我院自1989年始,采用直肠瓣成形,用股薄肌代替肛门括约肌重建肛门,治疗下段直肠癌26例,其中男12例,女14例,年龄28～50岁。病变部位距肛缘4～7cm,肿块占肠壁1/2周13例,2/3周9例,1/3周4例,病史4个月～1年半,肿块可活动,均经病理证实为直肠腺癌。临床检查未发现远处转移。术后25例切口Ⅰ期愈合,1例因会阴部切口感染,经切开引流治愈。术后每日平均排便2～3次,控制排便功能基本满意。 In our hospital since 1989, the use of rectoplasty, the use of sphincter muscle instead of anal sphincter reconstruction anus, treatment of 26 cases of lower rectal cancer, including 12 males and 14 females, aged 28 to 50 years old. Lesions from the anal verge 4 ~ 7cm, tumors accounted for 1/2 weeks in the intestinal wall in 13 cases, 9 cases in 2/3 weeks, 1/3 weeks in 4 cases, history of 4 months to 1 year and a half, tumors can be active, are pathological Confirmed as rectal adenocarcinoma. Clinical examination did not find distant metastases. In 25 cases, the incision healed firstly, and one case was infected by perineal incision and was cured by incision and drainage. After an average of 2 to 3 bowel movements per day, the defecation function was basically satisfactory.