Jacoby Vanessa L
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California.
Clin Obstet Gynecol. 2014 Mar;57(1):95-105. doi: 10.1097/GRF.0000000000000011.
The decision to retain or remove the ovaries and cervix at the time of hysterectomy is complex and controversial. We present a summary of the current literature on the risks and benefits of elective oophorectomy and subtotal hysterectomy to inform surgical decision making. There are no randomized trials of oophorectomy compared with hysterectomy and ovarian preservation. Observational studies have conflicting evidence on long-term health outcomes following oophorectomy. In contrast, there are high-quality randomized trials of subtotal versus total hysterectomy; there is a decrease in some short-term surgical complications for women who undergo subtotal hysterectomy, but no differences in long-term outcomes.
子宫切除时保留或切除卵巢及子宫颈的决定复杂且存在争议。我们总结了当前关于选择性卵巢切除术和次全子宫切除术的风险与益处的文献，以指导手术决策。目前尚无卵巢切除术与子宫切除术及保留卵巢的随机对照试验。观察性研究关于卵巢切除术后长期健康结局的证据相互矛盾。相比之下，有高质量的次全子宫切除术与全子宫切除术的随机对照试验；接受次全子宫切除术的女性一些短期手术并发症有所减少，但长期结局并无差异。
