子宫切除术是妇产科最常开展的手术之一,目前有3种施术途径,分别为开腹子宫切除、阴式子宫切除和腹腔镜子宫切除,其中腹腔镜子宫切除术是较新的手术途径。近年一些研究对这3种途径子宫切除术进行了对比研究。现就子宫切除术的手术方式、手术途径及其变迁,不同手术途径的安全性和卫生经济学进行综述,目的是为医师和患者选择手术途径时提供参考信息。 Hysterectomy is one of the most common gynecological surgery, there are three kinds of surgical approaches are open hysterectomy, vaginal hysterectomy and laparoscopic hysterectomy, of which laparoscopic hysterectomy is relatively new Surgical approach. In recent years, some studies have compared the three ways of hysterectomy. Now on the hysterectomy surgical approach, surgical approach and its changes, the safety of different surgical approaches and health economics review, the purpose is to provide physicians and patients with surgical information to provide information.