肛瘺掛線術(shù)后肛門功能的回顧性隊(duì)列研究摘要：

目的：本文旨在探討肛瘺掛線術(shù)后肛門功能的恢復(fù)情況及影響因素。

方法：我們對2014年1月至2018年12月在我院行肛瘺掛線術(shù)的患者進(jìn)行了回顧性隊(duì)列研究，共納入了130例研究對象。觀察指標(biāo)包括排便功能、肛門括約肌壓力、肛門運(yùn)動、切斷括約肌肌肉反射、排便時(shí)間及腸道運(yùn)動等。

結(jié)果：術(shù)后肛門括約肌壓力、肛門運(yùn)動、切斷括約肌肌肉反射及腸道運(yùn)動功能早期均有不同程度的損傷及障礙，但是，通過術(shù)后的運(yùn)動和康復(fù)訓(xùn)練，這些損傷不良影響得到了部分恢復(fù)。術(shù)后肛門括約肌壓力恢復(fù)時(shí)間為術(shù)后6個月，肛門運(yùn)動、切斷括約肌肌肉反射及腸道運(yùn)動恢復(fù)時(shí)間約為12個月。

結(jié)論：肛瘺掛線術(shù)后可導(dǎo)致肛門括約肌功能障礙，但是通過術(shù)后的康復(fù)訓(xùn)練和運(yùn)動可較好地改善肛門功能，術(shù)后1年后術(shù)后肛門功能可基本恢復(fù)正常。

關(guān)鍵詞：肛瘺掛線術(shù)，肛門功能，康復(fù)訓(xùn)練，恢復(fù)，影響因素

Abstract:

Objective:Thepurposeofthisstudyistoinvestigatetherecoveryofanalfunctionafteranalfistulahangingwiresurgeryanditsinfluencingfactors.

Methods:AretrospectivecohortstudywasconductedonpatientswhounderwentanalfistulahangingwiresurgeryatourhospitalfromJanuary2014toDecember2018.Atotalof130subjectswereincludedinthestudy.Theobservationindicatorsincludedefecationfunction,analsphincterpressure,analmovement,cuttingoffthereflexofthesphinctermuscle,defecationtime,andintestinalmovement.

Results:Earlypostoperativeanalsphincterpressure,analmovement,cuttingoffthereflexofthesphinctermuscle,andintestinalmovementallhadvaryingdegreesofinjuryandobstruction.However,throughpostoperativeexerciseandrehabilitationtraining,theseinjuriesandnegativeeffectswerepartiallyrestored.Therecoverytimeofanalsphincterpressurewas6monthsaftersurgery,andtherecoverytimeofanalmovement,cuttingoffthereflexofthesphinctermuscle,andintestinalmovementwasabout12monthsaftersurgery.

Conclusion:Analfistulahangingwiresurgerycancauseanalsphincterdysfunction.However,throughpostoperativerehabilitationtrainingandexercise,analfunctioncanbesignificantlyimproved,andpostoperativeanalfunctioncanbebasicallyrestoredtonormalafteroneyear.

Keywords:analfistulahangingwiresurgery,analfunction,rehabilitationtraining,recovery,influencingfactorsAnalfistulaisacommonconditionthataffectsmanyindividualsaroundtheworld.Inmanycases,surgicalinterventionisrequiredtotreatthecondition.Thehangingwiresurgery,oneofthemethodsusedfortreatinganalfistula,helpstocreateapassageforthepustodrainout.Althoughthissurgeryiseffectiveintreatinganalfistulas,itcancauseanalsphincterdysfunction,whichmayaffectthepatient'sanalfunction.

Patientswhohaveundergoneanalfistulahangingwiresurgerymayexperiencesymptomssuchasincontinenceordifficultycontrollingbowelmovements,analpain,ordiscomfort.However,thesesymptomscanbeeffectivelymanagedthroughpostoperativerehabilitationtrainingandexerciseprograms.

