School of Psychology, Deakin University, Burwood, Victoria, Australia.
J Clin Neurosci. 2010 Jan;17(1):1-5. doi: 10.1016/j.jocn.2009.02.043. Epub 2009 Aug 14.
Surgery for psychiatric disorders has a controversial history. Traditionally, procedures were undertaken to physically disconnect or destroy certain areas of the brain thought to constitute critical components of the limbic pathways. The relatively recent advent of the much safer and non-destructive technique known as deep brain stimulation has coincided with a resurgence in interest in psychosurgery. Contemporary approaches to the surgical management of obsessive-compulsive disorder are discussed, together with our current understanding of its pathophysiology.
精神障碍的手术治疗历史颇具争议。传统上，手术是为了物理性地断开或破坏大脑的某些区域，这些区域被认为是边缘通路的关键组成部分。最近出现的一种更安全、非破坏性的技术，即深部脑刺激，与人们对精神外科手术的兴趣重新高涨同时出现。本文讨论了强迫症的手术治疗方法，以及我们目前对其病理生理学的理解。
