目的探讨直肠癌柱状腹会阴联合切除的手术要点与临床效果。方法采用回顾性方法分析,选取本院胃肠科自2012年1月-2012年12月一年以来收治的8例接受直肠癌柱状腹会阴联合切除术的低位直肠癌患者的临床资料。对患者进行腹部、会阴部以及盆地重建,观察其疗效。结果 8例患者平均手术时间为(268.36±49.86)min,术中平均出血量为(160.56±120.25)ml,平均住院时间为(16.23±2.61)d。术中没有出现肠管穿孔现象。其中有1例患者在围术期出现肠梗塞,经过治疗已经痊愈,在围手术期没有出现死亡病例,均出院。结论直肠癌柱状腹会阴联合切除术是安全可行的,能够降低术中穿孔事件的发生率,降低手术环周边阳性率,短期随后预后效果良好,值得临床推广。 Objective To investigate the surgical points and clinical effects of rectal cancer combined with cylindrical perineal resection. Methods A retrospective analysis was used to select the clinical data of 8 patients with rectal cancer who underwent rectal cancer with cylindrical perineal resection from January 2012 to December 2012 in the Department of Gastroenterology. Abdominal, perineal, and basin reconstructions were performed on the patients to observe their efficacy. Results The average operation time of 8 patients was (268.36±49.86) min. The average blood loss during operation was (160.56±120.25) ml, and the average hospital stay was (16.23±2.61) days. There was no intestinal perforation during the operation. Among them, 1 patient developed intestinal infarction during the perioperative period, he had recovered after treatment, and no deaths occurred during the perioperative period. Both patients were discharged. Conclusions The rectal cancer combined with cylindrical perineum is safe and feasible. It can reduce the incidence of intraoperative perforation events, reduce the positive rate around the surgical ring, and has a good short-term prognosis. It is worthy of clinical promotion.