Constipation does not develop following elective hysterectomy: a prospective, controlled study.
Constipation does not develop following elective hysterectomy: a prospective, controlled study.
复制标题
选择性子宫切除术后不会出现便秘：一项前瞻性对照研究。
DOI：
10.1111/j.1365-2982.2008.01186.x
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Drossman,DA
中科院分区：
文献类型：
--
作者：
Sperber,AD;Morris,CB;Greemberg,L;Bangdiwala,SI;Goldstein,D;Sheiner,E;Rusabrov,Y;Hu,Y;Katz,M;Freud,T;Neville,A;Drossman,DA
Although there have been reports that women develop constipation following hysterectomy, previous studies were either retrospective or uncontrolled. The aim of this prospective, controlled study was to assess whether constipation develops after elective hysterectomy. Women undergoing elective gynaecological surgery were compared to matched non‐surgery controls at enrolment and 3 and 12 months after surgery. The subset of women who underwent elective hysterectomy was the study group for the present report. Fifty‐eight of the 132 elective surgery patients underwent hysterectomy and were compared to 123 controls. There was no difference between the groups at any follow‐up point in functional constipation (P= 1.0), frequency of stools (P= 0.92), stool consistency (P= 0.42), straining (P= 0.43), feeling of obstruction (P= 0.6) or need to manually evacuate stool (P= 1.0). Significantly, more hysterectomy patients without baseline pain did develop abdominal pain at 3 or 12 months than non‐surgery controls (16.7%vs3.6%,P= 0.008). We conclude that there was no significant change in bowel habit or stool characteristics in women undergoing hysterectomy even though many developed abdominal pain. This prospective, controlled study challenges existing data regarding the effect of hysterectomy on constipation.
