目的比较腹腔镜与开腹子宫肌瘤剔除术对患者术后肌瘤残留、复发及妊娠结局的影响。方法选择2012年1月-2014年10月医院妇产科收治的有生育要求的子宫肌瘤患者110例,随机分为腔镜组和开腹组各55例,开腹组采用常规开腹子宫肌瘤剔除术,腔镜组采用腹腔镜下子宫肌瘤剔除术。对2组手术时间、术中出血量、并发症发生率以及住院时间进行比较;患者出院后随访6个月,对2组的肌瘤残留率、肌瘤复发率以及术后妊娠率进行比较。结果腔镜组的手术时间、术中出血量、并发症发生率以及住院时间均显著少于开腹组,差异有统计学意义(P<0.05);2组肌瘤残留率、肌瘤复发率以及妊娠率之间差异无统计学意义(P>0.05)。结论开腹及腹腔镜子宫肌瘤剔除术治疗子宫肌瘤均安全、有效,肌瘤残留率、肌瘤复发率较低,对术后妊娠影响较小,腹腔镜下子宫肌瘤剔除术对患者的损伤较小,并发症较少。 Objective To compare the effects of laparoscopic and open myomectomy on postoperative residual fibroids, recurrence and pregnancy outcomes. Methods From January 2012 to October 2014, 110 cases of uterine fibroids with reproductive requirements admitted to the hospital obstetrics and gynecology were randomly divided into laparoscopic group and laparotomy group of 55 cases. The laparotomy group was treated with conventional laparotomy Myomectomy, laparoscopic group using laparoscopic myomectomy. The operation time, intraoperative blood loss, complication rate and hospital stay were compared. The patients were followed up for 6 months after discharge. The fibroid residual rate, myoma recurrence rate and postoperative pregnancy rate were compared between the two groups. Results The operation time, intraoperative blood loss, complication rate and hospitalization time in the endoscopic group were significantly less than those in the open group (P <0.05). The residual fibroids, fibroids recurrence rate There was no significant difference in pregnancy rates (P> 0.05). Conclusions Open and laparoscopic myomectomy for the treatment of uterine fibroids are safe and effective, fibroid residual rate, fibroid recurrence rate is low, less impact on postoperative pregnancy, laparoscopic myomectomy for patients Less damage and fewer complications.