方卫军++++++李章华

    [摘要] 腰椎间盘突出症是骨科的常见病和多发病，大部分患者经保守治疗后症状可以缓解，仅10%的患者最终需要手术治疗。治疗腰椎间盘突出症的手术方式有很多，传统开放手术具有创伤大、并发症多、易复发等缺点，微创技术具有创伤小、恢复快、并发症少等优点，使微创手术更受青睐。随着脊柱外科微创和内镜技术的发展，经皮椎间孔镜技术在临床上治疗腰椎间盘突出症越来越多，本文主要从经皮椎间孔镜的优势和适应证、操作技巧和注意事项、临床疗效和术后并发症等方面，阐述经皮椎间孔镜技术在腰椎间盘突出症治疗中的应用及进展。

    [关键词] 经皮椎间孔镜技术；腰椎间盘突出症；微创

    [中图分类号] R681.5 [文献标识码] A [文章编号] 1673-7210(2016)11(b)-0034-04

    [Abstract] Lumbar disc herniation is a common and frequently-occurring disease in the areas of orthopedics. In the majority， the symptoms of these patients after conservative treatment can be alleviated. Only about 10% of the patients eventually need operative treatment. The surgical treatment of lumbar disc herniation has a lot of methods. The traditional open operation has many defects， like serious trauma， more complication and high recurrence rate. On the contrary， minimally invasive technique has the advantages of small trauma， less complication as well as quickly recovery， and these merits make it more popular. With the development of the minimally invasive spine and endoscopic technology， percutaneous transforaminal endoscopic discectomy technology is extensively applied in the clinical treatment of lumbar disc herniation. This article mainly talks about the advantages ......