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探讨小儿腰骶部脊髓脊膜膨出修补术后及隐性脊柱裂所致的神经源性大便失禁的治疗方法。４～１４岁患儿５６例均表现为排便异常。病理改变为盆底肌肉瘫痪，肌层薄弱，盆底下垂，肛门松弛。全组患儿均采用改良的双侧髂腰肌加强盆底肌、直肠悬吊术进行治疗。随访６个月～３年。双侧髂腰肌加强盆底肌、直肠悬吊术是治疗神经源性大便失禁一种较好的方法。
To investigate the treatment of neurogenic fecal incontinence caused by lumbosacral spinal meningocele repair and recessive spina bifida in children. 56 cases of children aged 4 to 14 years showed abnormal defecation. Pathological changes pelvic floor muscle paralysis, weak muscle, pelvic floor sagging, anal relaxation. All children were treated with modified bilateral iliopsoas to strengthen pelvic floor muscle and rectum suspension. Follow-up 6 months to 3 years. Bilateral iliopsoas to strengthen the pelvic floor muscle, rectal suspension is a good method of treatment of neurogenic fecal incontinence.