目的　为了提高逼尿肌无反射型神经原性膀胱患者的手术治疗效果。方法　对 9例逼尿肌无反射型神经原性膀胱患者采用改良膀胱腹直肌间置手术。手术特点为将腹直肌外侧 1/ 2肌瓣与后鞘交叉缝合 ,使膀胱真正置于腹直肌之间 ,以加强膀胱排尿功能。结果　术后患者排尿情况明显改善 ,并发症少 ,随访 6～ 36个月 ,疗效满意。结论　改良膀胱腹直肌间置术是一种安全性高、并发症少、疗效显著的方法。 Objective To improve the surgical treatment of patients with detrusor no reflex neurogenic bladder. Methods Nine patients with detrusor non-reflex neurogenic bladder were treated with modified bladder rectus interposition. Surgery is characterized by the lateral rectus abdominis muscle flap and the posterior sheath cross suture, so that the bladder really placed between the rectus abdominis to enhance bladder urinary function. Results Postoperative urination patients improved significantly, fewer complications, follow-up 6 to 36 months, the effect was satisfactory. Conclusion Improved bladder rectus interposition is a safe, less complications, and a significant effect.