修补肛括约肌手术时,是否要作暂时性结肠造瘻的问题,需要根据括约肌损伤程度及手术内容来决定。我们认为,除了在极个别情况下,绝大多数都不需要作暂时性造瘻。但是,为了能使手术部位发生的感染最轻,以达到瘢痕最少的目的,可以采用以下的措施:(1)术前2～3日每日洗肠,手术前晚清洁洗肠;术前1～2日进少渣半流食或流食以便使肠内无大便积存。(2) Repair anal sphincter surgery, the need for temporary colonostomy, the need to sphincter injury according to the extent and content of surgery to decide. In our opinion, most are not required to make temporary ostomy except in rare cases. However, in order to minimize the scarring of the surgical site, the following measures can be taken: (1) daily washing of the bowels 2-3 days before surgery and cleaning of the bowel by night before surgery; ~ 2 into the less slag or semi-liquid food or food in order to make the intestine without stool accumulation. (2)