目的探讨腹腔镜辅助下阴式子宫切除(LAVH)的适应症、手术效果及减少并发症的措施。方法对34例有子宫切除指征的患者实施腹腔镜辅助下的阴式子宫切除,观察手术时间、出血量、术后恢复及并发症发生情况。结果34例手术均成功完成,无手术并发症发生。结论腹腔镜辅助下阴式子宫切除有损伤小、恢复快等优点。严格选择病例,提高操作技能是减少并发症的关键。 Objective To investigate the indications of laparoscopic-assisted vaginal hysterectomy (LAVH), surgical outcomes and measures to reduce complications. Methods A total of 34 patients with indication of hysterectomy underwent laparoscopic vaginal hysterectomy. The operation time, blood loss, postoperative recovery and complications were observed. Results All 34 cases were successfully completed without complications. Conclusions Laparoscopic assisted vaginal hysterectomy has the advantages of less damage and faster recovery. Strict selection of cases, improve operational skills is the key to reducing complications.