近年来，随着疝外科手术技术不断进步，微创手术的广泛应用显著降低了术后复发率和康复时间。然而，出血并发症仍是影响手术安全的重要因素。本文系统探讨了疝外科手术中出血的防治策略。术前通过精准评估凝血功能和解剖特征，识别高危患者并制定手术方案；术中凭借精细化止血技术和对解剖结构的精准把控，降低出血风险；术后通过动态监测患者情况，早期发现出血迹象，并根据出血程度进行分层管理。展望未来，智能影像导航、人工智能辅助手术、新型止血材料的应用以及多学科协作模式的深化，将为降低出血风险提供有力支持，推动疝外科手术向“精准无血”的目标迈进，进一步提升手术安全性与患者预后。

In recent years, with the continuous advancement of hernia surgery techniques, the widespread application of minimally invasive surgery has significantly reduced postoperative recurrence rates and recovery time.However, bleeding complications remain an important factor affecting surgical safety.This article systematically explores the prevention and treatment strategies for bleeding in hernia surgery.Preoperative precise assessment of coagulation function and anatomical characteristics is conducted to identify high-risk patients and develop surgical plans.During the operation, refined hemostatic techniques and precise control of anatomical structures are utilized to reduce the risk of bleeding.Postoperatively, patients' conditions are dynamically monitored to detect early signs of bleeding,and stratified management is implemented based on the extent of bleeding.In the future, intelligent imaging navigation, artificial intelligence-assisted surgery, the application of new hemostatic materials, and the deepening of multidisciplinary collaboration will provide strong support for reducing the risk of bleeding, promoting hernia surgery towards the goal of "precise and bloodless" procedures, and further improving surgical safety and patient prognosis.