目的探讨改良式阴式子宫手术的优点、适应症和临床应用价值。方法回顾性分析370例子宫肌瘤、子宫腺肌瘤、子宫脱垂等有子宫切除指征患者行改良阴式子宫系列手术的临床资料。结果370例经阴道手术成功,平均子宫重量160g(45～410g),平均手术时间75分钟(60～150min),术中失血量100ml(50～300ml),术后平均住院日5天(3～7d)。结论应用改良式阴式手术扩大了阴式子宫系列手术的适应症。 Objective To explore the advantages, indications and clinical value of modified vaginal uterine surgery. Methods A retrospective analysis of 370 cases of uterine fibroids, adenomyosis, uterine prolapse and other hysterectomy indications of patients with vaginal hysterectomy series of clinical data. Results 370 cases of vaginal surgery were successful. The mean uterine weight was 160g (45 ~ 410g), the average operation time was 75 minutes (60 ~ 150min), blood loss was 100ml (50 ~ 300ml), average postoperative hospital stay was 5 days 7d). Conclusion The application of modified vaginal surgery to expand the series of vaginal womb surgery indications.