目的:探讨非脱垂子宫行阴式子宫切除术(TVH)的优点、手术方法、适应证及禁忌证。方法 :对非脱垂子宫行传统开腹子宫切除术(TAH)56例患者,腹腔镜辅助下阴式子宫切除术(LAVH)58例患者,阴式子宫切除术(TVH)50例患者分别进行了回顾性对比分析。结果:TVH手术时间、术中出血量、术后肛门排气时间、术后下床活动时间、术后体温均小于其他两组,术后留置尿管时间、住院时间LAVH与TVH基本相同,短于TAH。术中、术后出现并发症无差异。结论:TVH更符合微创手术原则,具有手术时间短、对患者损伤小、术后恢复快、腹壁无瘢痕、术后住院时间短的优点。 Objective: To explore the advantages, surgical methods, indications and contraindications of non-prolapsed uterine vaginal hysterectomy (TVH). Methods: Fifty-six patients with laparotomy-assisted vaginal hysterectomy (LAVH) and 50 patients with vaginal hysterectomy (TVH) A retrospective comparative analysis. Results: The TVH operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative ambulation time, postoperative body temperature were less than the other two groups, postoperative indwelling catheter time, hospital stay LAVH TVH basically the same, short At TAH. Intraoperative and postoperative complications no difference. Conclusion: TVH is more consistent with the principle of minimally invasive surgery. It has the advantages of shorter operation time, less damage to the patient, quick recovery after operation, no scar in the abdominal wall and short postoperative hospital stay.