Ponthieu A, Huguet J F
J Urol Nephrol (Paris). 1976 Mar;82(3):187-99.
Idiopathic left varicocele is not always due to renospermatic reflux, as is shown by left renal phlebography. Furthermore, radiological exploration of the left iliac venous axis has shown the frequency of main iliac obstruction, compressed by the right iliac artery. The lumen of the iliac vein frequently bears traces of this compression (May and Thurner). The multiplicity of the colateral pathways draining the iliac vein in stasis, is evidence of the reigning increase in pressure. The authors propose the hypothesis that the varicocoele may be due to iliospermatic reflux. This occurs through anastomoses which are well known to anastomists and found on 2 occasions in the series presented. If this hypothesis were verified, it would incite an approach to the cord via the inguinal canal in order to ligature the spermatic veins above their anastomoses with the epigastric.
如左肾静脉造影所示，特发性左侧精索静脉曲张并不总是由肾精索反流引起。此外，对左髂静脉轴的放射学检查显示，主髂静脉梗阻的频率较高，这是由右髂动脉压迫所致。髂静脉腔内经常留有这种压迫的痕迹（梅氏和图尔纳氏征）。引流淤滞髂静脉的侧支途径多种多样，证明压力持续升高。作者提出假说，认为精索静脉曲张可能是由髂精索反流引起的。这是通过吻合支发生的，吻合支对于吻合术医生来说是众所周知的，在本系列病例中有2例发现。如果这一假说得到证实，那么就会促使通过腹股沟管接近精索，以便在精索静脉与腹壁上静脉的吻合支上方结扎精索静脉。
