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骨科
作者:管理员    发布于:2014-09-11 00:23:31    文字:【】【】【

 

北京大学第三医院骨科创建于1958年。55年来历经几代专家的艰苦创业和辛勤耕耘,骨科已经发展成为学术地位居国内领先的国家级重点学科。

上世纪五十年代末至六十年代初,杨克勤教授带领北医三院骨科率先开展了腰椎间盘突出症和颈椎病的手术治疗,这在当时尚处于初始阶段的国内脊柱外科,无疑是一种大胆的尝试和探索。从那时候起,北医三院骨科就因在颈椎病手术治疗领域的突出成就而享誉全国,并对国内脊柱外科的技术进步起到重要的推动作用。六十至七十年代,骨科对颈椎病的临床诊治及相关研究不断深入,出版了国内第一部颈椎病专著。同期在腰椎疾患关节疾患等骨科常见病的诊断和治疗方面也取得长足进步。杨克勤、董芳春、张潭澄教授等老一代知名专家,对骨科学科的早期建设与发展乃至国内骨科学的发展做出过巨大贡献。
八十年代中期,张之虎教授接任科主任职务。他带领骨科继续在脊柱外科领域开展深入研究,同时并在髋关节和膝关节的人工假体置换方面取得优良临床疗效和相关研究成果,使北医三院骨科成为国内较早在临床应用人工关节手术技术并开展动物实验研究的学科之一。
九十年代,党耕町教授带领骨科进一步加快了学科建设的步伐。他作为科主任,未雨绸缪,锐意进取,在蔡钦林、殷华符和娄思权教授的密切配合下,将骨科划分为颈椎、腰椎、脊柱和关节四个专业组深入开展相关诊治与研究,从而将学科的研究领域扩展至整个脊柱与关节外科,在以后的几年里又根据实际需要增设了创伤外科和颅椎外科专业组。专业组划分之后的骨科在脊柱退变、脊柱肿瘤、脊柱畸形、脊柱与四肢创伤、老年性骨关节病及关节软骨与韧带损伤等疾病的诊治与研究领域迅猛发展,技术水平进一步提高,学术地位进一步巩固,学科规模也进一步扩大。业已形成国内实力最强的骨科中心之一。若干年以后的今天,专业组划分的做法已经被国内不少兄弟学科所认可并作为成功先例而仿效。
进入二十一世纪,骨科的学科梯队和学科实力更加强大。现任科主任刘忠军教授在陈仲强、张克、马庆军、王超、孙宇、周方等新一代教授的鼎力协助下,在党耕町和娄思权教授的悉心指导下,继续带领骨科奋发前行。在已有的坚实基础上,经过近年来的不懈努力,骨科正在各类颈、胸、腰椎退变性疾病、寰枢椎疾病、脊柱肿瘤、严重胸腰椎畸形、老年性骨关节病以及严重四肢创伤等常见病和疑难重症的临床诊治和研究领域全面发展。其中颈椎病、寰枢椎脱位、脊柱肿瘤、胸腰椎严重畸形的临床诊治水平进入国际领先或先进行列。在骨愈合、骨组织工程学、骨质疏松症、老年性骨关节病、慢性压迫性颈脊髓病、胸椎异位骨化、脊髓损伤等基础研究方面也取得诸多成就。2001年“颈椎病临床诊治的系列研究”获北京市科技进步一等奖;2002年“颈椎病临床诊治的系列研究”获国家科技进步二等奖;2004年“无骨折脱位性颈脊髓损伤的治疗与研究获教育部”科技进步一等奖;2006骨关节病(炎)发病的分子机制及基因治疗的实验研究获中华医学会科技进步二等奖;2007年骨科获得教育部“创新团队”称号;2010年被列入国家重点专科;2011年“脊柱肿瘤的外科诊断与治疗研究”获教育部科技进步二等奖;2012年“胸椎管狭窄症关键诊疗技术的建立与应用”获北京市科学技术进步二等奖。
     骨科是一个重视人才培养和具有显著人才优势的学科。从建科伊始到如今的五十五年间,老一代教授悉心扶持、培养年轻医生已经形成光荣传统。改革开放初期的八十年代,骨科就不失时机地派出多人出国学习研修,为日后学科的全面崛起做好人才准备。在接下来的岁月里,一代传一代,一代帮一代,使骨科人才辈出,学科兴旺。骨科的年轻医师不仅普遍获得出国深造机会,而且能在老一代的传、帮、带之下获得大量实践与提高的机会。在老一代的辛勤培育下,经过多年积累,骨科已经形成人才济济的强大团队,现有专业医生近60人,具有博士学位者超过80%,高级职称人员达38人。在国内以及国际重要学术组织任职的知名学者人数居国内骨科学科的首位。杨克勤教授多年以前就曾担任中华医学会骨科学会副主任委员及顾问等职,;党耕町教授1992-2000年任中华医学会骨科学会主任委员及中华骨科杂志主编,曾任中国医师协会骨科医师分会首届会长及中华外科杂志副主编;蔡钦林教授曾任中华康复医学会脊柱脊髓损伤专业委员会委员、〈中国脊柱脊髓杂志〉副主编;娄思权教授曾任中国康复医学会颈椎病专业委员会主任委员及骨与关节杂志副主编;陈仲强教授现任中华医学会骨科分会第九届副主任委员脊柱学组副组长;中华医学会北京分会骨科专业委员会副主任委员;海峡两岸医药卫生交流学会副会长;海峡两岸医药卫生交流学会骨科专家委员会主任委员;刘忠军教授现任AO国际脊柱外科学会中国理事会主席;中国康复医学会脊柱脊髓专业委员会副主委(候任主委);中国医师协会骨科分会副会长。刘晓光教授任中国康复医学会颈椎病专业委员会主任委员、脊柱脊髓损伤专业委员会微创学组副主任委员、中华医学会骨科青年委员会副主任委员、微创学组副组长;中华预防医学会卫生应急分会副主任委员;中国医师协会骨科分会教育委员会副主任委员;中国中西医结合学会骨科专业委员会副主任委员。张克教授任中国老年学学会老年脊柱关节疾病专业委员会副主委;孙宇教授任国康复医学会颈椎病专业委员会副主任委员。中国康复医学会脊柱脊髓专业委员会颈椎研究学组副主任委员。周方教授任中国康复医学会创伤分会副主任委员。
