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目的:探讨腹腔镜下子宫肌瘤剔除术与开腹手术的临床疗效.方法收集我院诊断肌壁间子宫肌瘤的患者,患者均有生育要求,既往未接受过手术,未合并其他盆腔病变.随机分为研究组和对照组,研究组接受腹腔镜,对照组接受开腹手术.对比(1)两组手术时间、术中失血量及术后住院时间.(2)两组术后妊娠及妊娠结局.(3)两组病人术后痕痕及盆腔粘连情况.结果:(1)两组手术时间、术中失血量、术后住院时间比较有差异(P＜0.05).(2)两组术后妊娠情况比较有差异(P＜0.05).(3)两组病人术后痕痕及盆腔粘连情况比较有差异(P＜0.05).结论:目前肌壁间子宫肌瘤剔除术种类繁多,本研究通过客观数据对比,提示腹腔镜下子宫肌瘤剔除术能够有效减轻手术对机体带来的创伤,术后恢复快,痕痕及盆腔粘连发生率低,对生育功能影响少.","Objective To investigate the clinical effect of laparoscopic myomectomy and laparotomy. Methods The patients who were diagnosed with myoma of the Intramural uterine myoma in our hospital had childbearing requirements, and there were no previous surgery and no other pelvic lesions. The study group was randomly divided into the study group and the control group. The study group received laparoscopy and the control group received laparotomy. The operation time of the two groups, the amount of blood loss during the operation and the time of postoperative hospitalization were compared (1). (2)the outcome of postoperative pregnancy and pregnancy in the two groups.(3) scar marks and pelvic adhesions in the two groups of patients. Results (1)there was a difference in the time of operation, the amount of blood loss during the operation and the time of hospitalization in the two groups (P＜0.05). (2) there was a difference between the two groups after the operation (P＜0.05). (3) there were differences in scar marks and pelvic adhesions between the two groups (P＜0.05). Conclusion There are many intramural myomectomy types, this study through the comparison of the data, suggesting that laparoscopic myomectomy can effectively reduce the surgery on the body caused by trauma, rapid postoperative recovery, mark and the incidence of pelvic adhesions is low, less influence on reproductive function.