Objective To analyze the prevalence of chronic constipation in women with pelvic organ prolapse retrospectively, so as to investigate the correlation between these two diseases. Methods Consecutive female inpatients with pelvic organ prolapse in the Department of Gynecology & Obstetrics at PUMC Hospital from Jan. 1,2005 to Dec. 31,2005 were enrolled. Their medical histories were collected, and a telephone survey was carried by a experienced investigator. The diagnosis of chronic constipation was defined by Rome Ⅱ criteria. Results Two hundred and one patients were recruited in this study, among them 122 responded to the telephone survey, the response rate was 60.7%. Thirty-five patients met the Rome Ⅱ criteria for chronic constipation, the prevalence was 28.7% ,and disease course ranged from 2-43 years. The proportion of patients complicated with chronic constipation in patients with mild pelvic organ prolapse was not different from that in the moderate to severe ones(26.7% vs. 29.3 %, P >0.05). Conclusions In this study the prevalence of chronic constipation in female patients with pelvic organ prolapse (28.7%)is higher than that in general female adults(4.28%-9.68%),and further study is needed to clarify the relationship between these two diseases.%目的 回顾性分析女性盆腔器官脱垂患者的慢性便秘患病情况,初步探讨两种疾病之间的关系.方法 收集2005年1月1日至12月31日北京协和医院妇产科诊断为盆腔器官脱垂的住院患者的病史资料,由经统一培训的调查员对其进行电话问卷调查.慢性便秘的诊断参照罗马Ⅱ标准.结果 201例入选患者中,122例接受了电话问卷调查,应答率为60.7%.其中符合慢性便秘罗马Ⅱ标准者53例,患病率为28.7%,病程2～43年.轻度与中重度盆腔器官脱垂患者合并慢性便秘的比例差异无统计学意义(2.67%vs.2.93%,P>0.05).结论 本研究中女性盆腔器官脱垂患者的慢性便秘患病率(28.7%)明显高于普通成年女性人群(4.28～9.68%),慢性便秘与女性盆腔器官脱垂的关系尚有待进一步研究.
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