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What is anal papilloma?

Date2013-08-27 16:42:59

Anal papilloma is the result of long-term stimulation anal papilla and chronic inflammation increases stool hardens, anal papilloma is a benign tumor of the anus and rectum common. Arrangement of cells and the tumor and normal tissue of the same substance, the outer membrane surrounding with slow growth, recurrence after resection rarely. With the gradual increase of anal papilla, when the anus with defecation, due to repeated prolapse, anal stimulation, increased secretions. Therefore, in addition to the clinical prolapse anal papilloma, but when it bleeding after defecation without a net sense, anal itching, as the main performance. Insidious onset of the disease, the slow progress of the disease, benign, good healing effect after treatment. More common in young women than men.
Anus and anal papilloma cause of sinusitis are closely related, both as cause and effect, due to the long-term chronic inflammation increases, often due to mild symptoms, the disease progresses slowly unadorned, easily overlooked by patients, with tumor body increases, the anus after being taken seriously.
An anal papilloma diagnostic criteria:
1 history: a history of anal sinusitis, because symptoms are easily overlooked.
2, clinical manifestations:
① poor stool: the anal canal is rich in nerve fibers, forming a subsidiary of sensory organs, inflammation of the anal papilla inflammation, patients often have poor stool, or with foreign objects embedded within the anal sensation and a sense of falling, etc. . Acute inflammation, accompanied by tenesmus. Female patient symptoms get worse during menstruation is due to pelvic congestion caused by the menstrual period.
② anal itching: As long papilloma repeatedly emerge, resulting in stimulation of inflammatory secretions perianal skin, causing perianal eczema caused.
③ anal throat: Part nipple after tumor prolapse, incarcerated not yet satisfied, resulting in lymphatic drainage is blocked, causing swelling and pain anus.
3, auxiliary examination:
Speculum examination: Under endoscopic papilloma bottom base is red, white tip, was coral broke speculum.
Second, papilloma anal diagnostic criteria:
A pathological diagnosis: histologically confirmed inflammatory tissue or fibroid.
2, the clinical diagnosis:
① clinical manifestations: and after anal prolapse, accompanied by poor stool, tenesmus. Anal itching, swelling, or anus.
② DRE: In the line of tooth mobility palpable hard section.
③ speculum examination: microscope, white, coral was pedunculated tumor.
Third, the differential diagnosis of papilloma Anal:
1, rectal polyps: rectal polyps in the rectum wall, the surface was red meat, spherical, surface tissue of the mucous membrane, it is more common in children prone.
2, papillary fibroma, early symptoms, a small number of patients, there may be poor stool, does not affect the normal work and life, often overlooked or mistaken for hemorrhoids.
3, DRE and speculum examination is an important means of diagnosis of papillary tumors, most patients are checked by palpation and speculum when found.
Fourth, the treatment of anal papilloma:
Papillary fibroid treatment, with surgery, can achieve the purpose of cure. Specific treatment methods are:
1, non-surgical treatment: non-surgical therapy is currently relatively mild symptoms for some patients, is still the main method of treatment.
① bath method: hot bath 1-2 times a day, local heat, improve blood circulation to promote the absorption of inflammation.
② 10% silver nitrate solution, or a 1-3% solution of crystal violet, coated with the nipple, can be cured.
③ hemorrhoid cream or suppository anus, 1 or 2 times a day, can reduce symptoms.
2 , surgical therapy:
① anal papilloma resection ligation : lateral position, rectal endoscopic forceps with curved roots papilloma live along the base of forceps , cut the roots a little nipple skin papillomas can be treated by simple ligation smaller , larger papillomas wide base available on the 4th or the 7th thread throughout papilloma roots do "8" ligature , cut the forceps of papillomas . After a day of hot water bath, Jiuhua cream , chlorhexidine hemorrhoid suppository into anus to heal.
② electrocautery method : anal general anesthesia , endoscopy revealed anal anal papilloma , high-frequency electrocautery probe by the tumor pressing on the roots , the opening of the power supply , complete burning of the papillomas . This method is suitable for patients with smaller tumors , the advantage is easy to operate, reliable and effective, a treat several papillomas . Included in the daily use of postoperative anal hemorrhoids hemorrhoid cream or suppository , seven days can be more.
③ Cryotherapy : In the anal microscope, revealing anal papilloma , the frozen surface of the probe aligned with the tumor , which was frozen into a crystalline ball. Daily routine postoperative topical medication ( such as hemorrhoids suppository and antibiotic ointment ) to prevent infection. After freezing the tumor due to tissue degeneration , liquefaction necrosis, tissue repair finally achieve the purpose of cure . Treatment should be controlled in the range of frozen , too large damage normal anal tissue , postoperative edema and pain to produce , is too small tumor shedding incomplete , easily renewable .
Fifth, anal papilloma treatment tips:
1, early treatment is the key to prevention of anorectal disorders: anal, although benign papillomas, but it occurs primarily with anal sinusitis are closely related, both as cause and effect. According to statistics, 85% of anorectal disorders are caused by anal sinusitis. Currently also suggested that the rectum, anal cancer, and its related chronic inflammation. So early adopters of positive and effective treatment for the prevention of the occurrence of anorectal disorders has important significance.
2, strengthen the comprehensive treatment: Although surgical treatment of anal papilloma is radical, but it must strictly adhere to their timing of surgery. According to the different periods of the development of their disease, the use of appropriate comprehensive treatment approach for early adoption of preventive treatment for inoperable patients, while treatment with enema therapy to improve the outcome. We need to protect them during surgery anal skin, minimizing the anal skin damage, avoid sequelae.
3, intraoperative and postoperative complications of treatment: surgery for larger papillomas, ligation should be done through "8" suture, ligature to prevent slippage concurrent bleeding, anal papilloma located in the dentate line, there shall be the following section will cut its teeth line after line of ligation, in order to avoid postoperative pain, edema. If there is bleeding and pain, edema, should be promptly given local anesthesia in endoscopic hemostasis, herbal bath to relieve pain.