唐 卉 李路明^*

川北医学院附属医院武胜医院

摘要(Abstract)：

目的探讨超声引导下颈椎间盘射频热凝术（PCDRFT）联合背根节脉冲射频（DRG-PRF）治疗颈椎间盘突出症（CDH）的临床疗效与安全性。方法选取2024年9月至2025年12月收治的CDH患者50例，随机分为联合治疗组（CP组，n=25）与单纯DRG-PRF组（P组，n=25）。比较两组术前及术后1天、1周、1月、3月、6月的视觉模拟评分（VAS）、颈椎功能障碍指数（NDI），并记录手术时间、CT扫描次数、辐射剂量及并发症。结果CP组术后各时间点VAS评分及NDI改善率均显著优于P组（P<0.05）。CP组手术时间较P组长[（45.2±8.6）minvs（32.4±7.2）min，P<0.01）]，但其CT扫描次数[（1.2±0.4）次vs（2.8±0.6）次）]及辐射剂量[（186.5±42.3）mGy·cm²vs（354.7±58.1）mGy·cm²）]均显著低于P组（P<0.01）。两组均未发生严重并发症。结论超声引导下PCDRFT 联合DRG-PRF治疗CDH，能更有效地缓解疼痛、改善功能，其精准引导特性有助于显著减少辐射暴露，且安全性良好，值得临床推广。

关键词(KeyWords)：

颈椎间盘突出症；射频热凝；脉冲射频；超声引导；微创治疗

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