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目的 分析经皮全脊柱内镜技术治疗腰椎间盘突出症的临床疗效. 方法 经皮全脊柱内镜手术的腰椎间盘突出患者并随访时间超过12个月的共1143例.其中,经椎间孔入路832例,经椎板间隙入路311例.观察术中术后的并发症发生情况,采用Mac Nab标准评价术后12个月疗效. 结果 术中术后共发生并发症84例,发生率7.34%.术后12个月时随访优470例(41.1%)、良590例(51.6%)、可60例(5.2%)、差23例(2.0%),优良率92.7%. 结论 经皮全脊柱内镜技术治疗腰椎间盘突出症能够获得满意的临床疗效,但是存在一定的并发症,应该严格把握手术适应症,并做好并发症的应对措施.“,”Objective To evaluate the feasibility and clinical efficacy of Percutaneous full-endoscopic spine surgery for lumbar disc herniation. Methods A retrospective review was performed on 1143 patients with lumbar disc herniation treated by Percutaneous full-endoscopic spine surgery.The complications during operation and after operation were studied retrospectively and the 12th months of the follow-up were also evaluated by MacNab scores. Result The complications were found in 84 cases,with the incidence rate of 7.34%.The surgical outcomes were excellent in 470(41.1%)cases,good in 590(51.6%)cases,fair in 60(5.2%)cases with the excellent-to-good rate of 92.7%.Conclusion Percutaneous full-endoscopic spine surgery for lumbar disc herniation is reliable and effective.But,the complications are not uncommon,the surgical indication should be strictly managed,and the solutions should be prepared.