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中华疝和腹壁外科杂志(电子版) ›› 2026, Vol. 20 ›› Issue (01) : 48 -51. doi: 10.3877/cma.j.issn.1674-392X.2026.01.009

论著

基于神经分布的局部浸润麻醉在Lichtenstein手术中的应用
黄建朋, 宗华, 杨骏波()   
  1. 518100 广东,深圳市第三人民医院胃肠外科
  • 收稿日期:2023-03-16 出版日期:2026-02-18
  • 通信作者: 杨骏波
  • 基金资助:
    白求恩·爱惜康卓越外科基金项目(HZB-20181119-16)

The application of local infiltration anesthesia based on nerve distribution for Lichtenstein procedure

Jianpeng Huang, Hua Zong, Junbo Yang()   

  1. Department of Gastrointestinal Surgery, the Third People's Hospital of Shenzhen, Shenzhen 518100, Guangdong Province, China
  • Received:2023-03-16 Published:2026-02-18
  • Corresponding author: Junbo Yang
引用本文:

黄建朋, 宗华, 杨骏波. 基于神经分布的局部浸润麻醉在Lichtenstein手术中的应用[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(01): 48-51.

Jianpeng Huang, Hua Zong, Junbo Yang. The application of local infiltration anesthesia based on nerve distribution for Lichtenstein procedure[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2026, 20(01): 48-51.

目的

评价基于神经分布的局部浸润麻醉在Lichtenstein手术中的有效性及安全性。

方法

回顾性选择2020年1月至2022年12月,在深圳市第三人民医院胃肠外科行单侧腹股沟疝局部浸润麻醉Lichtenstein手术的107例患者,分析患者术中和术后疼痛评分、麻醉满意度及麻醉药物用量、麻醉药物中毒反应发生率。

结果

所有患者均未改变麻醉方式,无麻醉药物中毒反应发生,术中、术后第1天疼痛视觉模拟评分法评分分别为(1.86±0.47)分、(1.85±0.48)分,平均麻醉药物用量(27.63±5.98)ml,麻醉满意度100%。

结论

基于神经分布的局部浸润麻醉在Lichtenstein手术中效果确切、麻醉药物用量小、中毒反应概率低,安全、可行。

Objective

To evaluate the effectiveness and safety of local infiltration anesthesia based on nerve distribution for Lichtenstein procedure.

Methods

From January 2020 to December 2022, 107 patients who underwent with unilateral inguinal hernia local infiltration anesthesia Lichtenstein surgery in Department of Gastrointestinal Surgery, the Third People's Hospital of Shenzhen were retrospectively selected. Pain score during and after operation, anesthesia satisfaction, dosage of anesthetic drugs, and incidence rate of toxicity of anesthetic drugs were analyzed.

Results

All patients completed the operation under local anesthesia, and no toxicity of anesthetic drugs occurred. The pain Visual Analogue Scale scores during the operation and on the first day after the operation were (1.86±0.47) points and (1.85±0.48) points, respectively. The average dosage of anesthetic drugs was (27.63±5.98) ml, and the satisfaction of anesthesia was 100%.

Conclusion

Local infiltration anesthesia based on nerve distribution for Lichtenstein procedure is effective, safe and feasible with a small dosage of anesthetic drugs and a low probability of toxicity.

图1 单侧腹股沟疝Lichtenstein手术局部浸润麻醉中皮下及筋膜阻滞 1A皮下浸润;1B筋膜浸润
图2 单侧腹股沟疝Lichtenstein手术局部浸润麻醉中腹股沟管内阻滞髂腹下及髂腹股沟神经 2A腹股沟管内阻滞;2B髂腹下神经;2C髂腹股沟神经
图3 单侧腹股沟疝Lichtenstein手术局部浸润麻醉中腹横筋膜阻滞生殖股神经生殖支 3A腹横筋膜阻滞;3B生殖股神经生殖支
图4 单侧腹股沟疝Lichtenstein手术局部浸润麻醉中精索内阻滞精索神经 4A精索内阻滞;4B精索神经
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