目的探讨腹腔镜下子宫动脉阻断术联合宫骶韧带切断术治疗子宫腺肌病的临床疗效。方法对30例年轻、要求保留子宫的子宫腺肌病患者行腹腔镜下子宫动脉阻断术联合宫骶韧带切断术,术后观察患者痛经程度、月经量、子宫大小、并与术前进行对比。结果术后随访12个月,痛经完全及明显缓解20例,部分缓解6例,有效率96.9%。子宫体积平均缩小50.39%(P<0.05),患者月经量明显减少(P<0.05);痛经明显减轻(P<0.01)。结论腹腔镜下子宫动脉阻断术联合宫骶韧带切断术治疗子宫腺肌病是一种安全、有效的新方法。 Objective To investigate the clinical efficacy of laparoscopic uterine artery occlusion combined with uterosacral ligament resection for adenomyosis. Methods Thirty patients with young adenomyosis requiring uterus underwent laparoscopic uterine artery occlusion combined with uterosacral ligament resection. The degree of dysmenorrhea, menstrual flow, uterus size were observed after operation and compared with preoperative . Results The patients were followed up for 12 months. Totally 20 cases were completely dyspepsia and 6 cases were relieved. The effective rate was 96.9%. Uterine volume decreased by 50.39% (P <0.05) on average, and the amount of menstruation was significantly decreased (P <0.05). The dysmenorrhea was significantly reduced (P <0.01). Conclusions Laparoscopic uterine artery occlusion combined with uterosacral ligament resection for adenomyosis is a safe and effective new method.