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目的：对比分析电视胸腔镜手术与常规开胸手术治疗肺大泡的临床疗效。方法回顾性分析我院自2008年10月至2014年10月经手术治疗的58例肺大泡患者的临床资料，按照手术方式的不同进行分组，腔镜组29例，开胸组29例。总结分析腔镜组与开胸组的临床疗效。结果与开胸组相比，腔镜组术中出血量较少，手术时间较短，术后引流量较少，疼痛时间短，住院天数较短，且SAS评分较低，有明显差异，有统计学意义（P<0.05）。结论电视胸腔镜手术治疗肺大泡疗效显著，优于开胸手术，且出血少、患者恢复快速、疼痛小，值得推广。“,”Objective Comparing VATS and conventional thoracotomy clinical efficacy analysis. Methods Collected in October 2008-2014 October pneumatocele 58 patients, grouped according to the different treatment methods. Experimental group of 29 patients who underwent video-assisted thoracic surgery, 29 cases in the control group received conventional thoracotomy. Clinical efficacy in the experimental group and the control group, and contrast. Results Compared with the control group, the experimental group, less blood loss, shorter operative time, less postoperative drainage, pain, time is short, shorter hospital stay, and SAS scores low, there are significant differences were statistically significant (P<0.05). Conclusion VATS treatment bulla significant effect, superior thoracic surgery, and less bleeding, the patient recovered quickly, little pain, it is worth promoting.