子宫切除术后的慢性疼痛。
Chronic pain after hysterectomy.
作者信息
Brandsborg Birgitte, Nikolajsen Lone
机构信息
Department of Anaesthesiology, Aarhus University Hospital, Aarhus, Denmark.
出版信息
Curr Opin Anaesthesiol. 2018 Jun;31(3):268-273. doi: 10.1097/ACO.0000000000000586.
PURPOSE OF REVIEW
Hysterectomy is a common surgical procedure with a low risk of major complications. However, some women experience long-lasting complications, including chronic postsurgical pain, which can have a negative impact on their quality of life. This review aims to present the recent literature on chronic pain following hysterectomy for benign indications.
RECENT FINDINGS
Chronic pain following hysterectomy is reported in 10-50% of women. Risk factors include preoperative pelvic pain, pain elsewhere, acute postoperative pain, surgical procedure, and psychological factors such as anxiety and depression. The pain may be neuropathic in 5-50% of cases.
SUMMARY
Chronic pain may occur after hysterectomy. Preoperative screening tools, including psychological screening for depression and anxiety, may identify women at risk of developing chronic postsurgical pain, and future studies should examine perioperative interventions aimed at preventing the development of chronic pain after hysterectomy.
综述目的
子宫切除术是一种常见的外科手术，发生重大并发症的风险较低。然而，一些女性会经历长期并发症，包括慢性术后疼痛，这会对她们的生活质量产生负面影响。本综述旨在介绍近期关于良性指征子宫切除术后慢性疼痛的文献。
最新发现
据报道，10%至50%的女性在子宫切除术后会出现慢性疼痛。风险因素包括术前盆腔疼痛、其他部位疼痛、术后急性疼痛、手术方式以及焦虑和抑郁等心理因素。在5%至50%的病例中，疼痛可能是神经性的。
总结
子宫切除术后可能会出现慢性疼痛。术前筛查工具，包括对抑郁和焦虑的心理筛查，可能会识别出有慢性术后疼痛风险的女性，未来的研究应探讨旨在预防子宫切除术后慢性疼痛发生的围手术期干预措施。
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