极外侧入路显微镜微通道技术治疗极外侧型腰椎间盘突出3例报告并文献复习

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【中图分类号】 R651 【文献标志码】 B 【文章编号】1672-7770（2025）03-0352-04

Abstract：ObjectiveTo investigate the effct using extreme lateral approach under microscope and microchannel technologyforsurgical treatment extradiscal herniation.MethodsTheclinicaldata3cases extreme lateral disc herniation who weresurgically treated with theextreme lateralapproach microscopemicrochannel technologyinHejiangCityPeople'sHospital fromAugust2O21to September2O24 wereretrospectivelyanalyzedand the relevant literature were reviewed.ResultsAll3cases werelocatedattheL4/5 segment.During theoperation，it was confirmed that theywere extremely lateral disc hemiation.After successul discectomy，thenerve decompressioneffct wasdefinite，there was nocerebrospinal fluid leakage，andno incisionorcentral nervous system infectionoccued. The symptoms the three cases disappeared completely during the 3-12 months follow-up after surgery. No spinal instability was found inthepostoperativeX-rayexamination.ConclusionsThe extreme lateral approach with microchanel technology isused to treat extreme lateral discherniation.Theoperation time isshort，thetrauma is small，the effect is definite with a low recurrence rate，and the impact onspinal stability is small.

Key words：extreme lateral lumbar disc herniation；microsurgery；microchannels；outcome

极外侧型腰椎间盘突出（farlaterallumbardischemiation，FLLDH）是一种少见类型腰椎间盘突出症，影像学表现不典型，容易漏诊及误诊，如保守治疗效果较差，可以采取手术治疗。（剩余8880字）