang rolled his eyes.
Not to mention, she really looks proud.
As long as the artery beats here, it will certainly involve the nerve and make the neuralgia serious!
Chen Cang saw it: "this is... An adverse complication after microvascular decompression!"
Xue Zhengren nodded, "see?"
Chen Cang nodded.
"Well, the combination of the two blood vessels and nerves is obviously late inflammatory adhesion, but the patient''s nerve sheath is very weak. It is too difficult to decompress the microvessels, and it is basically impossible to complete it."
Xue Zhengren nodded.
"Yes, it''s really rare!"
Indeed, according to statistics, after microvascular decompression, 85% of postoperative pain disappeared, that is, the basic link of symptoms.
However, 2% ~ 4% of the patients underwent secondary surgery due to pain, 5% ~ 13% of the patients had pain recurrence, and 1% still had severe pain. On the contrary, this kind of pain was aggravated!
Obviously, the prince had bad luck, which was the last one percent!
Dragon and Phoenix among people!
"Microvascular decompression doesn''t seem to work!"
Xue Zhengren was called at this time.
Hong Ji said to Xue Zhengren, "choose trigeminal sensory rhizotomy!"
Xue Zhengren nodded.
Trigeminal sensory rhizotomy is suitable for this kind of patients.
In patients who have failed microvascular decompression or postoperative pain recurrence, they have no choice but to choose this kind of operation.
However, since it is an alternative, it must be much more troublesome than the ordinary scheme, and there are more risk factors and sequelae!
you bet!
Trigeminal sensory rhizotomy is easy to damage the facial nerve and cause peripheral facial paralysis.
Moreover, facial paralysis is a small thing. Coma can occur if the brain stem is injured. Postoperative vestibular nerve disorders such as dizziness and vomiting can occur!
Yang Ming stood beside Chen Cang and whispered, "this problem that the British can''t solve by themselves is making trouble for our country!"
Chen Cang asked curiously, "Oh? What do you mean?"
Yang Ming continued: "the little prince is not trigeminal neuralgia for two days. He has been treated in the United States, France, the United States and Mayo. Obviously, he can''t continue the operation because the risk coefficient is too high!"
"So... Mr. Hong called us all."
"Say this is the task of leadership. If it is cured, it may not be impossible for the queen of England to give you a noble medal!"
When Yang Ming finished, he couldn''t help laughing.
Chen Cang has figured it out now.
Why is everyone under little pressure.
After all, it is normal for this disease to be cured, and it is a special case to be cured.
At this time, Hong Ji personally started the nerve root amputation operation.
However, when Hong Ji pulled the cerebellar hemisphere inward and downward, tore the arachnoid membrane of the pons cistern and sucked out the cerebrospinal fluid.
After the cerebellar tissue collapsed, the facial and auditory nerves were also found.
But the scene at this time makes Hong Ji at a loss!
Because the petrosal vein can be seen in front of the two nerves leaving the surface of the cerebellum and entering the superior petrosal sinus. As long as this area is cut short, it will inevitably cause tear at the superior petrosal sinus and cause a lot of bleeding!
To put it bluntly, the patient''s intracranial nerves and vessels are complex.
Ordinary people can''t operate it at all.
Otherwise, a small trigeminal neuralgia will be delayed until today?
Yang Ming pointed to the big screen and said, "look? See? Who dares to operate in this situation?"
"No, that''s why robots can''t do this!"
"Such an operation is clearly embarrassing!"
"I guess Prince William is either visiting China or having surgery!"
Speaking of this, Yang Ming said to Chen Cang:
"Professor Chen, do you want to try? If you can conquer it, I bet the queen of England will give you at least one Lord!"
Voice future.
Chen Cang heard the prompt sound of the system!
[Ding! Trigger the task to solve Prince William''s neuralgia. After the task is completed, you can get rich rewards!]
When Chen Cang heard this, he immediately laughed.
Don''t say yet.
He really has a way.
I thought the skill I had acquired was useless.
Unexpectedly, it will come in handy on this occasion.
Thinking of this, Chen Cang nodded and looked at Yang Ming: "you''re right!"
"No... what''s the use of the British noble medal, territory?"
Yang Ming hasn''t spoken yet.
Hong Ji said, "Professor Chen, come and have a look?"
Those present know Chen Cang even if they don''t know him.
After all, the youngest deputy head of the Central Health Committee.
This is not something you can go up with a background.
……
PS: it''s delivered at six o''clock. The veteran didn''t break his promise. Continue at six o''clock tomorrow and ask for a monthly ticket!