目的:分析比较胸腔镜手术与开胸手术治疗肺硬化性血管瘤(PSH)的临床效果。方法:回顾性分析手术后病理检查确认为PSH病例分别采用胸腔镜手术与开胸手术治疗结果的差异。结果:胸腔镜手术组切口长度、手术时间,术后住院时间均短于开胸组(P<0.05),术中出血量也少于开胸组(P<0.05)。所有患者术后随访期间均无复发及转移。结论:手术切除是PSH唯一有效的治疗手段,其方式首选胸腔镜手术。 Objective: To analyze the clinical effects of thoracoscopic surgery and thoracotomy for the treatment of pulmonary sclerosing hemangioma (PSH). Methods: Retrospective analysis of postoperative pathological examination confirmed the PSH cases were treated with thoracoscopic surgery and thoracic surgery results were different. Results: The length of incision, operation time and postoperative hospital stay in thoracoscopic surgery group were shorter than those in thoracotomy group (P <0.05). The amount of bleeding in thoracoscopic surgery group was also less than that in thoracotomy group (P <0.05). All patients had no recurrence and metastasis after follow-up. Conclusion: Surgical resection is the only effective treatment for PSH, and the preferred method is thoracoscopic surgery.