子宫全切是妇科最常用的基本手术之一,是目前常用的治疗手段,手术程序并不复杂.但术中的彻底止血,保持术野清晰,则是手术顺利完成预防并发症发生的关键。术中一旦处理失当,如血管结线过松、漏扎或易出血者,由于出血术野不清,就易损伤盆腔器官。以往我们体会到,术中最易出、渗血之处是:一、剪开分离骶韧带间腹膜。分离过浅,腹膜后叶易撕裂,过深出渗血多,术野不清,止血要占较长时间、二、处理子宫动静脉,附件稍有粘连或技术不熟练者,唯恐血管扎不紧或漏扎,不敢大胆操作。因而我们对此手术进行了三项改革。经101例实践观察, Uterine incision is one of the most commonly used basic gynecological surgery, is the commonly used treatment, the surgical procedure is not complicated, but the thorough operation to stop bleeding, to maintain a clear surgical field is the key to the successful completion of surgery to prevent complications. Intraoperative once improper handling, such as the vascular junction is too loose, leakage or bleeding, due to unclear bleeding surgery, it is easy to damage pelvic organs. In the past we understand that the most prone to surgery, bleeding is: First, cut open the sacral ligament between the peritoneum. Separation of shallow, easy to tear the peritoneal lobe, too much bleeding, surgical field is unclear, bleeding to take a long time, two, dealing with the uterine artery and vein, attachment a little adhesion or unskilled, Not tight or drain, not bold operation. So we conducted three reforms on this operation. After 101 cases of practice observation,