Haimiti Abudouaini,1 Junsong Yang,1 Meng Li,2 Pingzheng Zhang,2 Kaiyuan Lin,1 Yonghong Jiang,3 Kongjiang Tao,3 Hong Zhang2 

1Department of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, 710054, People’s Republic of China; 2Department of Ultrasound Medical Center, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, 710054, People’s Republic of China; 3Department of Computed Tomography, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi, 710054, People’s Republic of China

Correspondence: Hong Zhang, Department of Ultrasound Medical Center, Honghui Hospital, Xi’an Jiaotong University, No. 76, Nanguo Road, Beilin District, Xi’an, Shaanxi, 710054, People’s Republic of China, Email 254972342@qq.com

Objective: To explore the preliminary application value of real-time ultrasound-guided combined with CT monitoring in percutaneous cervical disc puncture injection for diagnostic trials.
Methods: Sixty patients with suspected cervical discogenic dizziness undergoing percutaneous cervical disc puncture between January 2023 and February 2024 were randomly divided into two groups: real-time ultrasound-guided combined with CT monitoring and CT-guided alone. The groups were compared for pre-puncture positioning time, total puncture process time, number of CT exposures, and complications. Subsequent treatment and medications were consistent between the two groups.
Results: Sixty patients were divided into the the real-time US-guided combined with CT monitoring group (n=30) and the CT-guided group (n=30). Pre-puncture positioning time in the real-time US-guided combined with CT monitoring group was shorter than that in the CT-guided group, but there was no statistical difference between the two groups (P> 0.05). The total puncture process time and the number of CT exposures in the real-time US-guided combined with CT monitoring group were smaller than those in the CT-guided group, and there was a statistical difference between the two groups (P< 0.05). Two cases of hematoma appeared in CT guidance alone, and no hematoma appeared in the real-time US-guided combined with CT monitoring group.
Conclusion: Real-time ultrasound-guided combined with computed tomography monitoring in percutaneous cervical disc puncture is a rapid, visible, safe, and effective method.

Keywords: real-time ultrasound guidance, CT guidance, cervical disc puncture diagnostic trial, cervical discogenic dizziness, cervical spine disease