Kaunitz A M, Thompson R J, Kaunitz K K
Obstet Gynecol. 1986 Sep;68(3):436-8. doi: 10.1097/00006250-198609000-00032.
Some mentally retarded women, particularly those severely affected, may benefit from hysterectomy. Although the contraceptive effect of hysterectomy frequently may be useful, this procedure should be performed only in those women for whom menstrual hygeine is (or is anticipated to be) a major problem. A recommendation from a pediatrician or other physician who has an established relationship with the patient is a prerequisite to surgery. Likewise, informed written consent from the women's legal guardian must include a review of the risks and benefits of and alternatives to the proposed surgery. Our experience suggests that, for selected women with severe mental retardation, hysterectomy, albeit controversial, may improve the quality of life.
一些智力迟钝的女性，尤其是那些受影响严重的，可能会从子宫切除术中获益。虽然子宫切除术的避孕效果通常可能有用，但该手术仅应在月经卫生是（或预计会成为）主要问题的女性中进行。儿科医生或与患者有既定关系的其他医生的推荐是手术的先决条件。同样，女性法定监护人的知情书面同意必须包括对拟议手术的风险、益处和替代方案的审查。我们的经验表明，对于选定的严重智力迟钝女性，子宫切除术尽管存在争议，但可能会改善生活质量。
