超声引导针刀联合神经根阻滞治疗神经根型颈椎病临床观察

Clinical Therapeutic Effects of Ultrasound-guided Acupotomy Combined with Nerve Root Block on the Treatment of Cervical Spondylotic Radiculopathy

摘要:

目的：应用超声引导下针刀松解联合神经根阻滞技术治疗神经根型颈椎病(CSR),通过客观评分来观察该疗法治疗CSR的精准性、安全性及有效性。方法：将69例CSR患者随机分为观察组和对照组,观察组为超声引导下针刀松解联合神经根阻滞治疗,对照组为常规针刀联合神经根阻滞治疗,采用临床疗效评价法(Odom)、疼痛视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)评价两组患者治疗前、治疗后1周、3个月及6个月的临床疗效并进行安全性分析。结果：69例患者均无神经损伤、血肿等并发症发生,治疗后6个月,观察组临床疗效明显高于对照组(91.89%、71.88%,P<0.05),观察组VAS和NDI评分均优于对照组(P <0.05)。结论：超声引导下针刀松解联合神经阻滞技术实现了CSR可视化、精准化治疗,更为安全有效的缓解患者疼痛程度并改善颈部功能。

Abstract:

Abstract Objective: To observe the clinical effect of ultrasound-guided acupotomy combined with nerve root block in patients with cervical spondylotic radiculopathy (CSR), evaluate the precision, safety and efficacy of the treatment. Methods: A total of 69 patients with CSR were randomly divided into observation group and control group. The observation group was treated by ultrasound-guided acupotomy combined with nerve root block, the control group was treated by traditional acupotomy combined with nerve root block. All the patients were evaluated before the treatment, and at 1th week, 3th, 6th month after the treatment by Odom method, VAS score, and NDI index. Results: All the patients were followed up, there was no serious complication occurred. After 6 months, the clinical efficacy of the observation group was significantly better than that of the control group (91.89%, 71.88%, P<0.05). Meanwhile, VAS score and NDI index of the observation group were better than that of the control group at each time point(P<0.01). Conclusion: Ultrasound guided acupotomy combined with nerve root block technology can not only achieve visualization and precision treatment, but also relieve pain and improve neck function safely and effectively.