【摘要】 <正>腰椎间盘突出症(lumbar disc herniation,LDH)为常见病、多发病。近十余年来,脊柱内窥镜技术在治疗LDH的应用上日趋成熟,开展内窥镜下腰椎间盘手术的医院越来越多,手术效果亦得到越来越广泛的认可。目前用于治疗LDH的脊柱内窥镜技术包括:后路显微内窥镜下腰椎间盘切除术更多还原

【Abstract】 Lumbar disc herniation(LDH) is a common and frequently-occurring disease.The traditional treatment method of LDH is Lamina decompression discectomy,but this kind of operation has some unavoidable complications such as nerve root adhesion,spinal instability and so on.During the past 10 years,spine endoscope technology is used more and more widely because of its feature of being minimally invasive.The spine endoscopic technologies are used in the treatment of LDH currently including microendoscopic discectomy(MED),percutaneous transforaminal endoscopic discectomy(PTED) and full-endoscopic interlaminar disectomy(FLD).The purpose of this paper is to review the progress of these minimally invasive technologies.Compared with traditional open surgery, they all have advantages including small trauma,less bleeding,quick postoperative recover and less complications. They represent the direction of the spine minimally invasive surgery.Especially,PTED and FLD keep the stability of the column frame structure of the spine effectively.We should strictly master their principles,indications and contraindications when we use these technologies for the treatment of LDH.We should take an individual treatment plan rather than expanding the indications blindly.For the same technology used in different patients,the puncture point, angle and position should be personalized,emphasizing the targeted biopsy.And then,we can get better clinical effect.更多还原