全子宫切除术是妇科最常进行的手术之一,大部分患者因子宫良性疾病而需要行全子宫切除,常见的手术入路包括经阴、腹腔镜、开腹手术等,妇产科医师常需要针对患者自身状况进行综合性分析做出最佳的选择。2017年3月,美国妇产科医师学会(ACOG)颁布第701号委员意见,即《良性疾病全子宫切除术的入路选择》,该指南详述了各个手术入路的利弊,并作出了推荐意见。本文就该指南推荐意见进行简要解读。指南推荐意见总结:(1)首选阴式全子宫切除 Hysterectomy is the most commonly performed gynecological surgery, most patients with benign uterine disease due to the need for hysterectomy, common surgical approaches include perineum, laparoscopic surgery, laparotomy, obstetrics and gynecologists often Patients need to conduct a comprehensive analysis of their own conditions to make the best choice. In March 2017, the American College of Obstetricians and Gynecologists (ACOG) issued Opinion No. 701, “Path Selection for Hysterectomy for Benign Diseases,” which outlines the pros and cons of various surgical approaches Suggestion. This article on the guidelines recommended a brief interpretation. Guide to recommend the conclusion: (1) preferred vaginal hysterectomy