Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1685-1687
PI Duo-bo, BAO Jun-kan, CHEN Long, ZHANG Ying. Clinical observation of percutaneous radiofrequency ablation of cervical intervertebral disc combined with silver needle in the treatment of cervical vertigo[J]. Chinese Journal of General Practice, 2022, 20(10): 1685-1687. doi: 10.16766/j.cnki.issn.1674-4152.002679
Citation: PI Duo-bo, BAO Jun-kan, CHEN Long, ZHANG Ying. Clinical observation of percutaneous radiofrequency ablation of cervical intervertebral disc combined with silver needle in the treatment of cervical vertigo[J]. Chinese Journal of General Practice, 2022, 20(10): 1685-1687. doi: 10.16766/j.cnki.issn.1674-4152.002679
shu

Clinical observation of percutaneous radiofrequency ablation of cervical intervertebral disc combined with silver needle in the treatment of cervical vertigo

doi: 10.16766/j.cnki.issn.1674-4152.002679

  • Department of Pain, Affiliated Hospital of Shaoxing University of Arts and Sciences, Shaoxing, Zhejiang 312000, China

Funds:

 2019KY728

  • Received Date: 2022-03-18
    Available Online: 2022-11-30
    Abstract
  •   Objective  To investigate the clinical effect of percutaneous radiofrequency ablation of cervical intervertebral disc combined with silver needle for cervical vertigo treatment.  Methods  A total of 119 patients with cervical vertigo diagnosed in the Pain Clinic of the Affiliated Hospital of Shaoxing University of Arts and Sciences from June 2019 to June 2021 were collected. The patients were randomly divided into group A (RF + silver needle group, n=41), group B (RF group, n=39) and group C (silver needle group, n=39). Patients in group A were treated with cervical intervertebral disc radiofrequency combined with silver needle, patients in group B were treated with cervical intervertebral disc radiofrequency only, and patients in group C were treated with silver needle only. The maximum systolic blood flow velocity (Vmax) of left vertebral artery (LVA), right vertebral artery (RVA) and basilar artery (BA) in the three groups before intervention and 1 week, 1 month and 3 months after treatment were measured by cranial colour Doppler ultrasound. The vertigo disability rating scale was used in evaluating the degree of vertigo.  Results  After the intervention, the vertebral artery haemodynamics of the three groups improved. After 3 months of intervention, the LVA-Vmax [(45.51 ± 4.73) cm/s], RVA-Vmax [(45.48 ± 4.70) cm/s], BA-Vmax [(45.54 ± 4.76) cm/s] of group A were higher than those of group B [LVA-Vmax, (43.11±4.82) cm/s; RVA-Vmax, (43.01±4.79) cm/s; BA-Vmax, (43.62±3.95) cm/s] and group C [LVA-Vmax, (43.06±4.98) cm/s; RVA-Vmax, (43.08±4.81) cm/s; BA-Vmax, (43.11±3.06) cm/s], the differences were statistically significant (all P < 0.05). After the intervention, all the indicators of the vertigo and disability scores of the three groups decreased, and the three groups had the lowest levels of the indicators after 1 month of intervention, and the differences were statistically significant (all P < 0.05).  Conclusion  The curative effect of cervical disc radiofrequency combined with silver needle in the treatment of cervical vertigo is significantly better than that of cervical disc radiofrequency therapy and silver needle alone.

     

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