Prior A, Wilson K, Whorwell P J, Faragher E B
Department of Medicine, University Hospital of South Manchester, England.
Dig Dis Sci. 1989 Dec;34(12):1820-4. doi: 10.1007/BF01536698.
A study of the prevalence of symptoms suggestive of irritable bowel syndrome in 798 women referred to a gynecological clinic is reported; 321 women referred to dermatology and ear, nose, and throat clinics served as controls. Data were collected by a mailed symptom questionnaire. The prevalence of irritable bowel syndrome in the gynecological group was 37.3% compared with 27.7% in controls (P = 0.003). Approximately 50% of women referred with abdominal pain, dyspareunia, and dysmenorrhea had symptoms compatible with irritable bowel syndrome (P less than 0.005), whereas the prevalence in those referred for cervical abnormalities, termination/sterilization or perineal problems was similar to that of controls (28%). Patients referred with urinary symptoms, heavy periods, nonmenstrual bleeding, vaginal discharge, and infertility had an intermediate prevalence of irritable bowel syndrome (35-45%). This study suggests that either many women with irritable bowel syndrome are being wrongly referred to gynecologists or raises the possibility that symptoms currently regarded as indicative of irritable bowel syndrome may be associated with certain gynecological disorders.
本文报告了一项针对798名转诊至妇科门诊的女性进行的、关于肠易激综合征疑似症状患病率的研究；321名转诊至皮肤科及耳鼻喉科门诊的女性作为对照。数据通过邮寄症状问卷收集。妇科组肠易激综合征的患病率为37.3%，而对照组为27.7%（P = 0.003）。约50%因腹痛、性交困难和痛经转诊的女性有与肠易激综合征相符的症状（P < 0.005），而因宫颈异常、终止妊娠/绝育或会阴问题转诊的女性患病率与对照组相似（28%）。因泌尿系统症状、月经过多、非经期出血、阴道分泌物异常及不孕转诊的患者肠易激综合征患病率处于中等水平（35 - 45%）。本研究表明，要么许多患有肠易激综合征的女性被错误地转诊至妇科医生处，要么提示目前被视为肠易激综合征指征的症状可能与某些妇科疾病有关。
