目的调查电视胸腔镜技术在胸部外伤诊疗中的应用价值。方法 43例胸外伤患者,给予电视腹腔镜手术治疗,观察患者术中、术后情况。结果 1例(2.33%)中转开胸手术,其他均手术成功,未发现死亡病例,术后出现4例(9.3%)并发症。术后随访6个月,所有患者均恢复良好,未发现明显并发症。结论采用电视腹腔镜技术治疗胸部外伤,具有创伤小、患者痛苦小以及术后恢复快等优势,值得在临床上推广应用。 Objective To investigate the value of video-assisted thoracoscopy in the diagnosis and treatment of chest trauma. Methods Forty-three patients with thoracic trauma were treated with video-assisted laparoscopic surgery. The intraoperative and postoperative conditions were observed. Results One case (2.33%) underwent thoracotomy. All the others were operated successfully. No deaths were found. Four cases (9.3%) had complications after operation. All the patients recovered well after 6 months of follow-up, and no obvious complication was found. Conclusions TV laparoscopic treatment of chest trauma has the advantages of less trauma, less pain and quicker postoperative recovery, which is worth popularizing in clinic.