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KMID : 0377619920570030153
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Korean Jungang Medical Journal
1992 Volume.57 No. 3 p.153 ~ p.159
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A Clinical Study of Anal Diseases in Korean Military Soldiers
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Abstract
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The clinical study was made on 430 cases of anal diseases who had been treated at the department of general surgery, Nonsan Armed Forces General Hospital from January 1990 to December 1991.
The results were as follows:
The most frequent disease was hemorrhoid (74.0 %), followed by anal fissure (14.6 %), anal fistula (5.8 %), perianal abscess (4.0 %).
The seasonal distribution revealed the peak incidence on spring in hemorrhoid, anal fissure and perianal abscess, and on summer in anal fistula.
Examining the anatomical location of hemorrhoid, multiple distribution was observed in 47.8 %, and the most frequent location of single hemorrhoid was on the direction of 7 o´clock (14.4 %), followed by 4 o´clock (11.6 %), 11 o´clock (7.5 %). The type of hemorrhoid was external in 50.0 %, internal in 30.2 % and complicated in 19.8 %. The anal fissure (77.8 %) and perianal abscess (47.1 %) were seen most commonly in the posterior aspects of anus. The most frequent site of fistula opening was posterior aspect of anus (external 36.0 %, internal 48.0 %). In the 3 cases (12 %), the internal opening was not identified.
The main clinical symptoms of hemorrhoid were pain (56.9 %), bleeding (55.4 %) and foreign body sensation due to mass (54.8 %). In the anal fissure, bleeding was the most common symptom (82.5 %). And the discharge (80.0 %) and pain (100 %) were main clinical symptom of anal fistula and perianal abscess, respectively.
The symptom duration was within one week in 47.417o.
Operation was performed in 86 patients (20%) of the total.
Postoperative complications were noted in 7 cases (8.1 %) of the operated 36 patients and the most frequent complication was bleeding (42.8 %).
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