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 陳建良醫師簡介  時間短, 傷口小,免拆線, 無疤痕, 享健保
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 內視鏡交感神經手術--是我喜歡又經常做的手術

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               陳建良醫師
Jiann-Liang Chen, M.D., Ph.D..
           
資歷
  美國紐約州立大學 醫學院博士
  中華民國教育部部定副教授 ( 副字第19620號)
  三軍總醫院  主治醫師  副教授
  財團法人仁愛醫院 
神經外科 主任 顧問
  中華民國外科專科醫師
  中華民國神經外科專科醫師
  中華民國內視鏡外科專科醫師

  中華民國重症醫學專科醫師
  中華民國神經脊椎外科專科醫師



現職:
   達康診所  院長
    國防醫學院 神經外科兼副教授

     林新醫院 神經外科 兼任醫師
    財團法人仁愛醫院 顧問
    

經 歷:
1. 三軍總醫院住院醫師   神經外科住院總醫師
       神經外科主治醫師
2. 美國紐約州立大學 石溪醫學院 神經外科研究醫師
3. 國防醫學院  專任助教  講師     副教授
4. 臺北第一公保門診 特約醫師
5.
財團法人仁愛綜合醫院 神經外科主任
  

  

陳建良醫師

E-mail: clinic5791@yahoo.com.tw
Tel: (04) 2302-0899



另有專為腰酸 背痛 腰椎間盤突出
而設的網站 
  
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椎間盤內視鏡網站

手術經驗

1. 各種手汗症手術包含經腋下內視鏡胸交感神經切除術,經皮下放射頻率定位燒灼術,及背部胸交感神經摘除術等數千例以上。

2. 傳統、顯微、以及內視鏡椎間盤突出摘除術等 千例以上。

3. 各種頸椎病變包含前位性頸椎椎間盤突出摘除,頸椎骨折,頸椎椎體摘除,鋼板內固定術及椎體間骨移植術等 數百例以上。

4. 頭部外傷造成之各種顱內出血:含急性硬腦膜外出血,急性硬腦膜內出血,急性腦內出血,慢性硬腦膜內出血等等 千例以上。

5. 高血壓性大腦內出血、腦室內出血、小腦出血等 數百例以上。

6. 各種大小腦良性及惡性腦瘤及囊腫,包含經蝶鞍腦下垂體手術,腦部立體定位手術等 百例以上。

7 各種顱內血管病變包含顱內動靜脈畸形以及顱內血管動脈瘤等 百例以上。

8. 各種脊椎腫腦瘤及囊腫 數十例以上。

9. 巴金森症立體定位蒼白球燒灼術。 

論文摘錄

1. Chen JL, Lin SZ, Shih CJ, Wang YC, Tsai SH, and Liu MY. The pathogenesis of the cerebral epidermoid cyst-Review of literature and report of seven cases. Chin. Med. J. 36: 528-33 1985.

2. Wang, JY, Chen GS, Chen JL and Wang JR: Detection of regional brain edema in rats with an improved gravimetric measure of tissue water content. J. Med. Sci. 8:27-33, 1987.

3. Ho SP, Lee CC, Wang JY, Wang YC, Lin SZ, Chen FH and Chen JL. Measurement of basilar artery diameter in dogs-- CT evaluation correlated with arteriography. Neuroradiology 30:239-244, 1988.

4. Song WS, Chen JL, Lin SZ, Liu MY and Wang YC. Edidural hematoma as a complication of ventricular decompression-- A report of four cases. J. Surg. Assoc. R.O.C. 22: 78-82, 1989.

5. Chen JL, Wang YC and Wang JY. Haemodynamic and cerebrovascular responses to glycerol infusion in dogs. Clinical Science (London). 77:535-539, 1989 .

6. Fu YM, Chiou SY, Wang YC, Chen JL, Lee WH and Ho PS. Pituitary abscess-- A case report. Chung Hua I Hsueh Tsa Chih 46:186-189, 1990.

7. Chen JL and Wang JY. Glycerol dehydrates traumatic and cold-lesioned brain edema as well as normal brain. Adv. Neurol. 52:550, 1990.

