The Clinical Observation Of Effectiveness Of The Degenerative Cervical Disc Herniation Treated By Percutaneous Coblation Nucleoplasty

Objective Evaluate the curative effect and safety of Degenerative Cervical Disc Herniation treated by Percutaneous Coblation Nucleoplasty. Provide medical evidence for clinical treatment and offer new mentality to the treatment of Degenerative Cervical Disc Herniation.Methods The theoretical part based on the research of ancient and modern literature, discusses knowledge of the Cervical Disc Herniation, etiology and treatment of disease in traditional Chinese medicine, and knowledge of Cervical Disc Herniation; conclusion and review of the recent advances in the treatment in western medicine.Clinical studies adopt a single-center, parallel controlled, no-random design scheme in clinical test.37 patients with Degenerative Cervical Disc Herniation were collected in clinic, and were divided into two groups,17 paients in treatment group and 20 patients in control group. Patients in the treatment group were treated by Percutaneous Coblation Nucleoplasty, and the control group treated by Huangqi Guizhi wuwu Decoction. The patients in both of groups were told how to use their neck healthily and do neck exercises. Compare the two groups with Neck Disability Index(NDI), Visual Analog Scale(VAS)and the symptoms changes, then evaluate effectiveness of treatments and the differences between two groups and evaluate the effect of pain relieve and the quality of neck. Three months after treatment, referring to the standard of William's efficacy, evaluate the final efficacy of two groups.Results In the clinic study, the score of NDI and VAS were better than before the treatment in both groups.About VAS scores:24 hours,1 week after treatment, patient in treatment group were better than in control group,the difference was significant(P<0.01); 1 month,3 months after treatment, patient in treatment group were slightly better than in control group.the difference had statistical significance(P<0.05).About NDI scores:1 week after treatment, patient in treatment group were better than in control group,the difference was significant(P< 0.01); 1 month after treatment, patient in treatment group were slightly better than in control group,the difference had statistical significance(P<0.05); 3 months after treatment, NDI scores between two groups had no statistical significance(P> 0.05).Based on the standard of William's efficacy,3 months after treatment,82.35%of patients showed excellent or good outcomes in treatment group,but 70%of patients showed excellent or good outcomes in control group.Conclusion Percutaneous Coblation Nucleoplasty is safe, simple in operation and has excellent short-term curative effect. It can dispel or relieve symptom at once, such as neck pain, numbness limbs, headache, dizziness, chest tightness, vomiting etc., especially for mild and moderate patients. And it has low recurrence rate.