Nowadays,with the introduction of the concept of minimally invasive surgery,laparoscopic surgery which occupied the mainstream operation method,vaginal surgery,and abdominal surgery were three main ways of gynecological surgery.Hysterectomy operation method as the routine operation of gynecology was changed as well.Laparoscopic hysterectomy has replaced transvaginal hysterectomy and transabdominal hysterectomy gradually.Historical development,operation indication,and advantages and disadvantages of hysterectomy are summarized in this article.

Objective:To investigate the satisfaction of family doctors services among the contracted community residents,so as to provide evidence for improving the related system of family doctors.Methods:Two community health service centers in Hanbin District of Ankang were selected as the investigation sites and 805 over-65-year residents were recruited and interviewed using cluster sampling method.Results:The three most satisfactory items for community doctor services were family doctors' attitude (86.0％),the convenience of appointment and service (80.3％) and the degree of listening and explaining the disease (77.1％).Conclusion:Overall,the residents are generally satisfied with the family doctor services,but there still exists much room for improvement.We must increase propaganda of family doctor services in the process of implementation,raise the awareness of family doctor services in residents,establish and improve the mechanism of training,introduction,evaluation and incentive of family doctors,and improve the overall quality and service ability of family doctors.