摘要回顾疝与腹壁外科的发展历程，最早仅是简单的组织缝合修补，且效果不令人满意。随着修复材料的发展，疝的治疗发生了里程碑式的进展。修复材料（Mesh补片）被应用于各类腹壁疝。随着外科医师逐步意识到腹壁层次在修复腹壁缺损治疗中的重要性，开始重视腹壁重建，并应用修补材料对腹壁加强补修，使腹壁功能障碍（巨大切口疝、复杂腹壁疝）的治疗取得长足进步。随后外科医师和科学家又对腹壁疝的治疗提出更新概念，即“腹壁的功能性修复”，一个理想的功能性修复手术可以恢复腹壁自身功能，最终达到腹壁结构与功能统一。笔者从腹壁疝的修复、重建到功能性修复深入探讨其治疗发展。

abstractsReviewing the development of hernia and abdominal wall surgery, at the begin-ning, they were only used in simple repair, effects of which were unsatisfactory. Hernia treatment has made a milestone progress with the development of repair materials. Repair materials (Mesh patches) have been applied to various types of abdominal hernia. As surgeons gradually realized the importance of abdominal wall layer in the treatment of abdominal wall defects, they began to pay attention to abdominal wall reconstruction, and applied repair materials to reinforce the abdominal wall, so that the treatment of abdominal wall dysfunction (huge incisional hernia and complex abdominal hernia) has made great progress. Subsequently, surgeons and scientists put forward a new concept "functional repair of the abdominal wall" for the repair of abdominal hernia. An ideal functional repair can restore the function of the abdominal wall, and ultimately achieve the unity of structure and function. The authors discuss the development of the treatment of abdominal hernia from repair, reconstruction to functional restoration.