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動態
五月清晨起床給河南省直第三人民醫院周紅剛主任通電話，我告訴他：“你們椎間盤中心已經是國家重點專科了。微創技術你們已是中國脊柱事業的天花板了，在(zai)德(de)國(guo)，真(zhen)正(zheng)意(yi)義(yi)的(de)脊(ji)柱(zhu)中(zhong)心(xin)必(bi)須(xu)要(yao)開(kai)展(zhan)微(wei)創(chuang)技(ji)術(shu)，側(ce)彎(wan)畸(ji)形(xing)技(ji)術(shu)和(he)脊(ji)柱(zhu)腫(zhong)瘤(liu)技(ji)術(shu)。微(wei)創(chuang)技(ji)術(shu)是(shi)標(biao)配(pei)，側(ce)彎(wan)畸(ji)形(xing)技(ji)術(shu)是(shi)實(shi)力(li)，脊(ji)柱(zhu)腫(zhong)瘤(liu)技(ji)術(shu)是(shi)高(gao)精(jing)尖(jian)，微(wei)創(chuang)手(shou)術(shu)易(yi)學(xue)簡(jian)單(dan)，哪(na)家(jia)醫(yi)院(yuan)都(dou)容(rong)易(yi)開(kai)展(zhan)，所(suo)以(yi)微(wei)創(chuang)技(ji)術(shu)沒(mei)有(you)護(hu)城(cheng)河(he)，隻(zhi)有(you)瓶(ping)頸(jing)。德國是三級診療體係，從家庭醫生到專科醫院再到大學附屬醫院。能展示你這家醫院這個科室水平的就是所有脊柱重大疑難疾病你都可以輕鬆搞定。大型脊柱手術微創技術是完全搞不定的，你必須要建立護城河。由於德國人人高馬大，許多脊柱手術根本不能用微創技術。所以在德國，微創技術隻停留在基層醫院和專科醫院，德國的大學附屬醫院隻做高難度的脊柱手術。對dui於yu未wei來lai科ke室shi的de發fa展zhan，你ni必bi須xu發fa展zhan脊ji柱zhu側ce彎wan和he畸ji形xing技ji術shu以yi及ji脊ji柱zhu腫zhong瘤liu技ji術shu，從cong現xian在zai起qi，刻ke不bu容rong緩huan。你ni可ke以yi先xian選xuan兩liang個ge優you秀xiu醫yi生sheng先xian學xue習xi這zhe兩liang項xiang技ji術shu，再zai通tong過guo開kai設she專zhuan科ke門men診zhen，把ba病bing人ren吸xi引yin過guo來lai。你ni們men也ye可ke以yi與yu專zhuan科ke聯lian盟meng和he腫zhong瘤liu醫yi院yuan合he作zuo，把ba腫zhong瘤liu轉zhuan移yi到dao脊ji柱zhu部bu位wei的de脊ji柱zhu腫zhong瘤liu病bing人ren轉zhuan到dao你ni們men科ke室shi。一個科室要開展一項新技術至少需要5年(nian)的(de)時(shi)間(jian)，你(ni)現(xian)在(zai)就(jiu)應(ying)該(gai)馬(ma)上(shang)布(bu)局(ju)，未(wei)來(lai)什(shen)麼(me)樣(yang)的(de)脊(ji)柱(zhu)病(bing)人(ren)來(lai)你(ni)們(men)科(ke)室(shi)你(ni)們(men)都(dou)能(neng)搞(gao)定(ding)，這(zhe)才(cai)是(shi)真(zhen)正(zheng)意(yi)義(yi)上(shang)的(de)脊(ji)柱(zhu)中(zhong)心(xin)，這(zhe)樣(yang)的(de)脊(ji)柱(zhu)中(zhong)心(xin)才(cai)能(neng)所(suo)向(xiang)無(wu)敵(di)了(le)。科(ke)室(shi)的(de)江(jiang)湖(hu)地(di)位(wei)就(jiu)更(geng)穩(wen)固(gu)了(le)。科(ke)室(shi)在(zai)全(quan)中(zhong)國(guo)的(de)影(ying)響(xiang)力(li)就(jiu)更(geng)大(da)了(le)。
In May, I got up early in the morning and had a phone call with Director Zhou Honggang of Henan Third People's Hospital. I said to him, "Your Intervertebral Disc Center has been listed as one of the national key specialties”. In China, the level of minimally invasive technique of your center is the top among all the other hospitals. However in Germany, an authentic spine center requires techniques of minimally invasive surgery and treating scoliosis and spinal tumor at the same time. Minimally invasive technique is the basic standard, whereas deformity technique represents the strength, and spinal tumor technique stands for high precision and professional skills of a spine center. Almost every hospital can carry out minimally invasive spine surgeries because it is not very difficult to be put in practice. Therefore, there is no buffer zone for minimally invasive technique in China, and many hospitals may probably encounter bottlenecks in their development process. From family doctors to specialized hospitals to university hospitals, this three-tier system composes German medical care system. The ability to handle difficult and complicated spinal diseases is the demonstration of a spine center’s high expertise. However, major spinal surgery is impossible to be treated with merely the minimally invasive technique, you have to build your own solid advantages. Since German people are mostly large in size, many spine surgeries cannot be performed with minimally invasive technique only. Therefore, in Germany, primary hospitals and specialized hospitals carry out most of the minimally invasive surgeries, while the university hospitals mainly perform highly difficult open surgeries. For the future development of a spine center, the techniques treating scoliosis, deformity and spinal tumor must be developed better and better. You can start from sending some excellent doctors for further education in these fields, and then bring patients in by setting up specialized outpatient clinic. Also, you can cooperate with the specialized hospital alliance and oncology hospitals, and receive patients with spinal tumors from them. Generally, it takes at least 5 years for a department to fully carry out a new technique. You’d better immediately set the layout now, and then you can handle patients with various spinal diseases in the future. An authentic spine center like that is truly invincible. In this way, your department will possess a stronger reputation, and a greater influence throughout China.
