Objective To compare the laparoscopic hysterectomy and transabdominal hysterectomy complications, and to explore effective prevention method summary.Method select 2011 July -2013 year in July to 108 cases of laparoscopic hysterectomy patients in our hospital (laparoscopic group) and 92 cases by abdominal hysterectomy patients (laparotomy group) as the research object, the two groups were observed after operation complications.Results the patients in the laparoscopic group postoperative urinary tract infection in 10 cases (9.26%), 9 cases of cesarean section group (9.78%); 11 cases of vaginal stump hemorrhage (10.19%), 9 cases of cesarean section group (9.78%),P<0.05; abdominal incision healing of 3 cases of laparoscopic group patients (2.78%), cesarean section 11 cases of group (11.96%),P<0.05. Long term follow-up found that patients in the laparoscopic group of vaginal dryness and decreased libido in 13 cases (12.04%), while the profile service group 47 cases (51.09%),P < 0.05. No significant difference between the two groups of patients with perimenopausal symptoms, the ratio of patients in the laparoscopic group appear cervical remnant sheath cyst in 27 cases (25%).Conclusion laparoscopic hysterectomy is a better clinical effect of hysterectomy, surgeon to master surgical indications, surgical techniques have skilled is the key to reduce complications.%目的：比较分析腹腔镜全子宫切除术与经腹全子宫切除术治疗子宫肌瘤并发症情况，并探讨总结有效的防治方法。方法选择2011年7月—2013年7月在该院进行腹腔镜全子宫切除术的108例子宫肌瘤患者(腹腔镜组)和进行经腹全子宫切除术的92例患者(剖腹组)作为研究对象，观察两组患者手术后并发症发生情况。结果腹腔镜组患者术后出现尿路感染10例(9.26%)，剖腹组9例(9.78%)；阴道残端出血11例(10.19%)，剖腹组9例(9.78%)，P>0.05；腹腔镜组患者术后出现腹部切口愈合不良3例(2.78%)，剖腹组11例(11.96%)，P<0.05。长期随访后发现腹腔镜组患者出现阴道干涩和性欲下降13例(12.04%)，而剖腹组47例(51.09%)，P<0.05。两组患者围绝经期症状差异无统计学意义，腹腔镜组患者出现宫颈残鞘囊肿的比率为27例(25.0%)。结论腹腔镜全子宫切除术治疗子宫肌瘤具有创口小、出血少，患者手术后恢复快、并发症少等特点，是临床上一种效果较好的全子宫切除术，手术医师掌握手术指征，具有娴熟的手术技巧是减少患者出现并发症的关键。
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