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目的:探讨小儿骶前畸胎瘤术后小便失禁的治疗方法。方法:6～14岁患儿6例,均为骶前畸胎瘤切除术后,表现为排尿异常、逼尿肌无反射、尿道压高于膀胱压。全部患儿均采用双侧髂腰肌加强盆底肌、回肠去粘膜带血管蒂浆肌层加强逼尿肌治疗。随访6个月～3年。结果:本组4例术后有明显改善,2例有改善。结论:双侧髂腰肌加强盆底肌、回肠去粘膜带血管蒂浆肌层加强逼尿肌是治疗骶前畸胎瘤术后小便失禁的一种较好方法。
Objective: To explore the treatment of urinary incontinence in children with presacral teratoma. Methods: Six children aged 6-14 years old, all of whom had abnormal urination after denervation of presacral teratoma, no detrusor deformity and higher urinary pressure than bladder pressure. All children were using bilateral iliopsoas to strengthen pelvic floor muscle, ileal mucosa with vascular pedicle muscle strengthening detrusor muscle treatment. Follow-up 6 months to 3 years. Results: The group of 4 patients had a significant improvement after surgery, 2 patients improved. Conclusion: Bilateral iliopsoas muscle strengthening pelvic floor muscle, ileum mucosa with vascular pedicle muscle strengthening Detrusor is a better method for the treatment of presacral teratoma postoperative urinary incontinence.