치핵절제술 후의 만기출혈에 영향을 미치는 인자에 대한 분석

황도연; 김유진; 정지은; 이종호; 장희철; 류재현; 김현식; 이종균

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자료유형: 학술저널

저자정보: 황도연 (송도외과) 김유진 (송도외과) 정지은 (송도외과) 이종호 (송도외과) 장희철 (송도외과) 류재현 (송도외과) 김현식 (송도외과) 이종균 (송도외과)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.18 No.6

발행연도: 2002.1

수록면: 369 - 372 (4page)

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연구주제

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연구배경

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연구방법

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연구결과

이 논문의 연구 히스토리 (2)

2002

치핵절제술 후의 만기출혈에 영향을 미치는 인자에 대한 분석

황도연 , 김유진 , 정지은 외 5명 Annals of Coloproctology 2002.01 학술저널

2001

치핵절제술 후의 만기출혈에 영향을 미치는 인자에 대한 분석

황도연 , 이종호 , 박원갑 외 2명 대한외과학회 학술대회 초록집 2001.11 학술대회자료

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Purpose: Secondary bleeding is an inevitable and a troublesome complication of hemorrhoidectomy. This study analyzed the factors related to secondary bleeding after hemorrhoidectomy. M ethods: A total of 14,062 patients received a hemorrhoidectomy from Apr. 1999 to Apr. 2001. A retrospective study of 83 patients with secondary bleeding was done. At first, the doctors were divided into two groups. In one group, each doctor had performed more than 500 hemorrhoidectomies; in the other groups, each doctor had performed less than 500 hemorrhoidectomies. The incidence of secondary bleeding of the two groups was compared. Then, 155 patients without secondary bleeding were randomly selected as a control group. Clinical aspects and laboratory data were compared with those of the bleeding group. Results: The total incidence of secondary bleeding was 0.6%. The incidence for the group with experienced doctors was 0.5% , that for the other group was 1.3%. W hen bleeding patients were compared with the control group, the proportion of patients who received a blood transfusion within 1 week before operation was 12.1% in the bleeding group and 2.6% in the control group. The postoperative WBC count was increased more in the bleeding group. The percentage treated with metronidazole was 12% compared with 25.3% in the control group. The incidences of bleeding according to operation sites were 19.6% in the right anterior, 12.2% in the left lateral, 10.9% in the right posterior, and 8.4% in the posterior portion. Conclusions: Secondary bleeding after a hemorrhoidectomy is more prevalent with less experienced doctors, recent history of blood transfusion, less use of metronidazole, and specific location of the hemorrhoid, such as the right anterior and the left lateral site of the hemorrhoid pile.

#Hemorhoidectomy #Secondary bleding #Related factors

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