骨科是一个以技术进步、科学研究为依托并勇于开拓创新的学科。在过去的五十五年里潜心研究相关临床技术,在坚持理论研究和理论指导的基础上将骨科疑难重症的诊治以及相关高新技术的应用作为己任,在国内率先开展颈椎病前路椎间盘切除与融合技术、颈椎病后路“双开门”与“单开门”椎板成形技术、颈椎前路带锁钢板内固定技术、胸腰椎侧前方内固定技术、腰椎间盘突出症的经皮穿刺激光气化减压技术、脊柱肿瘤的全脊椎切除技术、严重胸腰椎后凸的前方撑开+后方加压截骨矫形技术和寰枢椎脱位的前方松解+后方复位固定技术,较早开展的技术包括人工髋关节与人工膝关节置换技术,以及关节打压植骨翻修技术等。在上述技术的应用中包含着诸多创新理念和创新元素。骨科目前年手术例数达7000余例,年诊治门诊患者十万人次、急诊患者两万余人次。在科研方面,骨科现承担国家自然科学基金、卫生部重点项目基金、国家科技部863项目、北京市科委项目基金、国家985项目基金等科研项目近30项。迄今骨科共发表科学论文700余篇,其中包括在国际期刊发表SCI论文50余篇。编译或编著骨科专著十余部。在培养研究生方面,骨科现有博士生导师5位,硕士生导师19位。已培养博士后4名,博士生 74名,硕士生 90名。骨科每年举办长、短期进修班,已培养进修生3000近名。
骨科是一个注重学术交流并逐渐走向世界的学科。七十年代末至八十年代初,在改革开放初期骨科就敞开了对外交流的大门,开始了与国内外同行的交往。近二十年来,多次举办全国或国际讲习班或学术研讨会,逐渐形成了学科在国内外的学术影响力。2001AO国际内固定学会(现为AO国际脊柱外科学会)在北医三院成立脊柱外科培训中心,标志着骨科在与国际接轨的过程中已经跨入新的阶段。近几年来,骨科走向世界的步伐进一步加快。在国际重要学术交流会议上骨科医生正在获得越来越多的展板交流和大会发言机会;骨科医生已经有较多人次作为讲师团成员在台湾、香港、澳门等海外地区以及马来西亚、捷克、瑞士等国外地区进行讲学。在骨科医生继续被派遣出国深造的同时,已有数名来自英国、美国、德国、日本及马来西亚的学者前来骨科进行访问学习,来自澳门、香港、台湾的海外学者则人数更多。骨科在与国际进行交流的过程中已经具有了更多自信心,并日益接近创建世界一流学科的奋斗目标。
骨科更是一个充满友爱和谐的大家庭。五十五年来骨科始终在团结协作的氛围中前行。相互尊重、相互协作、求大同、存小异一直是骨科人际关系中主流精神。近几年来骨科进一步重视文化建设,并将文化建设作为增进团结友谊,增进科室向心力和凝聚力的重要环节。通过组织义诊、走访、捐款造林治沙等公益活动,以及组织“红色旅游”等具有教育意义的党团活动增强了科室人员的社会责任感和道德观。通过组织参加医院的文艺演出和运动会等活动,、增加了大家交往和沟通的机会,活跃了科室文化气氛。而在上述活动中获得的许多荣誉和奖励,则更进一步增加了骨科医务人员对自己科室的自豪感和主人公意识。
骨科还是一个对医院建设和社会发展不断做出积极贡献的学科。杨克勤教授和蔡钦林教授曾任医院副院长;党耕町教授曾任医院副院长和代理院长;陈仲强教授曾任北医三院院长,刘晓光教授为现任医院副院长。此外,陈仲强教授还担任第十届、第十一届、第十二届全国政协委员;刘忠军教授担任第十一届、第十二届全国人大代表。在国家的历次重大事件中,如2003年非典,2008年河和2012年奥运会;2008年汶川地震,2011年青海玉树的地震,2013年雅安的地震中,骨科同仁都第一时间,站在工作的最前线,救死扶伤,贡献社会,做出了突出贡献,同时也得到党和国家的表彰。
历经五十五载,骨科已经走向成熟。老一代艰苦奋斗,辛勤耕耘,为学科建立丰功伟绩。新一代继往开来,不辱使命,必会将前辈精神发扬光大。骨科人的理念:厚德仁术,求是拓新。骨科人的愿望:患者高度信任,同行高度认可,社会高度赞誉。骨科人的目标:创建世界一流学科,挺起中国人的脊梁。
 
About us
The orthopaedic department of Peking University Third Hospital (PUTH) was founded in 1958. Over the past 55 years, it has grown to become a leading orthopaedic centre in China thanks to the innovation and hard work of several generations of experts.
