超声与DSA引导阻滞治疗神经根型颈椎病的临床比较  

Clinical comparison of ultrasound and DSA-guided block in treatment of cervical radiculopathy

作　　者：骆昔阳 罗佩芳 李勇进 王学志[2] LUO Xi-yang;LUO Pei-fang;LI Yong-jin;WANG Xue-zhi(Ultrasound Department,Yibin Third People’s Hospital,Yibin,Sichuan 644000,China;Spinal Surgery Department,Yibin Third People’s Hospital,Yibin,Sichuan 644000,China)

机构地区：[1]宜宾市第三人民医院超声科,四川宜宾644000 [2]宜宾市第三人民医院脊柱外科,四川宜宾644000

出　　处：《颈腰痛杂志》2024年第1期92-95,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨超声与数字减影血管造影技术(digital subtraction angiography,DSA)引导阻滞治疗神经根型颈椎病(cervical spondylotic radiculopathy,CSR)的临床疗效。方法选择该院2020年2月~2022年2月收治的88例CSR患者为研究对象,均采用颈椎脊神经根阻滞治疗,根据不同穿刺引导方式分为两组:46例采用超声引导,设为超声组;42例采用DSA引导,设为DSA组。比较两组患者一次穿刺成功率、穿刺时间、手术时间,记录术后不良反应发生情况,比较术前、术后当天、术后1个月时的疼痛视觉模拟评分(visual analog scale,VAS)、颈椎功能障碍指数(neck disability index,NDI)。结果超声组一次穿刺成功率高于对照组,穿刺时间、手术时间短于对照组(P<0.05);超声组不良反应总发生率显著低于对照组(P<0.05);两组术后当天、术后1个月的VAS、NDI均显著低于术前(P<0.05),但组间差异无统计学意义(P>0.05)。结论超声与DSA引导阻滞治疗CSR均能获得良好的近期疗效,但相较于DSA引导,超声引导穿刺效率更高、相关不良反应发生率更低。Objective To explore the clinical efficacy of ultrasound and digital subtraction angiography(DSA)-guided block in the treatment of cervical spondylotic radiculopathy(CSR).Methods A total of 88 CSR patients in our hospital from February 2020 to February 2022 were selected as the study subjects,and all of them were treated with cervical spinal nerve root block.They were divided into two groups according to different puncture guidance methods,46 cases were guided by ultrasound,which was set as the ultrasound group,and 42 cases were guided by DSA,which was set as the DSA group.The success rate of one puncture,puncture time and operation time were compared between the two groups.The postoperative adverse reactions were recorded.The pain visual analog scale(VAS)and neck disability index(NDI)were compared before surgery,on the day after surgery,and one month after surgery.Results The success rate of one puncture in the ultrasound group was higher than that in the control group,and the puncture time and operation time were shorter than those in the control group(P<0.05).The total incidence of adverse reactions in the ultrasound group was significantly lower than that in the control group(P<0.05).The VAS and NDI in the two groups on the day after surgery and one month after surgery were significantly lower than those before surgery(P<0.05).There was no significant difference between the groups(P>0.05).Conclusion Both ultrasound and DSA-guided block therapy for CSR can achieve good short-term efficacy,but compared with DSA-guided,ultrasound-guided puncture is more efficient and has a lower incidence of related adverse reactions.

关 键 词：超声 数字减影血管造影技术 神经根阻滞 神经根型颈椎病 

分 类 号：R653[医药卫生—外科学]