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KMID : 0371319950490030410
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Journal of the Korean Surgical Society
1995 Volume.49 No. 3 p.410 ~ p.416
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Manomtric Study in Patients with Hemorrhoids
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조유진
주재식/이종묵/손상호/이성규
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Abstract
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Anal sphincter pressure in patients with hemorrhoids were investigated. The purpose of this study was to compare anal sphincter pressure from 56 patients with hemorrhoids and 52 control subjects. The mean, maximal resting pressure and maximal
squeezing
pressure were obtained with a continuously perfused 4 channel polyvinyl radial catheter by the continuous pullthrough t4echnique during resting and squeezing maneuver of the anal sphincter. Computerized data analysis were used to calculate mean,
maximal
resting and squeezing pressure.
Patients with symptomatic hemorrhoids had significantly higher maximal squeezing pressure(206.7±69.0 cmH2O) as commpared to controls(163.3±46.0 cmH2O; P<0.01). the mean and maximal resting pressure of the patients group (27.0±13.8 cmH2O) were
higher
than control grup (24.4±14.9 cmH2O, 119.3±35.4 cmH2O, 125.7±43.7 cmH2O) were higher than control group(24.4 cmH2O, 119.3±35.4 cmH2O) but not significant(P>0.05).
Those patients who had bleeding as the predominant symptom had higher maximal resting pressure(131.4±48.2 cmH2O) than those who had pain and mass(123.1±47.5 cmH2O, 118.7±36.0 cmH2O) as the predominant symptom but stastically not
significant(P>0.05).
There was no correlation between anal manometric findings and degree of the hemorholds or duration of the symptoms.
In conclusion. Patients with symptomatic hemorrhoids had significantly higher maximal squeezing pressure than control subjects.
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KEYWORD
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