超声引导下小针刀治疗神经根型颈椎病的临床研究

目的：评价超声引导下小针刀治疗神经根型颈椎病的临床疗效。方法：将60例神经根型颈椎病患者随机分为两组各30例,超声引导颈神经根阻滞治疗组（U组）与非超声引导颈神经根阻滞治疗组（N组）。记录治疗前、治疗后20 min、1周、2周、4周、8周时视觉模拟量评分;治疗后4周、8周评定疗效;观察不良反应发生情况。结果：两组患者治疗前后的观察指标均有明显改善,与治疗前比较,差异均有统计学意义（P〈0.05）;两组治疗后VAS评分比较,U均均优于N组;治疗后4周、8周疗效评定和不良反应比较,U组优于N组,差异均有统计学意义（P〈0.05）。结论：应用超声引导下小针刀治疗神经根型颈椎病准确度高、不良反应低,可有效用于神经根型颈椎病治疗。

Clinical Eficacy of Acupotome by Ultrasound-guided Technique on Cervicalspondylotic Radiculopathy

Objective To investigate the clinical efficacy of acupotome by ultrasound-guided technique on cervicalspondy-lotic radieulopathy.Methods： The 60 cases of patients with cervicalspondylotic radiculopathy were randomly divided into ultra-sound group （group U） and non-ultrasound group （group N）. VAS was recorded before the treatment, 20 minutes, 1 week, 2weeks, 4 weeks and 8 weeks after treatment.The clinical efficacy evaluation at 4 weeks and 8 weeks after the treatment, andadverse reactions were also recorded. Results： The detection indication in the two groups improved significantly after the treat-ment,with statistical significance （P〈0.05）;The clinical efficacy and adverse reactions in group U were better than that ofgroup N,and the differences were statistically significant （P〈0.05）. Conclusion： The method of acupotome by ultrasound-guidedtechnique on cervicalspondylotic radieulopathy can enhance the accuracy of injection and reduce adverse reactions, which ismore effective for treatment of cervical radiculopathy.