陈海岳,李洪安,杨文东,贺 元,关炳瑜

全脊柱内镜技术（Full Endoscopic Spine Surgery，FESS）是脊柱微创外科领域近二十年来最具革命性的进展之一。它借助高清内窥镜成像系统、精细的器械通道和持续水流灌洗，通过微小切口（通常<1cm）对椎管内结构进行可视化操作。该技术在退变性腰椎疾病（如腰椎间盘突出症、腰椎管狭窄症）治疗中日益成熟，展现出独特优势，并不断拓展其应用边界。本文旨在综述FESS在此领域的应用现状、技术特点、临床疗效、并发症及未来发展方向。

全脊柱内镜；退变性腰椎疾病；应用

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