치핵에 대한 임상적 고찰 = A Clinical Analysis of the Hemorrhoids

다국어 초록 (Multilingual Abstract)

For centuries the human race has been plagued with a disease called "hemorrhoid", but a precise definition of hemorrhoid does not exist because exact nature of the condition is not completely understood. Moreover, there is no universal agreement as to the optimal management of hemorrhoids.
A clinical analysis was made about 54 cases of the hemorrhoids, admitted at department of surgery, Chungnam National University Hospital, during the past 4 years and 9 months from Jan, 1979 to Sept, 1983.
The following results were obtained.
1. The peak incidence was in the age group of 3rd and 4th decade(59.3%), and male outnumbered female by 2.4 : 1.
2. The most common symptom was bleeding(42.6%), and next prolapsed mass(24.1%), pain(9.3%).
3. The most common duration between onset and admission was 1-5 years(27.7%), but 10 cases(18.6%) was over 10 years.
4. Previous treatments were done in 12 cases(22.3%), and 9 cases(16.7%) were treated by unauthorized persons with severe sequeles.
5. The average number of piles were 2.7, and the most common type of hemorrhoid was mixed type(63.4%), and next external hemorrhoid (21.4%), then internal hemorrhoid(15.2%). The most predominent site was right poster portion(39.3%).
6. All the hemorrhoids were treated by closed hemorrhoidectomy with good results.
7. The postoperative complications were hemorrhage and stenosis, 1 case respectively.