目的 :探讨电视胸腔镜手术治疗自发性气胸的优点、适应证及疗效。方法 :对 30例自发性气胸患者在气管插管全麻下行电视胸腔镜手术。结果 :全组均治愈出院 ,术后随诊 6个月～ 2年 ,除 1例合并马凡氏综合征患者 4个月后复发外均无复发。结论 :本方法具有创伤小、恢复快、复发率低等优点 ,已成为治疗自发性气胸的首选方法 Objective: To discuss the advantages, indications and curative effects of video-assisted thoracoscopic surgery for spontaneous pneumothorax. Methods: Thirty patients with spontaneous pneumothorax underwent thoracoscopic surgery under general anesthesia with endotracheal intubation. Results: All the patients were cured and discharged. The patients were followed up for 6 months to 2 years. There was no recurrence except 1 patient who relapsed after 4 months with Marfan syndrome. Conclusion: The method has the advantages of less trauma, faster recovery and lower recurrence rate, which has become the preferred method of treating spontaneous pneumothorax