肛門直場疾患의 臨床統計學的 考紮 = A Clinical Study of Anorectal Diseases

국문 초록 (Abstract)

1971년 1월부터 1977년 12월까지 만 7년간 이화여대 부속병원 외과에 입원하여 치료받은 106예의 항문직장질환에 대한 임상통게학적 고찰을 하였다.
(1) 질환별 빈도는 치핵이 45.8%로 가장 많았으며, 항문주위농양 14.0% 치루 9.6%, 암 8.4%의 순이었다.
(2) 계절별 발생빈도는 봄과 가을에 다소 빔발함을 볼 수 있었다.
(3) 성별 빈도는 1.7:1로 남자에 많았고 호발연령은 30~39세(28.57%)였다.
(4) 발병후 내원까지의 평균 기간은 치핵이 5년으로 가장 길었으며 항문주위농양이 6일로 가장 짧았다.
(5) 항문직장질환의 공통적 임상증상으로서 출혈, 동통, 분비물, 소양감, 이물감 및 변비증이 있었다.
(6) 치핵은 다발성이 65.5%로서 단발성 보다 2배 이상 많았으며, 출혈성 치해이 가장 많았고, 6시 방향에 호발하고 22.04%에서 다른 질환을 동반하였다.
(7) 항문주위농양의 세균배양검사결과 대장균이 54.4%로서 가장 많았으며, Kanamycin에 가장 민감하였다.
(8) 치루는 2.4:1로 남자에서 많았으며 병리조직검사상 89.7%에서 만성비특이성염증이었으며 흉부 X-선상 5.1%에서 결핵이 동반되었다.
(9) 직장암은 50대에 가장 많았고 평균연령은 47.9세였으며 성별비는 2.1:1로 남자에게 많았다.

다국어 초록 (Multilingual Abstract)

A clinical study was made on 406 cases of anorectal disease for 7 years (1971~1977) in the Department of General Surgery, College of Medicine, Ehwa Womans University.
The results were as follows :
1. The Most frequent disease was hemorrhoik (45.8). and followed by perianal abscess (14.0%) and fistula (9.6%) and cancer (8.1%)
2. The Male to female ratio was 1.7:1, and the peak incidence was in the age group of 30~39 years (28.5%)
3. The mean duration was 5 years wjth hemorrhoids, 6 months with anal fistula, 3 months with cancer and 6 days for perianal abscess.
4. The main clinical symptons of anorectal disease were bleeding, pain, discharge, itching and foreign body sensation, and constipation.
5. The most common type of hemorrihoid was bleeding hemorrhoid, which constituted 40.6% of all hemorrhoids. the Multiple hemorrhoid accounted for 65.6%. The predilection site of the hemorrhoid was in the 6 o'clocks direction(7.5%), followed by the 10 o'clock direction and the 8 o'clock direction.
6. The most common cultured organism of perianal abscess was E. coil as 54.5% of all which was most sensitive to Kanamycin.
7. The most common histopathological findings of anal fistula was chronic non-specific inflammation which was accounted for 89.7%. The tuberculous origine accounted for 7.7%.
8. The Highest incidence of rectal cancer was in the age group of 50 to 59 years, and the aveage was 47.9% years. Ma,e preponderance was observed with the ratio of 2.1:1.