自1981年席忠义等采用会阴部结肠套叠式人工肛门代替腹部人工肛门治疗部分低位直肠癌患者以来,对这种术式有较多议论,看法不一。我院自1986年至1989年对低位直肠癌患者采用这种术式共22例,其中有2例分别在术中和术后1天因套叠肠管血供阻断造成坏死而改做腹部人工肛门,其余20例手术成功,现谈谈我们的体会。 Since Shi Zhongyi et al used the perineum colonic telescopic artificial anal instead of an abdominal artificial anus to treat some low rectal cancer patients in 1981, there have been many discussions about this type of surgery, and there are different opinions. In our hospital from 1986 to 1989, 22 cases of patients with low rectal cancer were treated with this procedure. Among them, 2 cases had intraoperative and postoperative 1 days due to necrosis caused by intussusception of intussusception and abdominal surgery. Anus, the remaining 20 cases of successful surgery, now talk about our experience.