8. Chen JL, Wang JY, Wang YC, and Wang JR. Glycerol elicits cerebral vasodilation. Adv. Neurol. 52:542, 1990.

9. Gesztelyi G, Finnegan W, DeMaro J, Wang JY, Chen JL and Fenstermacher J. Parenchymal microvascular systems and cerebral artophy in spontaneously hypertensive rats. Brain Res. 611:249-257, 1993.

10. Hans FJ, Wei L, Bereczki V, Acuff V, DeMaro J, Chen JL, Otsuka T, Patlak C and Fenstermachen J. Nicotine increase microvascular blood flow and flow velocity in three groups of brain areas. Am. J. Physiol. 265: H2142-H2150, 1993.

11. Fenstermacher JD, Bereczki D, Wei L, Chen JL, Hans FJ, Acuff V, Patlak CS. The pharmacology of the blood-brain barrier and cerebral extracellular fluid. In: CNS Barries and Modern CSF diagnostics. Centennial of Quincke's Lumbar Puncture. Eds.: Felgenhauer K, Holzgrafe M, Prange HW. VHC, Weinheim, New York, Basel, Cambridge, Tokyo, pp 31-40, 1993.

12. Chen JL, Wei L, Bereczki D, Hans FJ, Otsuka T, Acuff V, Richardson G, Patlak C and Fenstermacher J. Virtually unaltered permeability-surface area products imply little capillary recruitment in brain with hypoxia. Microcirculation 1:35-47, 1994.

13. Wang JY and Chen JL. Glycerol dehydrates edematous as well as the normal brain in dogs . Clinc. and Experim. Pharmaco. and Physiol. 21:263-270, 1994.

14. Chen JL, Acuff V, Bereczki D, Hans FJ, Otsuka T and Wei L, Patlak C and Fenstermacher J. Slightly altered permeability-Surface area products imply some capiullary recruitment in brain during hyperoxic hypercapnia. Microvas. Res. 48:190-211 1994.

15. Nakagawa H, Lin SZ, Bereczki D, Gesztelyi G, Otsuka T, Wei L, Hans FJ, Acuff R, Chen JL, Pettigrew D, Patlak CS, Blasberg RG and Fenstermacher JD. Blood volumes, Hematocrits, and Transit-times in Parenchymal Microvascular Systems of the Brain. In: Diffusion and Perfusion Magnetic Resonance Imaging Applications to functional MRI. Eds. Denis Le Bihan, Raven Press, Ltd., New York 1995.

16. Chen JL, Wei L, Bereczki D, Hans FJ, Otsuka T, Acuff V, Ghersi-Egea JF, Patlak C and Fenstermacher J. Nicotine raises the influx of permeable solutes across the rat blood-brain barrier with little or no capillary recruitment. J. Cereb. blood flow and Metab. 15, 4:687-698, 1995.

17. Ghersi-Egea JF. Finnegan W. Chen JL. Fenstermacher JD. Rapid distribution of intraventricularly administered sucrose into cerebrospinal fluid cisterns via subarachnoid velae in rat. Neuroscience. 75(4):1271-88, 1996 Dec.

尚有其他論文已發表, 尚待整理。

演講摘要

1. Chen JL, Wang YC, Liu MY, Chuang KS and Chen HI: Circulation changes of upper limbs in palmar hyperhidrosis after upper thoracic sympathectomy. Abstracts of the 35th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 130, March 1985.

2. Wang YC, Chen JL. Lin SZ and Liu MY. Hunt's grading and outcome in 50 operated cases of cerebral aneurysms. Abstracts of the 34th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 54, Sept. 1984.

3. Wang YC, Chen JL, Wang JM and Chen HI. Pulmonary hemorrhagic edema induced by cerebral compression. Abstracts of the 35th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 137, March 1985.

4. Wang YC, Chen JL, Wang JM, Chen HI. Pulmonary hemorrhagic edema induced by cerebral compression-effect of nitroprusside and nitroglycerin. Bulletin, Neurological Society, R.O.C. P.61, April, 1985.

