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目的：探究宫腔镜联合腹腔镜在治疗多发性子宫肌瘤上的效果。方法选择60例多发性子宫肌瘤患者作为研究对象，按照入院的先后分为联合组和对照组。对照组患者进行开腹手术；联合组患者则在宫、腹腔镜下进行手术。对比两组患者在术中及术后的各项指标，同时就两组患者的并复发情况进行比较。结果联合组患者的手术时间、术中出血量、术后排气时间以及体温恢复时间均低于对照组，差异有统计学意义（P<0.05）。联合组的并发率和复发率分别为6.45%、3.23%，与对照组（44.83%、20.69%）相比，差异具有统计学意义（P<0.05）。结论应用宫腔镜联合腹腔镜对多发性子宫肌瘤进行治疗，创伤小，预后恢复较快，并复发率较低，可以作为替代开腹手术在临床上积极推广。“,”Objective to explore the effect of hysteroscopy combined with laparoscopy in the treatment of multiple uterine ifbroids. Methods 60 cases of patients with multiple uterine ifbroids were selected as the research object, according to the hospital’s admission into the combination group and the control group. The control group was treated with open operation; the patients in the combined group were operated under the uterus and laparoscope. The two groups of patients in the surgery and postoperative indicators, and the two groups of patients and the recurrence of the situation. Results the operation time, bleeding volume, postoperative exhaust time and body temperature recovery time were lower than those in the control group, and the difference was statistically signiifcant (P<0.05). The rate and recurrence rate of the combined group were 6.45% and 3.23%, respectively, compared with the control group (44.83%, 20.69%), the difference was statistically signiifcant (P<0.05). Conclusion the application of hysteroscopy combined with laparoscopy in treatment of multiple uterine ifbroids, trauma, prognosis and recurrence rate is low, and can be used as an alternative to open surgery in clinical practice.