Zhang Yong: Chief physician, doctor, director of neurosurgery in the Second Hospital of Guangdong Province, and chief physician in knowledgeable person of Medicine. Master tutor of Southern Medical University and Nanhua University School of Medicine, member of Neurophysiological Monitoring Group of Chinese Medical Association Neurosurgery Branch, member of Guangdong Neurosurgeon Branch, member of Guangdong Medical Association Neurosurgery Branch, and standing member of Guangdong Medical Association Neurosurgery Management Branch.
Education and working background
Bachelor of Clinical Medicine, School of Medicine, University of South China (1981 -1986)
Doctor of Pathology and Pathophysiology, School of Medicine, University of South China (2019 -2019)
Master Tutor of Neurosurgery, School of Medicine, University of South China (2019-present)
Master tutor of neurosurgery in Southern Medical University (2019-present)
Resident of neurosurgery in the 169 Hospital of Guangzhou Military Region (1986 -1992)
Neurological attending surgeon of Guangzhou Military Region 169 Hospital (1992 -1998)
Deputy Chief Physician, Department of Neurosurgery, Guangdong Second Hospital (1999 -2019)
Chief physician, Department of Neurosurgery, Guangdong Second Hospital (2019-present)
Director, Department of Neurosurgery, Guangdong Second Hospital (2019-present)
clinical experience
Dr. Zhang Yong has worked in the clinical front line of neurosurgery for nearly 30 years, and witnessed the rapid development of neurosurgery after the reform and opening up. He relied on inquiring about the medical history, detailed physical examination of the nervous system, and combined with lipiodol angiography of ventricles or spinal canals to carry out surgery. Up to now, a large number of advanced technologies have been developed, such as three-dimensional CT, functional magnetic resonance, intraoperative navigation, robotic arm, preoperative cerebral cortex function localization, intraoperative spinal cord and brain function protection and real-time neurological function monitoring. At present, there are 600 neurosurgery operations in our department, and the operation has entered the modern neurosurgery era with precision, small creation, rapid recovery and few complications.
Hosted scientific research projects
《伏隔核的外壳部和核心部毁损对认知和行为影响的实验研究 》 (2019), a medical research project of Guangdong Provincial Health Department.
Guangdong Science and Technology Plan Project 《脑胶质瘤早期分子影像诊断和治疗靶点的筛选与鉴定》 (2019)
Guangdong Science and Technology Plan Project 《神经电生理监测在面肌痉挛治疗中的应用研究》 (2019)
Guangzhou Haizhu District Science and Technology Plan Project 《面神经脑干面与毗邻血管的三维可视化研究》 (2019)
Guangzhou Science and Technology Plan Project 《星形胶质细胞缝隙连接在三叉神经痛中的作用机制》 (2019)
Guangdong Natural Science Foundation Project 《Pokemon对胶质瘤细胞增殖和凋亡的影响及机制研究》 (2019)
Clinical specialty
He wrote about the resection of complicated cerebral arteriovenous malformation, complicated aneurysm clips&;s closure, huge and complicated tumor resection of skull base, resection of intracranial venous sinus meningioma, transsphenoidal surgery for pituitary adenoma, acoustic neuroma surgery, trigeminal schwannoma surgery, craniocervical junction malformation, spinal cord tumor resection of high neck segment, spinal degenerative diseases and internal fixation.
Carry out perioperative neurophysiological 《颅神经疾病外科治疗和术中神经监测进展学习班》, Guangdong Province&;s Continuing Education Project; He has in-depth research on trigeminal neuralgia, hemifacial spasm, peripheral facial paralysis, glossopharyngeal neuralgia and spastic torticollis, minimally invasive treatment and intraoperative neurophysiological monitoring and evaluation, and is a top expert in this field in China. Every year, hundreds of patients with trigeminal neuralgia and hemifacial spasm are operated, and the effective rate of operation is over 98%.
