目的 探讨妇科肿瘤的饮食现状和消化道症状发生情况，并分析不同食物类别对妇科肿瘤出现消化道症状的影响。 方法 采用自行设计的问卷（一般资料调查表、食物摄入频率调查表、肠道症状发生频率表），调查 383例妇科肿瘤患者和 344例健康女性的饮食现状和消化道症状的发生情况。结果 383例妇科肿瘤患者的消化道症状包括慢性便秘 137例 （35.77%）、腹泻219例（57.18%）、肠胀气153例（39.95%）、慢性溃疡95例（24.80%）和出血性症状78例（20.37%），高于健康女性。 妇科肿瘤患者的饮食类型主要为蔬菜、水果、谷类、豆类、畜禽肉类、蛋类6类，并且在食用频率上与健康女性存在显著差异（P< 0.001）。不同食物类别与消化道症状存在一定的相关性（P<0.001）。结论 妇科肿瘤患者经放疗后出现的消化道症状较为普 遍，以腹泻最为显著。不同食物类型对消化道症状产生一定影响。

Objective To investigate the dietary status of gynecological tumor patients and the occurrence of gastrointestinal symptoms, and to analyze the effects of different food categories on gastrointestinal symptoms in gynecological tumor patients. Methods According to the exclusion criteria, the self⁃designed questionnaires, including general data questionnaire, food intake frequency questionnaire, frequency of intestinal symptoms, were used to investigate dietary status and the occurrence of symptoms of digestive tract among 383 gynecological tumor patients and 344 healthy women. Results The gastrointestinal symptoms of 383 gynecologic tumor patients included 137 cases of chronic constipation (35.77%), 219 cases of diarrhea syndrome (57.18%), 153 cases of flatulence syndrome (39.95%), and 95 cases of chronic ulcer (24.80%) and hemorrhagic symptoms in 78 cases (20.37%), higher than healthy people. The diet types of gynecological tumor patients were mainly vegetables, fruits, cereals, beans, livestock and poultry, and eggs, and there were significant differences in the frequency of food categories between gynecological tumor patients and healthy people (P<0.001). There were some correlations between different food categories and gastrointestinal symptoms (P<0.001). Conclusion The gastrointestinal symptoms of gynecological tumor patients after radiotherapy are common. The symptoms of diarrhea are most significant. Different types of foods are associated with gastrointestinal symptoms.