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目的比较腹腔镜和开腹子宫肌瘤剔除术的疗效,旨在为子宫肌瘤的治疗方法提供新的指导依据.方法将我院2009年1月-2012年1月32例腹腔镜子宫肌瘤剔除术设立为腹腔镜组,另选择同期开腹子宫肌瘤剔除术24例设立为开腹组,比较两组各项手术观察指标.结果腹腔镜组32例患者手术时间103.5±41.6min,与开腹组差异不显著,但腹腔镜组术中出血量65.6±1.5ml,术后排气时间16.9±3.3h,平均住院时间4.5±6.3d,上述各观察指标均明显短于开腹组,差异有统计学意义(p<0.05).结论与开腹子宫肌瘤剔除术相比,腹腔镜子宫肌瘤剔除术安全有效,具有创伤小、出血少、术后恢复快等微创优点.“,”Objective: To compare laparoscopic and open myomectomy surgery efficacy, aims to provide psychological guidance for the treatment of uterine fibroids basis. Methods: In our hospital from January 2009 to January 2012,32 laparoscopic uterine fibroids myomectomy set up for the laparoscopic group set up for the open surgery group excluded 24 patients abdominal uterine fibroids during the same period, other select between the two groups the surgical observation indicators. Results: The group of 32 patients with laparoscopic operative time was 103.5 ± 41.6min, laparotomy group differences not significant, but the laparoscopic group blood loss amounted to 65.6 ± 1.5ml, exhaust time after 16.9 ± 3.3h, the average hospital stay 4.5 ± 6.3d, the above observation indicators were significantly shorter than the open surgery group, the difference was statisticaly significant (p <0.05). Conclusion: compared with abdominal uterine fibroids myomectomy, laparoscopic uterine myomectomy surgery is safe and effective, trauma, less bleeding, rapid postoperative recovery minimaly invasive advantages.