Abstract:Objective To explore the clinical diagnosis and treatment strategy of intra-abdominal hernial intestinal obstruction. Methods The clinical data of 75 patients with intra-abdominal hernial intestinal obstruction treated from January 2010 to June 2018 were retrospectively analyzed to summarize systematically the clinical experience in diagnosis and treatment of it. Results Out of 75 patients undergoing surgical treatment,45 patients received intestine adhesion relaxation,reduction and repair,29 patients received intestinal resection and anastomosis operation due to bowel necrosis,and 1 patient underwent intestinal adhesiolysis and diverticulectomy for Meckel's diverticulum.All patients recovered and discharged after operation. Conclusion Because of complex etiology and lack of specificity of clinical manifestations,preoperative diagnosis is difficult for intra-abdominal hernial intestinal obstruction.Multi-slice spiral CT can be used as the preferred imaging examination method.Early diagnosis and timely surgery are the key to successful treatment and can significantly improve the prognosis of patients and the success rate of treatment.