目的探讨不同手术方式治疗子宫肌瘤对患者术后妊娠的影响。方法选取2013年2月至2014年8月间收治的120子宫肌瘤患者,按照随机数字表法分为观察组和对照组,每组60例。观察组患者采用腹腔镜手术,对照组患者采用传统开腹手术。观察两组患者治疗有效率、术后粘连发生率、妊娠率及病情复发率等,分析两种手术方式对患者妊娠的影响。结果观察组患者的治疗有效率和妊娠率分别为89.3%和68.3%,对照组则分别为43.3%和23.3%,观察组患者明显高于对照组(P<0.05)。观察组患者术后粘连率和复发率分别为6.7%和8.3%,对照组则分别为38.3%和41.7%,观察组患者术后粘连率和复发率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜手术比传统手术方式具有更好的治疗效果,能有效降低术后粘连和复发率,提高患者妊娠率,满足患者妊娠需求,值得临床推广。 Objective To investigate the effect of different surgical methods on the treatment of uterine fibroids in patients with postoperative pregnancy. Methods Totally 120 patients with uterine leiomyoma treated between February 2013 and August 2014 were divided into observation group and control group according to random number table method, with 60 cases in each group. Laparoscopic surgery was performed in the observation group and conventional laparotomy was performed in the control group. The treatment efficiency, the incidence of postoperative adhesion, the pregnancy rate and the recurrence rate of the two groups were observed. The effects of the two surgical methods on the pregnancy were analyzed. Results The treatment efficiency and pregnancy rate were 89.3% and 68.3% in the observation group and 43.3% and 23.3% in the control group, respectively. The observation group was significantly higher than the control group (P <0.05). The adhesion rate and recurrence rate in the observation group were 6.7% and 8.3% respectively, while those in the control group were 38.3% and 41.7% respectively. The adhesion rate and recurrence rate in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Laparoscopic surgery has better therapeutic effect than traditional surgical methods, which can effectively reduce the rate of postoperative adhesion and recurrence, improve the pregnancy rate and meet the needs of patients with pregnancy, which is worthy of clinical promotion.