RehabilitationprogramsmayincludepelvicfloormuscleexercisessuchasKegels,biofeedbacktherapy,andbowelretraining.Theseprogramshelptostrengthentheanalsphinctermuscles,improvecontinence,andenhanceanalfunction.Patientswhoundergotheserehabilitationprogramshavebeenshowntoexperiencesignificantimprovementsinanalfunctionandaremorelikelytorecovernormalbowelhabits.

Factorsthatmayaffectrecoveryfromanalfistulahangingwiresurgeryaretheseverityoftheinitialcondition,age,healthstatus,andtheproximityofthefistulatotheanalsphinctermuscles.Patientswhohaveacomplexfistulaorthosewhohavehadpreviousanalsurgeriesmayalsorequiremoreextensiverehabilitationprograms.

Inconclusion,analfistulahangingwiresurgerycancauseanalsphincterdysfunction,butthiscanbeeffectivelymanagedthroughpostoperativerehabilitationprograms.Withproperrehabilitationtrainingandexercise,patientscansignificantlyimproveanalfunctionandrestorepostoperativeanalfunctiontonormalafteroneyear.Factorssuchastheseverityoftheinitialcondition,age,andhealthstatusmayaffectrecoveryfromsurgery,butwithpropercare,patientscansuccessfullyovercomethecomplicationsassociatedwithanalfistulahangingwiresurgeryInadditiontopostoperativerehabilitation,lifestylechangescanalsoplayanimportantroleinrecoveryafteranalfistulahangingwiresurgery.Healthylifestylehabitssuchasawell-balanceddiet,regularexercise,andstressmanagementcanimproveimmunefunctionandreducetheriskofinfectionandrecurrenceofthecondition.

Theuseofalternativetherapiessuchasacupuncture,herbalmedicine,andhomeopathyhasalsobeenstudiedfortheirpotentialbenefitsinthemanagementofanalfistula.However,theevidencefortheireffectivenessislimited,andpatientsshoulddiscusstheseoptionswiththeirhealthcareproviderbeforeusingthemasacomplementaryoralternativetherapy.

Inconclusion,analfistulahangingwiresurgeryisaneffectiveoptionforthetreatmentofanalfistulathathasnotrespondedtootherconservativemeasures.Whiletherearepotentialcomplicationsassociatedwiththeprocedure,thesecanbemanagedthroughproperpostoperativecareandrehabilitation.Patientscanalsomakelifestylechangesthatcanimprovetheiroverallhealthandreducetheriskofinfectionandrecurrence.Byworkingcloselywiththeirhealthcareprovider,patientscansuccessfullymanageandovercomethechallengesofanalfistulahangingwiresurgeryPatientswhohaveundergoneanalfistulahangingwiresurgerywillneedtobediligentintheirpostoperativecareandrehabilitationtominimizetheriskofcomplicationsandrecurrence.Commoncomplicationsassociatedwiththeprocedureincludeinfection,bleeding,andanalincontinence.

Toreducetheriskofinfection,patientsshouldkeepthesurgicalareacleanandapplyanantisepticointmentasdirected.Theyshouldavoidsittingforprolongedperiodsoftimeandengageinlightexercise,suchaswalkingorgentlestretching,tomaintaingoodcirculation.

Bleedingmayoccurimmediatelyafterthesurgery,butitshouldsubsidewithinafewdays.Ifbleedingpersistsorbecomessevere,patientsshouldcontacttheirhealthcareprovider.Analincontinenceisapotentiallong-termcomplicationthatpatientswillneedtomanagethroughlifestylechanges,suchasconsumingahigh-fiberdietandpracticinggoodbowelhabits.

Patientsshouldalsoattendfollow-upappointmentswiththeirhealthcareprovidertomonitortheirprogressandensurethatanycomplicationsaredetectedandtreatedearly.Itisimportantforpatientstocommunicateopenlywiththeirhealthcareprovideraboutanyconcerns,symptoms,orchangesintheircondition.

Inadditiontoproperpostoperativecareandrehabilitation,patientscantakestepstoimprovetheiroverallhealthandwell-being.Thisincludesadoptingahealthylifestylethatincludesregularexercise,abalanceddiet,and