赵 迁

目的：探究腹腔镜会阴联合直肠癌切除术（Miles术）腹膜外隧道式结肠造口的效果。方法：选择2020年1月-2025年1月实施腹腔镜会阴联合直肠癌切除术（Miles术）的50例患者为研究对象，结合手术方案分组，隧道式腹膜外结肠造口术患者26例是腹膜外组，腹膜内结肠造口术24例是腹膜内组。结果：观察组术后恢复时间短于对照组（P＜0.05），术后并发症率小于对照组（P＜0.05），术后3月、6月的排便功能优良率大于对照组（P＜0.05）。结论：Miles术腹膜外隧道式结肠造口治疗直肠癌，术后恢复速度更快，术后并发症率更小，术后排便功能优良率更大，临床应用价值显著。

腹腔镜会阴联合直肠癌切除术；隧道式腹膜外结肠造口术；腹膜内结肠造口术；术后恢复时间；术后并发症率；排便功能优良率

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