双侧髂腰肌加强盆底肌治疗小儿神经源性大便失禁

Strengthening Pelvic Floor by Bilateral Iliopsoas Muscles in the Treatment for Neurogenic FecalIncontineuce

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 study the operative method of fecal incontinence in children caused by meningomyleocele and occult spina bifida, 56 cases aged 4-14 years were treated by modified rectal suspension and strenthening pelvic floor precedure. All of them presented disturbance of defecation. The pathological changes were paralysis of pelvic floor muscles,ptosis of pelvic floor and anus laxation.The follow-up period was 6 months 3 years. Of them,54 cases were satisfactory,2 were ineffective. The authors atate strenthening pelvic floor muxcles by bilateral iliopsoas muscles and rectal suspension is a good method for neurogenic fecal incontinence.