目的    探讨切口疝修补术后并发症的发生原因及处理方法。 方法    对2004年11月至2012年6月福建医科大学附属协和医院基本外科70例腹壁切口疝的临床资料进行回顾性分析，对术后并发症的发生原因及预防和处理方法进行总结。 结果    手术时间45～420 min，平均（171±88）min，无围手术期死亡病例。68例（97.1%）获得随访，随访时间1～99个月，平均（36±23）个月，2例因更改联系方式失访。10例出现术后并发症（14.3%），包括切口感染2例（2.9%），肠梗阻3例（4.3%），肠瘘1例（1.5%），血清肿2例（2.9%），腹壁疼痛2例（2.9%）。余病例无任何不适，无复发及并发症，无死亡病例。 结论    腹壁切口疝修补术后并发症重在预防，术前常规胃肠道清洁，加强心肺功能锻炼；术中仔细分离，准确止血，牢固缝合固定；术后通畅引流，积极预防感染，腹带加压包扎，尽早处理腹胀、血肿或血清肿、切口感染等措施是降低术后并发症发生率的关键。

Treatment experiences for complications of abdominal incisional hernia repair        YANG Yuan-yuan，HUANG He-guang， CHEN Yan-chang，et al. Department of General Surgery，Fujian Medical University Union Hospital，Fuzhou 350001，China
Corresponding author：HUANG He-guang，E-mail：hhuang2@ yahoo.com.cn
Abstract    Objective    To explore the causes and treatment experiences for complications of abdominal incisional hernia repair. Methods    The clinical data of seventy patients with abdominal incisional hernia who underwent surgical treatment from November 2004 to June 2012 in Fujian Medical University Union Hospital were analyzed retrospectivley. The cause, prevention and treatment of postoperative complications were summarized. Results    The operation time was 45-420 mins, and the average time was (171±88) mins. No one was dead during perioperative period. Sixty-eight patients (97.1%) were followed up. The follow-up time was 1-99 months, and the average time was (36 ± 23) months. Two patients lost to follow-up because of the change of the way to contact. Ten patients suffered from postoperative complications (14.3%), including incision infection in 2 patients (2.9%), intestinal obstruction in 3 patients (4.3%), intestinal fistula in 1 patient (1.5%), serum swollen in 2 patients (2.9%), abdominal pain in 2 patients (2.9%). Other patients had no discomfort. No recurrence, complications or death occurred. Conclusion    The key point to postoperative complications of abdominal incisional hernia repair is prevention, including the gastrointestinal cleaning and respiratory training before operations, careful separation, correct hemostasis and intraoperative positive anchoring, unobstructed drainage, infection prevention, pressure dressing and to deal with abdominal distension as soon as possible, preventing seroma and incisional infection after operations.