Led by Prof. Keqin Yang, the department pioneered in carrying out surgery for the treatment of lumbar disc herniation and cervical spondylosis since last century from the early 50s till late 60s. At the time when spine surgery in China was in its infancy, it was undoubtedly a courageous attempt. It was for its outstanding achievement in the surgical treatment of cervical spondylosis that the department earned a reputation nationwide and made a monumental contribution to the development of spine surgery in China. Through the 60s and 70s, the department kept on making progress on the subject of cervical spondylosis both clinically and academically, and published the country’s first monograph on cervical spondylosis. In the mean time, it grew with more experience in handling familiar orthopaedic diseases such as lumbar and joint disorders. All these were attributable to the senior experts of the department as represented by Prof. Keqin Yang, Prof. Fangchun Dong and Prof.Tancheng Zhang, whose contribution was indispensible to the establishment and development of orthopaedic surgery in China.
In the mid-80s, Prof. Zhihu Zhang succeeded as the head of the department. He led the department to further clinical and academic success in the field of spine surgery as well as joint replacement surgery, making the department one of the earliest to embark on artificial joint replacement surgery and associated animal studies.
Since the 90s, the department began to pick up its pace of progression under the direction of Prof. Gengting Dang. Working in close coordination with Prof. Qinlin Cai, Prof. Huafu Yin and Prof. Siquan Lou, he divided the department into 4 specialised teams i.e. cervical spine group, lumbar spine group, general spine group and joint group so that our services were expanded to include all aspects of spine and joint surgery. Not long after that, trauma and atlantoaxial group were founded. Establishment of the specialised groups allowed the department to promote its expertise in many fields like degenerative diseases, tumors, deformities and trauma of the spine as well as other bone and joint disorders such as senile osteoarthropathy, at an unprecedented speed. Today, we have become one of the best medical centres for orthopaedics in China, and the strategy to set up specialised groups has been widely recognized and imitated among peers in the nation.
