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外科研究与新技术(中英文) ›› 2026, Vol. 15 ›› Issue (3): 242-245.doi: 10.3969/j.issn.2095-378X.2026.03.009

• 论著 • 上一篇    下一篇

超声引导下行颈脊神经后内侧支阻滞治疗颈椎小关节综合征的临床疗效分析

叶泳均, 梁智维, 谢霞   

  1. 南方医科大学南方医院,东莞医院东莞市滨海湾中心医院康复医学科,广东 东莞 523900
  • 收稿日期:2026-01-20 出版日期:2026-09-28 发布日期:2026-09-30
  • 作者简介:叶泳均(1980—),女,主任医师,从事临床康复医学科工作;电子信箱:yeshbo80@163.com
  • 基金资助:
    中文作者简介:东莞市社会发展科技项目(20221800901122)

Clinical efficacy analysis of ultrasound-guided posterior medial branch block of cervical spinal nerves in treatment of cervical facet syndrome

YE Yongjun, LIANG Zhiwei, XIE Xia   

  1. Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Dongguan Hospital, Dongguan Binhai Bay Central Hospital, Dongguan 523900, Guangdong, China
  • Received:2026-01-20 Online:2026-09-28 Published:2026-09-30

摘要: 目的 探究超声引导下颈脊神经后内侧支阻滞治疗颈椎小关节综合征的临床疗效。方法 选取2023年1月—2025年1月100例颈椎小关节综合征患者,以随机数字表法分为对照组(保守疗法)和研究组(超声引导疗法),比较两组疗效相关指标,包括视觉模拟评分法(VAS)评分、颈椎功能障碍指数(NDI)、颈部活动度。结果 两组治疗前VAS评分、NDI评分及颈部活动度差异均无统计学意义。治疗后,研究组VAS评分、NDI评分均低于对照组,颈部活动度均大于对照组,差异均有统计学意义(P<0.05)。结论 超声引导下颈脊神经后内侧支阻滞治疗颈椎小关节综合征呈现更高的优势,值得在临床加以推广应用。

关键词: 颈椎小关节综合征, 超声引导下, 颈脊神经后内侧支阻滞, 临床疗效

Abstract: Objective To explore the clinical efficacy of ultrasound-guided posterior medial branch block of cervical spinal nerves in the treatment of cervical facet syndrome. Methods From January 2023 to January 2025, a total of 100 patients with cervical facet syndrome were selected. Using a random number table, they were divided into a control group (conservative therapy) and a study group (ultrasound-guided therapy) to compare the efficacy between the two groups, including visual analog scale (VAS) scores, neck disability index (NDI), and neck range of motion. Results In terms of VAS scores, NDI scores, and neck mobility, there were no differences between the two groups before intervention. After intervention, the study group showed lower VAS scores and NDI scores, and larger neck range of motion than the control group (P<0.05). Conclusion Ultrasound-guided posterior medial branch block of cervical spinal nerves shows great advantages in the treatment of cervical facet syndrome and is worthy of clinical promotion and application.

Key words: Cervical facet syndrome, Ultrasound-guided, Posterior medial branch block of cervical spinal nerve, Clinical efficacy

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