目的观察腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法选取2014年3月至2016年6月信阳市中医院收治的100例子宫肌瘤患者,随机数表法分为观察组和对照组,各50例,观察组采用腹腔镜下子宫肌瘤剔除术治疗,对照组采用开腹子宫肌瘤剔除术进行治疗,比较两组患者的术中出血量、手术时间、术后排气时间、住院时间及并发症发生情况。结果观察组手术时间、术后排气时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05),并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下子宫肌瘤剔除术治疗子宫肌瘤疗效优于开腹子宫肌瘤剔除术,术中出血量少、手术时间短,可有效促进患者术后康复,且不良反应少,值得临床推广应用。 Objective To observe the clinical efficacy of laparoscopic myomectomy and laparoscopic myomectomy in the treatment of uterine fibroids. Methods From March 2014 to June 2016, 100 cases of uterine fibroids were treated in Xinyang Hospital of Traditional Chinese Medicine. The random number table was divided into observation group and control group, 50 cases each. The observation group was treated by laparoscopic myomectomy The patients in the control group were treated with open myomectomy, and the intraoperative blood loss, operation time, postoperative exhaust time, hospitalization time and complication were compared between the two groups. Results The operation time, postoperative exhaust time and hospitalization time in the observation group were shorter than those in the control group. The blood loss in the operation group was less than that in the control group (P <0.05), and the complication rate was lower than that in the control group There was statistical significance (P <0.05). Conclusions Laparoscopic myomectomy can treat uterine fibroids better than open myomectomy, less blood loss and shorter operative time, which can effectively promote the recovery of patients with less adverse reactions and is worthy of clinical promotion application.