文献中常提及因良性疾病行子宫切除术时预防性卵巢切除的问题。一方面有些学者主张自40～45岁起妇女切除子宫时,原则上去除双侧卵巢;相反的,另一方面主张任何年龄均保留卵巢。Funt(1977)认为无病变的附件至少至绝经期不能切除。对这个问题必须考虑以下几点:(1)腹式或阴式子宫切除术时附加切除卵巢,增加手术危险否?(2)子宫切除术对保留的卵巢的远期功能有无影响?(3)保留卵巢的病变率,特别是癌变率如何?(4)子宫切除时患者的年龄有何意义?从年龄来看卵巢癌的发生有多高,即防癌的真正价值多大? 作者回顾1958～1977年治疗原发性恶性卵巢肿瘤患者513例中26例(5.6%)因良性疾病曾切除子 The literature frequently mentions prophylactic ovariectomy for benign conditions during hysterectomy. On the one hand, some scholars advocate the removal of the uterus from women 40 to 45 years old, in principle, remove both ovaries; on the contrary, on the other hand advocate that any age to retain the ovary. Funt (1977) that the attachment of disease-free at least until menopause can not be removed. The following points have to be considered on this issue: (1) Does an additional ovariectomy during abdominal or vaginal hysterectomy increase the risk of surgery? (2) Does hysterectomy have any effect on the long-term function of the retained ovary? ) What is the significance of age at hysterectomy? How high is ovarian cancer from age to age, ie, how much is the true value of cancer prevention? Of the 513 patients treated for primary malignant ovarian tumors in 1977, 26 (5.6%) had resection due to benign disease