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目的：观察分析电视胸腔镜与传统开胸手术治疗纵隔肿瘤的临床效果。方法回顾性分析68例纵隔肿瘤患者临床资料，按治疗方法分为研究组（34例）和对照组（34例），研究组采用电视胸腔镜治疗，对照组采用传统开胸手术治疗，对比观察两组患者临床效果。结果研究组术中出血量、术后胸腔引流时间、住院时间、并发症发生率均优于对照组，具有统计学差异意义（P ＜0．05）。结论采用电视胸腔镜治疗纵隔肿瘤临床效果显著，安全性高，并发症发生率低，能促进患者早日康复，效果优于传统开胸手术治疗。“,”objective Analysis of thoracoscope and traditional open chest surgery clinical ef ect for the treatment of mediastinal tumor.Methods 68 patients with mediastinal tumors were retrospectively analyzed clinical data,according to the treatment is divided into research group (34 cases)and control group (34 cases),the team with video -assisted thoracoscope treatment, the control group with traditional open heart surgery,compared two groups of patients with clinical ef ect.Results the team intraoperative blood loss,postoperative chest drainage time,length of hospital stay,complication rates were bet er than control group,with statistical y significance (P <0.05).Conclusion video -assisted thoracoscope treatment of mediastinal tumor clinical ef ect is remarkable,high safety,low complication rate,can promote patients recover at an early date,is bet er than traditional open heart surgery.