目的 :探讨非脱垂、大子宫经阴道切除的可行性及临床应用价值。方法 :引进特制阴道手术器械 ,改良阴式全宫切除手术步骤 ,对 5 3例有子宫切除手术适应证而无生殖道脱垂患者行阴式全宫切除术 ,取同期经腹切除子宫 5 0例作对比分析。结果 :阴式组手术时间长于对照组 ,而术中出血、术后病率、术后住院日、术后肛门排气时间阴式组少于对照组。大子宫组 2 4例与小子宫组 2 9例比较 ,前者手术时间长于后者 ,而术中出血、术后病率、术后住院日二组无显著性差别。结论 :阴式非脱垂大子宫切除术具有肠道干扰少 ,术中出血少 ,术后疼痛轻 ,恢复快 ,住院日缩短等优点 ,在临床应用安全可行 Objective: To investigate the feasibility and clinical value of non-prolapsed and vaginal resection of large uterus. Methods: Introduced a special vaginal surgical instruments, modified vaginal hysterectomy surgical procedures, 53 cases of indications for hysterectomy without genital tract prolapse in patients undergoing vaginal hysterectomy vaginal hysterectomy at the same period take 50 Example for comparative analysis. Results: The operation time of the vaginal group was longer than that of the control group. The intraoperative bleeding, postoperative morbidity, postoperative hospital stay, and postoperative anal exhaust time were less in the vaginal group than in the control group. In the large uterine group, 24 cases were compared with 29 cases in the small uterine group. The former had longer operative time than the latter. However, there was no significant difference between the two groups in intraoperative bleeding, postoperative morbidity and postoperative hospital stay. CONCLUSION: Vaginal non-prolapsed hysterectomy has the advantages of less intestinal disturbance, less intraoperative bleeding, less postoperative pain, faster recovery and shorter hospital stay, which is safe and feasible in clinical application