1. Characteristic surgical treatment of trigeminal neuralgia
Trigeminal neuralgia is an electric shock-like or tearing-like severe pain that occurs repeatedly in the mouth and face. Carbamazepine drugs can control the pain well in the early stage of the disease. With the progress of the disease, drugs can no longer control the pain. Choosing appropriate surgery is a good choice to get rid of the pain completely and integrate into society. Personally, I have completed nearly 1200 cases of trigeminal neuralgia surgery, which is the unit with comprehensive technology, rich experience and the largest number of surgical cases in South China. There were radiofrequency thermocoagulation of trigeminal semilunar ganglion, decompression of trigeminal nerve root vessels, electrocautery of trigeminal nerve root and resection of trigeminal nerve tumor. The electrophysiological study of trigeminal nerve root during operation provided new findings for exploring the pathological mechanism of trigeminal neuralgia. Rigorous thinking and superb technology enable the team led by Director Zhang Yong to gain the dependence and reputation of the majority of patients with low surgical risk and high cure rate.
2, exquisite hemifacial spasm vascular decompression.
Hemifacial spasm shows an involuntary &”;eyelid&”; beating from the eyelid on one side. The eyelid beating caused by tension and fatigue can be relieved by itself after rest and relaxation, while the frequency of pathological eyelid beating attacks will gradually increase and the duration will be prolonged. Usually, after 3-6 months, the twitch will develop to the whole cheek and mouth. When the twitch of orbicularis oculi muscle occurs, the &”;eyes&”; will become smaller, which will affect the vision. The cheek and mouth twitch will lead to serious facial deformation and tilt to one side. This disease brings social and psychological obstacles to patients and seriously affects their daily life. Vascular decompression surgery is the only radical method. Dr. Zhang Yong performed 780 operations, and the operation was safe, with a curative effect of over 98%. It is the unit with comprehensive technology and rich experience and the largest number of operations in South China. After the improvement of microsurgery technology, China is the first to carry out intraoperative electrophysiological monitoring to improve the curative effect. By studying the mechanical phenomenon of blood vessels in hemifacial spasm, a new classification method of responsible blood vessels is put forward. At present, the research direction is to observe the facial nerve function before, after and with the help of House-Brackmann and Sunnybrook, hoping to make every patient regain confidence and have a normal and happy face.
3, peripheral facial paralysis tr《面神经管减压术》.
The incidence of peripheral facial paralysis in daily life is very high, which is usually manifested in the sudden face tilt, inability to close one eye, numbness in the face, &”;water leakage&”; in the drinking mouth, food residue left in the cavity, increased tears or dry eyes, and even the taste of the tongue changed after catching a cold, blowing hair and brain injury. Fortunately, 75-90% can recover after receiving western medicine, physical therapy, Chinese medicine, etc. This process is within 21 days, and there is no facial paralysis after more than 21 days.Substantial recovery, such as a crooked smile, still no forehead movement, I&;m afraid you have to come to the hospital for a specialist examination. Because this kind of patient&;s facial paralysis is difficult to recover, it will leave serious facial nerve dysfunction and lead to disfigurement. Severe facial paralysis, after neurophysiological evaluation, Dr. Zhang Yong recommended facial nerve canal decompression within 21 days to 3 months. Decompression of facial nerve canal is the cause of stopping the process of nerve compression and necrosis, relieving nerve conduction block, restoring facial nerve microcirculation, allowing drugs to enter the nerve damage and promoting nerve growth.
4. Actively carry out neurospinal surgery.
Neurosurgeons are skillful, stop bleeding cleanly, and strengthen the protection of nerve function. The operation can be carried out under the operating microscope from the beginning of skin incision, and the bone lesions in the spine can be removed by using a miniature grinding drill, often without blood transfusion. At present, neurospinal surgery includes: craniocervical junction deformity correction, syringomyelia, spinal cord tumor, anterior and posterior decompression of cervical spondylosis, spinal cord injury and other operations and spine.