直肠恶性肿瘤,腹会阴切除腹膜内结肠造瘘,因结肠与侧腹膜之间常不易封闭,留有间隙,容易引起机械性肠梗阻。国外自1958年开始施行直肠腹会阴切除,末端髂结肠腹膜外造瘘方法以后,我院自1958年至1985年,27年间,作者直接参与和实施腹膜外结肠造瘘120例。现就手术方法、效果作一分析和讨论。 Rectal cancer, abdominal perineal excision of intraperitoneal colostomy, because the colon and the side of the peritoneum are often not easily closed, leaving a gap, easy to cause mechanical intestinal obstruction. Since the implementation of rectal abdominoperineal resection in the United States in 1958, the authors have directly participated in and performed 120 cases of extraperitoneal colostomy in our hospital from 1958 to 1985 and 27 years. Now analyze and discuss the surgical methods and effects.