神经外科学治疗精神障碍（NMD）：全球临床视角：过去、现在与未来。

Neurosurgery for mental disorders (NMD) A clinical worldwide perspective: past, present and future.

机构信息

The Geoffrey Knight Unit, The Maudsley Hospital, London.

出版信息

Int J Psychiatry Clin Pract. 1997;1(2):119-29. doi: 10.3109/13651509709024713.

Abstract

The use of neurosurgery for mental disorders (NMD) is a clinical issue that involves many ethical considerations. It is a treatment that offers hope for many patients with severe and debilitating affective and anxiety disorders and should be widely available. Its current use worldwide (UK, Sweden, US, Australasia, Europe) is reviewed and the types of procedures currently used are explained (stereotactic subcaudate tractotomy, anterior capsulotomy, cingulotomy, limbic leucotomy). In addition, clinical strategies for the evaluation and management of patients both prior to and following NMD are discussed.

摘要

神经外科治疗精神障碍（NMD）是一个涉及许多伦理问题的临床问题。它为许多患有严重和使人虚弱的情感和焦虑障碍的患者提供了希望，应该广泛应用。本文回顾了其在全球范围内（英国、瑞典、美国、澳大拉西亚、欧洲）的使用情况，并解释了目前使用的手术类型（立体定向尾状核切开术、前壳切开术、扣带回切开术、边缘脑白质切断术）。此外，还讨论了在进行 NMD 前后对患者进行评估和管理的临床策略。