目的 探讨小儿特殊情况下腹股沟嵌顿疝处理的最佳方法。方法 近10年选择了29例早产儿，新生儿及合并其它疾病的嵌顿疝患儿，先取得满意的合作后患儿仰卧垫高臀部30～40度角，术者用左手将患侧膝关节屈曲、髋关节外旋外展固定，右手托起疝囊，将患侧下肢内收内旋逐渐向下伸，同时将疝内容物送入腹腔。结果 26例1次手法复位成功，2例2次复位成功，失败1例，复位后严密观察及对症治疗，无1例死亡，无1例发生并发症，均恢复顺利。结论 嵌顿疝手法复位治疗不仅适应于健康小儿发生嵌顿疝的复位，更适应于特殊情况下的小儿嵌顿疝的处理，该方法安全有效，临床实用价值高。 Objective To investigate the best method of inguinal hernia treatment in children under special circumstances. Methods In the past 10 years, 29 premature infants, newborns and other incarcerated hernia patients were selected. After satisfactory cooperation, 30 to 40 degree angles of the supine hip were obtained. The surgeon left the affected knee Joint flexion, external rotation of the hip fixed, hold the right hernia sac, the ipsilateral lower extremity adduction pronation gradually downward, at the same time hernia contents into the abdominal cavity. Results Twenty-six cases were successfully treated by one procedure, two cases were successfully repaired twice and one case failed. The patients were closely observed and treated symptomatically after reset. There was no death in one case and no complications occurred in two cases. All cases recovered smoothly. Conclusion The treatment of incarcerated hernia by hand reduction is not only suitable for the reduction of incarcerated hernia in healthy children, but also suitable for the treatment of pediatric incarcerated hernia under special circumstances. This method is safe and effective and has high clinical value.