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題名 | 牙醫師面對三叉神經痛之鑑別診斷及各種治療方式之選擇:學術綜論=The Dentists Face the Difficulties in Differential Diagnosis of Trigeminal Neuralgia and Variable Treatment Options: Review Article |
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作者 | 張哲維; 林雨彤; 王銀來; | 書刊名 | 中華民國家庭牙醫學雜誌 |
卷期 | 8:1 2013.06[民102.06] |
頁次 | 頁11-17 |
分類號 | 416.293 |
關鍵詞 | 三叉神經; 三叉神經痛; 痛性抽搐; Trigeminal neuralgia; Trigeminal nerve; Facial pain; |
語文 | 中文(Chinese) |
中文摘要 | 三叉神經痛沿著上頷神經及下頷神經分布,病人經常主觀認定是牙痛,故牙醫師往往是接觸此類患者的第一線。其臨床特徵與牙科疾病方面有許多重疊之處,因此很容易造成鑑別診斷上的失誤。有時在牙科診間裡會看到患者牙齒已經被拔光了,卻還是不斷地抱怨牙齒疼痛。若是能掌握此疾病之臨床表徵及特性,不但可解決患者之主訴,更可降低醫療糾紛的發生。因此本文將利用文獻回顧的方式,論述三叉神經痛的發生原因、盛行率以及鑑別診斷,並探討各種常見治療方式及民俗療法,以增加對此疾病的認識。 |
英文摘要 | Trigeminal neuralgia occurs along the distribution of maxillary nerve and mandibular nerve, so patients often subjectively identify trigeminal neuralgia with toothache. That's why dentists are often the first line to contact with such patients. The clinical characteristics of trigeminal neuralgia are similar to dental diseases and it's prone to mistake in diagnosis. Sometimes we may found patients were toothless, but they still complained of ”toothache”. If we comprehend the clinical characteristics of trigeminal neuralgia, we could relieve the patients' discomfort and reduce the rate of medical dispute. This article will review the literature with respect to the etiology, prevalence and differential diagnosis of trigeminal neuralgia. In additional, we will also discuss about variable treatment options and alternative therapy to understand more about trigeminal neuralgia. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。