Painful cingulate band destruction

The buckle belt plays an important role in controlling behavior and emotional state in the limbic system, and the pain is closely related to the emotion. Therefore, the buckle belt is cut off or destroyed, and the intractable pain accompanied by mental and emotional disorders such as anxiety and depression is treated. effect. Curing disease: Indication Painful bandage damage is used for people with mental or emotional disorders such as pain or other intractable pain associated with anxiety, depression or fear. Contraindications The condition of the whole body is very poor or there are other serious diseases that cannot tolerate the operator. Preoperative preparation 1, before the operation should do a full physical examination, a variety of tests and necessary auxiliary examinations, according to the condition to choose the best treatment. 2. Conduct a comprehensive psychological examination and evaluation before surgery. 3, comprehensive treatment should be actively carried out before surgery to improve the patient's overall condition and observe the patient's response to treatment. 4, the amount of painkillers should be gradually reduced before surgery to eliminate the patient's dependence on drugs. 5, the right amount of barbiturate, purine or atropine can be used before surgery. Surgical procedure 1. There are a variety of orientation guides installed. When installing, it is necessary to strictly follow the requirements of various types of orientation instruments and strive for standards. For example, Bintian Orientation, the patient's head position must be adjusted so that the earplugs on both sides of the frame are aligned with the external auditory canal, and the midline of the skull is aligned with the center hole before and after the frame (ie, the instrument centerline). The Leksell directional instrument must be installed with the sagittal midline of the frame coincident with the midline of the skull. The Y axis of the frame is parallel to the GI line. The head in the anteroposterior direction is located at the center of the frame, avoiding the frame reclining, leaning forward or rotating, and eliminating positioning errors as much as possible. Before the coronal suture, a 2.5 cm long longitudinal incision was made 2.5 cm beside the midline of the surgical side. The skull is drilled in the center of the incision, and the dura mater is cut in a "T" shape, and then electrocoagulated on the surface of the cortex for preparation of cerebral puncturing and target puncture. 2. The target point is 7.5~10mm behind the midpoint of the AC-PC line, 0~3mm below, and 7mm from the center line. Electrical stimulation (bipolar, square pulse, 1, 3, 6Hz or 60 ~ 100Hz, pulse width 1ms, 5 ~ 20V) Pf-CM can cause burning pain in the opposite side of the body, can also cause bilateral burning pain, can be used as an intraoperative Check the basis of the target position. 3. The damaged stove can be made by RF electric heating or freezing. From the trend point of view, the production of large damaged lesions, especially to the dorsal medial nucleus on the dorsal side and the posterior occipital nucleus, has a better analgesic effect. complication Hemiplegia, intracerebral hemorrhage, mental changes and other complications can occur.

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