Prior A, Whorwell P J
Department of Medicine, University Hospital of South Manchester.
Gut. 1989 Jul;30(7):996-8. doi: 10.1136/gut.30.7.996.
A 12 month follow up study to assess the impact of symptoms suggestive of irritable bowel syndrome in women presenting to gynaecology clinics with pelvic pain is reported. Of 71 women 37 (52%) had symptoms suggestive of irritable bowel syndrome at presentation. A firm gynaecological diagnosis was reached in only three (8%) women positive for irritable bowel syndrome compared with 15 (44%) without (p = 0.002). After 12 months 24 (65%) women with irritable bowel syndrome were still symptomatic compared with 11 (32%) without (p = 0.01). This study shows that women with irritable bowel syndrome frequently attend gynaecological clinics but rarely have gynaecological pathology and the prognosis is poor in terms of resolution of their pain.
本文报告了一项为期12个月的随访研究，旨在评估因盆腔疼痛就诊于妇科诊所的女性中，提示肠易激综合征的症状所产生的影响。71名女性中，37名（52%）在就诊时有提示肠易激综合征的症状。在肠易激综合征呈阳性的女性中，只有3名（8%）得到了明确的妇科诊断，而在无该症状的女性中这一比例为15名（44%）（p = 0.002）。12个月后，有肠易激综合征的24名（65%）女性仍有症状，而无该症状的11名（32%）女性有症状（p = 0.01）。这项研究表明，患有肠易激综合征的女性经常前往妇科诊所就诊，但很少患有妇科病理学疾病，并且就疼痛缓解而言预后较差。
