Study On Relationship Between The Hemorrhoids Of Downward Flow Of Damp-heat And Superior Hemorrhoid Artery

ObjectiveIn using special design anoscope of the Doppler supersonic hemorrhoidial artery examination diagnostic equipment, survey the hemorrhoidial blood stream to the hospitalized patients of hemorrhoidial surgery (including Milligan—Morgan, PPH, DG—HAL), and the Chinese medicine sign of downward flow of damp-heat. The objective of studies is hemorrhoidial the artery blood stream distributed rule, provides the theory basis for the hemorrhoidial origin, at the same time also hoped to provides the convenient, suitable and approvable objective target for the Chinese medicine . MethodsTo tallies brings into line with the standard 60 examples (male 42 examples, female 18 examples) the patient conducts the research, after the waist hemp takes lies face downwards the jackknife position, after the strict disinfection moderately expands the anus, pokes head in the Doppler anoscope to spread by the enough paraffin oil, the anoscope insertion anus in, the maintenance pokes head in to be apart from dentate line 2-3cm, along the anal canal rectum ordinate axis clockwise rotation anoscope, seeks the hemorrhoidial artery under the Doppler supersonic hemorrhoidial artery examination diagnostic equipment assistance guidance, in receives to the Doppler supersonic signal most obvious time fixed anoscope, the recording this time the instrument liquid crystal window demonstrates this position (truncation stone position) the information, Including is apart from the mucous membrane surface the distance (the unit:mm) and the blood stream oscillation amplitude (take the wave ridge height which demonstrated as, unit:mm). Using the statistical software SPSS13. 0 establishment database, after the data accurate input which collects obtains the result through manyindependent samples order and the relevant analysis. ResultsDiscovered to 60 examples patients' findings that, In hemorrhoids artery strip number least 1, more than 7 strip, average 4.27 + 1. 148 strip. By the standard of lithotomic position, in 1-12 positions hemorrhoids the artery is apart from the mucous membrane surface the distance in 3. 750+ 1. 282mm-5. 526+ 1. 541mm between, between 12 spots positions does not have the significance difference;The blood stream oscillation amplitude in 1. 682 + 0. 061cnrl. 731 +0. 088cm between, between 12 spots positions also does not have the significance difference. In the hemorrhoids the artery appears the frequency most to be many in turn are the 11, 7, 3 positions (respectively is 81. 7%), Next is 9, 1, 5 positions (respectively is 40.0%. Least is 6 positions (6.77%, 11 positions) is the center surmounts 2-3 spots positions primarily. In the hemorrhoids the artery distribution and the blind pile good send the spot to have the close relation but is not 11 corresponding relations, often has 2-3 arteries supplies in blind pile obvious position its hemorrhoids. Conclusions1. There are more than 3 arteries in the hemorrhoids, therefore the original three branches (3,7, 11 positions) the pattern possibly has the question, still had further to discuss.2. In the hemorrhoids the artery distributed and the female hemorrhoids zone (3, 7, 11 positions) have the close relation, also in the odd number position hemorrhoids the artery distribution compares an even number position crowdedness.3. 6 positions blood streams distribution least, after possibly is 6 positionsis easy to have anal fissure as well as the hemorrhoids excision restores one of slow reasons.4. The rectum lower segment and the anal tube blood supplies, in is apart from dentate line 2-3cm place depth basic to be consistent, also the artery capacity does not have the obvious difference.5. Hemorrhoids good sent the spot still was taken the female hemorrhoids area(3,7,11 positions) as the core surmounts 2-3 spots positions primarily.6. In hemorrhoids the artery distribution with hemorrhoids good sends the spot to have the close relation but is not corresponding relations, in the hemorrhoids may have 2 even 3 arteries supplies.7. Carries on for the first time in the living specimen to the human rectum lower segment blood stream does not have the creating determination accurately, the method simple is feasible.8. As one new methodology, may use in through the blood stream determination carrying on the curative effect appraisal to the hemorrhoids in.