阴式全子宫切除术较经腹手术迅速、愈合快、住院天数短,术后无瘢痕,但过大的子宫往往限制了阴道手术。对两组子宫均重500～1000g的患者分别行经阴道和经腹手术进行比较,以讨论过大的子宫分块切除、体积减小后经阴道切除的可行性。 方法:对象均为子宫肌瘤患者,排除功血、子宫内膜异位症、肿瘤或子宫脱垂等。如子宫高度超过脐部或阴道过于狭窄、无性生活者一律经腹手术。从1991年1月1日～1995年12月31日共选取了 Vaginal hysterectomy than abdominal surgery, rapid healing, short hospitalization days, no scars after surgery, but the uterus is often too large limit vaginal surgery. The two groups of uterus were 500 ~ 1000g were treated by transvaginal and transabdominal surgery were compared to discuss the large uterine segment excision, volume reduction after the feasibility of transvaginal excision. Methods: Subjects were patients with uterine fibroids, excluding dysfunctional uterine bleeding, endometriosis, tumor or uterine prolapse. If the uterus is too tall than the umbilical or vaginal stenosis, asexual life will be abdominal surgery. From January 1, 1991 ~ December 31, 1995 were selected