目的探讨采用腹腔镜剥除和开腹剥除治疗子宫肌瘤的临床效果进行比较分析。方法将我院收治的子宫肌瘤患者随机分为两组,分别接受腹腔镜剥除手术治疗和开腹剥除手术治疗,比较两组治疗效果。结果腹腔镜组在术中出血量、住院时间、术后排气时间均明显少于开腹组(P<0.05);腹腔镜组的手术时间明显长于开腹组(P<0.05)。结论采用腹腔镜剥除治疗子宫肌瘤对患者的创伤更小,患者术后恢复更快,手术效果明显,但手术时间较长。 Objective To investigate the clinical effects of laparoscopic and open excision of uterine fibroids for comparative analysis. Methods The patients with uterine fibroids admitted to our hospital were randomly divided into two groups. They were treated by laparoscopic surgery and laparotomy respectively. The therapeutic effects were compared between the two groups. Results The amount of bleeding, length of hospital stay and postoperative exhaust time in laparoscopic group were significantly less than those in laparotomy group (P <0.05). The operation time in laparoscopic group was significantly longer than that in laparotomy group (P <0.05). Conclusion Laparoscopic stripping treatment of uterine fibroids less trauma patients, patients recover faster, the effect is obvious, but the operation time is longer.