目的　探讨尿道直肠瘘的治疗方法。方法　总结 1991年 1月～ 2 0 0 0年 11月采用改良的经会阴肌、皮瓣间置修补 8例尿道直肠瘘的治疗结果。结果　 8例尿道直肠瘘患者 ,2例为先天性 ,6例为后天性 (其中 5例为外伤性 ,1例为医源性 )。 8例行改良的经会阴肌、皮瓣间置修补尿道直肠瘘 ,即 5例把部分球海绵体肌、3例行去表皮会阴阴囊隔皮瓣转移间置于修补后的尿道直肠之间 ,均获得治愈。结论　采用改良的经会阴肌、皮瓣间置修补尿道直肠瘘 ,效果满意 Objective To investigate the treatment of urethral rectal fistula. Methods From January 1991 to November 2000, we retrospectively analyzed the results of 8 cases of urethral rectal fistula with modified perineal muscle and skin flap. Results 8 cases of urethral rectal fistula, 2 cases were congenital, 6 cases were acquired (of which 5 cases were traumatic, 1 cases of iatrogenic). 8 routine improvement of the perineal muscle, skin flap between the repair of urethral fistula, that is, 5 cases of part of the ball of cavernous muscles, 3 cases of epidermal perineal scrotal septal flap transfer between the repair of the urethral rectum, Are cured. Conclusion The modified perineal muscle and skin flap are used to repair urethral rectal fistula, the result is satisfactory