介绍一种直肠癌行Miles手术后经腹膜外通路制作人工肛门的方法 ,并对 71例患者经腹膜外通路制作人工肛门。其最大优点是造口段经腹膜外引出 ,消除了结肠旁沟间隙 ,避免了小肠内疝 ,因腹膜对造口段的结肠有一定的撑托作用 ,能抵御造口回缩、脱出及旁疝的发生 ,又可减少梗阻、狭窄和造口水肿等并发症的发生。该方法简单 ,效果满意。 A method of artificial anus through the extraperitoneal route after Miles surgery for rectal cancer was introduced and artificial anus was made through the extraperitoneal route in 71 patients. Its biggest advantage is that the stoma is extraperitoneally led out, eliminating the adjacent gut crevice, avoiding the small intestine hernia. Because the peritoneum has some support to the stoma of the stoma, it can resist the stoma retraction, prolapse and side The occurrence of hernia, but also reduce obstruction, stenosis and stomal edema and other complications. The method is simple, the effect is satisfactory.