The Efficacy Of Low-temperature Plasma Radiofrequency Ablation Combined With SGB For Cervical Spondylosis With Sympathetic Nerve Symptoms

Objective:This study aimed to evaluate the clinical efficacy and safety of computed tomography(CT)-guided low-temperature plasma radiofrequency ablation combined with B-ultrasound-guided stellate ganglion block(SGB)for cervical spondylosis with sympathetic symptoms.Methods:The clinical data of 73 patients with cervical spondylosis with sympathetic symptoms who were treated in our hospital from May 2018 to July 2020 were retrospectively analyzed.According to the treatment methods,the patients were divided into low-temperature plasma radiofrequency ablation(group A,n=42)and low-temperature plasma radiofrequency ablation combined with SGB(group B,n=31).The general data of the two groups were compared,including visual analog scale(VAS),spinal cord neurological function score(Japanese Orthopaedic Association(JOA)Scores,sympathetic symptom score,clinical efficacy,and related adverse reactions that occurred during the treatment before and 1,4,12 weeks after treatment.Results:1、There was no significant difference in gender,age,disease duration,VAS score,JOA score and sympathetic symptom scores between the two groups before treatment(P > 0.05).2、VAS and JOA scores before and after treatment in the two groups were statistically different at 4 time points(P < 0.05);there was no difference between the two groups at 12 weeks before and after treatment(P > 0.05),but there was statistical difference between the two groups at 1 week and 4 weeks after treatment(P < 0.05).Sympathetic symptom scores of the two groups before and after treatment.In group A,there was no significant difference in time at 1 week and 4weeks,4 weeks and 12 weeks after treatment(P > 0.05),and there were statistically significant differences at other time points(P < 0.05).In group B,there were statistically significant differences at other time points(P < 0.05)except 1 week and 4weeks after treatment,1 week and 12 weeks after treatment,4 weeks and 12 weeks after treatment(P < 0.05);In terms of grouping,there was no difference between the two groups at the time point before and 12 weeks after treatment(P > 0.05),while there was statistical difference at the time point 1 week and 4 weeks after treatment(P< 0.05).At 12 weeks after treatment,the overall excellent and good rates of group A and group B were 85.7%(36/42)and 87.1%(27/31),respectively(P > 0.05).There was no obvious complication in each group.3、There was no obvious complication in each group.Conclusion:Low-temperature plasma radiofrequency ablation combined with stellate ganglion block in the treatment of cervical spondylosis with sympathetic symptoms is conducive to the early recovery of patients with certain clinical value.