目的 探讨围手术期精准康复对腰椎管狭窄症（lumbar spinal stenosis， LSS）全脊柱内镜减压（endoscopic LOVE decompression， Endo-LOVE）术后临床疗效的影响。 方法 对2020年1月至2022年4月收治的52例Endo-LOVE术后患者进行回顾性研究，根据患者接受康复治疗的不同形式分为观察组（精准康复）和对照组（传统康复），两组各26例。分别于术前、术后第7天、术后3个月对患者的疼痛视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）、JOA评分以及步态参数里的左右支撑相的比值进行评估。 结果 所有手术患者均无严重手术并发症。术后第7天、术后3个月两组VAS和ODI评分较术前显著降低（P < 0.01），JOA评分和左右支撑相的比值较术前显著增高（P < 0.01）；其中术后第7天、术后3个月观察组的各项指标跟对照组相比差异有统计学意义（P < 0.05）。 结论 腰椎管狭窄症Endo-LOVE手术围手术期精准康复可以缓解术后残余疼痛，改善步行功能，降低腰椎功能障碍程度和提高日常生活能力，缩短康复周期，具有临床应用价值。

Objective To explore the clinical efficacy of preoperative precise rehabilitation on endoscopic spinal decompression （Endo-LOVE） for lumbar spinal stenosis （LSS）. Methods A retrospective study was conducted among 52 patients with Endo-LOVE from January 2020 to April 2022. The patients were equally divided into observation group and control group， treated with precision rehabilitation and traditional rehabilitation according to the different rehabilitation patterns， respectively. The two groups were compared in terms of the score by Visual Analogue Scale （VAS）， Oswestry Disability Index （ODI） and JOA scores as well as the ratio of left and right supporting phases in gait parameters before the operation， 7 days and 3 months after the operation. Results There were no serious surgical complications in all patients. The VAS and ODI scores 7 days and 3 months after the operation were significantly lower （P < 0.05） and the JOA score and the ratio of left and right supporting phases were significantly higher than before the operation（P < 0.05）. The indexes of the observation group were statistically significantly different with those of the control group 7 days and 3 months after the operation （P < 0.05）. Conclusion Preoperative precise rehabilitation in Endo-LOVE for LSS can relieve postoperative residual pain， improve walking function， reduce the degree of lumbar dysfunction， improve the ability of daily living， and shorten the rehabilitation period. It is of value for clinical application.