子宫全切除手术是妇科常见的手术之一。阴道顶端脱垂、感染、出血是子宫全切除术后的三大并发症。本文重点讨论预防阴道顶端脱垂的术式,我们自1980年元月至1991年12月共作子宫全切除术384例,未发生一例此种现象,现总结报道如下: 一、一般资料 384例行子宫全切术的患者中,子宫肌瘤219例,占57％;子宫脱垂58例,占15.1％;子宫肌腺病43例,占11.1％;子宫功能性出血32例,占8.3％;恶性滋养细胞肿瘤5例,占1.3％;老年患者患附件肿瘤同时全切除子宫27例,占7.0％。经腹式切除子宫336例,占82.3％;阴式全宫切48例,占17.7％。年龄最小23 Hysterectomy surgery is one of the common gynecological surgery. Vaginal prolapse, infection, bleeding is the total hysterectomy after the three major complications. This article focuses on the prevention of vaginal prolapse surgery, we from January 1980 to December 1991 a total of 384 cases of total hysterectomy hysterectomy, a case of this phenomenon did not occur, are summarized as follows: First, the general information 384 cases Hysterectomy patients, 219 cases of uterine fibroids, accounting for 57%; 58 cases of uterine prolapse, accounting for 15.1%; 43 cases of adenomyosis, accounting for 11.1%; functional uterine bleeding in 32 cases, accounting for 8.3% ; 5 cases of malignant trophoblastic tumor, accounting for 1.3%; elderly patients with accessory tumor resection hysterectomy in 27 cases, accounting for 7.0%. 336 cases of abdominal womb removal, accounting for 82.3%; vaginal hysterectomy in 48 cases, accounting for 17.7%. The youngest 23