我科自1985年1月～1997年10月间,对直肠癌Miles术会阴创口不能一期缝合者,采用会阴创口延迟缝合法治疗,疗效满意,现报告如下。 1 临床资料 1.1 一般资料 本组16例中男11例,女5例,年龄32～79岁。直肠癌病灶均在腹膜返折部,直肠切除时有一定的难度。手术时遇到前静脉丛出血3例,前列腺静脉丛出血2例,阴道后壁渗血3例,会阴腔创面广泛渗血8例,均难于达到彻底止血。 1.2 方法 16例均缝合盆底腹膜后暂时以手套内置长纱条压迫止血,有凝血功能障碍者及时输新鲜血、血小板。术后48h内13例,72h后3例再进手术室,经会 In our department from January 1985 to October 1997, the perineal wounds for rectal cancer with Miles technique can not be sutured one-by-one, and perineal wounds are used for delayed suture. The results are satisfactory. The report is as follows. 1 Clinical data 1.1 General information The group of 16 cases of 11 males and 5 females, aged 32 to 79 years old. The lesions of rectal cancer are all in the peritoneal folds, and there are certain difficulties in rectal resection. There were 3 cases of hemorrhage before the venous plexus, 2 cases of prostatic venous plexus hemorrhage, 3 cases of posterior vaginal bleeding, and 8 cases of perineal cavity wound bleeding. It was difficult to achieve complete hemostasis. 1.2 Methods 16 cases were sutured peritoneal peritoneal temporary gauze with gloves built to stop bleeding, coagulation dysfunction in time to lose fresh blood, platelets. Thirteen patients within 48 hours after operation and three cases after 72 hours were admitted to the operating room.