目的观察腹腔镜下与开腹子宫肌瘤剔除术的疗效比较。方法回顾性分析我院前两年在我院接受两种剔除术的74例患者,对比分析两组患者手术时间、术中出血量、术后排气时间、术后起床活动时间、术后是否用镇痛剂、术后住院天数、住院费用和手术费用。结果经统计分析,开腹组的手术时间略短于腹腔镜组,但差异没有统计学意义(P>0.05),而开腹组的出血量、术后排气时间、术后起床活动时间、术后需要镇痛例数、术后住院天数差异均有统计学意义(P<0.05),开腹组的住院费用少于腹腔镜组,差异具有统计学意义(P<0.05)。结论两种术式有各自的优缺点,医者应严格掌握二者适应证,选择恰当的术式。 Objective To observe the curative effect comparison between laparoscopic and open myomectomy. Methods A retrospective analysis of 74 patients undergoing two types of excision in our hospital during the first two years of our hospital was conducted. The operative time, intraoperative blood loss, postoperative venting time, postoperative wake-up time, postoperative follow-up were compared between the two groups. Use analgesics, days of hospital stay after surgery, hospitalization costs, and surgery costs. Results After statistical analysis, the operation time of the open group was slightly shorter than that of the laparoscopic group, but the difference was not statistically significant (P>0.05), but the amount of bleeding, postoperative venting time, postoperative wake up activity time, The number of cases requiring analgesia after surgery and the days of hospitalization after operation were statistically significant (P<0.05). The cost of hospitalization in the open group was less than that in the laparoscopic group, and the difference was statistically significant (P<0.05). Conclusion There are advantages and disadvantages of the two surgical methods. The healers should strictly master the two indications and select the appropriate surgical technique.