观察超声引导下颈神经根脉冲射频配合小针刀治疗神经根型颈椎病的临床效果及安全性

Observation of the Clinical Efficacy and Safety of Ultrasound Guided Cervical Nerve Root Pulse Radiofrequency Combined with Small Needle Knife in the Treatment of Cervical Spondylotic Radiculopathy

目的探讨超声(US)引导下颈神经根脉冲射频(PRF)配合小针刀治疗在神经根型颈椎病(CSR)中的应用效果.方法选取我院2021年6月—2023年6月收治的90例CSR患者为研究对象,按随机数字表法将其分为对照组和观察组,每组45例.对照组采用小针刀治疗,观察组在对照组基础上加用US引导下颈神经根PRF治疗.比较两组的临床效果及安全性.结果观察组治疗总有效率为95.96%,高于对照组的82.22%,差异有统计学意义(P﹤0.05).治疗后,观察组疼痛视觉模拟评分、颈椎功能障碍指数评分均低于对照组,CASCS评分高于对照组,组间差异有统计学意义(P﹤0.05);观察组颈椎曲度、屈伸活动度均大于对照组,组间差异有统计学意义(P﹤0.05);观察组生活质量各领域评分均高于对照组,组间差异有统计学意义(P﹤0.05);两组均无并发症.结论US引导下颈神经根PRF配合小针刀治疗可提高CSR的疗效,降低VAS评分,能减轻颈椎功能障碍,改善患者生活质量.

Objective To investigate the effect of ultrasound(US)guided cervical nerve root pulse radiofrequency(PRF)combined with small needle knife in the treatment of cervical spondylotic radiculopathy(CSR).Methods Selecting 90 CSR patients admitted to our hospital from June 2021 to June 2023 as the research subjects,divided into a control group and an observation group using a random number table method,with 45 cases in each group.The control group was treated with small needle knife,and the observation group received ultrasound guided cervical nerve root pulse radiofrequency therapy in addition to the control group.The clinical effect and safety of the two groups were compared.Results After treatment,The total effective rate of observation group was 95.96%,higher than 82.22 of control group,the difference between groups was statistically significant(P﹤0.05).After treatment,the pain Visual Analogue Score and the Neck Disability Index score of the observation group were lower than those of the control group,while the CASCS score was higher than that of the control group,the differences between groups were statistically significant(P﹤0.05).The cervical curvature,flexion and extension range of motion in the observation group were greater than those in the control group,the differences between groups were statistically significant(P﹤0.05).The observation group had higher scores in various areas of quality of life compared to the control group,the difference greater between groups were statistically significant(P﹤0.05).There were no complications in either group.Conclusion Ultrasound guided cervical nerve root pulse radiofrequency combined with small needle knife treatment can improve the therapeutic effect of cervical spondylotic radiculopathy,reduce VAS score,alleviate cervical spine dysfunction and improving patient quality of life.