目的：探讨腹腔镜在子宫肌瘤与不孕症治疗中的临床应用价值。方法选取2010年1月～2012年12月在我院接受治疗的患有子宫肌瘤与不孕症的女性患者共300例，其中，子宫肌瘤患者150例，随机分为子宫肌瘤治疗A组与子宫肌瘤治疗B组。子宫肌瘤A组患者以腹腔镜手术进行治疗；子宫肌瘤B组患者以传统开腹手术进行治疗。不孕症患者150例，随机分为不孕症治疗A组与不孕症治疗B组。同样，不孕症A组患者以腹腔镜手术进行治疗，不孕症B组以传统开腹手术进行治疗。比较四组患者的组内治疗效果，对腹腔镜治疗妇科疾病的临床疗效进行判定。结果子宫肌瘤治疗A组与不孕症治疗A组的住院时间、并发症发生率、临床效果、复发情况均优于治疗B组的患者，且不孕症治疗A组患者的1年内的受孕率高于B组，差异有统计意义（P＜0.05）。结论腹腔镜在治疗妇科疾病中效果显著，住院时间短、并发症的发生率与复发率小，该手术治疗方法值得在临床上广泛推广。%Objective To explore the clinical value of applying laparoscopy for treatment of uterine fibroid and infertility. Methods 300 female patients with uterine fibroid or infertility treated in our hospital from Jan 2010 to Dec 2012 were selected. The 150 patients with uterine fibroid were randomly assigned to uterine fibroid Group A and uterine fibroid Group B. Uterine fibroid Group A was treated by laparoscopic surgery while uterine fibroid Group B was treated by traditional open surgery. The 150 patients with infertility were randomly assigned to infertility Group A and infertility Group B. Infertility Group A was treated by laparoscopic surgery while infertility Group B was treated by traditional open surgery. The therapeutic effects were compared to determine the clinical efficacy of laparoscopy for treatment of gynecological diseases. Results Uterine fibroid Group A and Infertility Group A had better results in hospital stay, complication rate, clinical effects and recurrence than uterine fibroid Group B and infertility Group B respectively, and infertility Group A had higher one-year pregnancy rate than infertility Group B, with statistical difference (P < 0.05). Conclusion Laparoscopy has excellent effects for treatment of gynecological diseases with short hospital stay and low complication rate and recurrence rate, which is worthy of wide clinical promotion.
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