肛管直肠贯通伤是临床上较少见的损伤,我们近年来先后收治3例,男2例,女1例,全部为锐物白肛周刺入,贯通直肠,其中1例深达盆腔。处理肛管直肠贯通伤的关键在于对损伤范围、程度的判断,主要依靠患者的症状和体征,用探针来判断损伤的深度、范围宜慎重,因损伤使周围组织水肿,探针易造成副损伤,使污染扩散。早期清创、充分引流、早期行结肠造口术转流粪便是处理肛门直肠贯通伤的原则,减少粪便对损伤部位的污染,有利于对感染的控制。本组3例均治疗成功。后遗症主要为肛管直肠瘢痕狭窄,经手术处理缓解。 Anorectal penetrating injury is clinically rare injury, we have admitted in recent 3 cases, 2 males and 1 female, all for the sharp objects perianal puncture, through the rectum, of which 1 case of deep pelvic cavity. The key to the treatment of anorectal penetrating injury lies in the scope of the damage, the degree of judgment, mainly by the patient’s symptoms and signs, with the probe to determine the depth of injury, the scope should be cautious, due to damage to the surrounding tissue edema, the probe easily lead to vice Injury, so that pollution spread. Early debridement, full drainage, early colostomy stool transfer is the principle of treatment of anorectal injury, reduce the stool damage to the site, is conducive to the control of infection. Three patients in this group were successfully treated. The main sequelae of anal sphincter strictures, relieved by surgical treatment.