【摘要】 目的 探讨后路椎间盘镜手术系统在手术治疗腰椎管狭窄症手术后10年疗效观察。方法 42例腰椎管狭窄患者均在后路椎间盘镜下行腰椎管扩大和神经根通道松解术。结果 腰椎管狭窄手术共42例，术后随访时间平均10年，获随访39例，按Nakai标准评定，优：34例；良：3例，可：2例，差：无1例。结论 提示该手术方法在减压彻底的前提下，创伤小保持了脊椎的稳定性、操作安全，疗效可靠，患者术后康复快，住院时间短，10年随诊未发现脊椎不稳定。

    【关键词】 腰椎管狭窄症;手术;内窥镜

    10 years clinical observation of treating the lumbar spinal canal stenosis with micoendoscopic discectomy(MED)

    CUI Qing-yuan, CHENG Xin-hui.

    Weidong District People’s Hospital of Pindingshan City,Pingdingshan 467000,China

    【Abstract】 Objective

    To explore10 years clinical observation of treating the lumbar spinal canal stenosis with Micoendoscopic Discectomy. Methods 42 patients were operated with Microendoscpic Disectomy for lumbar spinal canal and the nerve root canal. Results 42 Patients were operated and all of them were followed-up for average 10 years.We got the materials of 39 cases. According tothe“Nakai”standard,34 cases of them were excellent.3 cases of them were good.2 cases of them were usual. None of them were bad. Conclusion It will be astable curative effect with reducing the pressure completely. This method is good for lumbar spinal canal stenosis.There were lots of advantages of MED.Such as safe,low operative trauma, stable curative effect,quick recovery,etc. ......