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[目的]比较单孔胸腔镜与常规电视胸腔镜治疗创伤性气胸的临床疗效.[方法]选择2016年8月至2018年8月本院收治的创伤性气胸患者70例作为研究对象,随机分为对照组(行常规电视胸腔镜治疗)及观察组(行单孔胸腔镜治疗)各35例,比较两组患者的围术期各指标,手术当天和术后3 d的血清炎性细胞因子及氧化应激相关指标水平变化情况,统计并发症发生率.[结果]观察组的术中出血量、术后引流量、术后胸管放置时间及住院时间均少于对照组,手术时间长于对照组,差异有统计学意义( P ＜0 .05) .术后当天,两组患者的血清炎性细胞因子及氧化应激相关指标水平差异无统计学意义(P＞0 .05) ;术后3 d ,两组患者的炎性细胞因子及氧化应激相关指标水平均较术后当天降低,且观察组低于对照组,差异均有统计学意义(P＜0 .05) .两组术后并发症发生率比较,差异无统计学意义( P ＞0 .05) .[结论]与常规电视胸腔镜比较,单孔胸腔镜治疗创伤性气胸具有创伤小、恢复快、住院时间短等特点,且能更有效地减轻术后机体的炎症反应和应激反应,值得推广应用.“,”To analyze the clinical efficacy of single‐port thoracoscopic and video‐assisted thora‐coscopic surgery for traumatic pneumothorax ,and provide more reference for clinical practice .[M ethods]A to‐tal of 70 patients with traumatic pneumothorax admitted to our hospital from August 2016 to August 2018 were enrolled .35 patients underwent single‐hole thoracoscopic surgery and 35 patients underwent video‐assis‐ted thoracoscopic surgery .T he changes of serum inflammatory cytokines and oxidative stress related indicators in the perioperative period ,the day of surgery and the 3 days after surgery were compared between the two groups ,and the incidence of complication was statistically analyzed .[Results]T he bleeding volume ,drainage volume ,thoracic tube placement time and hospitalization time of the observation group were less than those of the control group ,and the operation time was longer than that of the control group ,with statistical signifi‐cance ( P ＜0 .05).On the day after operation ,there was no significant difference in serum inflammatory cyto‐kines and oxidative stress related indicators between the two groups ( P ＞0 .05) ;on the 3rd day after opera‐tion ,the levels of inflammatory cytokines and oxidative stress related indicators in the two groups were lower than those in the day after operation ,and the observation group was lower than the control group ,the differ‐ence was statistically significant ( P ＜0 .05).T here was no significant difference in the incidence of complica‐tions between the two groups ( P ＞0 .05).[Conclusion]Compared with conventional video‐assisted thoracos‐copy ,single‐port video‐assisted thoracoscopy for traumatic pneumothorax has the characteristics of less trau‐ma ,faster recovery ,shorter hospitalization time ,and can more effectively reduce the inflammatory response and stress response of the body after operation ,w hich is worthy of popularization and application .