Education and work background
Bachelor of Clinical Medicine, School of Medicine, University of South China (198 1 year-1986)
Doctor of Pathology and Pathophysiology, School of Medicine, University of South China (2009 -20 13)
Tutor of Master Degree Students in Neurosurgery, School of Medicine, University of South China (2006-present)
Tutor for Master Students of Neurosurgery in Southern Medical University (20 14 till now)
Resident of neurosurgery in Guangzhou Military Region 169 Hospital (1986-1992)
Attending surgeon, Department of Neurology, Guangzhou Military Region 169 Hospital (1992-1998).
Deputy Chief Physician, Department of Neurosurgery, Second People's Hospital of Guangdong Province (1999 -2007)
Chief physician, Department of Neurosurgery, Second People's Hospital of Guangdong Province (2007-present)
Director of Neurosurgery, Guangdong Second People's Hospital (2005-present)
clinical experience
Dr. Zhang Yong worked in the front line of neurosurgery for nearly 30 years, and witnessed the rapid development of neurosurgery in China after the reform and opening up. From the medical history, detailed physical examination of nervous system, combined with lipiodol angiography of ventricle or spinal canal, the operation was performed. Up to now, a large number of advanced technologies have been developed, such as three-dimensional CT, functional magnetic resonance imaging, intraoperative navigation, robotic arm, preoperative cortical function localization, intraoperative spinal cord and brain function protection, and real-time neurological function monitoring. At present, there are 600 cases of neurosurgery in our department, and the operation has entered the era of modern neurosurgery with precision, minimally invasive, quick recovery and few complications.
Preside over scientific research projects
Guangdong Provincial Health Department's medical research project "Experimental study on the influence of nucleus accumbens shell and core destruction on cognition and behavior" (2006)
Guangdong provincial science and technology plan project "Screening and identification of early molecular imaging diagnosis and treatment targets for glioma" (2009)
Guangdong Science and Technology Plan Project "Application of Neuroelectrophysiological Monitoring in the Treatment of Hemifacial Spasm" (20 1 1 year)
Guangzhou Haizhu district science and technology plan project "Three-dimensional visualization study on the surface of facial nerve brain stem and its adjacent blood vessels" (20 12)
Guangzhou Science and Technology Plan Project "The Mechanism of Astrocyte Gap Junction in Trigeminal Neuralgia" (20 15)
Guangdong Natural Science Foundation Project "Study on the Effect and Mechanism of Pokemon on Proliferation and Apoptosis of Glioma Cells" (20 15)
Clinical professional
He wrote about the resection of complicated cerebral arteriovenous malformation, the closure of complicated aneurysm clips, the resection of huge and complicated tumors at the skull base, the resection of meningioma in intracranial venous sinus, transsphenoidal surgery for pituitary adenoma, acoustic neuroma surgery, trigeminal neurilemmoma surgery, craniocervical junction malformation, spinal cord tumor resection of high cervical segment, degenerative diseases of spine and internal fixation.
Carry out perioperative neurophysiological evaluation and surgery. Regularly hold the national and Guangdong continuing education project "Progress Study Class of Cranial Neuropathy Surgery and Intraoperative Neuromonitoring" every year; 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 and surgical treatment of trigeminal neuralgia
Trigeminal neuralgia is a kind of electric shock-like or tearing-like severe pain that occurs repeatedly in the mouth and face. Carbamazepine drugs can control pain well in the early stage of the disease. With the progress of the disease, drugs have been unable to control the pain. Choosing the right surgical method is a good choice to get rid of the pain completely and integrate into the society. Individuals have completed nearly 1200 cases of trigeminal neuralgia surgery, which is a unit with comprehensive technology, rich experience and the largest number of operations in South China. The surgical methods include 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 provides a new discovery for exploring the pathological mechanism of trigeminal neuralgia. Strict thinking and superb technology have enabled the team led by Director Zhang Yong to win 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 is characterized by involuntary "eyelid" beating of one eyelid. Eyelid pulsation caused by tension and fatigue can be relieved by itself after rest and relaxation, while the frequency and duration of pathological eyelid pulsation attacks will gradually increase. Usually after 3-6 months, the convulsion will develop to the whole cheek and mouth. When the orbicularis oculi muscle twitches, the "eyes" will become smaller, which will affect vision. Cheeks and corners of the mouth twitch, which will cause 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, which were safe and the curative effect was over 98%. It is the unit with comprehensive technology, rich experience and the largest number of operations in South China. After the improvement of microsurgery technology, China took the lead in carrying out intraoperative electrophysiological monitoring to improve the curative effect. By studying the mechanical phenomenon of blood vessel compression in hemifacial spasm, a new classification method of responsible blood vessels is proposed. The current research direction is to observe the facial nerve function before and after operation with the help of House-Brackmann and Sunnybrook, hoping to make every patient regain confidence and have a normal and happy face.
3. Treatment of peripheral facial paralysis "facial nerve canal decompression"
The incidence of peripheral facial paralysis is very high in daily life, which is usually manifested as sudden facial tilt, inability to close one eye, facial numbness, "water leakage" in the drinking port, food residue in the cavity, increased tears or dry eyes, and even the taste of the tongue changes after a cold, hair blowing, brain injury and so on. Fortunately, after receiving western medicine, physical therapy, Chinese medicine and other treatments, 75-90% can recover. This process is within 2 1 day, and facial paralysis has not recovered substantially after 2 1 day. If you still smile and don't lift your forehead, you may have to come to the hospital for a specialist examination. Because the facial paralysis of such patients is difficult to recover, it will leave serious facial nerve dysfunction and lead to disfigurement. After neurophysiological evaluation, Dr. Zhang Yong suggested that facial nerve canal decompression should be performed within 2 1 day to 3 months. Decompression of facial nerve canal is the reason to stop the process of nerve compression and necrosis, relieve nerve conduction block, restore facial nerve microcirculation, let drugs enter the damaged nerve and promote nerve growth.
4. Actively carry out neurospinal surgery.
Neurosurgeons are skilled, stop bleeding cleanly, and strengthen the protection of nerve function. Surgery can be performed under the operating microscope from the skin incision, and bone lesions in the spine can be removed with a micro-grinding drill, often without blood transfusion. At present, neurospinal surgery includes: correction of craniocervical junction deformity, syringomyelia, spinal cord tumor, anterior and posterior decompression of cervical spondylosis, spinal cord injury and other operations and spine.