目的探讨阴式子宫全切与完全腹腔镜下子宫全切的临床效果。方法 90例接受子宫全切术治疗患者,根据其意愿分为观察组(完全腹腔镜下子宫全切)与参考组(阴式子宫全切),各45例。观察两组患者手术情况及术后恢复情况,记录患者并发症发生情况并给予相应的治疗,比较患者治疗费用。结果观察组患者手术时间、术中出血量与参考组比较,差异无统计学意义(P>0.05);观察组患者术后肛门排气时间、平均住院时间、抗生素使用时间与参考组比较,差异无统计学意义(P>0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05);观察组治疗费用、再手术率明显低于参考组,差异具有统计学意义(P<0.05)。结论阴式子宫全切与完全腹腔镜下子宫全切均能够实现良好的治疗效果,术后患者恢复状况均良好,然而腹腔镜手术治疗费用明显小于参考组,且腹腔镜手术患者再手术率明显低于阴式子宫切除术患者,因此在手术时可根据患者具体情况选择合适的手术方式。 Objective To investigate the clinical effect of total vaginal hysterectomy and complete laparoscopic hysterectomy. Methods Ninety patients undergoing total hysterectomy were divided into observation group (totally laparoscopic hysterectomy) and reference group (vaginal hysterectomy), 45 cases in each group. The operation and postoperative recovery of the two groups were observed. The complication of the patients was recorded and treated accordingly. The treatment cost of the patients was compared. Results There was no significant difference in operative time and intraoperative blood loss between the observation group and the reference group (P> 0.05). The anal exhaust time, average hospitalization time, antibiotic use time in the observation group were significantly lower than those in the reference group There was no significant difference between two groups (P> 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). The treatment cost and reoperation rate in the observation group were significantly lower than those in the reference group Significance (P <0.05). Conclusion Vaginal hysterectomy and complete laparoscopic hysterectomy can achieve good therapeutic effect, postoperative recovery of patients were good, however, the cost of laparoscopic surgery was significantly less than the reference group, and the rate of reoperation in patients undergoing laparoscopic surgery was significantly Lower than vaginal hysterectomy patients, so surgery can be based on the specific circumstances of patients choose the appropriate surgical approach.