现今,对无合并症的子宫全切除术,都已不采用开放阴道穹窿部,以提高早期愈合和减少肉芽产生。虽关闭阴道穹窿部,肉芽发生率仍高达37%。由于一般缝合阴道断端时将阴道上皮的完整部分互相接触,因此愈合较差。发生肉芽机会必然较多。应用Lembert缝合法类似皮肤的皮下缝合,使皮片对合较好,其新形成的穹窿有平滑肌包盖。且肠线不进入阴道,减少感染的机会。作者介绍了他们五年内,连续的230例子宫全切除术,穹窿部用连续Lembert浆膜肌肉层缝合法,肉芽发生率为7%,其中 Today, no complications of hysterectomy, have not used open vaginal fornix, to improve early healing and reduce granulation. Although the closure of the vaginal fornix, the incidence of granulation is still as high as 37%. Healing is poor due to the fact that the entire part of the vaginal epithelium is in contact with each other when the vaginal stump ends are generally sutured. Occurrence of granulation opportunities must be more. Lembert suture method similar to the skin of the subcutaneous suture, so that the skin joint well, the newly formed vault smooth muscle covered. And gut does not enter the vagina, reducing the chance of infection. The authors describe 230 consecutive cases of hysterectomy within five years and a continuous Lembert serosa muscle suture in the fornix, with a 7% incidence of granulation