中国精神疾病外科治疗专家共识  

Chinese expert consensus on neurosurgical treatment of psychiatric disorders

作　　者：中国医师协会精神科医师分会精神疾病外科治疗联盟 中国医师协会神经调控专业委员会 赖伊杰 孙伯民 陆林[3] 王高华[4] 王伟[5] 张建国[6] Chinese Medical Doctor Association Branch of Psychitrists League of Psychosurgery;Chinese Medical Doctor Association Branch of Neuromodulation;SUN Bomin;LU Lin;WANG Gaohua;WANG Wei;ZHANG Jianguo(不详;Department of Neurosurgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Peking University Sixth Hospital/Peking University Institute of Mental Health,Peking University,Beijing 100083,China;Department of Psychiatry,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Neurosurgery,West China Hospital of Sichuan University,Chengdu 610044,China;Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]不详 [2]上海交通大学医学院附属瑞金医院功能神经外科中心,上海200025 [3]北京大学第六医院/北京大学精神卫生中心,北京100083 [4]武汉大学人民医院精神科,武汉430060 [5]四川大学华西医院神经外科,成都610044 [6]首都医科大学附属北京天坛医院神经外科,北京100050

出　　处：《中国神经精神疾病杂志》2024年第7期385-402,共18页Chinese Journal of Nervous and Mental Diseases

摘　　要：《中国精神疾病外科治疗专家共识》由全国神经外科、精神科等相关领域专家编写。专家共识根据截至2023年12月发表的临床研究并基于循证医学标准,发布神经外科手术在精神疾病临床中的治疗方案推荐,涵盖疾病包括:强迫症、抑郁症、抽动症、双相障碍、神经性厌食症、物质使用相关障碍、精神分裂症等。本专家共识介绍了临床上神经外科手术治疗精神疾病的安全性和有效性,并初步规范了治疗流程和操作技术,旨在为从事精神疾病外科治疗的临床工作人员制定外科治疗技术应用的专业标准,最大程度上提高治疗效果、促进该治疗技术未来的发展。Chinese expert consensus on neurosurgical treatment of psychiatric disorders is compiled by national experts in neurosurgery,psychiatry,and other related fields.Based on clinical research published up to December 2023 and evidence-based medicine standards,the consensus provides recommendations for neurosurgical treatment of psychiatric disorders.The covered diseases include obsessive-compulsive disorder,depressive disorder,tic disorder,bipolar disorder,anorexia nervosa,substance use-related disorders,and schizophrenia.This expert consensus outlines the safety and efficacy of neurosurgical treatments for psychiatric disorders in clinical practice,and preliminarily standardizes treatment procedures and surgical techniques.The aim is to establish professional standards for the application of surgical treatment techniques for clinical practitioners in the field of psychiatric disorder surgery,thereby maximizing treatment outcomes and promoting the future development of this treatment technology.

关 键 词：神经外科学 精神病学 神经调控 专家共识 难治性精神疾病 强迫症 抑郁症 抽动症 双相障碍 神经性厌食症 物质使用相关障碍 精神分裂症 

分 类 号：R651[医药卫生—外科学] R749[医药卫生—临床医学]