Chapter 1964 You taught me!
But Geng Hongming was also confused!
What the hell is this?
He couldn't help but turn around and look at Ma Yuehui.
Lao Ma immediately coughed and laughed: "Oh? I taught you, cough... You see, I forgot it myself!"
Chen Cang picked his eyes and said, this guy is so shameless!
At this time, the doctor in charge brought the other party's film over.
There are X-rays and nuclear magnetic films.
Generally, it is very difficult to diagnose femoral head necrosis in the early stage.
Because the bone has not changed yet, even radionuclide scanning cannot be detected if osteoporosis is not mentioned in x-rays.
However, nuclear magnetic field can be distinguished by low osteocartilage and bone marrow, neutralization and high signal respectively. Therefore, it is generally believed that MRI is one of the best methods for early diagnosis of femoral head necrosis.
However, when Chen Cang saw the movie, his eyes suddenly lit up!
Because generally speaking, at the beginning of the disease, it can only manifest as damage to a single major blood vessel, but as the disease develops, the residual circulating blood volume is not enough to maintain normal blood supply to the damaged area. The bone marrow tissue will be damaged first, followed by osteocyte necrosis.
This is also the reason why trauma is easier, because during trauma, the blood vessels in the femoral head area are directly damaged and are even involved in blood supply.
At this time, Chen Cang found that the patient's femoral head signal, including bone marrow and other signals, was not uniform!
This means...
Now the femoral head will not cause necrosis due to a large amount of ischemia. If you rescue it now, it may be too late!
Thinking of this, Chen Cang said directly to Geng Hongming: "Director Geng, I suggest you have surgery immediately!"
Geng Hongming was stunned and asked immediately: "Why?"
If Chen Cang could not convince him, Geng Hongming would not agree.
He is the director and he is responsible for the patients!
You cannot just obey just because the other party is famous.
Chen Cang explained: "The patient should have drilled holes and reduced pressure last night, which promptly reduced bone pressure and promoted venous return.
While relieving fertile vasospasm, I suspect that neovascularization has been able to grow into the ischemic area through the bones."
"So so far, the femoral head has not undergone obvious ischemic changes. If bone transplantation is performed at this time, it can actually perfectly improve the shortcomings caused by femoral head injury!"
After Geng Hongming heard the bone transplant, his eyes lit up, but then he frowned: "Female skull transplant?"
Chen Cang nodded: "Yes, this may be the only way."
Geng Hongming was a little worried when he heard the sound. Femoral head transplantation... It sounds very simple, but it is actually a big project, including cancellous bone transplantation, cortical bone transplantation, pedicle bone transplantation, vascular anastomotic bone transplantation and allogeneic osteocartilage transplantation!
Will such an operation cause secondary damage?
but……
It is undeniable that if it can be completed perfectly, this is indeed a rare and good way for the repair of femoral head ischemia and necrosis!
After hearing Chen Cang's words, Lao Ma was stunned!
Compared to Geng Hongming, Lao Ma thought more.
He even had the whole process of the operation in his mind.
The more Lao Ma thought about it, the more he felt it was feasible. The more he thought about it, the more he felt that the chance of success of the entire operation was actually very high!
Chapter completed!