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혈전성 외치핵의 임상연구-조직학적 및 항문 괄약근 압력의 변화를 중심으로-

Clinical Study of External Thrombotic Hemorrhoids-A study of the changes in tissue pathology and anal sphincter pressure -

대한대장항문학회지 1997년 13권 2호 p.255 ~ 261
임석원 ( Lim Seok-Won ) - 송도병원 외과

박원갑 ( Park Won-Kap ) - 송도병원 외과
이철호 ( Lee Chul-Ho ) - 송도병원 외과
이광렬 ( Lee Kwang-Ryul ) - 송도병원 외과
유정준 ( Yoo Jung-Jun ) - 송도병원 외과
박세영 ( Park Se-Young ) - 송도병원 외과
김현식 ( Kim Hyun-Sik ) - 송도병원 외과
이종균 ( Lee Jong-Kyun ) - 송도병원 외과


An external thrombotic hemorrhoid is a very painful disease with a high incidence rate. The chief complaints encountered by the surgeon are protrusion and pain. However, because the spontaneous healing rate is very high, there is no consensus on whether conservative management or surgery is a more effective treatment policy. In an attempt to resolve this problem, we performed a clinical analysis of fifty patients with external thrombotic hemorrhoids who were treated by conservative management at Song-Do Colorectal Hospital from October 1996 to December 1996. We recorded the time
required for the protrusion and the pain to disappear and performed manometry to check the sphincter pressure and tissue pathology to determine the pathogenesis of the external thrombotic hemorrhoid. The results are as follows:
1) Based on pathology, the cause of the external thrombotic hemorrhoids was venous thrombosis due to venous stasis, not a hematoma due to venous rupture. 2) Manometry showed that the resting sphincter pressure and the squeezing sphincter pressure for the patients with external thrombotic hemorrhoids was higher than those of the control group, which was the reason for the venous stasis. In conclusion, because an external thrombotic hemorrhoid is just a thrombosis due to venous stasis, the thrombosis can be improved by using methods such as a warm sitz bath and analgesics to decrease the sphincter pressure. Hence, conservative management should be the preferred treatment in almost all cases.


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