目的探讨子宫切除前后排便功能的变化。方法对照分析48例子宫全切患者子宫切除前后力排相直肠前突深度、肛管位置变化、肛直角大小及骶前间隙宽度判断手术对排便功能的影响。结果子宫切除后力排时直肠前突加深,肛管位置下移,肛直角增大,骶前间隙增宽。结论子宫切除后绝大部分患者排便障碍不同程度加重。 Objective To investigate the changes of defecation function before and after hysterectomy. Methods 48 cases of hysterectomy hysterectomy patients with hysteroscopic resection of the depth of rectocele, anal canal position changes, anus right angle and the width of the anterior sacral space to determine the impact of surgery on defecation. Results hysterectomy force row when the rectocele deepened, anal position down, anorectal angle increased presacral gap widened. Conclusion The majority of patients with post-hysterectomy defecation increased to varying degrees.