[摘要] 目的 探讨发生切口疝的病因。方法 回顾性分析84例切口疝的发病原因。结果 切口感染、切口类型、急诊手术、切口方向和部位、老年、腹压增高、缝合技术、糖尿病等因素的存在易诱发切口疝。结论 预防性使用抗生素，使术中达到血药浓度，尽量采用横切口，术后6个月内注意保护腹部切口，避免增加腹压的因素等措施是预防切口疝发生的关键因素。

     [关键词] 切口疝；病因

    Etiology of incisional hernia of abdominal wall

    MA Hong-guang,HUANG Lin-ping,PAN Rui-qin.Department of General Surgery,China-Japan Friendship Hospital,Beijing 100029，China.

    [Abstract] Objective To explore the etiology of incisional hernia of abdominal wall.Methods The 84 cases of incisional hernia were analyzed retrospectively in terms of incision type,technique of suture,infection of incision,and the time of occurrence.Results Infection,longitudinal incision,improper technique of suture,increase of intra abdominal pressure,and diabetes were risk factors of incisional hernia.Conclusion Transverse incision,prevention of infection of the incision,right use of antibiotics,prevents increase of intra abdominal pressure in every aspect.Postoperative half-year risk high incidence stage of incision hernia and all inducing factors should be avoided. ......