目的比较分析腹腔镜子宫肌瘤剔除术与开腹手术治疗后肌瘤残留、复发及妊娠结局情况。方法根据患者意愿将本院近年来收治的86例子宫肌瘤患者分为观察组与参考组,各为43例,观察组在腹腔镜下行子宫肌瘤剔除术,参考组行传统开腹手术治疗,比较两组患者术后子宫肌瘤残留率、复发情况,观察两组患者妊娠结局。结果观察组子宫肌瘤残留率、复发率分别为4.7%、7%,参考组子宫肌瘤残留率、复发率分别为18.6%、20.9%,数据比较差异有统计学意义(P<0.05);观察组妊娠率为83.3%,参考组妊娠率为68.6%,比较差异有统计学意义(P<0.05)。结论腹腔镜下行子宫肌瘤剔除术能够减少肌瘤残留及复发,良好改善妊娠结局,可作为有效手段在临床推广使用。 Objective To compare and analyze the residual, recurrence and pregnancy outcome of myoma after laparoscopic myomectomy and laparotomy. Methods According to patients’ wishes, 86 cases of uterine fibroids admitted to our hospital in recent years were divided into the observation group and the reference group, with 43 cases in each. The observation group underwent laparoscopic myomectomy and the reference group underwent conventional laparotomy The residual rate and recurrence of uterine fibroids in two groups were compared, and the pregnancy outcome was observed in both groups. Results The residual rate and recurrence rate of uterine leiomyoma in observation group were 4.7% and 7% respectively. The residual rate and recurrence rate of uterine fibroids in reference group were 18.6% and 20.9% respectively. The difference was statistically significant (P <0.05). The pregnancy rate was 83.3% in observation group and 68.6% in reference group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic myomectomy can reduce fibroids residue and recurrence, and improve pregnancy outcome, which can be used as an effective method in clinical practice.