输卵管脱垂至阴道穹窿部是子宫切除术后的一 种罕见并发症,尤其容易发生于经阴道切除者,其临床特征为阴道出血,盆腔疼痛,性交困难,以及阴道顶端有输卵管的炎性包块。阴式子宫切除同时进行较多盆底结构重建时,本病发生率可能升高。经腹输卵管切除是最理想的处理方法,1996年以来文献报道的其他治疗方法有阴道切除,阴道与腹腔镜联合手术的阴道套扎。这些手术修复了阴道腹膜瘘管,并切除了阴道顶的炎性包块,因此,均有一定疗效。除门诊套扎缝合外,手术多在全身麻醉进行。作者对手术选择提出了新的标准,并建议在开始阶 Fallopian tube prolapse to the vaginal fornix is ​​a rare complication after hysterectomy, especially prone to vaginal resection, the clinical features of vaginal bleeding, pelvic pain, difficulty in sexual intercourse, and vaginal tubal inflammatory package Piece. Vaginal hysterectomy at the same time more pelvic floor reconstruction, the incidence of the disease may increase. Transabdominal tubal resection is the best treatment, since 1996, other treatments reported in the literature vaginal resection, vaginal laparoscopic vaginal surgery and vaginal ligature. These procedures repair the vaginal peritoneal fistula, and remove the vaginal top of the inflammatory mass, therefore, have a certain effect. In addition to out-patient ligation sutures, surgery and more in general anesthesia. The authors have proposed new criteria for surgical options and are advised to begin with