目的:比较分别采用改良阴式子宫切除术与传统阴式子宫切除术的临床治疗效果。方法:选择2008年1月～2012年1月期间汉川市人民医院收治的355例患者,其中296例患者采用改良阴式子宫切除术(观察组),59例患者采用传统阴式子宫切除术(对照组)。对照组患者均采用传统阴式子宫切除术,观察组采用改良阴式子宫切除术。所有患者术后2月、半年及1年复查。所有患者随访均超过1年。结果:观察组术中所需平均时间为(45.92±11.71)min,对照组术中所需平均时间为(101.96±34.90)min,前者明显缩短(P<0.05)。观察组术中平均出血量为(42.75±9.67)ml,对照组术中平均出血量为(253.11±30.20)ml,前者的术中出血量明显减少(P<0.05)。观察组患者平均术后排气时间和住院时间均短于对照组(均P<0.05)。所有患者术后2月复查阴道残端愈合情况均较好。术后1年对照组患者中7例发生并发症,观察组患者中无一例发生,观察组的术后并发症发生率明显低于对照组(P<0.05)。观察组中95.27%患者术后性生活满意,对照组中77.91%患者术后性生活满意,观察组明显高于对照组(P<0.05)。结论:采用改良阴式子宫切除术可扩大手术适应证,降低手术难度,减少术中所需时间和出血量,缩短患者的住院时间,术后对患者的生活质量影响较小,术后并发症少,同时该术式的开展不需要特殊设备,值得临床推广。 Objective: To compare the clinical effects of modified vaginal hysterectomy and traditional vaginal hysterectomy respectively. Methods: A total of 355 patients admitted to Hanchuan People’s Hospital from January 2008 to January 2012 were retrospectively analyzed. Among them, 296 patients received modified vaginal hysterectomy (observation group) and 59 patients received conventional vaginal hysterectomy (Control group). Patients in the control group were treated with conventional vaginal hysterectomy and the observation group with modified vaginal hysterectomy. All patients were reviewed after 2 months, 6 months and 1 year. All patients were followed up for more than 1 year. Results: The average time required in the observation group was (45.92 ± 11.71) min. The average time required for operation in the control group was (101.96 ± 34.90) min, the former was significantly shorter (P <0.05). The average intraoperative blood loss was (42.75 ± 9.67) ml in the observation group and 253.11 ± 30.20 ml in the control group. The blood loss in the former group was significantly decreased (P <0.05). The average postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group (all P <0.05). All patients were reviewed after 2 months of vaginal stump healing were better. Complications occurred in 7 patients in the control group one year after operation. None in the observation group occurred. The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P <0.05). 95.27% of the patients in the observation group were satisfied with their sexual life after operation, 77.91% of the patients in the control group were satisfied with sexual life after operation, and the observation group was significantly higher than the control group (P <0.05). Conclusion: The modified vaginal hysterectomy can expand the indications for surgery, reduce the difficulty of surgery, reduce the time required for surgery and bleeding, shorten the hospital stay, postoperative impact on the quality of life of patients less, postoperative complications Less, at the same time the operation does not require special equipment, is worth clinical promotion.