直肠癌切除行低位直肠吻合术后的并发症,除受患者全身因素、术者手术技巧和术后处理影响外,与术前肠道准备的好坏关系甚为密切。我科自1983年7月以来对75例结直肠手术进行全肠道灌洗,其中为40例直肠癌切除行低位直肠吻合术,效果满意,现报道如下: 男性44例,女性31例,年龄范围26～64岁,平均46岁。直肠癌65例,结肠癌8例,结直肠多发性息肉2例。75例中有72例完成灌洗,成功率为9715％,40例直肠切除低位吻合效果良好者37例(92.5％),术中见肠腔空虚,仅有少量液体,本文对全肠道灌洗与清洁灌肠直肠癌切除低位吻合各40例术后主要并发症比较,吻合口漏前者1例, The complications of resection of rectal cancer after low rectal anastomosis have a close relationship with preoperative bowel preparation, in addition to the effects of the patient’s systemic factors, surgical techniques and postoperative management. Since July 1983, our department has performed total bowel lavage on 75 cases of colorectal surgery. Among them, 40 cases of rectal cancer were treated with low-level rectal anastomosis. The results are satisfactory as follows: 44 males and 31 females. The range of 26 to 64 years old, an average of 46 years old. There were 65 cases of rectal cancer, 8 cases of colon cancer, and 2 cases of colorectal polyps. Of 75 cases, 72 cases completed lavage, the success rate was 9715%, and 40 cases (92.5%) had good results in 40 cases of low rectal resection. Intestinal cavity was empty and there was only a small amount of fluid during the operation. The main complications after washing and cleaning enema rectal resection and low anastomosis were compared in 40 cases, and the anastomotic leakage was in 1 case.