本文报告经骶会阴肛门成形术治疗先天性无肛20例,随访6个月至3年,排便正常。20例中发生8例次(6例)手术并发症,包括尿道断裂、阴道撕裂、吻合口瘘等,均于短期内治愈。提出术前常规尿道或阴道内置管或金属探子,术中紧贴直肠壁分离,充分游离直肠,并经耻骨直肠肌环拖出,无张力吻合,术后加强护理等,可达到预防手术合并症提高疗效的目的。 This article reports the treatment of 20 cases of congenital anorexia by sacral perineal anoplasty, followed up for 6 months to 3 years, normal bowel movement. Twenty cases occurred in 8 cases (6 cases) surgical complications, including urethral rupture, vaginal tear, anastomotic fistula, were cured in the short term. Put forward the preoperative routine urethral or vaginal catheter or metal probe, intraoperative close to the wall of the rectum, full of free rectum, and pulled out through the puborectalis muscle, without tension anastomosis, postoperative intensive care, etc., can be achieved to prevent surgical complications Improve the efficacy of the purpose.