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| Analysis of the risk factors of chronic pain after hysterectomy |
| Maanshan People's Hospital, Maanshan, Anhui Province, 243099 |
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Abstract To explore the risk factors of chronic pain after hysterectomy practice (CPHP) of patients. Methods: The clinical data of 190 patients undergoing hysterectomy due to uterine fibroids from June 2020 to June 2022 were analyzed retrospectively. The outpatient follow-up or telephone follow-up were conducted for these patients in 3 months after surgery. According to the numerical rating score (NRS), these patients were divided into the patients with CPHP in group A and patients without in group B. The clinical data of the patients were compared between the two groups. Univariate and multivariate logistic regression were used to analyze the risk factors of CPHP of the patients. Results: There were 40 (21.1%) patients in group A. There were no significant differences in the age, the body mass index, the number of pregnancies, the history of abdominal operation and cesarean section, the menopause situation, the operation mode, the adjunct resection rate, the operation time, the incidences of postoperative nausea and vomiting, hypertension, and diabetes of the patients between the two groups (P＞0.05). The preoperative pain score, the intraoperative blood loss, the rates of endometriosis or adenomyosis and postoperative acute infection of the patients in group A were significantly higher than those of the patients in group B (P＜0.05). The endometriosis or adenomyosis, and the high preoperative pain score of the patients were the independent risk factors of their CPHP after hysterectomy because of benign lesions (P＜0.05). The area under the curve (AUC) of the endometriosis or adenomyosis, and the high preoperative pain score of the patients for predicting their CPHP were 0.888 and 0.714. Conclusion: The rate of CPHP of the patients after hysterectomy because of benign lesions, such as uterine fibroids, is higher. The endometriosis or adenomyosis, and the severe preoperative pain of the patients are the independent risk factors of their CPHP occurrence after hysterectomy.
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