目的 探讨对非脱垂、良性病变的子宫实施阴式子宫次金切除术的可行性和安全性。方法 2000年1月至2002年12月对42例患良性子宫疾病,且为非脱垂子宫,并排除宫颈恶性疾病,要求保留宫颈的患者,实施阴式子宫次全切除手术。分析手术时间、术中出血量、术中和术后并发症、住院时间、术后性生活情况。结果 平均手术时间60min,平均出血量85mL,平均住院时间是5d。3例术后发热,6例术后有阴道少量血性分泌物,持续3～5d自行好转。21例术后12个月随访性生活满意。结论 非脱垂、良性病变子宫小于10孕周大小者,实施经阴道次全子宫切除术是安全、可行的。 Objective To investigate the feasibility and safety of vaginal hysterectomy in non-prolapsed and benign lesions. Methods From January 2000 to December 2002, 42 patients with benign uterine disease and non-prolapsed uterus were excluded, and cervical malignancies were excluded. Cervical subtotal hysterectomy was required. Analysis of operation time, intraoperative blood loss, intraoperative and postoperative complications, hospital stay, postoperative sex life. Results The average operation time 60min, the average amount of bleeding 85mL, the average length of stay 5d. 3 cases of postoperative fever, 6 cases of vaginal bleeding after a small amount of bloody sustained for 3 ~ 5d self-improvement. 21 cases were followed up for 12 months postoperative life satisfaction. Conclusion Non-prolapsed, benign lesions of the uterus less than 10 weeks pregnant size, the implementation of subtotal vaginal hysterectomy is safe and feasible.