目的：对腹腔腔镜下全宫切除的临床价值进行评估。方法：对４３ 例因诊断为子宫肌瘤（３３ 例） 、子宫腺肌症（６例） 及子宫内膜增殖症（４ 例） 的患者行腹腔镜下全子宫切除术，对同时期１２１ 例具有同样适应症的患者行腹式全子宫切除手术。比较两组病人术中术后情况。结果：两组病人的手术时间、术中出血量无显著性差异，腹腔镜下全子宫切除术的手术时间与子宫增大有关，术中出血量与手术时间及子宫大小无关；行腹腔镜下全子宫切除术的病人手术损伤及术后阴道残端出血发生率无增高，术后疼痛的发生率明显减少，术后使用抗菌素时间、术后住院时间及术后恢复正常活动的时间缩短。结论：腹腔镜下全子宫切除术虽不能完全代替腹式全宫切除术，却是一种安全、可靠，适于临床广泛开展的手术方式。 Objective: To evaluate the clinical value of total laparoscopic hysterectomy. Methods: Forty-three patients underwent hysteroscopic hysterectomy for diagnosis of hysteromyoma (33 cases), adenomyosis (6 cases) and endometrial hyperplasia (4 cases). 121 cases of the same period Patients with the same indications underwent abdominal hysterectomy. The postoperative conditions of the two groups were compared. Results: There was no significant difference in operative time and intraoperative blood loss between the two groups. The time of laparoscopic hysterectomy was related to the increase of uterus. The amount of intraoperative blood loss was not related to the operation time and uterine size. Hysterectomy patients with surgical injury and postoperative residual vaginal bleeding no increase in the incidence of postoperative pain was significantly reduced after the use of antibiotics, postoperative hospital stay and postoperative recovery of normal activity time shortened. Conclusion: Laparoscopic hysterectomy, although not a complete replacement of abdominal hysterectomy, is a safe, reliable and suitable surgical method widely used in clinical practice.