[摘要]目的 研究米非司酮与腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的临床效果。方法 选取2017年2～12月在我院接受治疗的子宫肌瘤患者64例，根据随机数字表法将其分为A组(米非司酮组)和B组(腹腔镜组)，每组各32例。对A组进行米非司酮治疗，在腹腔镜下对B组行子宫肌瘤剔除术，比较两组的总有效率、患者的生活质量。结果 A组的总有效率为78.1%，B组为93.8%，两组比较，差异有统计学意义(P<0.05)。A组的情感功能明显高于B组，差异有统计学意义(P<0.05)，而躯体功能、认知功能、身体健康状况、社会功能和角色功能B组明显优于A组，差异有统计学意义(P<0.05)。结论 与米非司酮比较，腹腔镜子宫肌瘤剔除术治疗子宫肌瘤的成功率较高，临床效果好。但用米非司酮进行药物治疗具有能明显改善患者预后情感的功能。

    [关键词]米非司酮；腹腔镜；子宫肌瘤剔除术；子宫肌瘤

    [中图分类号] R737.33 [文献标识码] A [文章编号] 1674-4721(2018)7(a)-0107-03

    [Abstract]Objective To study the clinical effect of Mifepristone and laparoscopic myomectomy for uterine fibroids.Methods A total of 64 patients with uterine fibroids received treatment in our hospital from February to December 2017 were selected.They were divided into group A (Mifepristone group) and group B (laparoscope group) through the random number table method ......