McGowan L
Obstet Gynecol. 1987 Mar;69(3 Pt 1):386-9.
Hysterectomy is the most common major operative procedure in the United States. The present review of 291 women with primary ovarian cancer of the epithelial cell type from the metropolitan Washington, D.C. area reveals 41 (14%) had a prior hysterectomy. The hysterectomies were performed abdominally in 80% of women at an average age of 41 years and vaginally in 20% at an average age of 46 years. The interval between hysterectomy and discovery of ovarian cancer was ten years in the vaginal group and 18 years in the abdominal group. Women who had their ovaries retained at hysterectomy and later developed invasive ovarian cancer had approximately an 80% mortality.
子宫切除术是美国最常见的大型手术。本次对来自华盛顿特区大都市区的291例原发性上皮细胞型卵巢癌女性患者的回顾显示，41例（14%）曾接受过子宫切除术。80%的女性通过腹部进行子宫切除术，平均年龄为41岁；20%的女性通过阴道进行子宫切除术，平均年龄为46岁。阴道组子宫切除术后至发现卵巢癌的间隔时间为10年，腹部组为18年。子宫切除时保留卵巢且后来发生侵袭性卵巢癌的女性，死亡率约为80%。
