中国三叉神经痛伽玛刀放射外科治疗专家共识(2020版)

2020-10-30 中华神经外科杂志.2020.36(10):984-989.

三叉神经痛是一种较常见的神经系统疾病,以一侧面部针刺、刀割或电击样的发作性疼痛为特征。疼痛可被洗脸、刷牙、说话所诱发。三叉神经痛分为原发性和继发性两类。原发性三叉神经痛的发病机制主要与三叉神经被血管压

中文标题:

中国三叉神经痛伽玛刀放射外科治疗专家共识(2020版)

发布机构:

发布日期:

2020-10-30

简要介绍:

三叉神经痛是一种较常见的神经系统疾病,以一侧面部针刺、刀割或电击样的发作性疼痛为特征。疼痛可被洗脸、刷牙、说话所诱发。三叉神经痛分为原发性和继发性两类。原发性三叉神经痛的发病机制主要与三叉神经被血管压迫有关;继发性三叉神经痛的发生可由脑膜瘤、神经鞘瘤、颅内血管畸形、多发性硬化、表皮样囊肿等压迫三叉神经引起。三叉神经痛有多种治疗方法,首选药物治疗,在患者疼痛加重,药物疗效不佳的情况下,可选择手术治疗。目前,手术治疗主要包括显微血管减压术!球囊压迫术!射频治疗!伽玛刀放射外科(GKRS)治疗等。其中,GKRS治疗作为一种微创放射外科技术,对三叉神经痛有确切的疗效且风险低,应作为治疗三叉神经痛的重要方法之一。本共识旨在建立我国三叉神经痛GKRS治疗的适应证!禁忌证!治疗要点!疗效评价等,以规范和指导临床对三叉神经痛的GKRS治疗。

 

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2146160, encodeId=f1c5214616049, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20228578455, createdName=ms8000000684966679, createdTime=Mon Jul 03 19:48:15 CST 2023, time=2023-07-03, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1014577, encodeId=8f8710145e7bb, content=学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e095594987, createdName=ms1000000970500887, createdTime=Sat Sep 04 17:11:42 CST 2021, time=2021-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000082, encodeId=4aa91000082df, content=哈哈, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210604/fa7de37cae58485d98eccde049d944c8/0c35dbfa935743f99a097a3af080f677.jpeg, createdBy=059a1620547, createdName=huihui0728, createdTime=Fri Jul 16 17:37:14 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=996599, encodeId=e32d996599a4, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=792a5542260, createdName=邓少勇9, createdTime=Mon Jul 05 22:47:54 CST 2021, time=2021-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977846, encodeId=5db89e7846e0, content=值得好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJNfjogzian8iaGwjLwqFic4EEJ1SA4Mba2QLwXkoSuM22p3UoicMeib60uOGgicsPnpemj8erAAlr8971A/132, createdBy=d26e2460444, createdName=白露寒, createdTime=Tue Jun 29 10:15:06 CST 2021, time=2021-06-29, status=1, ipAttribution=)]
    2023-07-03 ms8000000684966679 来自上海

    很好的指南

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2146160, encodeId=f1c5214616049, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20228578455, createdName=ms8000000684966679, createdTime=Mon Jul 03 19:48:15 CST 2023, time=2023-07-03, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1014577, encodeId=8f8710145e7bb, content=学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e095594987, createdName=ms1000000970500887, createdTime=Sat Sep 04 17:11:42 CST 2021, time=2021-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000082, encodeId=4aa91000082df, content=哈哈, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210604/fa7de37cae58485d98eccde049d944c8/0c35dbfa935743f99a097a3af080f677.jpeg, createdBy=059a1620547, createdName=huihui0728, createdTime=Fri Jul 16 17:37:14 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=996599, encodeId=e32d996599a4, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=792a5542260, createdName=邓少勇9, createdTime=Mon Jul 05 22:47:54 CST 2021, time=2021-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977846, encodeId=5db89e7846e0, content=值得好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJNfjogzian8iaGwjLwqFic4EEJ1SA4Mba2QLwXkoSuM22p3UoicMeib60uOGgicsPnpemj8erAAlr8971A/132, createdBy=d26e2460444, createdName=白露寒, createdTime=Tue Jun 29 10:15:06 CST 2021, time=2021-06-29, status=1, ipAttribution=)]
    2021-09-04 ms1000000970500887