Entering the 21st century, the department grows even stronger under the leadership of the current head of the department, Prof. Zhongjun Liu. With assistance of two generations of experts, he is leading the department to more glory. Today, our expertise is becoming broader than ever, spanning from various forms of degenerative diseases of the spine, deformities of the atlantoaxial joint and the thoracolumbar spine, spine tumors, senile osteoarthropathy to severe trauma and beyond. Among the services we provide, the treatments of cervical spondylosis, deformities of atlantoaxial joint and thoracolumbar spine are truly state-of-art, even by the international standard. Academically, the department has also been fruitful by gaining ground in many of our research projects such as researches in bone union, bone tissue engineering, osteoporosis, senile osteoarthropathy, chronic compression induced cervical myelopathy, heterotopic ossification of the thoracic spine, spinal cord injury and etc. Over the decade, the department has received many prizes including the first prize of the Beijing City Science and Technology Progress Award 2001 and the second prize of the National Science and Technology Progress Award 2002 for the project ‘The serial studies of diagnosis and treatment of cervical spondylosis.’; the first prize of the Ministry of Education Science and Technology Progress Award 2004 for the project ‘The study of treatment of spinal cord injury without fracture and dislocation.’; the second prize of the Chinese Medical Association Science and Technology Progress Award 2006 for ‘Laboratory study of molecular mechanism and genetic treatment of osteoarthropathy.’; the title of ‘Team of innovation 2007’ granted by the Ministry of Education; the title of ‘Key disciplinary field of the nation 2010’; the second prize of the Ministry of Education Science and Technology Progress Award 2011 for the project ‘The studies of diagnosis and treatment of spinal tumors.’; the second prize of the Beijing City Science and Technology Progress Award 2012 for the project ‘The establishment and application of the key diagnostic and treating techniques for thoracic canal stenosis.’.
As the department has always taken clinical training seriously, it now has a wealth of home-grown talent. Our tradition of talent cultivation can be traced back to the time when the department was founded. In preparation for the rise in the future, the department seized the opportunity to send young talents to study abroad since the early 80s when China opened up to the world. A rich reserve of talents was formed thereafter to bring the department with success in return. In addition to the opportunity of studying abroad, our training plan also allowed trainees to put their learning into practice under the supervision of their senior surgeons. The result is a strong team of 60 specialists, over 80% of whom has PhD degree, 38 are senior consultants. The number of our experts in charge of national and international academic organizations tops the list in China. It all started from Prof. Keqin Young who was once elected vice chairman of the Chinese Orthopaedic Association (COA); Prof. Gengting Dang went on to become the chairman of COA and editor-in-chief of the Chinese Orthopaedic Journal from 1992 until 2000, he also took the post as the chairman of Chinese Orthopaedic Surgeon Association and the vice editor-in-chief of the Chinese Surgery Journal; Prof. Qinlin Cai was elected chief director of the Spinal Cord Trauma Committee of Chinese Association of Rehabilitation Medicine and vice editor-in-chief of the Chinese Journal of Spine and Spinal Cord; Prof. Siquan Lou was elected chief director of the Cervical Spine Committee of Chinese Association of Rehabilitation Medicine and vice editor-in-chief of the Chinese Bone and Joint Surgery; Prof. Zhongqiang Chen is currently the vice chairman of COA, vice director of the Spine Committee of the COA, vice chief director of the Spine Committee, Beijing division of the Chinese Medical Association (CMA), vice chairman and consultant of the Association for Pharmaceutical and Health Exchanges Across the Taiwan Straits; Prof. Zhongjun Liu is currently the chairman of the Association of AOSpine International, Chapter China, vice chief director of the Spinal Cord Trauma Committee of Chinese Association of Rehabilitation Medicine and vice chairman of the Orthopaedic Committee of the Chinese Medical Doctor Association; Prof. Xiaoguang Liu is the chief director of the Cervical Spine Committee of Chinese Association of Rehabilitation Medicine, vice chairman of the Chinese Spine and Spinal Cord Injury Society, Minimally Invasive Technique Association, vice chairman of the Chinese Medical Association, Young Orthopaedic Surgeon Committee, vice chairman of the Chinese Preventive Medicine Association, emergency section; vice chairman of the Orthopaedic Committee of the Chinese Medical Doctor Association, and vice chairman of Orthopaedic Committee of Chinese and Western Medicine Society; Prof. Ke Zhang is vice chairman of the Spine and Joint Committee of the Gerontological Society of China; Prof. Yu Sun is the vice chairman of the Spine Committee and Spinal Cord Trauma Committee of Chinese Association of Rehabilitation Medicine; Prof. Fang Zhou is vice chairman of the Trauma Committee of Chinese Association of Rehabilitation Medicine.
