我院1979～1985年先后做150例腹膜外子宫切除术,现结合临床观察谈一下手术的体会。1.关于适应证:选择无盆腔粘连,无下腹部手术的病例,多为子宫肌瘤,功能性子宫出血,肌腺症,滋养叶细胞瘤,重度宫颈炎,子宫内膜腺癌及各种原因的子宫出血等。子宫肌瘤不超过妊娠3mo 子宫大小为宜,但有3例超过妊娠4mo 子宫大小,手术 Our hospital from 1979 to 1985 has done 150 cases of extraperitoneal hysterectomy, now combined with clinical observations about the experience of surgery. 1. Indications: choose no pelvic adhesions, no lower abdominal surgery cases, mostly uterine fibroids, functional uterine bleeding, adenomyosis, trophoblastic tumor, severe cervicitis, endometrial adenocarcinoma and various Causes of uterine bleeding and so on. Uterine fibroids no more than 3mo uterine size is appropriate, but there are 3 cases of uterine size than pregnancy 4mo, surgery