目的探讨胸腔镜手术治疗胸部创伤的临床应用效果。方法选取2015年3月至2016年3月胸部创伤患者96例,按照随机分配原则分为两组,每组48例。对照组患者给予开胸手术,实验组给予胸腔镜手术,比较两组手术时间、术中出血量、住院时间和术后复发率。结果实验组住院时间为(5.1±1.3)d,术中出血量为(175.3±2.7)ml,两者低于对照组(P<0.05);总有效率实验组为91.7%(44/48),对照组为79.2%(38/48),实验组总有效率高于对照组(P<0.05)。实验组术后疼痛率4.2%(2/48)、复发率6.2%(3/48)低于对照组(P<0.05)。结论胸腔镜手术治疗胸部创伤,术中出血量小,术后疼痛率较低,值得临床推广应用。 Objective To investigate the clinical effect of thoracoscopic surgery for chest trauma. Methods From March 2015 to March 2016, 96 patients with chest trauma were selected and divided into two groups according to the principle of random distribution, with 48 cases in each group. Patients in the control group underwent thoracotomy. Thoracoscopic surgery was performed in the experimental group. The operation time, intraoperative blood loss, hospital stay and postoperative recurrence were compared between the two groups. Results The hospitalization time was (5.1 ± 1.3) days in the experimental group and (175.3 ± 2.7) ml in the experimental group, both of which were lower than the control group (P <0.05). The total effective rate was 91.7% (44/48) , The control group was 79.2% (38/48), the total effective rate in the experimental group was higher than that in the control group (P <0.05). Postoperative pain rate was 4.2% (2/48) in the experimental group and 6.2% (3/48) in the experimental group was lower than that in the control group (P <0.05). Conclusion Thoracoscopic surgery for the treatment of thoracic trauma, intraoperative blood loss, postoperative pain rate is low, worthy of clinical application.