探讨经腹直肌入路腹膜前修补手术治疗嵌顿性股疝的经验及疗效。

回顾分析2009年6月至2019年2月，中山大学附属东华医院经腹直肌入路腹膜前修补手术治疗的嵌顿性股疝患者24例。收集患者的基本资料及临床数据。

24例中疝内容物为小肠17例，大网膜7例；绞窄性股疝同时行小肠部分切除术5例，绞窄性股疝同时行大网膜部分切除术治疗1例；手术时间（79.2±30.2）min。24例嵌顿疝内容物复位后均行腹膜前补片修补术，无切口感染者；21例门诊随访2~5年，失访3例，无股疝复发者、无腹股沟区慢性疼痛者、无新发斜疝或直疝者。

经腹直肌入路腹膜前修补手术治疗嵌顿性股疝,操作简便，值得在合适的患者中开展。

To explore the experience and effect of preperitoneal tension-free hernioplasty for incarcerated femoral hernia through rectus abdominis incision.

From June 2009 to February 2019, 24 patients with incarcerated femoral hernia were treated by preperitoneal tension-free hernioplasty through rectus abdominis incision in Tungwah Hospital, Sun Yat-sen University. We retrospectively analyzed the baseline and clinical data of these patients.

Of the 24 cases, 17 cases were small intestine incarcerated, 7 cases were greater omentum incarcerated, 5 cases of strangulated femoral hernia were treated with partial resection of small intestine, 1 case of strangulated femoral hernia treated with simultaneous partial resection of greater omentum, the operation time was (79.2±30.2) minutes. 24 cases of incarcerated femoral hernia were treated with preperitoneal mesh repair after reduction, no incision infection, 21 cases were followed up for 2 to 5 years, 3 cases were lost, no femoral hernia recurrence, no chronic post operative inguinal pain, no indirect hernia and direct hernia.

The preperitoneal tension-free hernioplasty in incarcerated femoral hernia through rectus abdominis is simple, and it is appropriate for the right patient.