子宫切除时是否行预防性卵巢切除仍存在许多争论,支持切除者的理由是可预防卵巢癌的发病。对14年来(1977～1990年)有子宫切除史的95例卵巢癌(占同期卵巢癌的12.6％)进行回顾性分析。95例卵巢癌患者中,经腹子宫切除者61例,其中保留单侧卵巢者25例,两侧卵巢均保留者36例,经阴道子宫切除者30例,保留单侧卵巢者1例,两侧卵巢均保留者29例;其余4例术式不详。子宫切除原因:子宫平滑肌 Whether or not a hysterectomy involves prophylactic oophorectomy is still controversial, and the reason for supporting resection is to prevent the onset of ovarian cancer. A retrospective analysis of 95 ovarian cancers (12.6% of ovarian cancers in the same period) with a history of hysterectomy over 14 years (1977-1990) was performed. Among 95 cases of ovarian cancer, 61 cases were undergone abdominal hysterectomy. Among them, 25 cases retained unilateral ovary, 36 cases were preserved on both sides of ovary, 30 cases were treated with vaginal hysterectomy, and 1 case was preserved with unilateral ovary. 29 cases were preserved in the lateral ovary; the other 4 cases were unknown. Hysterectomy causes: uterine smooth muscle