髂腰肌盆底悬吊治疗小儿大小便失禁

A transposition of iliopsoas in replacement of pelvicfloor for incontinence of urination and/or defecationin children

自１９９１年至１９９３年采用髂腰肌转移盆底肌加强或替代术治疗小儿大使和／或小便失禁１４例，疗效满意。提肛肌对维持正常的大便和小便功能具有重要作用，盆底肌功能障碍可导致不同类型的大小便失禁。骼腰肌转移手术可替代提肛肌的功能，从而使患儿恢复大小便的控制。

AbstractFourteen patients,the age ranged from 2 to 12years,with fecal and /or urinary incontinence weretreated between l99l and 1993 using a transposition ofiliopsoas in replacement or strengthening of pelvicfloor. The results were encouraging. The evaluation ofthe function of pelvic floor was described.Levatorplays an important role in normal mechanism of defeca-tion as well as urination. Several types of incontinencedevelope while the disfunction of pelvic floor occureand some function of continence could be restored byan operation of transposition of iliopsoas