带状疱疹后神经痛能够彻底治愈吗:带状疱疹后神经痛三阶梯治疗方案

Could postherpetic neuralgia be completely cured:three-ladder therapy for postherpetic neuralgia

带状疱疹后神经痛(PHN)的治愈,是患者就医的终极目的,也是医者施治的唯一愿望。然而PHN的发生机制非常复杂,临床表现变化多样,给临床治疗带来一定的难度和挑战。药物的阶梯治疗是PHN的基本治疗,各种微创技术如脉冲射频调节、脊髓/神经电刺激和鞘内药物输注系统等非毁损性方法,能够缓解疼痛,缩短病程,减少全身用药和药物不良反应,成为PHN微创治疗的主流。

The cure of postherpetic neuralgia(PHN)is not only the ultimate goal of patients seeking medical treatment,but also the only desire of doctors.However,the complex mechanisms and varied manifestations of PHN bring difficulties and challenges to its clinical treatment.PHN can be treated step by step,based on drug therapy,and accompanied with minimally invasive techniques,such as pulsed radiofrequency,spinal cord/nerve stimulation,intrathecal drug infusion system,and other non-destructive methods.These treatment strategy can shorten the course of PHN,reduce systemic drug administration and lessen the adverse drug reactions.These are the main methods to the treatment of PHN.