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目的：探讨双孔电视胸腔镜（video-assisted thoracosopic surgery，VATS）手术治疗继发性自发性气胸（secondary spontaneous pneumothorax，SSP）的中临床效果及有效性。方法回顾性分析48例继发性自发性气胸患者的临床资料，将48例患者分为开胸手术组和双孔电视胸腔镜组，比较两组患者的手术时间、术后引流时间及术后住院时间。结果两组患者均手术成功，无再次手术病理，双孔 VATS 组无1例中转开胸，无严重并发症发生。双孔 VATS 组的平均手术时间为（67．9±7．2）min、平均术后引流时间为（3．2±0．9）d，平均术后住院时间为（7．2±1．4）d；开胸手术组分别为（73．3±6．4）min、（5．0±1．3）d 和（8．7±1．5）d，两组比较差异有统计学意义（P ＜0．05）。结论与开胸方式比较，双孔 VATS 法术后引流时间、住院时间均明显缩短，患者术后的满意度更高，上肢运动影响小，术后恢复更快。“,”Objective To evaluated clinical effects and effectiveness of dual-port video-assisted thoracic surgery(VATS)for secondary spontaneous pneumothorax.Methods The clinical data of 48 pa-tients with secondary spontaneous pneumothorax who underwent open thoracotomy(n =18)or dual-port VATS(n =30)were reviewed retrospectively.Mean operation time,mean postoperative drainage period and mean postoperative hospital stay between the two groups were compared.Results All surgeries were suc-cessfully performed without reoperation and severe complications.No patient was converted to thoracotomy in the VATS group.There were significant differences in mean operation time [(67.9 ±7.2)min vs (73.3 ±6.4)min],mean postoperative drainage period [(3.2 ±0.9)d vs(5.0 ±1.3)d],and mean postoperative hospital stay [(7.2 ±1.4)d vs(8.7 ±1.5)d]between the dual-port VATS and open thora-cotomy(P <0.05 ).Conclusion Dual-port video-assisted thoracic surgery can reduce postoperative drainage period and postoperative hospital stay and increase satisfaction.It has little influence on upper limb movement and improves postoperative recovery.