颈椎小关节源性疼痛治疗进展及超声应用价值

ADVANCES IN THE MANAGEMENT OF CERVICAL FACET PAIN AND CLINICAL VALUES OF ULTRASONOGRAPHY

摘要:

颈椎小关节源性疼痛在颈部疼痛中占比约50%，随着对其研究的不断深入，药物治疗配合必要的微创介入治疗能较好的改善患者的疼痛症状及生活质量。目前常用的微创介入治疗主要有颈椎小关节腔注射、颈脊神经后内侧支阻滞及射频热凝。随着超声在疼痛领域的应用日趋广泛，超声在颈椎小关节源性疼痛的治疗中也具有其独有的价值，目前超声在该领域运用的安全性、准确性、有效性均得到了一定的证实。本文拟对目前颈椎小关节源性疼痛的治疗进展进行综述，并着重阐述超声在该领域的研究应用与价值。

Abstract:

The prevalence of cervical facet pain, within a population suffering from neck pain, is estimated to be 50%. With the advance of relevant researches, pharmacological treatments combined with minimal invasive interventional managements can provide definite pain relief and improve life quality significantly. Recently, the common use of minimal invasive interventional procedures includes intra-articular injection, cervical medial branch block and radiofrequency thermocoagulation. With the increasing application of ultrasound in the field of pain, ultrasonography has its unique values in the management of cervical facet pain. To some extent, the accuracy and safety and efficiency of ultrasound in this field have been verified. This article reviews the advances in the management of cervical facet pain and focuses on the clinical values of ultrasonography in this field.