Objective To compare the clinical curative effect of laparoscopic and abdominal myomectomy.Methods Totally 66 patients who accepted surgery in Affiliated Hospital of Yan ' an University were divided into laparoscopic myomectomy group and abdominal myomectomy group, and the clinical curative effects were compared between two groups.Results The operation duration in the laparoscopic myomectomy group was significantly longer than that in the abdominal myomectomy group (t=2.365, P<0.05), but the intraoperative blood loss, postoperative exhaust time and average length of hospital stay were significantly lower than those in the abdominal myomectomy group ( t value was 5.663, 4.520 and 3.998, respectively, all P <0.05).There was no significant difference in postoperative complications between two groups (χ2 =0.596, P>0.05).The differences in postoperative pregnancy rate, abortion rate, term delivery rate and delivery mode of patients who had fertility requirements were not significant between two groups (χ2 value was 0.007, 0.255, 0.018 and 0.111, respectively, all P>0.05).Conclusion On the premise of choosing proper indications, laparoscopic myomectomy is superior to abdominal myomectomy and is worthy of clinical promotion.%目的 比较腹腔镜与开腹子宫肌瘤剔除术的临床疗效. 方法 对延安大学附属医院接受手术的66名子宫肌瘤患者,根据其术式分为腹腔镜组和开腹手术组,比较两组的临床疗效. 结果 腹腔镜组手术时间显著长于开腹组( t=2.365,P<0.05),而术中出血量、术后排气时间和住院天数均显著低于开腹组(t值分别为5.663、4.520、3.998,均P<0.05). 两组术后并发症发生率比较无显著性差异(χ2 =0.596,P>0.05) ,两组有生育要求的患者中术后妊娠率、流产率、足月分娩率和分娩方式比较均无统计学差异(χ2 值分别为0.007、0.255、0.018、0.111,均P>0.05). 结论 在适应症选择合适的前提下,腹腔镜子宫肌瘤剔除术优于开腹手术,值得临床推广.
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