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立体定向手术治疗药物依赖24例临床分析
引用本文:黄勤,刘秋华,黄新,刘桂彪,周元明,梁建平,张鉴文,黄进能,李亚平,许刚. 立体定向手术治疗药物依赖24例临床分析[J]. 中国微侵袭神经外科杂志, 2005, 10(2): 75-76
作者姓名:黄勤  刘秋华  黄新  刘桂彪  周元明  梁建平  张鉴文  黄进能  李亚平  许刚
作者单位:广西中医学院附属瑞康医院神经外科,广西,南宁,530011
摘    要:目的探讨立体定向手术治疗药物依赖的方法。方法对24例药物依赖病人行立体定向脑深部核团毁损术治疗,靶点为双侧伏隔核各1点,双侧扣带回前部、中部、前部与中部中间各1点。结果病人出院时均符合戒断标准。随访1~6个月,2例复吸,22例正常生活。结论采用立体定向手术治疗药物依赖病人,近期效果肯定,相对安全,长期疗效有待观察。

关 键 词:物质相关性障碍  立体定位技术  伏核  隔核  扣带回
文章编号:1009-122X(2005)02-0075-02
修稿时间:2004-12-31

Stereotactic neurosurgery for drug dependence: report of 24 cases
HUANG Qin,LIU Qiuhua,HUANG Xin,et al. Stereotactic neurosurgery for drug dependence: report of 24 cases[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2005, 10(2): 75-76
Authors:HUANG Qin  LIU Qiuhua  HUANG Xin  et al
Affiliation:HUANG Qin,LIU Qiuhua,HUANG Xin,et alDepartment of Neurosurgery,Ruikang Hospital,Guangxi College of Traditional Chinese Medicine,Nanning 530011,China
Abstract:Objective To explore the method of stereotactic neurosurgery for drug dependence. Methods Stereotactic neurosurgery was performed in 24 drug-dependent patients for destruction of the deep nuclei in the brain, with one target on each side of the nucleus accumbens septi and one in the anterior and medial regions of the cingulate gyrus as well as in the region between them, respectively. Results All these 24 patients successfully withdrew from drug use according to the recognized criteria for cure of drug dependence on discharge. In follow-up for 1-6 months, 2 patients relapsed and 22 led normal lives. Conclusion Stereotactic neurosurgery shows short-term efficacy for drug dependence with good safety.
Keywords:substance-related disorders  stereotactic techniques  necleus accumbens  septal nuclei  gyrus cinguli
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