目的:探讨腹部小切口辅助下阴式子宫切除术的实用性和有效性。方法:回顾性分析68例腹部小切口辅助下阴式子宫切除术患者的临床资料。结果:62例手术获成功,手术时间37~73 min,失血量74~146 ml,住院3~4 d。6例中转开腹。术后发热2例,伤口均一期愈合,无其他严重手术并发症。随访6~18个月,阴道残端愈合均良好。结论:腹部小切口辅助下阴式子宫切除术是一种安全,有效、易掌握的手术方法。 Objective: To explore the practicality and effectiveness of vaginal hysterectomy assisted by small abdominal incision. Methods: A retrospective analysis of 68 cases of abdominal small incision assisted vaginal hysterectomy in patients with clinical data. Results: 62 cases were successfully operated, the operation time was 37-73 minutes, the blood loss was 74- 146 ml and the hospitalization was 3 ~ 4 days. 6 cases converted to open surgery. Postoperative fever in 2 cases, the wounds were healed, no other serious complications. Follow-up 6 to 18 months, the vaginal stump healing were good. Conclusions: Vaginal hysterectomy assisted by a small incision in the abdomen is a safe, effective and easy-to-master surgical method.