目的:探讨开腹手术与腹腔镜手术子宫肌瘤剔除术的临床效果。方法:将127例子宫肌瘤患者随机分为LM组(腹腔镜手术组)64例和TAM组(开腹手术组)63例,分析对比两组患者的术中、术后情况。结果:两组手术均获成功。LM组:平均手术时间为(115±25)min,术中失血量为(150.8±180.5)ml,术后肛门平均排气时间为(17.8±4.1)h,术后平均住院时间为(3.4±0.8)d,术后病率为7.81%;TAM组:平均手术时间为(110±30)min,术中失血量为(245.1±281.1)ml,术后肛门平均排气时间为(40.2±12.5)h,术后平均住院时间为(6.6±0.8)d,术后病率为41.27%,与TAM组比较:术中失血量、术后病率、术后肛门平均排气时间、术后平均住院时间等资料差异有统计学意义(P<0.05)。结论:腹腔镜手术创伤小、效果好,能取代大部分开腹子宫肌瘤。 Objective: To investigate the clinical effects of myomectomy in laparotomy and laparoscopic surgery. METHODS: A total of 127 patients with uterine fibroids were randomly divided into LM group (64 cases in laparoscopic surgery group) and TAM group (63 cases in open surgery group). The intraoperative and postoperative conditions of the two groups were analyzed and compared. Results: Both groups were successful. In the LM group, the average operation time was (115±25) minutes, intraoperative blood loss was (150.8±180.5) ml, postoperative anal ventilated time was (17.8±4.1) h, and postoperative average hospital stay was (3.4± 0.8)d, the postoperative morbidity was 7.81%; in the TAM group, the average operative time was (110±30) minutes, intraoperative blood loss was (245.1±281.1) ml, and the average postoperative anus exhaust time was (40.2±12.5). h) The average length of hospital stay was (6.6 ± 0.8) days postoperatively, and the postoperative morbidity rate was 41.27%. Compared with the TAM group: intraoperative blood loss, postoperative morbidity, mean postoperative anal exhaust time, and postoperative average There was a statistically significant difference in hospital stay and other data (P<0.05). Conclusion: Laparoscopic surgery is minimally invasive and effective. It can replace most of the open uterine fibroids.