[摘要] 目的 分析并评价经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的疗效。 方法 选择我院接收的腰椎间盘突出症患者82例作为研究对象，按不同治疗方法将患者分为两组：对照组41例，给予小切口开窗手术治疗;研究组41例，给予经皮椎间孔镜下髓核摘除术治疗，观察比较两种治疗方法的临床效果。 结果 研究组治疗总有效率(97.56%)略高于对照组(92.68%)，但差异无统计学意义(P>0.05);研究组患者手术指标(手术时间、住院时间、术中出血量)均优于对照组;且研究组术后1 d及术后3个月的VAS评分均较对照组低，差异均有统计学意义(P<0.05)。 结论 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的疗效理想，且具有较其他术式创伤更小、恢复更快等明显优势，故该术式具有显著的临床推广价值。

    [关键词] 腰椎间盘突出症;经皮椎间孔镜下髓核摘除术;小切口开窗手术;VAS评分

    [中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701(2019)18-0076-04

    [Abstract] Objective To analyze and evaluate the efficacy of percutaneous transforaminal nucleus pulposus removal in the treatment of lumbar disc herniation. Methods A total of 82 patients with lumbar disc herniation received in our hospital were selected as the study subjects. The patients were divided into two groups according to different treatment methods including 41 patients in the control group treated with small incision fenestration ......