[三叉神经痛的手术治疗]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-10-17 DOI:10.1007/s00482-024-00835-9
Rezvan Ahmadi, Volker Martin Tronnier
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引用次数: 0

摘要

治疗神经性疼痛(包括三叉神经痛)的手术分为三类:减压、消融和神经调控。微血管减压术是治疗三叉神经痛的唯一病因疗法,适用于因血管神经冲突引起的典型三叉神经痛。消融术包括经皮和放射外科方法,主要用于特发性三叉神经痛。对于三叉神经的不可逆神经病变,应考虑其他神经病理性疼痛的算法,以及可能使用的神经调节技术。在选择疗法时,必须将诊断、药物副作用、患者的个体风险和治疗效果都考虑在内(德国神经病学学会当前的 S1 指南)。
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[Surgical treatment of trigeminal pain].

Surgical procedures for treating neuropathic pain, including trigeminal neuralgia (TGN), are categorized into three groups: decompression, ablation, and neuromodulation. Microvascular decompression is the only causal therapy for TGN, applicable favorably in cases of classical TGN due to a vascular nerve conflict. Ablative procedures include both percutaneous and radiosurgical methods, which are mainly used for idiopathic trigeminal neuralgia. For irreversible neuropathies of the trigeminal nerve, the algorithm for other neuropathic pain conditions should be considered, along with the potential use of neuromodulatory techniques. When selecting a therapy, diagnosis, medication side effects, individual patient risks, and treatment outcomes must all be taken into account (current S1 guideline from the German Society of Neurology).

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
[Health services research in acute pain medicine : Where do we come from in Germany?] [Surgical treatment of trigeminal pain]. [What is health services research?] [Interdisciplinary multimodal pain therapy: does the dose make a difference? : A comparison from routine clinical care]. [What determines the overall quality of postoperative pain management? A question of perspective].
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