作者自1985年以来,对106例直肠癌 Miles 术后采用骶前持续灌洗预防会阴切口感染。在术中无直肠或/和阴道破损的92例中,会阴切口一期愈合者89例(96.7%)。术中有直肠或/和阴道破损的14例中,会阴切口一期愈合10例(71.4%)。全组会阴切口的一期愈合率为93.3%。文中对目前处理会阴切口的几种疗法进行了归纳和比较,并对骶前持续灌洗在预防会阴切口感染中的作用机理进行了讨论。 Since 1985, the authors have performed pre-convulsive continuous lavage on 106 patients with rectal cancer Miles to prevent infection of the perineal incision. Among the 92 cases with no rectum or/and vaginal breakage in the operation, 89 cases (96.7%) had primary healed by perineal incision. Of the 14 patients who had rectal or/and vaginal damage during the procedure, 10 cases (71.4%) of primary wound healing were perineal incisions. The primary healing rate of the whole group of perineal incisions was 93.3%. In this paper, several treatments for the treatment of perineal incisions are summarized and compared, and the mechanism of continuous lavage pre-dialysis washing in preventing perineal incision infections is discussed.