| Objective:Observation of ultrasound-guided small needle-knife to excite stellate ganglion for treatment of vertebral artery type of cervical spondylosis, with a view to explore a simple, economical, and effective method of clinical treatment for the provision of scientific reference. Methods:60 cases were randomly divided into two groups. The treatment group was treated with ultrasound-guided Small needle knife to excite stellate ganglion. The control group was treated with stellate ganglion block. The clinical effect was evaluated by symptoms, physical signs, vertebral basilar artery blood flow velocity by TCD and adverse reactions.Results:58 cases completed the entire course of the study, the other 2 cases were dropped out. There was no statistical difference in baseline data between two groups (P>0.05). The total effective rate in treatment group was (86.2%) much better than control group (82.8%).But no significant difference by comparison (P>0.05). Before and after treatment of cervical vertigo symptoms and functional integration in two groups the statistical difference was significant (P<0.05). TCD examination after treatment Showed that vertebral artery and basilar artery blood flow velocity was better than before treatment, and the statistical difference was significant (P<0.05). The incidence of adverse reactions, such as obvious discomfort (6.9%), local pain (3.4%) and local hematomas (3.4%) in treatment group were lower than that in control group (20.7%,17.2%,13.7% respectively). The statistical difference was significant between treatment group and control group.Conclusion:The treatment of of ultrasound-guided small needle-knife to excite stellate ganglion for treatment of vertebral artery type of cervical spondylosis was significantly security, quick, which can improve cervical vertigo symptoms, functional integration and vertebral artery and basilar artery blood flow velocity. Therefore it is worthy of clinical use. |
PDF Full Text Request