过去几十年,原发性三叉神经痛的治疗得到了极大的改善,卡巴咪嗪以及其他抗癫痫药在许多情况下都能控制神经痛,这个发现对于保守性治疗是一个决定性的进展。 手术治疗也出现了新的方法,这些方法应在保守治疗无效的情况下被采用,较为熟知的包括半月神经节电凝毁损术,它通过三叉神经根刺激术和温控凝固术的发展而变得更加精细和安全。其他新的方法还有桥小脑角三叉神经根微血管减压术、三叉神经节和三叉神经根经皮微加压术和三叉神经池甘油注射封闭术。一些相关文献报道表明,许多医生,包括神经内科 Over the past few decades, the treatment of primary trigeminal neuralgia has been greatly improved, and in many cases, carbamazine and other antiepileptic drugs can control neuralgia. This finding is a crucial step toward conservative treatment. Surgical treatment has also emerged in new ways, and these should be used when conservative treatment is ineffective. More well known are the semilunar ganglia coagulation lesions, which are altered by the development of trigeminal nerve root stimulation and temperature-controlled coagulation To be more sophisticated and safe. Other new methods are the cerebellopontine angle trigeminal nerve root canal microvascular decompression, trigeminal ganglion and trigeminal nerve root percutaneous micro-pressure surgery and trigeminal nerve cell glycerol injection closure. A number of relevant literature reports show that many physicians, including neurology