作者回顾了阴式子宫切除(以下简称阴切)的历史背景。1813年Langen Beck报告了第一例成功的阴切,至19世纪后叶,阴切常以子宫纤维瘤或癌为手术指征风行一时。由于经腹手术暴露清楚,术者经验增加,可自始至终对整个手术野彻底控制,特别是能保护输尿管,故阴切一度仅限于重症子宫脱垂之治疗。于切除子宫后,缝合左右阔韧带以建成一个新的坚实的盆底。Heaney曾扩大阴阴切指征至子宫肌瘤(约40%)及附件手术(30%～40%)。Manchester学派认为子宫对阴道之支托甚重要,如同骨盆之拱顶石,故对于骨盆支持缺陷,少用阴切。至1948年,Henry Falk以阴切加阴道修补治疗子宫脱垂,并详述其步骤,至60年 The author reviews the historical background of vaginal hysterectomy (hereinafter referred to as Yin-cut). In 1813 Langen Beck reported the first successful incision. By the late 19th century, the negative incision was often prevalent with indications for uterine fibroids or cancers. Due to the clear exposure of abdominal surgery, surgeons experience increased throughout the surgical field can be completely controlled, in particular, can protect the ureter, so the shadow was limited to severe uterine prolapse treatment. After removal of the uterus, suture left and right ligaments to create a new solid pelvic floor. Heaney has enlarged Yin incision to the uterine fibroids (about 40%) and attachment surgery (30% to 40%). The Manchester School believes that the uterus is very important to the vagina’s support, as the dome of the stone pelvis, so the pelvic support defects, less use of Yin cut. By 1948, Henry Falk treated vaginal and vaginal repair of uterine prolapse, and described the steps to 60 years