目的:比较开腹与腹腔镜下微创子宫肌瘤剔除术的临床效果。方法:选取我院2010年1月~2016年1月收治的80例子宫肌瘤患者,随即分成观察组与对照组,每组患者40例,其中观察组采用腹腔镜微创手术治疗,对照组采用开腹手术治疗,对两组患者的手术治疗效果,术后恢复情况和并发症发生情况进行比较。结果:相比于对照组,观察组患者的术中出血量、手术时间相比于对照组显著较短,差异具有统计学意义(P<0.05);观察组患者术后住院时间、术后肛门排气时间、术后镇痛药使用率和术后并发症发生率均显著优于对照组,差异比具有统计学意义(P<0.05)。结论:采用腹腔镜微创手术显著优于开腹手术治疗,有利于患者的更快恢复,减轻了患者的痛苦,减少了术后并发症的发生,更加安全可靠,微创治疗是子宫肌瘤剔除术的首要选择。 Objective: To compare the clinical effects of laparoscopic and minimally invasive myomectomy. Methods: Eighty patients with uterine fibroids who were admitted to our hospital from January 2010 to January 2016 were randomly divided into observation group and control group, with 40 patients in each group. The patients in observation group were treated by laparoscopic minimally invasive surgery and the control group Using open surgery, the two groups of patients with surgical treatment, postoperative recovery and complications were compared. Results: Compared with the control group, the observation group patients with intraoperative blood loss, operative time compared with the control group was significantly shorter, the difference was statistically significant (P <0.05); observation group patients postoperative hospital stay, postoperative anal Exhalation time, postoperative analgesic usage and postoperative complications were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic minimally invasive surgery was significantly better than open surgery, is conducive to faster recovery of patients, reducing the patient’s pain and reducing the incidence of postoperative complications, more safe and reliable, minimally invasive treatment of uterine fibroids The first choice of cupping.