目的探讨可保留生育功能的经腹根治性宫颈切除术的临床疗效。方法为4例希望保留子宫功能的宫颈病变患者实施经腹根治性宫颈切除术。结果4例患者术后均恢复月经,术后随诊情况良好。结论经腹根治性宫颈切除术可以保留宫颈病变患者子宫的功能,但其生存率是否与传统方法相近,需进一步临床观察研究。 Objective To investigate the clinical efficacy of transabdominal radical cystectomy for preserving reproductive function. Methods Four cases of cervical lesions who wished to retain uterine function were treated with radical gastrectomy. Results All the 4 patients recovered their menstruation after operation. The patients were followed up well. Conclusions The radical gastrectomy can preserve the uterine function of patients with cervical lesions, but its survival rate is similar to the traditional method, and further clinical observation is needed.