手术创伤可不同程度地干扰机体免疫功能,影响机体对外来微生物的识别和清除,从而影响术后疾病的恢复和预后,其影响程度与创伤程度相关,也有报道与手术切口的长度成正比[1]。腹腔镜技术避免了腹腔脏器与外界环境的直接接触,并能最大限度地缩小手术切口。目前有关腹腔镜子宫全切 Surgical trauma can interfere with the body’s immune function to varying degrees, affecting the body’s identification and clearance of foreign microbes, thereby affecting the recovery and prognosis of postoperative disease, the extent of its impact and degree of trauma, there are reports proportional to the length of the surgical incision [1 ]. Laparoscopic techniques to avoid direct contact with the external environment and abdominal organs, and can minimize the surgical incision. The current total laparoscopic hysterectomy