目的 :评价膀胱腹直肌间置术治疗神经膀胱的临床效果。方法 :通过尿流动力学检查选择无反射膀胱患者5 4例 ,通过手术将膀胱置于腹直肌及其前后鞘之间 ,观察手术后患者症状、排尿情况及残余尿量的改变。结果 :手术后 81 5 %的患者可自行排尿 ,症状好转或消失 ;手术后残余尿量较手术前有显著性减少。结论 :膀胱腹直肌间置术是治疗神经膀胱的有效方法之一 ,有利于患者的康复。 Objective: To evaluate the clinical effect of bladder rectus abdominis surgery in the treatment of nerve bladder. METHODS: Fifty-four cases of non-reflecting bladder were selected by urodynamic study. The bladder was placed between the rectus abdominis muscle and its anterior and posterior sheath by surgery. The symptoms, urination and residual urine volume of the patients were observed. Results: After surgery, 81.5% of the patients could urinate on their own, and the symptoms improved or disappeared. The residual urine volume after operation was significantly lower than that before operation. Conclusion: Bladder rectus abdominis interposition is one of the effective ways to treat the nerve bladder, which is good for the recovery of patients.