总结局部浸润麻醉下同时行同侧精索静脉曲张和腹股沟疝手术的临床经验，分析其优缺点，为合理选择手术方式提供依据。

选取2016年6月至2021年6月在宜昌市第二人民医院Ⅰ期手术治疗同侧精索静脉曲张与腹股沟疝患者共167例，依手术方式不同分为开放组与腔镜组。开放组85例，局部浸润麻醉下行开放手术；腔镜组82例，全身麻醉下行腹腔镜手术。回顾分析2组临床资料，并做对比研究。

开放组术后疼痛症状较腔镜组重，但手术时间较腔镜组短，住院费用较之显著降低，2组差异均有统计学意义（P<0.05）。2组术后住院时间、并发症发生率（神经损伤、出血、浆液肿、附睾炎、睾丸疼痛等）差异无统计学意义（P>0.05）；术后随访12个月，2组均无复发和慢性疼痛。

局麻下同时行同侧精索静脉曲张和腹股沟疝手术安全可行，患者住院时间短、恢复快，可显著降低住院费用，适合广大基层医院开展。

To summarize the clinical experience of simultaneous operation of ipsilateral varicocele and inguinal hernia under local infiltration anesthesia in the Second People's Hospital of Yichang, Hubei Province, and analyze their advantages and disadvantages, so as to provide basis for rational selection of surgical methods.

A total of 167 patients with ipsilateral varicocele and inguinal hernia were selected in our hospital from June 2016 to June 2021. Among them, 85 patients underwent open surgery under local infiltration anesthesia and 82 patients underwent laparoscopic surgery under general anesthesia. The clinical data of the two groups were retrospectively analyzed and a comparative study was conducted.

The pain symptoms of the open surgery group were more severe than those of the laparoscopic surgery group, but the operation time was shorter than that of the laparoscopic surgery group, and the hospitalization cost was significantly reduced. The difference between the two groups was statistically significant (P<0.05). Postoperative hospital stay, incidence of complications: nerve injury, bleeding, serous swelling, epididymitis, testicular pain and other differences between the two groups were not statistically significant (P>0.05). After 12 months of follow-up, there was no recurrence or chronic pain in the two groups.

The operation of ipsilateral varicocele and inguinal hernia at the same time under local anesthesia is safe and feasible, the hospital stay is short, the recovery is quick, and it can significantly reduce the cost of hospitalization, making it suitable for the majority of primary hospitals to carry out.