5. Chen JL, Wang YC, Liu MY, Chuang KS and Chen HI. Circulation changes of upper limbs in palmar hyperhidrosis after upper-thoracic sympathectomy. Bulletin, Neurological Society, R.O.C. P.63, April, 1985.

6. Wang YC, Chen JL, Ting FT, Chen HI. Is Cushing pressure response beneficial to the cerebral perfusion during intracranial hemorrhage? Abstracts of the 8th international congress of neurological surgery (Canada). P.233-2134, July, 1985.

7. Chen JL, Wang YC, Liu MY and Chuang KS. clinical experience of intracranial pressure monitoring with fiberoptic epidural sensor. Abstracts of the 36th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 57, Sept. 1986.

8. Lin SZ, Wang YC, Liu MY and Chen JL. Computed tomography technique for the treatment of palmar hyperhidrosis. Abstracts of the 36th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 64, Sept. 1986.

9. Chen JL, Yang ST, Wang YC, Wang JY and Chen HI. Effect of cervical sympathectomy on the cerebral blood flow during intracranial hypertension of various levels. Bulletin of the Neurological Society, R.O.C., P.89, 1986.

10. Chen JL, Wang YC, Liu MY and Chuang KS. Head injury and shock. Abstracts of the 37th General Scientific Meeting, Journal of Surgical Association, R.O.C., Vol. 18 supplement. P. 137, March 1986.

11. Lin SZ, Wang YC, Liu MY, and Chen JL. Percutaneous radiofrequency sympathetic ganglionectomy for treatment of palmar hyperhidrosis. Abstracts of 37th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 137, March 1986.

12. Chen JL, Wang YC, Liu MY, Chuang KS, Lin SZ, and Su CF. Primary intraosseous meningiomas presenting as solitary osteolytic skull lesions. Abstracts of 38th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 139, Sept. 1986.

13. Wang JR, Chen JL, Wang JY. Measurement of cerebral edema - An improved gravimetric method. Bulletin of the Neurological society, R.O.C., P.45, 1987.

14. Chen JL, Wang JR, Wang JY and Wang YC. The effect of glycerol on traumatic cerebral edema in dogs. Bulletin of the Neurological Society, R.O.C., P.46, 1987.

15. Chen JL, Wang YC, Liu MY, Chuang KS, Lin SZ and Su CF. The effects of vasopressin on hemodynamic maintenance in brain death - A clinical study. Abstracts of 39th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 108, March 1987.

16. Chuang KS, Chen JL and Liu JC. Stereotaxic thermocoagulation of T2 and T3 sympathetic ganglia - A new simple technique. Abstracts of 39th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 286, March 1987.

17. Chen JL and Wang YC. The application of Laser in neurosurgery. Bulletin of the Laser Medicine Society of the R.O.C., Vol. 2, P.76, 1987.

18. Chen JL, Liu MY, Chuang KS and Wang YC. Acute brain swelling during evacuation of intracranial hematoma caused by delayed contralateral extradural hematoma. Abstracts of 40th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 133, Oct. 1987.

19. Chen JL, Wang JY, Wang YC and Wang JR. Glycerol elicits cerebral vasodilatition. Triennial Meeting of the international society for the study of brain edema. Baltimore, Maryland, USA. 1987.

20. Chen JL and Wang JY. Glycerol dehydrates traumatic and cold-lesioned brain edema as well as normal brain. Triennial Meeting of the international society for the study of brain edema. Baltimore, Maryland, USA. 1987.

21. Chen JL, Wang JY, Wang JR and Wang YC. Glycerol causes cerebral vasodilatation. The 7th joint congress of the Asian and Pacific Federation of the international college of Surgeons, P. 259. Nov. 1987.

22. Chen JL, Wang YC, Sun MJ and Lee YH. Radiation-induced neoplasmas of the brain following radiotherapy for acromegaly. Abstracts of 43th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 260, March, 1989.

23. Chen JL, Otsuka T, Bereczki D, Wei L, Acuff V, Patlak C and Fenstermacher J. Is there recruitment of capillaries and/or glucose transporters in rat brain during stress? 23rd Annual Meeting Society for Neuroscience, Washington, D.C. 1993.

