对有子宫切除指征、排除恶性病变的27例患者施行经腹筋膜内子宫全切未。对术中各组血管、阴道穹窿与宫颈筋膜残端、膀胱剥离面及保留卵巢的处理方法。进行了改良,以期避免或减少术中及未后并发症,提高手术质量。术后无1例阴道流血,随访3个月至1年半,无1例主诉性生活不适,妇科检查阴道长度≥7cm,阴道残端无息肉及脱垂,达到手术预期的目的。 On the indications for hysterectomy, excluding malignant lesions in 27 patients underwent transcervical fasciotomy in the uterus. On the intraoperative vascular, vaginal fornix and cervical fascia stump, bladder stripping surface and ovarian preservation methods. Improved, in order to avoid or reduce intraoperative and postoperative complications, improve the quality of surgery. No postoperative vaginal bleeding, 3 months to 1 year and a half follow-up, no one complained of discomfort of life, gynecological examination vaginal length ≥ 7cm, vaginal stump without polyps and prolapse, to achieve the desired purpose of surgery.