本文对６１２例阴式子宫全切术进行了临床分析。结果表明，手术对象的年龄多在４１岁～５０岁之间，为２８６例（４６．７３％）。手术病种以子宫肌瘤为首位，２３８例（３８．３９％），其次为功能失调性子宫出血、子宫脱垂、慢性宫颈炎。常见的症状是月经失调、月经过多，４０５例（６６．１８％）。手术适应证为子宫小于妊娠３个月、盆腔无粘连、阴道无狭窄、病灶无恶变。手术时间平均１０１．４３分钟。并发症有膀胱损伤３例，术后膀胱出血１例，手术失败３例。 In this paper, 612 cases of vaginal hysterectomy were analyzed. The results showed that the age of the operative subjects were mostly 41 to 50 years old, which was 286 cases (46.73%). Uterine fibroids were the most common surgical diseases in 238 cases (38.39%), followed by dysfunctional uterine bleeding, uterine prolapse and chronic cervicitis. Common symptoms are menstrual disorders, menorrhagia, 405 cases (66.18%). Surgical indications for the uterus less than 3 months of pregnancy, pelvic adhesions, vaginal stenosis, no malignant lesions. The average operation time was 101.43 minutes. Complications of bladder injury in 3 cases, 1 case of postoperative bladder hemorrhage, surgery failed in 3 cases.