超声引导下星状神经节连续脉冲射频治疗交感神经型颈椎病临床疗效  

Efficacy of ultrasound-guided continuous pulsed radiofrequency ablation on sympathetic cervical spondylosis

作　　者：才久波 敖强[2] 

机构地区：[1]辽宁阜新市老年医院骨科,辽宁大连123000 [2]中国医科大学组织工程学教研室,辽宁沈阳110013

出　　处：《哈尔滨医科大学学报》2017年第5期470-472,477,共4页Journal of Harbin Medical University

基　　金：国家高技术研究发展计划(2012AA020905)

摘　　要：目的探讨超声引导下星状神经节连续脉冲射频治疗交感型颈椎病的疗效。方法交感型颈椎病患者64例,随机分为对照组与观察组;对照组1%利多卡因9 m L+曲安奈德1 m L给予星状神经节阻滞,观察组1%利多卡因阻滞后超声引导连续脉冲射频2 Hz、20 ms、45 V、42℃和120 s,治疗2个周期。两个周期治疗后立即用超声分别记录两组治疗前与治疗后10 min椎动脉血流指标。于治疗后1周、1月、3月随访两组患者交感神经症状评分对比。结果治疗前观察组、对照组交感神经症状评分分别为6.5±2.4、6.2±1.6,椎动脉血流(35.6±7.3)cm/s、(36.3±4.6)cm/s,两组间无差异。治疗后10min椎动脉血流观察组(46.2±5.2)cm/s与对照组(45.7±3.6)cm/s之间无差异。观察组交感神经症状评分1周、1月、3月分别为3.2±1.2、3.0±1.5、2.6±2.3,对照组分别为3.1±0.6、5.6±2.1、6.4±1.5,1周评分两组间无明显差异(P>0.05),1月、3月评分两组间有显著性差异(P<0.05)。结论超声引导下星状神经节连续脉冲射频治疗交感神经型颈椎病精准安全,疗效长期稳定。Objective To study the effect of ultrasound-guided continuous pulsed radiofrequen- cy ablation on sympathetic cervical spondylosis. Methods Sixty-four patients of sympathetic type of cervical spondylosis were randomly divided into control group and observation group. Control group were given SGB with 1% lidocaine 9 mL ＋ triameinolone 1 mL, ultrasoundguided plused radiofrequency was performed in observation group once a week for a total of 2 times. After two cycles of treatment, the blood flow indexes of the two groups before and after treatment with 10 min were recorded by ultrasound, respectively. After 1 week, 1 months, 3 months of treatment, the patients were followed up for the comparison of sympathetic symptom scores between the two groups. Results Before treatment, the sympathetic symptoms score of the observation group was 6.5 ± 2.4 and the control group was 6. 2 ± 1.6, and vertebral artery blood flow of the observation group was （35.6 ±7.3 ） cm/s and the control group was （36. 3±4.6） cm/s, there were not significantly different. After treatment, the 10 min vertebral artery blood flow of the observation group and the control group was （46.2 ±5.2 ） cm/s, （45. 7 ± 3.6） cm/s, respectively and there was no difference between the two groups. Sympathetic symptom score of the therapy group after 1 week, 1 month, 3 months was 3.2 ± 1.2, 3.0 ± 1.5, 2. 6 ± 2. 3, respectively, the control group was 3.1 ± 0. 6, 5.6 ± 2. 1, 6. 4 ± 1.5, respectively, there was no significant difference between the two groups in i week score （P 〉 0. 05）. The difference was significant between the two groups in the 1 month, 3 months score （P 〈0. 05）. Conclusion Uhrasound-gnided stellate ganglion pulsed radiofrequency is accurate and safe in treatment of sympathetic cervical spondylosis, and the efficacy of long-term stability.

关 键 词：星状神经节 超声引导 脉冲射频 

分 类 号：R614[医药卫生—麻醉学]