目的探讨经腹部横行小切口子宫大肌瘤剔除术的临床效果。方法选取2014年1月至2016年6月广宁县妇幼保健院收治的48例子宫大肌瘤患者作为研究对象,将其随机分为观察组与对照组,各24例。对照组患者行传统开腹手术,观察组患者采用经腹部横行切口子宫肌瘤剔除术进行治疗。比较两组患者手术时间、术中出血量、住院时间、排气时间、手术切口、生命质量评分及并发症发生情况。结果与对照组比较,观察组患者手术时间、住院时间、排气时间明显更短,术中出血量明显更少,手术切口更短,差异均有统计学意义(均P<0.05);治疗后,观察组患者总体健康情况、身体疼痛、活力、生理功能、生理职能、社会功能、精神健康分、情感职能评分均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论经腹部横行小切口子宫大肌瘤剔除术临床效果显著,手术创伤较小,有利于促进患者术后康复,减少并发症发生,安全有效。 Objective To investigate the clinical effect of transabdominal small incision uterine fibroids ablation. Methods Forty eight patients with uterine fibroids admitted to Guangning MCH from January 2014 to June 2016 were selected as study subjects and randomly divided into observation group and control group with 24 cases in each group. Patients in the control group underwent traditional laparotomy. Patients in the observation group were treated with excision of myomectomy through transverse incision. The operation time, intraoperative blood loss, hospitalization time, exhaust time, surgical incision, quality of life score and complications were compared between the two groups. Results Compared with the control group, the operation time, hospitalization time and evacuation time in the observation group were significantly shorter, the blood loss was significantly less and the surgical incision was shorter, the difference was statistically significant (all P <0.05); after treatment , The overall health status, body pain, vitality, physiological function, social function, mental health score and emotional function score in the observation group were significantly higher than those in the control group (all P <0.05); observation The incidence of complication in the group of patients was significantly lower than that in the control group, the difference was statistically significant (P <0.05). Conclusions Transmyotomy small incision uterine fibroids removal of significant clinical effects, surgical trauma is small, is conducive to promoting postoperative recovery, reduce complications, safe and effective.