Ozone Combined With Radiofrequency Ablation On Cervical Spondylosis Radiculopathy (CSR) Of Clinical Observation And Discussion

Objective:Through observation ozone combined withradiofrequency ablation and comprehensive conservative threrapy scheme oftwo kinds of treatments effect on cervical spondylotic radiculopathy(CSR), inorder to investigate ozone combined with radiofrequency ablation of the near,medium-term efficacy in the treatment of CSR,to compare efficacy eachother,and to clear ozone combined with radiofrequency ablation’s therapeuticvalue.Methods:1. According to"the third National Symposium on Cervicalspondylosis"，"practical bone science fourth edition" and "syndrome diagnosticefficacy standards traditional Chinese medicine orthopedics and traumatology2012edition" on CSR‵s diagnosising standards,patients were divided intoozone combined with radiofrequency ablation group(group A) andcomprehensive conservative threrapy group(group B) in our hospital‵sorthopaedics from July2012to July2013.2. A group cases count24, male11cases, female13cases, age35~56years, mean age46.45±5.42years old，andC3/4,C4/5,C5/6,C6/7are1case,9cases,19cases,11cases.Before treatment,project-related inspections should be consummated,clearing the symptoms ofcervical intervertebral disc and scoring the patient’s condition, according tohuaxi medical centre "treatment cervical disease rating scale" and the VASscore.In the3days before surgery to guide the patients to do thetracheoesophageal ring goes on training, positive preoperative preparation, andin local anesthesia ozone combined radiofrequency ablation of the clinicalsymptoms of cervical discs.To be conventional intravenous mannitol125ml bid after the treatment,and injection Xueshuantong250mg qd from the second dayafter the treatment,1week for a complete treatment process,making scores atdischarge,2weeks,1month,3months and6months after the treatment, whenthe patients in hospital again be examined the body carefully and scored.3. In26cases of B group, males11and females15, age38~58years old, the averageage of48.36minus5.01,and C3/4,C4/5,C5/6,C6/7are0case,10cases,15cases,11cases， preoperative scoring methods with A group. Intravenousinfusion of mannitol125ml bid,xueshuantong injection in250mg qd,oralZhilonghuoxuetongyu capsule4#TID and traditional Chinese Medicine,acupuncture,cervical traction,and external application of Jinghuang powder anso on.1week for a complete treatment.According to "syndrome diagnosticefficacy standards traditional Chinese medicine orthopedics and traumatology2012edition", differentiation of traditional Chinese medicine(TCM) in thecourse of treatment,postoperative score methods with the A group. Results：1.After the treatments for50cases in follow-up visits, at least for6months, withan average of6.3months,2pitients were recurrent during the March-June in BGroup.2. The A group patients‵treatment of cervical scores（x s）and VAS（x s） scores are (6.4818.59,19.4818.58,20.8719.96,21.6419.25,22.4621.63,23.4221.46) and (7.827.53,3.327.07,2.887.43,2.567.73,2.367.41,2.216.94) before treatment and at discharge,2weeks,1month,3months and6months after the treatment. The datas of the two groups beforeand after the treatment are compared by t test (P <0.05).3. The B grouppatients‵treatments of cervical score （x s）and VAS（x s）scoresrespectively are (6.8717.19,18.3221.10,19.4522.55,20.8718.15,21.9619.20,20.6223.14) and (7.427.30,3.067.23,2.628.09,2.227.91,2.126.32,2.367.98) before treatment and at discharge,2weeks,1month,3 months and6months after the treatment.The datas of the two groups before andafter the treatment are compared by t test (P <0.05).4. After the treatment fordischarge,2weeks,1month,3months and6months,the good rates of group Aare87.5%,91.7%,91.7%,91.7%,91.7%,and the good rates of group B are84.6%,88.5%,88.5%,88.5%,81.0%.5. A group and B group after the treatmentfor discharge,2weeks,1month,3months and6months, treatment of cervicalscore improvement indexes are respectively (0.710,0.728,0.741,0.747,0.755)and (0.689,0.692,0.695,0.700,0.656).With rank sum test, at the same time thedatas of the two groups after the treatment for discharge,2weeks,1month and3months are not statistically significant (PAB>0.05), and after the treatment for6months the datas are statistically significant (PAB<0.05).6. A group and Bgroup after the treatment for discharge,2weeks,1month,3months and6months,the average VAS score improved indexes respectively are (0.714,0.730,0.742,0.746,0.753) and (0.689,0.691,0.694,0.697,0.659).With rank sum test, atthe same time of after the treatment for discharge,2weeks,1month and3months the datas of the two groups are not statistically significant (PAB>0.05),after the treatment for6months the datas are statistically significant(PAB<0.05). Conclusions：１. Ozone combined with radiofrequency ablation for thetreatment of cervical spondylosis radiculopathy is significant effect, and itcould significantly relieve nerve root symptoms in patients with CSR.2.Comparing Ozone combined with radiofrequency ablation with conservativeon CSR, the first is remarkable superiority in the treatment‵s efficacy，and itcould reduce the rate of recurrence.