目的　探讨用腹腔镜代替胸腔镜 ,治疗自发性血、气胸的方法及可行性。方法 :2 0 0 1年 2月至 10月 ,用腹腔镜治疗 2 9例自发性血、气胸患者 ,回顾分析其手术方法及治疗效果。结果　本组 2 9例患者均痊愈出院 ,无中转开胸手术及严重并发症发生。近期随访无复发。结论　腹腔镜代替胸脸镜治疗自发性血、气胸 ,同样具有操作方便、创伤小、并发症少、术后康复快、符合美学要求等优点 Objective To explore the feasibility and feasibility of using laparoscopy instead of thoracoscope to treat spontaneous blood and pneumothorax. Methods: From February to October 2001, 29 patients with spontaneous blood and pneumothorax were treated with laparoscopy. The surgical methods and therapeutic effects were retrospectively analyzed. Results The group of 29 patients were discharged, no transit thoracotomy and severe complications. No recurrence of recent follow-up. Conclusion Laparoscopy instead of thoracic mirror for the treatment of spontaneous blood, pneumothorax, also has the advantages of easy operation, less trauma, fewer complications, quick recovery, in line with aesthetic requirements