目的　总结改良腹式子宫全切术临床体会。方法　对 98例子宫全切术进行改进 ,采用腹壁横切口钝性撕拉开腹壁 ,保留腹壁下浅静脉 ;集束法处理子宫韧带及附件 ;筋膜内切除子宫 ,不处理子宫主、骶韧带 ;盆腔腹膜及壁层腹膜不缝合 ;筋膜层连续缝合 ,皮肤连同皮下脂肪仅缝 3针。结果　明显缩短了手术时间 ;减少术中出血 ,术后恢复快 ;减少脏器损伤、粘连及术后疼痛 ;预防附件和阴道脱垂 ,提高术后性生活质量 ;腹部美观 ,满足病人的心理需求 ;缩短住院时间 ,降低住院费用。结论　改良子宫全切术优于传统术式 ;更适合肥胖妇女、慢性炎症及子宫内膜异位症造成的盆腔粘连病人选用 Objective To summarize the clinical experience of modified abdominal hysterectomy. Methods A total of 98 cases of uterine hysterectomy were improved. The abdominal wall was dissected with blunt tearing and the superficial veins were preserved. The uterus ligament and accessory were treated by the bundling method. Pelvic peritoneum and parietal peritoneal suture; fascia continuous suture, the skin along with subcutaneous fat only 3 stitches. The results significantly reduced the operation time; reduce intraoperative bleeding, postoperative recovery fast; reduce organ damage, adhesions and postoperative pain; prevent attachment and vaginal prolapse, improve postoperative sexual quality of life; abdominal beauty to meet the psychological needs of patients ; Shorten the hospital stay, reduce hospital costs. Conclusion The modified hysterectomy is superior to the traditional surgical procedures. It is more suitable for the treatment of pelvic adhesions in obese women, chronic inflammation and endometriosis