战士血栓性外痔病因及治疗分析

Analysis on the Nosopoietic Cause and Treatment of Thrombosed External Hemorrhoids of Soldier

为探讨战士发生血栓性外痔的原因及治疗方法，以减少战士血栓性外痔的发生，我们对52例战士的血栓性外痔行梭形切口血栓剥离术，术后局部压迫，温盐水坐浴。结果显示，52例战士血栓性外痔均一次治愈；手术当日或次日疼痛症状缓解或消失，2～5d局部肿胀消失，创口无明显感染。创口愈合时间8～15d，平均11d。创口愈合后无肛门狭窄，局部无包块，少数患者肛门处见小皮赘。成功随访40例，无复发。结果表明，高强度军事训练、局部刺激和饮食不节是战士发生血栓性外痔的主要原因，梭形切口血栓剥离术后症状消失快，切口愈合快，不改变肛门结构和功能。

In order to investigate the nosopoietic cause and curative method of thrombosed external hemorrhoids of soldier so as to reduce the genesis of this disease, authors adopted the dissection procedure of thrombus via spindle incision to treat the thrombosed external hemorrhoids of 52 soldiers,after the treatment to perform local press and sitz bath with warm salt solution. As results,52 patients were all cured primarily,at the day of operation,or the second day,pain was relief or disappeared,later 2-Sdays local edema disappeared,no distinct infection was found on wound; wound healing time was 8-15days（averaged 11 days） ;after wound healing no anal stenosis,no local mass was found;in few patients there were mini skin tag at anus;40 patients received successful follow-up,no recurrence. Results show jthat high-intensity military train,local stimulation and a grossly inadequate diet are the main causes resulting in thrombosed external hemorrhoids; following the dissection procedure of thrombus via spindle incision its symptoms faster disappeared, wound healing is faster, no changes of anal structure and function are found.