Treatment Analysis of Two Cervical Puncture and Injection Methods in Cervical Spondylosis Therapy
10.3969/j.issn.1673-9701.2009.18.102
- VernacularTitle:两种颈部穿刺方法治疗颈椎病的效果分析
- Author:
Hui ZHAO
1
;
Jin ZOU
;
Yan LIU
;
Pin SONG
Author Information
1. 辽宁省大连市中心医院
- Keywords:
Cervical spendylosis;
Epidural;
Nerve block;
Fine needle aspiration;
Tuohy needle pueture
- From:
China Modern Doctor
2009;47(18):184-185,256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the validity and safety of cervical vertebra paravertebral nerve block treatment using fine needle aspiration and cervical epidural puncture treatment using Tuohy needle in cervical spondylosis therapy. Methods We randomly divided 120 cases of cervical spondylosis patients into group that was treated with paravertebral nerve block using fine needle (60 eases) and group that was treated with cervical epidural puncture using Tuohy needle(60 examples). After one treatment course,the VAS grading,the restoration of brainstem auditory evoked potential(BAEP) and somatesensory evoked potential(SEP) as well as the improvement of clinical symptoms and physical signs,overall evaluated merit rate,effectiveness of therapy results and recurrence rate made by a follow-up visit within one year were observed,and eomplieation incidence rate of two methods since 1989 were reviewed. Results The merit rates of two groups in therapy results respectively were 73.3% and 75%,total effective rates respectively were 90% and 93.3%,recurrence rates respectively were 18.3% and 15%. There was no significant difference between the two groups after statistics analysis.But complieation's incidence rates of the two methods respectively were 2.9% and 24.8% ,with statistical significant difference.Conclusion Fine needle treatment has a same therapy result to Tuohy needle treatment,but because of the smaller wound,simpler operation,easier to be accepted by patients,we conclude that it is an effective treatment method with tiny wound.
