The Feasibility Of Infrared Thermal Imaging Technology Used In Analysis On The Curative Effect Of Interventional Therapy For Cervical Disc Herniation

Objective:To evaluate the feasibility that infrared thermal imaging technology used in analysis on the curative effect of interventional therapy for Cervicalspondylotic radiculopathy caused by Cervical disc herniation,objective to find a method to objectively evaluate the herniation of cervical disc;.To observe the clinical efficacy of C guided radiofrequency ablation combined with collagenase lysis and ozone.Methods:Collecting 50 patients diagnosed Cervicalspondylotic radiculopathy caused by Cervical disc herniation in pain department of Tianjin First Center Hospital form December 2014 to January 2016.All patients were in good physical condition and did not undergo open surgery before interventional therapy.To inform patients about the risk of interventional therapy.After entering the room,the patient took the dorsal decubitus,connected the monitor to monitor the patient’s vital signs,and established the venous access.Under the guidance of "C" arm X-ray,the cervical intervertebral disc puncture was performed by the right side of the cervical spine.After successful puncture,cervical disc plasma radiofrequency ablation and ozone injection were performed in the cervical spine.Then lie on the position on uninjured side,C arm localization,cervical intervertebral foramen puncture.After the puncture were given 1%lidocaine 1ml,10 minutes after the monitoring without spinal anesthesiawere respectively injected Diprospan 3mg and collagenase 800 units.Keep healthy position 6 h after the surgery,One day before surgery（T₀）and 6months after operation（T₁）,the clinical evaluation scale（CASCS）score and the infrared thermal imaging of neck and shoulder were collected and compared.Results:1 Changes of CASCS score in patients at T₀ and T₁The CASCS score of patients was 79.12±2.73 at T₀,The CASCS score of patients was 88.30±2.66 at T₀.The CASCS score of T₁ was significantly higher than that score of T₀ score.The difference of CASCS score T₀-T₁ called d₁ is-9.18±2.79.The difference of CASCS score between T₀ and T₁ was statistically significant（P < 0.01）.2 Changes of temperature difference of bilateral neck and shoulder in patients at T₀ and T₁2.1 Temperature of bilateral neck and shoulder temperature difference in patients at T₀The healthy side temperature value of patients at T₀ was（30.28±0.45）℃,The affected side temperature at T₀ was（31.58±0.52）℃.The D-value ΔT₀ is（1.33±0.34）℃.There was a significant difference in T₀ between the healthy side and the affected side（P < 0.01）.2.2 Temperature of bilateral neck and shoulder temperature difference in patients at T₁The healthy side temperature value of patients at T₁ was（29.95±0.53）℃,The affected side temperature at T₁ was（30.31±0.43）℃.The D-value ΔT₁ is（0.34±0.23）℃.There was a significant difference in T₁ between the healthy side and the affected side（P < 0.05）.2.3 Comparison ofΔT₀ andΔT₁ΔT₀-ΔT₁ was d₂（0.94±0.34）℃,There was significant difference betweenΔT₀ andΔT₁（P < 0.01）.3 Correlation analysis between CASCS score and infrared thermal imaging of neck and shoulder temperatureThe correlation analysis between d₁ and d₂ showed that the difference of CASCS score was negatively correlated with the temperature difference between the healthy side and the neck and shoulder.Conclusion:Radiofrequency ablation combined with collagenase lysis and ozone has obvious curative effect on Cervicalspondylotic radiculopathy caused by Cervical disc herniation,Infrared thermal imaging technology can objectively evaluate the condition and curative effect of patients with cervical disc herniation.