Hemorrhoids are also called hemorrhoids. In previous writings on anorectal diseases, it is generally accepted that hemorrhoids are mainly varicose veins and enlarged venous clusters. From 1997 to 1998, Professor An Ayue et al. through a large number of histopathological observations of hemorrhoids found that there are not only a large number of highly tortuous and dilated veins in the hemorrhoid tissue, but also edema of the interstitial tissue in the hemorrhoid, accompanied by inflammatory cell infiltration, part of There is thrombosis in the blood vessels.
Hemorrhoids are divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids by the line of teeth. The tooth line is the boundary line between the anus and the rectum, about 3-4 cm from the anus edge, shaped like a saw tooth. The internal hemorrhoids that occur on the dental line are called internal hemorrhoids, the external hemorrhoids that occur below the dental line are called external hemorrhoids. External hemorrhoids are divided into connective tissue external hemorrhoids, varicose external hemorrhoids, inflammatory external hemorrhoids and thrombotic external hemorrhoids according to their different properties.
The treatment of mixed hemorrhoids is divided into conservative treatment and surgical treatment: conservative treatment is generally based on perianal anorectal topical medication, such as the well-known Ma Yinglong hemorrhoid ointment, hemorrhoid suppository, angtai suppository, hemorrhoid suppository, and compound carrageenin Ester suppositories, etc., these medicines are mainly used to reduce swelling and pain, and stop bleeding. The advantage is that they are convenient to use, but they are only effective for patients with mild initial hemorrhoids. Professor An Ayue summarized many years of clinical experience and invented An's anorectal fumigant It has a good effect of reducing swelling and pain, and has a good effect on the prolapse of hemorrhoids and anal edema and pain. Hemorrhoids Zhixue An-A professor thinks that the compound carrageenin suppository has better effect. External medicines can also be appropriately combined with Maizhiling tablets, diosmin tablets and other oral adjuvant treatments to improve venous reflux. The main effect of conservative treatment is to reduce or eliminate the clinical symptoms, and cannot prevent the development of mixed hemorrhoids, let alone reverse the disease.
Surgical treatment should be considered for patients with repeated episodes of topical medications that are not effective, because long-term repeated episodes of hemorrhoids, especially patients with blood in the stool, can easily lead to chronic hemorrhagic anemia, repeated prolapse of hemorrhoids, and edema and even necrosis in the anus if they can’t be absorbed in time. The more severe the disease, the damage to the anus will increase accordingly.