目的探讨腹腔镜辅助阴式子宫切除术(LAVH)的手术要点及临床应用价值。方法选择本院2008年7月至2010年11月收治的需行子宫切除术患者77例,其中41例行LAVH,另外同期36例行传统开腹式子宫切除术(TVH)。对2组患者的手术时间、术中出血量、术后恢复及住院时间进行比较分析。结果观察组手术时间、术中出血量、术后胃肠功能恢复时间及住院时间均明显短于对照组,差异均有统计学意义(P均<0.05)。结论 LAVH创伤小、肠道干扰少、康复快,值得临床推广应用。 Objective To investigate the operative points and clinical value of laparoscopic assisted vaginal hysterectomy (LAVH). Methods Totally 77 patients underwent hysterectomy in our hospital from July 2008 to November 2010, of whom 41 underwent LAVH and another 36 underwent conventional open abdominal hysterectomy (TVH). The operation time, intraoperative blood loss, postoperative recovery and hospital stay in two groups were compared. Results The operation time, intraoperative blood loss, postoperative gastrointestinal function recovery time and hospital stay in observation group were significantly shorter than those in control group (all P <0.05). Conclusions LAVH has less trauma, less intestinal disturbance and quick recovery, which is worthy of clinical application.