Observation of the Clinical Efficacy and Safety of Ultrasound Guided Cervical Nerve Root Pulse Radiofrequency Combined with Small Needle Knife in the Treatment of Cervical Spondylotic Radiculopathy
Objective To investigate the effect of ultrasound(US)guided cervical nerve root pulse radiofrequency(PRF)combined with small needle knife in the treatment of cervical spondylotic radiculopathy(CSR).Methods Selecting 90 CSR patients admitted to our hospital from June 2021 to June 2023 as the research subjects,divided into a control group and an observation group using a random number table method,with 45 cases in each group.The control group was treated with small needle knife,and the observation group received ultrasound guided cervical nerve root pulse radiofrequency therapy in addition to the control group.The clinical effect and safety of the two groups were compared.Results After treatment,The total effective rate of observation group was 95.96%,higher than 82.22 of control group,the difference between groups was statistically significant(P﹤0.05).After treatment,the pain Visual Analogue Score and the Neck Disability Index score of the observation group were lower than those of the control group,while the CASCS score was higher than that of the control group,the differences between groups were statistically significant(P﹤0.05).The cervical curvature,flexion and extension range of motion in the observation group were greater than those in the control group,the differences between groups were statistically significant(P﹤0.05).The observation group had higher scores in various areas of quality of life compared to the control group,the difference greater between groups were statistically significant(P﹤0.05).There were no complications in either group.Conclusion Ultrasound guided cervical nerve root pulse radiofrequency combined with small needle knife treatment can improve the therapeutic effect of cervical spondylotic radiculopathy,reduce VAS score,alleviate cervical spine dysfunction and improving patient quality of life.
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