Clinical Study on Treatment of Cervical Spondylotic Radiculopathy by Ultrasound-Guided Nerve Block Combined with Arc Edge Needle-Scalpel
10.11842/wst.20240926003
- VernacularTitle:超声引导下神经阻滞联合弧刃针刀治疗神经根型颈椎病的临床研究
- Author:
Shuaigang DU
1
;
Xuechang WANG
;
Yingcun MA
;
Xinxing WANG
;
Ke LI
;
Songli ZHOU
;
Bin YANG
;
Xuejian MA
Author Information
1. 河南省中医院 郑州 450002
- Publication Type:Journal Article
- Keywords:
Ultrasonic-guidance;
Nerve block;
Arc edge needle-scalpel;
Cervical spondylotic radiculopathy
- From:
World Science and Technology-Modernization of Traditional Chinese Medicine
2025;27(8):2265-2273
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of ultrasound-guided nerve block combined with arc edge needle-scalpel in the treatment of cervical spondylotic radiculopathy.Methods 160 cases were randomly divided into 4 groups from A to D,40 cases in each group.Group A was given nerve block,group B was given ultrasound-guided nerve block,group C was given arc edge needle-scalpel,and group D was given ultrasound-guided nerve block combined with arc edge needle-scalpel for 4 weeks.The McGill pain scale,cervical dysfunction index,cervical motion(angle of cervical left and right rotation,anterior flexion,posterior extension and lateral flexion),myoelectric-evoked potentiall(median nerve and ulnar nerve conduction velocity,latency),arterial blood flow velocity(average vertebral artery and basal artery flow velocity,end-diastolic blood flow velocity)were observed.The serum levels of neuron-specific enolase(NSE),β-endorphin(β-EP),lipoprotein-associated phospholipase A2(LpPLA2),6-ketoprostaglandin E1α(6-keto-PGE1α)were measured.The clinical efficacy and safety of each group were observed.Results The response rate in group D was taller than that in group A and group B significantly(χ2=6.605,P=0.013;χ2=4.073,P=0.044).Compared with the other three groups,the McGill pain,NDI,NSE,LpPLA2 and 6-keto-PGE1α in group D decreased significantly(P<0.05),the β-EP increased significantly(P<0.05),and the angles of left and right cervical rotation,anterior flexion,posterior extension and lateral flexion increased significantly(P<0.05),and median nerve and ulnar nerve conduction velocity,vertebral artery and basilar artery average blood flow velocity,end diastolic blood flow velocity increased significantly(P<0.05),and median nerve and ulnar nerve latency decreased significantly(P<0.05).The safety index of group D was higher than that in group A significantly(χ2=5.641,P=0.018).Conclusion Ultrasound-guided nerve block combined with arc edge needle-scalpel can relieve neck and shoulder pain,improve cervical spine function and reduce complications in patients with cervical spondylotic radiculopathy.
