摘要： 神经病理性疼痛是一类临床常见的难治性疼痛症侯群，目前尚无有效治疗方法。笔者分别以带状疱疹后遗神经痛、三叉神经痛、复杂区域疼痛综合征、伴神经根病的下腰痛及腰椎术后疼痛综合征、幻肢痛为例，阐述神经病理性疼痛的一般治疗原则及方法，特别是介入治疗方法，并系统介绍椎管内阻滞治疗、三叉神经射频治疗、选择性神经根阻滞术、脊髓电刺激术、运动皮质电刺激术等临床常用外科治疗方法的适应证、并发症和注意事项。

关键词: 神经痛, 导管消融术, 神经传导阻滞, 经皮神经电刺激, 综述

Abstract: Neuropathic pain (NP) is a common clinical refractory pain for which there are limited methods to treat. In this article, based on typical diseases, such as postherpetic neuralgia (PHN), trigeminal neuralgia, complex regional pain syndrome (CRPS), lower back pain with radiculopathy and failed back surgery syndrome (FBSS), phantom pain, the general treatment principle and method for NP are expatiated. Interventional methods for NP, including intraspinal block, radiofrequeney rhizotomy of trigeminal neuralgia, selective nerve root block, spinal cord stimulation (SCS) and motor cortex stimulation (MCS) are introduced, especially their indications, complications and matters needing attention.

Key words: Neuralgia, Catheter ablation, Nerve block, Transcutaneous electric nerve stimulation, Review