24. Song WS, Chiang YH, Chiou TL, Chen WF, Chen JL, and Lin SZ. The role of the trigeminal nerve and parasympathetic nerve on the alteration of local cerebral blood flow of adult spontaneously hypertensive rats in cold environment. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 68 Mar. 1994.

25. Chen WF, Chiang YH, Chiou TS, Chen GJ, Song WS, Chen JL, and Lin SZ. Longer in passage times of plasma and red blood cells through cerebral microvessels in hypertensive rats. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 67, Mar. 1994.

26. Chen GJ, Chiang YH, Chiou TL, Song WS, Chen WF, Chen JL, and Lin SZ. Effects of carotid occlusion on the flow patterns of plasma and red blood cells in cerebral microvessels of spontaneously hypertensive rats. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 67, Mar. 1994.

27. Lin SZ, Song WS, Chiou TL, Chiang YH, Chen GJ, Chen WF, and Chen JL. Isovolemic hemodilution normalizes the prolonged passage time of red blood cells and plasma through cerebral microvessels in the partial ischemic forebrain of rats. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 68, Mar. 1994.

28. Chen JL, Chen GJ, Chiang YH, Chiou TL, Song WS, Chen WF and Lin SZ. The effects of isovolemic hemodilution on flow dynamics in cerebral microvessels of adult hypertensive rats. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 68, Mar. 1994.

29. Chen GJ, Chen WF, Wu FY, Lin CL, Song WS, Chen JL, and Lin SZ. Nitirc oxide regulates local cerebral blood flow. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 67, Mar. 1994.

30. Chen JL and Fenstermacher J. The major mechanism of rasing local cerebral blood flow is increase velocity of microvessel perfusion. Abstracts of 1994 Annual Meeting and 53th General Scientific Meeting, Journal of Surgical Association, R.O.C., supplement. P. 67, Mar. 1994.

31. Chen JL and Fenstermacher J. The mechanism of altering local cerebral blood-examined by measuring microvascular blood volumes and permeability-surface products. Abstracts of The Ninth joint Annuyal Conference of Biomedical Sciences. P. 28, Mar.1994

32. J L Chen, T L Chiou, Y H Chiang, and S Z Lin. Transdural cortical stabbing facilittates the drainage of edema fluid out of cold-injured brain. International Congress on Recent Advance Neurotraumatology, Gold Coast, Australia. September 1994.

33. J L Chen, Y H Chiang, T L Chiou, G J Chen,W S, W F Chen, and S Z Lin. Isovolemic hemodilution fails to correct the microvascular hemodynamic changes in ischemic brain of hypertensive rats.International Congress on Recent Advance Neurotraumatology, Gold Coast, Australia. September 1994.

34. Chen JL and Fenstermacher JF. Nicotine raised the influx of permeable solutes across the rat blood-brain barrier with little or no capillary recruitment. 10th European Congress of Neurosurgery. Berlin Germany. 07-12 May 1995.

35. Fenstermacher J, Wei L, Chen JL, Bereczki D, Acuff V, Davies K and Patlak C. Dehydration elevates glucose influx across the blood brain barrier without raising cerebral blood flow. 1995 Cerebral Vascular Biology Conference. Paris, France. 10-12 July, 1995.

36. Chen JL, Hung CF, Lin SZ and Liu MY. Nicotine raised the influx of the across the rat blood-brain barrier with little or no capillary recruitment. The 9th Asian-Australian Congress of Neurological Surgery. Taipei, Taiwan. 05-10 Nov. 1995.

37. Fenstermacher J, Wei L, Chen JL, Bereczki D, Acuff V, Davies K and Patlak C. Dehydration elevates glucose permeability at the blood brain barrier. Microcirculatory society 1996. Columbia, USA.

38. Chen JL, Jung CF, Chou CW and lee CH, Rapid diagnosis and treatment of contralateral epidural hematoma following decompressive craniotomy. 11th internal congress of Neurological surgery. 6-11 July 1997

               Some more*


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