探讨术前渐进性人工气腹（PPP）治疗复杂腹壁缺损患者的临床疗效和应用价值。

回顾性分析2013年1月至2015年6月就诊的9例术前行渐进性人工气腹治疗的复杂性腹壁缺损患者的临床资料和治疗效果。患者行渐进性人工气腹准备2~3周，在扩大腹腔容量和改善腹壁顺应性后行腹壁缺损修补术。

所有患者均顺利完成术前人工气腹的准备，期间均未发生不能耐受气腹的情况和气腹治疗相关的严重并发症。术后患者未出现疝内容物还纳后的腹腔间隔室综合征（ACS）和心肺功能紊乱。

术前施行渐进性人工气腹治疗是一种操作简单、安全可靠的微创方法，为复杂性腹壁缺损的患者提供了新的可供选择的围手术期准备方式。

To investigate the clinical efficacy and application value of preoperative progressive pneumoperitoneum treatment for patients with complex abdominal wall defects.

Nine patients with complex abdominal wall defects were conducted preoperative progressive pneumoperito-neum. Retrospective analysis of the clinical data and therapeutic effect of these patients from January 2013 to June 2015 were carried out. Patients were treated with progressive pneumoperitoneum for 2-3 weeks. The abdominal wall defect repair operations were performed after the expansion of the abdominal cavity and the abdominal wall compliance.

All the patients successfully underwent the preopera-tive progressive pneumoperitoneum. No patients endured intolerant pneumoperitoneum conditions and se-vere complications related to pneumoperitoneum. After the operation, there was no abdominal compart-ment syndrome and cardiac or pulmonary function disorder when the hernia content came back to the ab-dominal cavity.

Preoperative progressive pneumoperitoneum therapy is a simple, safe and reliable minimally invasive method, providing a new choice of perioperative preparations for patients with complex abdominal wall defects.