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目的为探讨电视胸腔镜在临床上的应用。方法１９９４年１１月～１９９６年１月在电视胸腔镜下行胸部手术４３例。反复自发性气胸２０例，肺孤立性病灶８例；胸膜活检３例；自发性食管破裂、食管肿瘤、前纵隔及心包积血、支气管扩张症各１例；胸腔积液反复诊断不明２例，纵隔肿瘤４例；脓胸２例，其中１例慢性脓胸需作大面积胸膜纤维板剥脱中转开胸术。结果手术均进行顺利，无明显并发症，无手术死亡，效果良好。结论该术式具有损伤小、疼痛轻、出血少、并发症少、恢复快、住院日短等优点。
Objective To discuss the clinical application of video-assisted thoracoscopy. Methods From November 1994 to January 1996, 43 cases underwent thoracoscopic thoracoscopic surgery. 20 cases of recurrent spontaneous pneumothorax, 8 cases of solitary pulmonary lesions, 3 cases of pleural biopsy, 1 case of spontaneous rupture of esophagus, 1 case of esophageal tumor, anterior mediastinum and pericardial hemorrhage, 1 case of bronchiectasis, 2 cases of unknown recurrence of pleural effusion, Mediastinal tumors in 4 cases; empyema in 2 cases, of which 1 case of chronic empyema required for large area pleural fibrosis stripping transfer thoracotomy. Results The operation was smooth, no obvious complications, no operative death, the effect is good. Conclusion The procedure has the advantages of less injury, less pain, less bleeding, less complications, faster recovery and shorter hospital stay.