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目的观察胸腔镜治疗青年自发性气胸的优越性。方法胸腔镜组15例,行胸腔镜肺大泡切除术;常规开胸组20例,行开胸手术。对比两组患者的术中、术后情况。统计方法采用t检验。结果两组均无手术死亡,无气胸复发。胸腔镜组在术中出血量、手术时间、术后胸腔引流浪县和术后住院天数、哌替啶用量、拆线时间等方面均明显优于常规开胸组,统计学处理有极显著差异（P＜0.01）。结论胸腔镜治疗青年自发性气胸具有创伤小、出血少、痛苦轻、手术时间短、住院时间短、疤痕小等优点,完全可以代替常规开胸手术。
Objective To observe the superiority of thoracoscope in treating young spontaneous pneumothorax. Methods Thoracotomy group of 15 cases underwent thoracoscopic lung alveolar excision; conventional thoracotomy group of 20 patients underwent thoracotomy. Compare the two groups of patients during surgery and postoperative conditions. Statistical methods using t test. Results There was no operative death and no pneumothorax recurrence in both groups. Thoracoscopic group was significantly better than conventional thoracotomy group in the amount of blood loss, operation time, postoperative chest drainage Long County and postoperative hospital days, the amount of pethidine, stitches time and so on, statistically significant difference (P <0.01). Conclusion Thoracoscopic treatment of young spontaneous pneumothorax with trauma, less bleeding, less pain, shorter operation time, shorter hospital stay, small scars, etc., can replace routine thoracotomy.