    学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2146160, encodeId=f1c5214616049, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20228578455, createdName=ms8000000684966679, createdTime=Mon Jul 03 19:48:15 CST 2023, time=2023-07-03, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1014577, encodeId=8f8710145e7bb, content=学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e095594987, createdName=ms1000000970500887, createdTime=Sat Sep 04 17:11:42 CST 2021, time=2021-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000082, encodeId=4aa91000082df, content=哈哈, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210604/fa7de37cae58485d98eccde049d944c8/0c35dbfa935743f99a097a3af080f677.jpeg, createdBy=059a1620547, createdName=huihui0728, createdTime=Fri Jul 16 17:37:14 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=996599, encodeId=e32d996599a4, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=792a5542260, createdName=邓少勇9, createdTime=Mon Jul 05 22:47:54 CST 2021, time=2021-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977846, encodeId=5db89e7846e0, content=值得好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJNfjogzian8iaGwjLwqFic4EEJ1SA4Mba2QLwXkoSuM22p3UoicMeib60uOGgicsPnpemj8erAAlr8971A/132, createdBy=d26e2460444, createdName=白露寒, createdTime=Tue Jun 29 10:15:06 CST 2021, time=2021-06-29, status=1, ipAttribution=)]
    2021-07-16 huihui0728

    哈哈

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2146160, encodeId=f1c5214616049, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20228578455, createdName=ms8000000684966679, createdTime=Mon Jul 03 19:48:15 CST 2023, time=2023-07-03, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1014577, encodeId=8f8710145e7bb, content=学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e095594987, createdName=ms1000000970500887, createdTime=Sat Sep 04 17:11:42 CST 2021, time=2021-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000082, encodeId=4aa91000082df, content=哈哈, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210604/fa7de37cae58485d98eccde049d944c8/0c35dbfa935743f99a097a3af080f677.jpeg, createdBy=059a1620547, createdName=huihui0728, createdTime=Fri Jul 16 17:37:14 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=996599, encodeId=e32d996599a4, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=792a5542260, createdName=邓少勇9, createdTime=Mon Jul 05 22:47:54 CST 2021, time=2021-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977846, encodeId=5db89e7846e0, content=值得好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJNfjogzian8iaGwjLwqFic4EEJ1SA4Mba2QLwXkoSuM22p3UoicMeib60uOGgicsPnpemj8erAAlr8971A/132, createdBy=d26e2460444, createdName=白露寒, createdTime=Tue Jun 29 10:15:06 CST 2021, time=2021-06-29, status=1, ipAttribution=)]
    2021-07-05 邓少勇9

    学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2146160, encodeId=f1c5214616049, content=很好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20228578455, createdName=ms8000000684966679, createdTime=Mon Jul 03 19:48:15 CST 2023, time=2023-07-03, status=1, ipAttribution=上海), GetPortalCommentsPageByObjectIdResponse(id=1014577, encodeId=8f8710145e7bb, content=学习了,三叉神经痛是目前临床比较多发的功能性疾病,目前手术治疗效果不错,但希望有非手术稳定控制疼痛的办法, beContent=null, objectType=guider, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9e095594987, createdName=ms1000000970500887, createdTime=Sat Sep 04 17:11:42 CST 2021, time=2021-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000082, encodeId=4aa91000082df, content=哈哈, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210604/fa7de37cae58485d98eccde049d944c8/0c35dbfa935743f99a097a3af080f677.jpeg, createdBy=059a1620547, createdName=huihui0728, createdTime=Fri Jul 16 17:37:14 CST 2021, time=2021-07-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=996599, encodeId=e32d996599a4, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=792a5542260, createdName=邓少勇9, createdTime=Mon Jul 05 22:47:54 CST 2021, time=2021-07-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=977846, encodeId=5db89e7846e0, content=值得好好学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJNfjogzian8iaGwjLwqFic4EEJ1SA4Mba2QLwXkoSuM22p3UoicMeib60uOGgicsPnpemj8erAAlr8971A/132, createdBy=d26e2460444, createdName=白露寒, createdTime=Tue Jun 29 10:15:06 CST 2021, time=2021-06-29, status=1, ipAttribution=)]
    2021-06-29 白露寒

    值得好好学习

    0

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