Lan Weiqiang, Cui Hanbing, Zhou Di, Xiao Xiao, Xiong Hongbo
Department of Orthopedics, Chenggong District People's Hospital, Kunming, Yunnan, China.
Operating Room, West China Xiamen Hospital of Sichuan University, Xiamen, China.
Front Surg. 2025 Jun 17;12:1593195. doi: 10.3389/fsurg.2025.1593195. eCollection 2025.
Lumbar disc herniation (LDH) is a common and frequent disease in orthopaedics, which seriously affects patients' physical and mental health as well as their daily life and work. There are various treatment methods for this condition, and different treatment plans should be adopted according to different situations. Traditional open surgery methods are relatively traumatic and have longer recovery times, while minimally invasive spine techniques have advantages such as smaller incisions, less bleeding, higher fusion rates, and faster recovery. This review summarizes the relevant literature on the application of minimally invasive techniques in the treatment of lumbar disc herniation in recent years, analyzes and compares the advantages and disadvantages of different approaches and endoscopic techniques, as well as reduction, decompression, and fusion effects. The aim is to provide reference for surgeons in selecting surgical procedures for the treatment of LDH.
腰椎间盘突出症（LDH）是骨科常见且多发的疾病，严重影响患者的身心健康以及日常生活和工作。针对这种病症有多种治疗方法，应根据不同情况采用不同的治疗方案。传统的开放手术方法创伤相对较大，恢复时间较长，而微创脊柱技术具有切口小、出血少、融合率高、恢复快等优点。本文综述了近年来微创技术在腰椎间盘突出症治疗中的应用相关文献，分析比较了不同方法及内镜技术的优缺点，以及复位、减压和融合效果。目的是为外科医生选择治疗腰椎间盘突出症的手术方式提供参考。
