目的　为了克服直肠前切除术中应用双吻合器方法的缺点。方法　采用单吻合器加手缝法治疗 5 2例直肠中段癌病人。结果　无吻合口漏 ,无死亡 ,同期用国产吻合器荷包缝合法治疗 41例 ,4例瘘 ,无死亡 ,两组比较 ,经卡方检验 X2 =3 .962 ,P <0 .0 5。结论　单吻合器方法具有更低位的直肠切除 ,由于直肠系膜的厚度大大超过吻合器钉脚的长度 ,因此手法缝合粘膜肌层制成直肠盲袋更为安全 ,吻合无瘘 ,同时可节省经费 Objective In order to overcome the disadvantages of the double stapler method in anterior resection of rectum. Methods Single stapler and hand-stitch method were used to treat 52 cases of rectal cancer patients. Results No anastomotic leakage and no death were found. During the same period, 41 cases were treated with purse string suture by domestic stapler and 4 cases were fistula without death. The two groups were compared by Chi-square test X2 = 3.96 2, P <0.05. Conclusions The single stapler method has lower rectal resection. Because the thickness of the mesorectum greatly exceeds the staple length of the stapler, it is safer to make the rectal blind bag by suturing the muscularis mucosa without fistula and save money