结直肠吻合口漏是直肠前切除或其他保肛手术后常见并发症之一 ,也是最严重的并发症。各家报告其发生率不一 ,国外报告为 5%～ 69%。我院 1983～1998年间共施行直肠前切除术 2 84例 ,术后发生吻合口漏 2 7例 ,占 9 5%。本文就吻合口漏发生原因及防治问题进行探讨。1　临床资料1 Colorectal anastomotic leakage is one of the common complications after anterior rectal resection or other anus-staining procedures, and is also the most serious complication. The incidence of reports varies from one family to another, and foreign reports ranged from 5% to 69%. In our hospital from 1983 to 1998, a total of 2 84 cases of anterior rectal resection were performed. Anastomotic leakage occurred in 27 cases, accounting for 95%. This article discusses the causes of anastomotic leakage and prevention and control issues. 1 Clinical data 1