目的 :拓展胸腔镜微创外科新领域 ,改进胸椎结核病灶清除手术方法。方法 :经胸腔镜辅助下小切口进行胸椎结核病灶清除术 ,与常规手术方法随机对照。结果 :以切口创伤为主 ,手术时间、出血、术后疼痛及术后并发症等方面有显著差异 ,手术效果良好。结论 :电视胸腔镜辅助下胸椎结核病灶清除术 ,与传统的开胸手术比较 ,创伤小 ,出血少 ,手术时间短 ,并发症少及恢复快 Objective: To expand the new field of minimally invasive thoracoscopic surgery and improve the surgical treatment of thoracic tuberculosis. Methods: Thoracoscopic assisted small incision for thoracic tuberculosis fistula removal, and conventional surgical methods were randomly controlled. Results: The main incision wounds, operation time, bleeding, postoperative pain and postoperative complications have significant differences, the operation effect is good. CONCLUSION: Video-assisted thoracoscopic assisted thoracic tuberculosis resection has the advantages of less trauma, less bleeding, shorter operative time, less complications and faster recovery than traditional thoracic surgery