有关子宫切除术式选择的指征尚无统一意见。阴式全子宫切除术(TVH)具有创伤小、恢复快、术后疼痛轻和经济等优点,可作为全身情况较差或特别肥胖者的首选术式。腹腔镜辅助阴式子宫切除术(LAVH)的手术指征与腹式全子宫切除术(TAH)相同,LAVH具有TVH的多数优点,但费用较贵。TAH则有良好的手术视野,操作方便,易进行快速止血,当TVH或LAVH无法完成时,应及时改行TAH。 There is no unanimous opinion on the choice of hysterectomy. Vaginal hysterectomy (TVH) with less trauma, rapid recovery, postoperative pain and economic advantages, such as poor general condition or particularly obese patients preferred surgical. Laparoscopic assisted vaginal hysterectomy (LAVH) has the same surgical indications as abdominal hysterectomy (TAH), and LAVH has most of the benefits of TVH, but is more expensive. TAH has a good surgical field of vision, easy to operate, easy to stop bleeding quickly, when TVH or LAVH can not be completed, TAH should promptly diverted.