目前,对子宫切除术时是否同时行预防性卵巢切除仍有争议。美国最近一项调查表明,50％妇女在行子宫切除术的同时也切除双侧卵巢,这个比例随年龄上升而上升。Wilcox等发现每10例腹式子宫切除有6例行卵巢切除,但每10例阴式子宫切除术时只有1例。当有卵巢切除指征时,许多妇科专家选择腹式子宫切除术。一些研究表明,阴式子宫切除术时行卵巢切除可行,经阴道子宫切除与经腹子宫切除相比优越性在于减少创伤及尽快康复。为评价阴式子宫切除术时卵巢切除的可行性及安全性进行前瞻 At the moment, there is still controversy over whether prophylactic ovariectomy is performed at the time of hysterectomy. A recent survey in the United States showed that 50% of women underwent hysterectomy while also removing the bilateral ovaries, the proportion increased with age. Wilcox et al found that there were 6 cases of ovariectomy for every 10 cases of abdominal hysterectomy, but only 1 case for every 10 cases of vaginal hysterectomy. When there is indication for ovariectomy, many gynecologists choose abdominal hysterectomy. Some studies have shown that ovariectomy vaginal hysterectomy feasible, transvaginal hysterectomy and abdominal hysterectomy compared to the advantage of reducing trauma and rapid recovery. To evaluate the feasibility and safety of ovariectomy during vaginal hysterectomy