从广州到慕尼黑（36）

1月8日上午仁医医疗3人团队抵达慕尼黑哈拉兴骨科医院，访问医院业务院长、脊柱中心主任Mehren教授。Mehren教授刚刚结束手术，立刻赶来办公室与我们会面。Mehren教授介绍：其脊柱中心的年手术量维持在2000台左右，2024年也基本相同。虽然教授去年访问中国时，发现中国患者数量多到需要在一个脊柱外科内分出4个下设科室。但是哈拉兴骨科医院的脊柱中心已经是全慕尼黑最大的脊柱中心，2000台的年手术量也已经可称之为大量。Mehren教授也向我们介绍了脊柱中心患者的术后康复。他表示，脊柱外科术后康复与髋膝关节术后康复不同。髋膝关节术后，患者需要进行肌肉锻炼等康复项目。然而脊柱外科术后，手术部位需要长时间进行融合和恢复。所以此类患者适合静养而非锻炼。在慕尼黑哈拉兴骨科医院脊柱中心，普通的患者术后当天即可出院，回家休息疗养。但如果有些患者因脊髓压迫而出现四肢麻痹、无力等症状，则会被转送到康复中心进行康复训练。由于慕尼黑的康复中心价格昂贵，多数患者会被转送到郊区的康复中心。Mehren教授2024年到郑州市骨科医院Zhengzhou Orthopedics Hospital担任国际客座教授，7天的行程收获满满。他也很高兴看到中国医院对脊柱显微镜下手术如此浓厚的学习兴趣。他也非常期待今后再有机会来到中国访问交流。

On the morning of Jan. 8th, a three-member team from Gloryren visited Schoen Klinik Muenchen Harlaching, and met with Prof. Mehren, the Deputy Medical Director of the hospital and the Director of the Spine Center Munich. Prof. Mehren had just finished a surgery and promptly came to the office to meet with us. Prof. Mehren said that the Spine Center maintains an annual surgical volume of about 2,000 cases, a figure expected to remain steady in 2024.While visiting China last year, Prof. Mehren observed that the number of patients in China was so high that there was a need to divide four sub-specialities within a single spine surgery department. Nevertheless, the Spine Center at Schoen Klinik Muenchen Harlaching, recognized as the largest in Munich, handles an annual surgical volume of 2,000 cases—a figure that can indeed be considered substantial. Prof. Mehren also elaborated on the post-op rehab of patients at the Spine Center to us. He noted that post-op rehab for spine surgery differs from that for hip and knee joint surgeries. After hip or knee surgeries, patients typically require rehab programs involving muscle strengthening and others. However, after spine surgery, the surgical site demands a prolonged period of fusion and recovery. Thus, such patients should have less mobility and rest well. At the Spine Center of Schoen Klinik Muenchen Harlaching, most routine cases are discharged on the same day of their surgery to recover at home. While patients with paralysis or weakness in their limbs due to spinal cord compression would be referred to a rehab center for further training. Given the high cost of rehab centers in Munich, most patients are referred to centers in suburban areas. In 2024, Prof. Mehren served as an international visiting professor at Zhengzhou Orthopedics Hospital, completing a fruitful seven-day trip. He was pleased to see the strong interest Chinese hospitals have in learning microsurgical techniques for spine surgery. And he looks forward to future opportunities to visit China for exchanges.