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超声在颈椎病诊疗中的应用进展
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Abstract:
颈椎病是临床高发的脊柱退行性疾病，其引发的颈痛、神经血管压迫症状严重降低患者生活质量，加重社会医疗负担。超声技术凭借无创性、实时动态成像及无辐射暴露等核心优势，在颈椎病诊疗中展现独特价值：既能清晰显示颈椎解剖结构及退行性改变，为病因诊断提供影像学依据；又可精准引导神经阻滞、射频消融、针刀松解等介入治疗操作，提升治疗安全性与有效性；同时还能用于围手术期评估及并发症预警。本文系统综述超声技术在颈椎病诊断评估、介入治疗、围手术期管理及新技术应用中的研究现状，旨在为临床实践提供循证参考。
Cervical spondylosis is a clinically prevalent degenerative spinal disease. The neck pain and neurovascular compression symptoms caused by it severely reduce patients’ quality of life and increase the social and medical burden. Ultrasound technology exhibits unique value in the diagnosis and treatment of cervical spondylosis due to its core advantages of non-invasiveness, real-time dynamic imaging, and no radiation exposure. It can not only clearly display the anatomical structure of the cervical spine and degenerative changes to provide imaging evidence for etiological diagnosis, but also accurately guide interventional procedures such as nerve blocks, radiofrequency ablations, and acupotomy releases to improve the safety and effectiveness of treatment. Meanwhile, it can be used for perioperative assessment and as an early warning system. This article systematically reviews the research status of ultrasound technology in the diagnostic evaluation, interventional treatment, perioperative management, and application of new technologies for cervical spondylosis, aiming to provide evidence-based reference for clinical practice.
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