为了解青少年腰椎间盘突出症的病因、临床表现及治疗与成人腰椎间盘突出症的区别，总结了３１例２０岁以下青少年手术后远期随访结果。随访平均８年，优良率９３％。作者认为，外伤是造成青少年腰椎间盘突出症的主要原因。临床上较少出现感觉、运动及腱反射异常等神经根损害的表现。治疗上不应过份强调保守治疗，手术治疗可获得满意疗效。 In order to understand the etiology, clinical manifestations and treatment of lumbar disc herniation in adolescents, this paper summarizes the long-term follow-up results of 31 adolescents under 20 years old after operation. The average follow-up of 8 years, excellent and good rate of 93%. The author believes that trauma is the main reason for the formation of young lumbar disc herniation. Fewer clinical symptoms such as sensory, motor and tendon reflex abnormalities such as nerve root damage performance. Treatment should not be too much emphasis on conservative treatment, surgical treatment can be satisfied with the curative effect.