目的探究腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术的临床疗效及其对术后妊娠的影响。方法选择2014年2月—2015年7月98例子宫肌瘤患者,根据术式不同分组,各49例。对照组行开腹子宫肌瘤剔除术,研究组行腹腔镜下子宫肌瘤剔除术。对比两组住院时间及肛门排气时间,统计术后妊娠情况。结果研究组住院时间及肛门排气时间均明显少于对照组,差异有统计学意义(P<0.05);研究组术后自然受孕率(71.43%)与对照组(67.35%)对比,差异无统计学意义(P>0.05)。结论腹腔镜下子宫肌瘤剔除术与开腹子宫肌瘤剔除术对子宫肌瘤患者术后妊娠情况影响无明显差异,但腹腔镜术式可但腹腔镜术式可提高患者术后康复速度。 Objective To investigate the clinical efficacy of laparoscopic myomectomy and laparoscopic myomectomy and its effect on postoperative pregnancy. Methods A total of 98 patients with uterine fibroids from February 2014 to July 2015 were selected and divided into two groups according to different surgical procedures, 49 cases in each group. The control group underwent open myomectomy, and the study group underwent laparoscopic myomectomy. Comparisons of two groups of hospitalization time and anal exhaust time, statistical postoperative pregnancy. Results The hospitalization time and anal exhaust time in the study group were significantly less than those in the control group (P <0.05). The rate of spontaneous conception in the study group was 71.43% compared with that in the control group (67.35%), with no difference Statistical significance (P> 0.05). Conclusion Laparoscopic myomectomy and laparoscopic myomectomy have no significant effect on postoperative pregnancy in patients with uterine fibroids. However, laparoscopy can improve the recovery rate of postoperative patients.