对４～１４岁７１例神经源性大小便失禁患儿，采用在改良的双侧髂腰肌加强盆底肌、直肠悬吊、回肠去粘膜带血管蒂浆肌层补片加强膀胱逼尿肌的基础上，行膀胱扩大术和膀胱包裹术进行治疗。结果：随访４月，７１例中，大便控制明显改善６７例，小便控制明显改善６３例，８例术后经训练有改善。提示：此手术方法是治疗神经源性大小便失禁的一种较好方法。 71 cases of children with neurogenic incontinence 4 to 14 years old, used in the improvement of bilateral iliopsoas to strengthen the pelvic floor muscle, rectal suspension, ileum mucosa with vascular pedicle muscle patch to strengthen the bladder detrusor Based on the line of bladder augmentation and bladder wrapping for treatment. Results: During the follow-up period of April, 67 cases were significantly improved in stool control, 63 cases were improved in urine control, and 8 cases were improved after training. Tip: This procedure is a good way to treat neurogenic incontinence.