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三叉神經治療方法 – 香港微創腦及脊椎神經外科手術中心

三叉神經痛治療方法

藥物治療:

三叉神經痛病情初期,可先以藥物治療一、二個月,一方面借藥物來確定診斷,二方面可瞭解患者對藥物的療效如何
但藥物治療只能治標,不能治本。一般會考慮用於對藥物治療效果良好、不想開刀、年紀太大、或有其他疾病不適合做手術的患者

常用藥物包括:

  • 抗癲癇藥物 
  • 止痛藥
  • 抗抑鬱藥物
  • 肌肉鬆弛劑


注射治療:

  • 三叉神經周圍注射療法
  • 半月神經節內注射酒精療法
  • 半月神經節射頻電凝療法
  • 以氣球經過針扎入神經孔分隔受壓迫的神經節


外科微創手術:

  • 三叉神經根微血管解壓術

是目前治療三叉神經痛常用的手術,正式名稱叫顱後凹三叉神經根微血管解壓術,手術的目的是透過顯微鏡隔開受壓迫的三叉神經與血管,去除神經短路

– 手術須全身麻醉
– 傷口主要在耳後髮缐,長度約數厘米


放射治療

  • 部份不適合進行手術的患者,可以數碼導航刀等放射治療技術來治療

若拖延治療,會有什麼後果?

  • 神經線長期受壓而產生不能逆轉的病變,會減低手術的治愈率
  • 社交問題:可能使患者無法從事正常的日常活動
  • 情緒問題:長期痛楚可能導致抑鬱症、甚至痛不欲生

如何判斷自己是否患上三叉神經痛?

進行任何侵入性程序或手術之前,應尋求所有專業的意見:

 

  • 牙科醫生
  • 神經外科醫生

三叉神經痛相關資訊:

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