Igwe P O, Dodiyi-Manuel A, Oparaku K C
Niger J Med. 2014 Jan-Mar;23(1):57-60.
Disorders of the anus and rectum occurcommonly in surgical practice. Common anorectal disorders include haemorrhoids, carcinoma of the rectum, anal fissures, anorectal fistulae and abscesses. Less frequently encountered disorders include perineal injuries, anal cancers and rectal polyps. The purpose of this study is to determine the pattern of anorectal diseases which were surgically treated in University of Port Harcourt Teaching Hospital.
This is a 4 year retrospective study of all adult patients with anorectal diseases who were admitted into the surgical wards of University of Port Harcourt Teaching Hospital. Relevant data were retrieved and analyzed.
One hundred and fifty cases were seen over the 4 year period. There were 92 (61.33%) males and 58 (38.67%) females making a male to female ratio of 1.6:1. The peak age incidence was 31-40 years. The commonest anorectal disorder was haemorrhoids. Other commonly encountered conditions in decreasing order were carcinoma of the rectum, anorectal fistulae, anal fissures and rectal prolapsed. Five patients died and they all had carcinoma of the rectum.
Haemorrhoids remain the commonest anorectal disorder in University of Port Harcourt Teaching Hospital. Carcinoma of the rectum which was not noted among the studied population in ourcentre 10 years ago now assumes the second position and this reflects an increasing incidence of the disease. Therefore, early diagnosis and treatment are imperative for increase in survival rate.
肛门和直肠疾病在外科手术中较为常见。常见的肛肠疾病包括痔疮、直肠癌、肛裂、肛瘘和脓肿。较少见的疾病包括会阴损伤、肛管癌和直肠息肉。本研究的目的是确定在哈科特港大学教学医院接受手术治疗的肛肠疾病模式。
这是一项对所有入住哈科特港大学教学医院外科病房的成年肛肠疾病患者进行的为期4年的回顾性研究。检索并分析了相关数据。
在这4年期间共诊治了150例患者。其中男性92例（61.33%），女性58例（38.67%），男女比例为1.6:1。发病高峰年龄为31 - 40岁。最常见的肛肠疾病是痔疮。其他常见疾病按发病率递减顺序依次为直肠癌、肛瘘、肛裂和直肠脱垂。5例患者死亡，均为直肠癌患者。
在哈科特港大学教学医院，痔疮仍然是最常见的肛肠疾病。直肠癌在10年前我们中心的研究人群中未被发现，现在位居第二，这反映了该疾病发病率的上升。因此，早期诊断和治疗对于提高生存率至关重要。
