目的:探讨腹腔镜全子宫切除术(TLH)及腹腔镜辅助阴式全子宫切除术(LAVH)两种手术方式的疗效。方法:住院治疗的58例有全子宫切除手术指征患者,分为TLH组28例和LAVH组30例,对比两组手术时间、术中出血量、术后下床活动时间、肛门排气时间、术后平均住院时间等。结果:TLH组患者术中出血量及手术时间均小于LAVH组(P<0.05);而两组术后肛门排气时间及平均住院时间相比,差异无统计学意义(P>0.05)。结论:TLH是在LAVH基础上的进一步延伸,需要更熟练的腹腔镜手术技巧,手术难度更大,并且可能成为今后子宫切除术的主要术式。但应根据患者自身病情、医生的腹腔镜熟练程度及医院的设备等因素综合考虑,为患者提供最佳的治疗方案,以达到最好的治疗效果。 Objective: To investigate the effect of laparoscopic total hysterectomy (TLH) and laparoscopic assisted vaginal hysterectomy (LAVH) in two surgical methods. Methods: 58 cases of hospitalized patients with indications for hysterectomy were divided into TLH group of 28 cases and LAVH group of 30 cases, the two groups were compared operation time, blood loss, postoperative ambulation time, anal exhaust time , Average postoperative hospital stay. Results: The amount of bleeding during operation and the operation time in TLH group were less than those in LAVH group (P <0.05). There was no significant difference between the two groups in the time of anal exhaust and the average length of hospital stay (P> 0.05). CONCLUSIONS: TLH is a further extension of LAVH, requiring more skilled laparoscopic techniques that are more difficult to perform and may become the primary surgical modality of hysterectomy in the future. But should be based on the patient’s own condition, the doctor’s degree of laparoscopic and hospital equipment and other factors considered, to provide patients with the best treatment options in order to achieve the best therapeutic effect.