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style="text-indent: 2em; text-align: left;">——编者</p><p style="text-indent: 2em; text-align: left;"><br/></p><p style="text-align:center;"><img src="/upload/resources/image/2017/08/02/1912614.jpg" title="吴继功博士" alt="吴继功博士" suffix="jpg"/></p><p style="text-align:center;"><strong><span style="font-size: 12px;">吴继功博士，主任医师，教授。毕业于第一军医大学。在解放军306医院骨科全军脊柱外科中心从事临床工作20余年，长期在临床一线，每年接待大量的脊柱侧弯患者，擅长各种脊柱侧弯、脊柱后凸等……</span></strong></p><p><strong><span style="font-size: 12px;"><br/></span></strong></p><p style="text-indent: 2em; text-align: left;"><strong>脊柱侧弯：治疗方案还需关注病人心理健康</strong></p><p style="text-indent: 2em; text-align: left;"><strong>“脊柱侧弯的手术应该很可怕？”</strong></p><p style="text-indent: 2em; text-align: left;">“中轻度的脊柱侧弯手术在某种意义上是类似一个整形术，如垫鼻梁一样，使身体看上去更美?！?/p><p style="text-indent: 2em; text-align: left;">在大众意识中，脊柱侧弯手术是要将背部皮肤切开，然后对脊柱动手脚，是属于超级大手术，搞不好会有瘫痪的可能，甚至威胁生命。面对生死攸关，主刀的医生一定要老练、严肃，丝毫不得有闪失。但是，面对记者，吴继功教授从美学的角度解读，让我们不再沉重。</p><p style="text-indent: 2em; text-align: left;">“手术除考虑医学理论，还要考虑病人的心理承受能力以及对病人心里的呵护，对相当部分患者来说，侧弯并不会危及生命，在无明显加重或没有实质性的影响健康的情况下，如果病人没有做好心理准备，即使侧弯度数达到或超过了理论上说的手术指征，也可以不急于手术。但是，对于相当部分患者来说，心理压力远远大于生理上的瑕疵，对于这类患者，我们在治疗脊柱畸形的时候，不但要关注身体本身，还要解除病人背负的心理压力?！蔽饧坦淌诔３Ｔ谑跚岸圆∪撕图页に?，“你就是一块美玉，身体上只是有了一点瑕疵，我们想个办法修饰一下而已，术后就是一块没有瑕疵的玉了。”术后，他又贴心地嘱咐家长，“不要再提这件事，忘掉曾经有侧弯这回事吧?！?/p><p style="text-indent: 2em; text-align: left;">“一个小姑娘在做完手术后发了个朋友圈，对我触动很大。一张挺拔的白杨树图片配发了这样一段话：从今天开始，我再也不怕别人背后小声说话了，再也不会在别人说你鞋带子开了时，装作没听见，装作若无其事地走到角落，偷偷弯下腰整理了，从今天开始，我想弯腰就弯腰，想穿什么衣服就能穿什么衣服，妈妈，你再也不用为我愁眉苦脸、偷偷抹泪啦！”正是这些悉心的观察和体恤，让吴继功教授意识到，脊柱侧弯要治疗的不仅仅是病人的身体，还有心理。治疗方案的制定和选择，更要充分考虑到病人的感受和需要，整个治疗过程的沟通和体恤至关重要。</p><p style="text-indent: 2em; text-align: left;"><strong>重研究而不唯权威；重理论也要创新</strong></p><p style="text-indent: 2em; text-align: left;"><strong>“你从医生涯中的成就感来源于什么？”</strong></p><p style="text-indent: 2em; text-align: left;">“因应病人的需求，满足他们的需要，让我有被需求感，因而有成就感；满足需要的过程同时也要不断迎接挑战，而迎接挑战这一过程本身也让我感觉到成就感和快乐感?！?