Abstract:

ObjectiveTo investigate the clinical effect of six-step microscopic varicocelectomy.MethodsThere is a retrospective analysis of 102 patients with varicocele underwent microscopic varicocelectomy from September 2021 to December 2022，47 patients in the control group （from September 2021 to June 2022） underwent routine microscopic varicocelectomy， and 55 patients in the observation group （from July 2022 to to December 2022） underwent microscopic varicocelectomy based on the six-step method.The indicators of surgery and surgical complications of the two groups were compared.ResultsThe operation time of observation group（32.54 ± 1.68）min was shorter than control group（47.76 ± 1.43）min， and the difference between the two groups was significant（P< 0.05）。There was no significant difference between two groups in terms of preoperative indexes， intraoperative other indexes（the amount of internal spermatic vein complexes，operation time， intraoperative bleeding），postoperative indexes（P> 0.05）.ConclusionBased on the six-step method， the microscopic spermatic vein ligation by establishing the correct surgical level， standardizing the surgical steps and procedures， thus reducing the operation time， effectively ligation the veins and preserving the arteries and lymphatics， with fewer postoperative complications and good clinical efficacy.

Key words:six step method,varicocelectomy,microscope

摘要：

目的分析基于六步法的显微镜下精索静脉结扎术的临床效果。方法回顾性分析山东大学齐鲁医院闵傲外科收治的102例精索静脉曲张患者在2021年9月—2022年12月进行显微镜下精索静脉结扎术的疗效，对照组（2021年9月—2022年6月，共47例）患者行常规显微镜下精索静脉结扎术，试验组（2022年7月—2022年12月，共55例）采用基于六步法的行显微镜下精索静脉结扎术，对比两组患者手术指标和并发症发生情况。结果试验组手术时间较对照组明显缩短（32.54 ± 1.68）vs.（47.76 ± 1.43）min，组间差异有统计学意义（P< 0.001），术前指标、术中其他指标（精索内静脉复合体数量、手术时间、出血量）、术后指标两组间比较，差异均无统计学意义（均P> 0.05）。结论基于六步法的显微镜下精索静脉结扎术，通过建立正确的手术层面，规范了手术步骤和流程，从而减少了手术时间，同时有效结扎静脉、保留动脉及淋巴管，术后并发症少，临床疗效良好。

关键词:六步法,精索静脉曲张,显微镜