手術

手術治療

退化性關節炎 / 軟組織勞損 Degenerative joint disease / soft tissue overuse

  • 關節腔類固醇注射 Intra‑articular steroid injection
  • PRP 自體血小板注射 PRP (platelet‑rich plasma) injection
  • 軟組織/滑囊注射 Peritendinous / bursal injection
  • 觸發點注射 Trigger point injection

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退化性關節炎 / 軟組織勞損

脊椎相關疼痛 Spine related pain (disc, nerve root, facet)

  • 硬膜外類固醇注射 Epidural steroid injection
  • 選擇性神經根阻滯 Selective nerve root block
  • 小關節注射/內側支阻滯 Facet joint injection / medial branch block
  • 小關節神經射頻消融 Facet medial branch radiofrequency ablation
  • 椎體成形術/後凸成形術 Vertebroplasty / kyphoplasty
  • 頸椎小關節類固醇注射 Cervical Facet Joint Steroid Injection
  • 頸椎經椎間孔硬膜外類固醇注射 Cervical Transforaminal Epidural Injection
  • 頸椎椎間盤減壓注射 Cervical Disc Decompression Injection
  • 胸椎小關節診斷性阻滯 Thoracic Facet Joint Diagnostic Block
  • 腰椎內側支射頻消融 Lumbar Medial Branch Radiofrequency Ablation
  • 腰椎椎間盤造影 Lumbar Discography
  • 腰椎椎板間硬膜外類固醇注射 Lumbar Interlaminar Epidural Steroid Injection
  • 薦髂關節關節內注射 Sacroiliac Joint Intra-articular Injection
  • 含透明質酸之尾骶管硬膜外注射 Caudal Epidural with Hyaluronidase
  • 椎體活檢合併骨水泥成形術 Vertebral Body Biopsy with Cementoplasty

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脊椎相關疼痛

神經病理痛 / CRPS / 周邊神經痛 Neuropathic pain / CRPS / peripheral nerve pain

  • 交感神經阻滯 Sympathetic block
  • 交感神經消融或射頻治療 Sympathetic neurolysis or RF treatment
  • 背根神經節刺激 Dorsal root ganglion (DRG) stimulation
  • 脊髓電刺激 Spinal cord stimulation (SCS)
  • 周邊神經阻滯/射頻消融 Peripheral nerve block / Radiofrequency
  • 肉毒桿菌素注射 Botulinum toxin injection
  • 星狀神經節阻滯術 Stellate Ganglion Block, SGB

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神經病理痛 / CRPS / 周邊神經痛

癌痛 / 內臟疼痛 Cancer pain / visceral pain

  • 腹腔神經叢阻滯/毀損 Celiac plexus block / neurolysis
  • 上腹下神經叢阻滯/毀損 Superior hypogastric plexus block / neurolysis
  • 鞘內止痛幫浦 Intrathecal drug delivery pump ( 體內的小型電腦幫浦,通過導管將微量藥物(如嗎啡或巴氯芬)直接注入脊髓腔 )
  • 椎體成形術/後凸成形術 Vertebroplasty / kyphoplasty
  • 化學性神經毀損 Chemical neurolysis (alcohol / phenol)

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癌痛 / 內臟疼痛

三叉神經痛 Trigeminal neuralgia

  • 三叉神經節脈衝式射頻 Trigeminal Ganglion Pulsed Radiofrequency
  • 蝶腭神經節阻滯 Sphenopalatine Ganglion Block
  • 三叉神經核刺激 Trigeminal Nerve Nucleus Stimulation
  • 大枕神經脈衝式射頻 Greater Occipital Nerve Pulsed Radiofrequency

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三叉神經痛

生蛇後神經痛(PHN) Postherpetic neuralgia

  • 肋間神經阻滯/硬膜外類固醇注射 Intercostal Nerve Block / Epidural Steroid Injection
  • 肋間神經冷凍神經切除術 Intercostal Nerve Cryoneurolysis
  • 大枕神經脈衝式射頻 Greater Occipital Nerve Pulsed Radiofrequency
  • 周邊皮下場刺激 Peripheral Subcutaneous Field Stimulation
  • 脊髓電刺激 Spinal Cord Stimulation (SCS)
  • 背根神經節刺激 Dorsal Root Ganglion Stimulation
  • 鞘內止痛藥物輸注 Intrathecal Analgesic Infusion

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生蛇後神經痛

盆腔痛(婦科、泌尿科、神經性盆痛) Pelvic pain

  • 上腹下神經叢阻滯 Superior Hypogastric Plexus Block (盆腔痛)
  • 腹下神經叢化學性神經毀損 Hypogastric Plexus Chemical Neurolysis
  • 陰部神經水解鬆解術 Pudendal Nerve Hydrodissection
  • 陰部神經阻滯/水解 Pudendal Nerve Block / Hydrodissection
  • 終末神經節局部阻滯 Ganglion Impar Block
  • 終末神經節脈衝式射頻 Ganglion Impar Pulsed RF

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盆腔痛

上腹部/腹部內臟痛 Upper abdominal / visceral pain

  • 腹腔神經叢阻滯 Celiac Plexus Block
  • 腹腔神經叢化學性神經毀損 Celiac Plexus Chemical Neurolysis
  • 腹橫肌平面阻滯(TAP Block)Transversus Abdominis Plane (TAP) Block

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上腹部/腹部內臟痛

中樞神經調控 Central neuromodulation

  • 高頻脊髓電刺激 High-Frequency Spinal Cord Stimulation
  • 背根神經節爆發式刺激 Dorsal Root Ganglion Burst Stimulation
  • 運動皮質重複經顱磁刺激 Motor Cortex Repetitive TMS
  • 迷走神經非侵入性刺激 Vagus Nerve Non-invasive Stimulation
  • 周邊皮下場刺激 Peripheral Subcutaneous Field Stimulation
  • 骶神經調控植入 Sacral Neuromodulation with InterStim ( 骶神經相關盆腔/膀胱痛 )
  • 反應式神經調控系統 Responsive Neurostimulation for CRPS
  • 頸段背柱脊髓刺激 Cervical Dorsal Column Stimulation
  • 三叉神經核刺激 Trigeminal Nerve Nucleus Stimulation

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中樞神經調控

特殊疼痛症候群介入 Special pain-syndrome interventions

  • 靜脈酮胺輸注 IV Ketamine Infusion
  • 幻肢痛鏡像治療結合神經調節 Phantom Limb Pain Mirror Therapy Neuromodulation
  • 中風後運動皮質刺激 Motor Cortex Stimulation for CPSP
  • 化療誘發神經病變脊髓輸注 Chemotherapy-Induced Neuropathy Spinal Infusion

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特殊疼痛症候群介入

混合性疼痛 / 慢性廣泛痛 Mixed mechanism pain / Chronic widespread

  • 小關節阻滯/射頻 + 觸發點注射 Facet block / RFA + trigger point injection
  • PRP/增生 + 關節腔注射 PRP / prolotherapy + joint injection
  • 交感阻滯 + 神經調節(SCS / DRG) Sympathetic block + neuromodulation (SCS / DRG)
  • 綜合治療 Comprehensive

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混合性疼痛 / 慢性廣泛痛