目的　探讨全子宫切除术的最佳方案。方法　对 10 0例子宫良性病变有子宫切除指征的患者随机分为两组 ,采用腹部横切口全子宫切除 5 0例 ,与同期纵切口全子宫切除术5 0例作为对照组进行对照分析。结果　两组在手术时间、术中出血量、术后恢复方面比较有显著性差异 (P <0 .0 1)。结论　腹部横切口全子宫切除术优于纵切口术式 Objective To investigate the best solution of total hysterectomy. Methods One hundred and ten patients with benign lesions of uterus who had hysterectomy indications were randomly divided into two groups. Fifty cases of total hysterectomy by abdominal transverse incision were compared with 50 cases of total hysterectomy by longitudinal incision as control group. Results The two groups had significant differences in operation time, intraoperative blood loss and postoperative recovery (P <0.01). Conclusions Abdominal transverse incision hysterectomy is better than longitudinal incision