目的总结经会阴入路手术治疗后天性直肠前庭瘘的疗效,评估其手术方法。方法回顾性分析56例经会阴入路治疗后天性直肠前庭瘘患儿的临床资料。结果术后痊愈53例,手术成功率94.6%。瘘管复发3例,经对症处理后其中1例自行愈合。结论经会阴瘘管切除术是治疗后天性直肠前庭瘘的一种安全、可行的手术方法,疗效满意。 Objective To summarize the efficacy of transrectal vestibulo-fistula after perineal approach to evaluate the surgical methods. Methods Retrospective analysis of 56 cases of peritoneal approach after treatment of patients with genitourinary fistula clinical data. Results 53 cases recovered after surgery, the success rate of 94.6%. Fistula recurrence in 3 cases, after symptomatic treatment of which 1 case of self-healing. Conclusions Transperineal fistula resection is a safe and feasible surgical method for the treatment of posterior fistula. The curative effect is satisfactory.