【目的】探讨腹腔镜联合子宫动脉栓塞术治疗子宫肌瘤的疗效。【方法】选择择期治疗的子宫肌瘤患者120例,根据手术方式的不同分为 A、B、C 三组,每组40例。A 组采用腹腔镜手术治疗,B 组采用子宫动脉栓塞术治疗,C 组采用腹腔镜联合子宫动脉栓塞术治疗。记录并比较各组的手术时间、术中出血量、住院时间、术后恢复及疗效情况。【结果】A、B、C 三组复发率分别为22.5%、7.5%和2.5%,C 组显著低于 A、B 组,差异有统计学意义(χ2=7.312,7.433；P =0.001,0.001)；有效率分别77.5%、82.5%和95%,C 组显著高于 A、B组,差异有统计学意义(χ2=6.831,7.125；P =0.004,0.002)。【结论】腹腔镜联合子宫动脉栓塞术治疗子宫肌瘤比单纯应用腹腔镜手术或子宫动脉栓塞术疗效更好,复发率更低,值得进一步推广。“,”Objective]To investigate the clinical efficacy of the combined application of laparoscope and u-terine artery embolization in the treatment of uterine fibroids.[Methods]120 patients with uterine fibroids were selected and divided into 3 groups based on different operation mode,40 cases for each.Group A were ap-plicated with laparoscopic surgery,while group B with uterine artery embolization,and group C combined ap-plication of laparoscope and uterine artery embolization.Surgery time,the amount of bleeding during surgery, the hospitalization time,recovery and efficacy after surgery were observed.[Results ]Relapse rates were 22.5%,7.5% and 2.5% for A,B,and C group respectively.Compared with the other two groups,relapse rates of the combined application of laparoscope and uterine artery embolization was significantly lower (χ2 =7.312,7.433;P =0.001,0.001 ).Efficiency were 77.5%,82.5% and 95% each group.Compared with the other two groups,the efficiency of group C was significantly higher (χ2 =6.831,7.125;P =0.004,0.002).[Conclusion]The effect of the combined application of laparoscope and uterine artery embolization in the treat-ment of uterine fibroids was better than laparoscopic surgery or uterine artery embolization individually with lower recurrence rate.It is worthy of popularization and application.