Keoghane S R, Jones L, Wright M P, Kabala J
Department of Radiology, Bristol Royal Infirmary, UK.
Int Urol Nephrol. 2001;33(3):517-20. doi: 10.1023/a:1019598109594.
To assess the efficacy of percutaneous retrograde varicocele embolisation using Spirale tungsten coils over a period of five years.
Fifty consecutive patients underwent local anaesthetic day case varicocele embolisation via a right femoral approach. Venous anatomy was identified and classified. Morbidity and recurrence were recorded at three month clinical follow up.
The procedurewas technically successful in 94% of the patients. The varicocele recurred in 16%, the majority of whom had complex venous anatomy. 8% of the patients complained of discomfort at follow up.
Although the coils used in this study have been withdrawn, a high technical success rate is described with failure being predominantly due to complex venous anatomy.
评估使用螺旋钨丝圈进行经皮逆行精索静脉曲张栓塞术五年期间的疗效。
连续50例患者通过右股动脉途径在局部麻醉下行日间精索静脉曲张栓塞术。确定并分类静脉解剖结构。在术后三个月的临床随访中记录发病率和复发情况。
该手术在94%的患者中技术成功。精索静脉曲张复发率为16%，其中大多数患者静脉解剖结构复杂。8%的患者在随访时主诉不适。
尽管本研究中使用的线圈已不再使用，但技术成功率较高，失败主要归因于复杂的静脉解剖结构。
