[摘 要] 目的 探讨多节段腰椎间盘突出症的后路腰椎间盘镜(MED)手术治疗方法。 方法 回顾性分析2000年至2004年经MED治疗的45例多节段椎间盘突出症的临床资料。 结果 对45例患者共93个椎间盘进行了手术，平均住院时间14.8d，平均手术时间92min，平均手术出血量145ml，术后随访3个月至40个月，手术优良率为91.6%。 结论 多节段腰椎间盘突出症是MED手术治疗的相对适应证，相对于单节段的MED手术，术前定位和术中操作更困难，严格的病例选择和全面的术前分析，辅以熟练的手术操作，仍可获得较为满意的疗效。

    [关键词] 椎间盘突出;内镜;椎间盘切除术

    Microendoscopic discectemy via posterior lamina in treating multisegmental lumbar disc herniation

    ZHENG Wen-jie，ZHOU Yue

    Department of Orthopedics，Xinqiao Hospital，Third Military Medical University，Chongqing400037，China

    Abstract:Objective To summarize the experience in treating the multisegmental lumbar disc herniation by microendoscopic discectemy(MED)via posterior lamina.Methods We retrospectively analysed the data of45cases of multisegmental lumbar disc herniation treated with mi-croendoscopic discectomy from2000to2004in our hospital.Results Forty-five cases including93intervertebral spaces were treated byMED tech-nique.All cases were followed up for3to40months with an average of8months.The average hospital stay was14.8d ......