The department is always aiming at innovation on the basis of scientific research and technological development. Over the years, it has been among our priorities to tackle the unsolved clinical problems with advanced ideals and cutting edge techniques. Historically, the department pioneered many surgical techniques. We were the first in China to perform anterior cervical discectomy and fusion, posterior cervical bilateral and unilateral open-door laminectomy, anterior cervical interlocking plate fixation, internal fusion of the thoracolumbar spine by anterolateral approach, percutaneous laser disc decompression, total spondylectomy, anterior distraction + posterior vertebral osteotomy for the correction of severe kyphotic deformity and transoral anterior atlantoaxial release with posterior internal fixation for the reduction of atlantoaxial dislocation. We were also among the first to carry out total hip and knee replacement as well as other procedures such as revision arthroplasty with impaction bone grafting technique and etc. All these techniques came from our innovative concept and design. At present, the department is carrying out over 7000 surgery every year with the number outpatients and emergency exceeding 100,000 and 20,000 respective. Academically, the department has nearly 30 ongoing projects funded by the National Natural Fund, the Ministry of Health Key Project Fund, the Ministry of National Science and Technology 863 Project, Beijing City Committee of Science and Technology Fund Project, the National 985 Project Fund and etc. Up to date, there have been over 700 articles, 50 of which in the Science Citation Index cited journals, and more than 10 books published by the department. The department currently has 5 doctoral supervisors and 19 supervisors for master students. It has produced 4 postdoctors, 74 Ph.D. students and 90 master degree students. Every year, the department is hosting long or short term training courses and the total number of visiting scholars is reaching 3000.
The department lays great stress on academic communication, domestically or internationally. Our involvement in international communication started since as early as late 70s when the country was opening up to the world. During the latest two decades, the department has gradually become academically influential by frequently hosting national or international symposium. In 2001, AOSpine International Association designated the department as its training centre for spine surgery, marking a new phase in our acquirement for international recognization. More recently, the department is quickening its pace in international communication. Our voice are heard in the international conferences more often than ever; many of us have become members of lecture groups of international medical organisations and tour around the world. As our staffs going abroad to study, foreign visitors begin to come to visit us. So far, we have received visitors from UK, US, Germany, Japan and Malaysia. As international communication booms, the world is becoming ever so close, and so is our target to create a world class orthopaedic department.
The department is often likened to a big family full of love. For 55 years, our team has kept advancing with solidarity and coordination. Mutual respect, cooperation, agree to disagree is our principle in dealing with interpersonal relationship. More recently, the department is putting more emphasis on cultural construction in the belief that it would bring unity and cohesion to our organization. In attempt to provide staffs with proper ideological and moral education, the department routinely organizes community activities such as voluntary consultations, home visit, tree planting and etc. Social activities provide chances for us to communicate with each other, which help to form a bond among team members and create a relaxing atmosphere in the department. Prizes and honor won in these events also bring us with a sense of pride and protagonist.
As the department grows, it never ceased to contributing to the PUTH and the society as whole. Prof. Keqin Yang and Prof. Qinlin Cai both used to be vice chairman of the PUTH, so did Prof. Gengting Dang who also served as acting chairman once. Later on, Prof. Zhongqiang Chen also took the post as chairman of the PUTH. The tradition is now passed on to Prof. Xiaoguang Liu, who is currently vice chairman of the PUTH. The department is also keen to serve the society. Prof. Zhongqiang Chen has been elected deputy of the National Committee of Chinese People's Political Consultative Conference for 3 consecutive terms and Prof. Zhongjun Liu has been elected deputy of the National People's Congress of the People’s Republic of China for 2 consecutive terms. Throughout the major national disasters of the recent years, the department is always there when needed. During the fight against the SARS in 2003, earthquake of Wenchuan and Yushu in 2008 and 2011, let along the latest earthquake of Yaan in 2013, we are on the frontline all the time to save lives and support the community in our own way.
Fifty five years of endeavor has made the department grown up. We are determined to carry forward the brilliant feat achieved by our predecessors. Our motto is: ‘To be sound in morality and skillful, to be honest and innovative’. Our wish is: to be trusted by patients, recognized by peers and appraised by society. Our objective is: to create a world class orthopaedic department and to show the world our pride and courage.

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