目的对比电视胸腔镜手术与传统开胸手术治疗纵隔肿瘤的临床疗效。方法行手术治疗的纵隔肿瘤患者46例,采用随机数表法将其分为观察组与对照组,每组23例,对照组患者采取传统开胸手术切除治疗,观察组患者采用电视辅助胸腔镜手术治疗,比较两组患者手术用时、术中出血量、住院时间、引流时间及术后并发症发生情况。结果观察组患者术中出血量、手术用时、住院时间、术后引流时间及并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。两组患者术后及术后近期无死亡病例出现。结论电视胸腔镜下手术治疗纵隔肿瘤具有低医源性损伤、安全、并发症发生率低的优点,并且患者术后康复较快、住院时间较短,有助于减少患者经济负担及早日回归社会生活,具有应用及推广价值。 Objective To compare the clinical effects of video-assisted thoracoscopic surgery and conventional thoracotomy for the treatment of mediastinal tumors. Methods Forty-six patients with mediastinal tumor treated by surgery were divided into observation group and control group by random number table method, with 23 cases in each group. The patients in control group were treated by conventional thoracotomy. The patients in observation group were treated with TV-assisted thoracoscopy Surgical treatment, operation time, intraoperative blood loss, hospital stay, drainage time and postoperative complications were compared between the two groups. Results The bleeding volume, operation time, hospitalization time, postoperative drainage time and complication rate in observation group were significantly lower than those in control group (P <0.05). Two groups of patients with postoperative and postoperative no deaths appear. Conclusions Video-assisted thoracoscopic surgery for mediastinal tumors has the advantages of low iatrogenic injury, safety and low complication rate. The postoperative recovery and rapid hospital stay of patients undergoing video-assisted thoracoscopic surgery are shorter, which will help reduce the economic burden and return to society as soon as possible Life, with the application and promotion of value.