Objective:

To summarize the progress of percutaneous endoscopic lumbar interbody fusion in the treatment of lumbar degenerative diseases.

Methods:

The relevant literature about percutaneous endoscopic lumbar interbody fusion at home and abroad in recent years was reviewed, the approaches, technical characteristics, short- and long-term effectiveness, and complications of different surgical procedures were summarized.

Results:

Percutaneous endoscopic lumbar interbody fusion is a safe and reliable treatment. At present, the main surgical methods in clinical application can be roughly summarized as percutaneous endoscopic posterior transforaminal lumbar interbody fusion (Endo-PTLIF), percutaneous endoscopic transforaminal lumbar interbody fusion (Endo-TLIF), percutaneous endoscopic oblique lumbar interbody fusion (Endo-OLIF), percutaneous endoscopic lumbar interbody fusion/Z’s percutaneous endoscopic lumbar interbody fusion (Endo-LIF/ZELIF), and unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF). Each surgical method has its own technical characteristics and development.

Conclusion:

Percutaneous endoscopic lumbar interbody fusion is a kind of combined technology based on the individualization of the patient’s anatomical structure and the technical differentiation of the surgeon. Surgical experience, choosing adaptive indication and operative way reasonably are the key for the success.

目的:

对近年来经皮内镜辅助腰椎椎间融合手术方式进展进行综述。.

方法:

查阅近年来国内外经皮内镜辅助腰椎椎间融合术相关文献，对不同术式的手术入路、技术特点、疗效及并发症进行总结。.

结果:

经皮内镜辅助腰椎椎间融合术是一种安全可靠的治疗方式。目前临床应用术式主要包括经皮内镜下经后方椎间孔入路腰椎椎间融合术（Endo-PTLIF）、经皮内镜下经椎间孔入路腰椎椎间融合术（Endo-TLIF）、经皮内镜下经斜前方入路腰椎椎间融合术（Endo-OLIF）、经皮内镜下腰椎椎间融合术/Z系列经皮内镜下腰椎融合术（Endo-LIF/ZELIF）、单侧双通道内镜经椎间孔入路椎间融合术（UBE-TLIF）5种，每种手术方式皆有其自身技术特点及发展历程。.

结论:

经皮内镜辅助腰椎椎间融合术是一种基于患者个体化解剖特点和手术医生技术差异化的组合式方案，术者具备良好的传统手术基础、严格把握手术适应证及合理选择手术入路，对手术疗效具有重要意义。.