目的　探讨Miles术会阴部切口和腹部人工肛门的处理方法对预防术后该二部位并发症的重要性。方法　对距肛缘 6cm以下的直肠癌和肛管癌共 64例作回顾性分析。结果　会阴部切口一期缝合有 3例感染 ,5例有少量分泌物 ,经引流换药治疗痊愈 ;腹部人工肛门发生周围皮肤炎症 6例、出血 2例、回缩 1例、不全梗阻 1例。结论　会阴部切口一期缝合 ,骶前引流管由会阴部侧方另切口引流以及人工肛门术后合理的康复治疗 ,可以减少二部位的并发症 ,心理治疗和造口护理可减轻患者思想负担 ,树立信心 ,缩短住院时间 ,提高直肠癌术后生活质量 Objective To investigate the importance of Miles periopexy incision and abdomen artificial anus in preventing postoperative complications of these two parts. Methods Retrospective analysis was performed on 64 cases of rectal cancer and anal cancer below 6cm from the anal verge. Results Perineal incision suture three cases of infection, a small amount of secretions in 5 cases, drainage and dressing cure; abdominal artificial anorectal skin inflammation occurred in 6 cases, 2 cases of bleeding, 1 case of contraction, incomplete obstruction in 1 case. Conclusion Perineal incision suture, sacral anterior drainage tube from the perineal side of the other incision drainage and artificial anus postoperative rational rehabilitation, can reduce the complications of two parts, psychological treatment and ostomy can reduce the patient’s mental burden, Establish confidence, shorten the hospital stay and improve postoperative quality of life of rectal cancer