【摘要】 目的 分析后路腰椎间盘镜治疗腰椎间盘突出症与腰椎管狭窄的临床应用。方法 对我院61例后路间盘镜治疗的腰椎间盘突出症及腰椎管狭窄进行分析。腰椎间盘突出症45例，腰椎管狭窄19例。分别采用后路椎间盘镜手术进行“开窗”减压，髓核取出术及潜行神经根减压治疗。结果 随访12～18个月，按照Nakai标准：优51例，良6例，可4例，优良率93.4%。结论 该方法适用于椎间盘突出症及腰椎管狭窄病人，本术式达到了减压目的，而且手术创伤小，出血少，术后恢复快，保证了脊柱的稳定性。在发挥其优势的前提下，适应证的选择十分重要，预防手术并发症亦不可忽视。

    【关键词】 椎间盘镜； 腰椎间盘突出症； 椎管狭窄

    To analyse the clinical application of intervertebral disc endoscope through posterior approach

    TIAN Shao-hua，BAI Yu-jiang，LIU Jin-yu.

    Department of Orthopaedics，The Second Affiliated Hospital of Qiqihaer Medical College，Heilongjiang 161006，China

    【Abstract】 Objective To investigate the clinical application of lumbar disc herniation and lumbar spinal stenosis by intervertebral disc endoscope through posterior approach. Methods The clinical data were reviewed in 61 lumbar disc herniation and lumbar spinal stenosis cases who had undergone posterior endoscopic discectomy. 45 cases of lumbar disc herniation and 19 cases of lumbar spinal stenosis were operated upon. “Fenestration” decompression procedure ......