/p><p style="text-indent: 2em; text-align: left;">“这么多患者，从全国各地慕名而来。你的成名靠什么？”</p><p style="text-indent: 2em; text-align: left;">“还是那句话，满足病人需求和愿望，常言说人生而平等，其实不是，比如侧弯，对于这些人群来说生来就不平等；但是每个人生来都有对美追求的权利，即便身体畸形，对于美好生活追求的权利是平等的，我在帮助他们一起实现美好生活。如果说我有点知名度的话，我想靠的是他们口碑相传。”</p><p style="text-indent: 2em; text-align: left;">1990年，吴继功从南方第一军医大学本科毕业，到解放军306医院就职，医院重视人才鼓励创新的氛围，让吴继功的理论学识和实践功底得到充分发挥，他将全部的精力都投入到医疗工作中。</p><p style="text-indent: 2em; text-align: left;">去年8月份，甘肃农民赵雷明（化名）来找吴继功做手术。当时，赵雷明的侧弯已达145度，不仅影响了脏器功能，还伴有严重的神经畸形，再继续发展下去会危及生命。经过与神经科专家会诊，得出的结论是必须在做脊柱侧弯手术前做神经畸形手术。但也因为神经畸形手术风险大，相关科室拒绝了。另一方面，两个手术并行的费用也高，远远超出了患者的承受能力?；颊哒岳酌魉担骸叭昵埃愀嫠呶铱梢宰鍪质?，当时我的经济状况不允许，现在农村实行新农合政策，手术费用可以报销了，我好不容易凑够相关费用，你却对我说手术不能做了，我还有什么希望呢?！闭岳酌魍纯辔拗难凵袢梦饧坦执俨话?，他下决心再想办法。</p><p style="text-indent: 2em; text-align: left;">那段时间里，吴继功常常拿着会诊病例、翻阅相关资料研究到深夜。终于有一天，根据多年的经验结合国内外文献的报道“如何规避神经损害的风险，又可以获得脊柱侧弯矫正”，得出“一台手术解决两个问题”的方案。当他把这个方案说给赵雷明听时，赵雷明也非常愿意积极配合治疗。</p><p style="text-indent: 2em; text-align: left;">在不断调整治疗方案的同时，吴继功也明白，这将是一次前所未有的艰难挑战，如果手术失败，患者也许会将永远瘫痪在床，无论对患者还是医生都是场灾难。面对病人渴望的眼神，吴继功也在积极做着准备。经过多次详细论证，并反复模拟手术演练，通过来自全科的讨论论证，全院相关科室协同处理，这台手术的预期效果越来越明朗，手术日期终于临近。吴继功清楚地记得当天的情形，他起得很早，到病房去查看赵雷明，再次反复确定了每一个手术步骤细节，反复核实了术前的各项指标。</p><p style="text-indent: 2em; text-align: left;">赵雷明说：“吴主任，我相信您！让我有了挺直腰杆的机会，提供了我可以有尊严地生活下去的机会！无论结果如何我都不会后悔?！笔质跏夷?，医生护士早已准备完毕，各种手术器具摆放整齐，吴继功能感觉到，每个人的脸上都多了一分肃穆，这是他们又一次面临挑战。手术开始了，时间在一分一秒地过去，没有出现意外，神经监测没有出现异常，侧弯在逐步矫正，手术终于完成了，没有神经损害的前提下侧弯矫正理想。</p><p style="text-indent: 2em; text-align: left;">采访结束时，一个戴支具的小女孩从走廊那端走过来，吴继功告诉记者，她在做操练，这种术前操练是根据个体弯曲不同量身设计的，吴继功和他的团队正在系统研究个体化的脊柱椎旁肌肉群的精细化训练，他带着支具师设计支具，用于自动矫正脊柱侧弯，已经在非手术的保守治疗上做了大量工作。期待着中轻度以下的脊柱侧弯患者中，有相当部分可以不动刀而治愈。此外吴继功教授也已经在国内开展可面对婴幼儿患者的疗法，通过石膏矫形和康复训练，那些再发的幼儿脊柱侧弯，也达到了相当不错的矫形效果。</p><p><br style="text-indent: 2em; text-align: left;"/></p></div><p><br style="text-indent: 2em; text-align: left;"/></p> </div> <p class="Editor">编辑：王慧文 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：手术吴继功脊柱侧弯教授 </p> <h1 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